ABSTRACT
BACKGROUND: Presently few studies demonstrate improved outcomes in patients with schizophrenia treated in day rehabilitation centres. One reason is the absence of an evidence based protocol for rehabilitation in such centres. Hence further research is required to assess whether such a protocol will improve psychosocial outcomes. AIMS: We performed a controlled evaluation study of a protocol based rehabilitation day program (RDC) for persons suffering from schizophrenia. METHODS: Patients from the experimental group (N=50) were treated within the RDC for a 6 month period. The control group were patients on the waiting list for the RDC. Quality of life (MANSA), social functioning (OSA) and self-esteem (Rosenberg) were measured before and after the intervention. RESULTS: Statistically significant improvement was shown in social functioning measured by OSA (F(1,96)=33.7; p<0.001), quality of life measured by MANSA (F(1,96)=69.3; p<0.001) and self esteem measured by Rosenberg scale (F(1,96)=84.5; p<0.001) for patients treated in the RDC compared with the control group, conversely, the control group outcomes deteriorated. CONCLUSION: An evidence based protocol for rehabilitation within the RDC lead to improved social outcomes and recovery for persons suffering from schizophrenia.
Subject(s)
Clinical Protocols/standards , Day Care, Medical/standards , Schizophrenia/rehabilitation , Adult , Day Care, Medical/methods , Female , Humans , Male , Middle Aged , Quality of Life , Self Concept , Social Adjustment , Treatment OutcomeABSTRACT
The social functioning is an important criteria for evaluation when the decision about guardianship has to be made. Therefore, we investigated the differences in social functioning of persons under guardianship in comparison with persons without guardianship. Examinees (N=123) with diagnosed schizophrenia, accommodated at a social care institution for mentally ill persons, participated in the study. Adaptive function scale has been used for the evaluation of social functioning. The results were processed by statistic methods using SPSS and following methods have been used for statistics: descriptive analysis, regression analysis and group centroids. The results didn't show the statistically significant differences in social functioning between two groups of examinees. Also, there was no statistical significant difference in relation to the duration of illness, age and education. The results indicate the necessarily of taking into consideration the some other dimensions important for evaluation of mental capacity, especially when the decision about guardianship has to be made.
Subject(s)
Schizophrenic Psychology , Social Adjustment , Social Behavior , Adult , Female , Humans , Legal Guardians , Male , Middle AgedABSTRACT
We studied influence of type of antipsychotics in relation with social functioning in sample of 123 patients diagnozed with schizophrenia accordingto lCD 10 criteria. On atypicals (olanzapin, risperidon, clozapin) were 39 patients, 26 female and 13 male. The social functioning scale according to Bellak et al was used for assessment of social functioning. Results of our study show that there is no difference in social functioning between patients on atypical in comapration with patients on typical antipsychotics. We observed a positive trend of better social functioning in group of patients who takes atypicals. Results also showed that women had better social functioning comparing to males Education and duration of illness were not in relation with social functioning.
