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Experience of quality of life and attitude to care and treatment in patients with schizophrenia: Role of cross-sectional remission

Artikel i vetenskaplig tidskrift
Författare Lars Helldin
J Kane
Ulla Karilampi
Torsten Nordlander
Trevor Archer
Publicerad i International Journal of Psychiatry in Clinical Practice
Volym 12
Nummer/häfte 2
Sidor 97-104
ISSN 1365-1501
Publiceringsår 2008
Publicerad vid Psykologiska institutionen
Sidor 97-104
Språk en
Länkar dx.doi.org/10.1080/1365150070166000...
Ämnesord Remission, schizophrenia, quality of life, insight, attitude to care
Ämneskategorier Psykologi

Sammanfattning

Objective. The concept of cross-sectional remission was investigated in a sample of patients with schizophrenia. A total of 243 patients were tested for quality of life, burden and handicap, insight and satisfaction with the care provided in an epidemiological study. The question addressed was if remission is of importance for outcome. Methods. Cross-sectional remission was defined by applying the symptom criteria of remission, where none of eight selected PANSS items should exceed 3 points. Out of 243 patients, 38% were in met cross-sectional remission. Quality of life was assessed with the MOS SF-36 and the Rosser Index. The patients’ understanding of their illness was assessed based on symptoms and disorder insight. Finally, attitudes to care and health service were assessed by the UKU/Consumer Satisfaction Questionnaire and the Drug Attitude Inventory. Results. Patients who were in cross-sectional remission reported higher quality of life and reduced burden related to the disorder, a greater level of insight into their symptoms and the illness, and a more positive attitude to treatment, including drugs. Conclusion. This study implies that remission, here expressed in terms of cross-sectional remission, is of importance for patients’ well-being. Patients who had no interference from symptoms in their daily functioning found their life better, had a superior insight and were more positive to treatment.

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