Authors: Laxmi Kumari, Mamta Sood, Sandhya Gupta
Background of the study: Schizophrenia is a progressive mental disorder that can be distressing both for patient as well as their family caregivers. There is a wide gap between perception of recovery in terms of subjective wellbeing and actual clinical recovery in patients having schizophrenia. Only clinical measures for determining the total recovery of a patient having schizophrenia are not enough, to ensure their complete functioning. Title: Community functioning of patients having schizophrenia and its relationship with their selected variables. Methodology: A descriptive, cross-sectional survey study on 50 patients having Schizophrenia in remission stage, in a tertiary care setting. Tools: Subject data sheet for sociodemographic and selected variables, Scale for Assessment of Positive Symptoms, The Generalized Self-Efficacy Scale, The UCSD Performance-Based skills assessment, The Lawton Instrumental Activities of Daily Living scale and WHO (FIVE) Well-Being Index. Results: The mean age of fifty study-patients having Schizophrenia was 32±9.96 years. Average duration of illness of the patients was 9.09±8.17 years. Average duration of dysfunction was 2.27±3.04 months, and average duration of treatment of patients was 8.20±7.64 months. Maximum disability (70%) in patients was found in answering on telephone, followed by 40% disability in housekeeping and food preparation and 38% disability in washing clothes. Twenty eight percent of patients were having difficulty in handling their finance and in mentioning the current electricity bill amount from the given electricity bill. Twenty-two of the patients were not able to dial number from the given electricity bill. Eighteen percent of the patients were not able to do conversion of currency in breakups. The mean score of patients on subjective wellbeing domain was 11.16±7.51. The self-efficacy score (25.56±8.33) was poor. A statistically significant positive correlation was found between community functioning and self-efficacy of patients, r=0.3890, p≤0.05. Self-efficacy of patients was significantly positively correlated with instrumental activities of daily living, r= 0.597, p≤0.05. Conclusion: There is need to train all health care workers working with patients having Schizophrenia to assess the community functioning, subjective wellbeing and selfefficacy and accordingly plan strategies for intervention. Recommendations: Interventional strategies could be developed and tested for the use of health care workers for increasing patients functioning.
Keywords: schizophrenia; community functioning; selfefficacy; subjective wellbeing