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Correlates to Relapse as Perceived by Schizophrenic Patients

Received: 21 May 2017     Accepted: 31 May 2017     Published: 10 July 2017
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Abstract

Relapse among schizophrenic patients is a major challenge for mental health service providers in Egypt. Relapse has negative consequences and it can affect to patients, their families, the mental health care providers and the country's economy. This study aimed to explore the correlates of relapse as perceived by schizophrenic patients. A descriptive correlational design was utilized in this study. Three tools were utilized; the socio-demographic data sheet, the patient's medical data sheet and the relapse factors questionnaire that was developed by the researchers. A purposive sample of 90 schizophrenic patients was recruited in the current study. The study was carried out at Psychiatric Medicine and Addiction Prevention Hospital – El Manial University Hospital. The results revealed that the majority of the sample agreed that the social stigma related factors, and lack of rehabilitation services in the community, in addition to decreased patient's compliance with the medications were the most reported factors for relapse. However, the multiple regression analysis showed that there were no significant relationships among patient's socio-demographic or medical data and their relapse. The study concluded that, many factors can interfere with the recovery process of schizophrenic patients such as, lack of social and community support, non compliance to medication, and stigma. The study recommended that applying the mental health education and provision of effective and accessible community mental health services can help in reducing the relapse among schizophrenic patients.

Published in American Journal of Nursing Science (Volume 6, Issue 4)
DOI 10.11648/j.ajns.20170604.15
Page(s) 308-314
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Correlates to Relapse, Schizophrenic Patients, Patient's Perspective

References
[1] Brink, C., Van der Walt, C. and Van Rensburg, G. (2012). Fundamentals of Research Methodology for Health Care Professionals. 3rd ed. Lansdown: Juta and Company Ltd.
[2] Kane J. M., (2007)."Treatment strategies to prevent relapse and encourage remission," J Clin Psychiatry, vol. 68 Suppl 14, pp. 27-30.
[3] Harris M. G., Henry, L. P. Harrigan, S. M. Purcell, R., O. S. Schwartz, S. E. Farrelly, A. L. Prosser, H. J. Jackson and P. D. McGorry, (2005). "The relationship between duration of untreated psychosis and outcome: an eight-year prospective study," Schizophrenia Research, vol. 79, no. 1, pp. 85-93.
[4] American Psychiatric, A. American Psychiatric A. and D.-I. (2016). Task Force on, Diagnostic and statistical manual of mental disorders: DSM-IV-TR, American Psychiatric Association, Washington, DC.
[5] San, L. Bernardo, M. Gomez A., and Pena, M.(2013). Factors associated with relapse in patients with schizophrenia," Int J Psychiatry Clin Pract, vol. 17, no. 1, pp. 2-9.
[6] Sariah, A. E. Outwater A. H. and Malima, K. I.(2014)."Risk and protective factors for relapse among individuals with schizophrenia: a qualitative study in Dar es Salaam, Tanzania," BMC Psychiatry, vol. 14, pp. 240,.
[7] Burns, N. and Grove, S. K. (2011). Understanding Nursing Research. 5th ed. Maryland Heights: Elsevier.
[8] Chabungbam, G. Avasthi A. and Sharan, P.(2007)."Socio-demographic and clinical factors associated with relapse in schizophrenia," Journal of Psychiatry Clinical Neuroscience, vol. 61, no. 6, pp. 587-593.
[9] Alsherif, Z. and Abd Elrahman, S.(2013). Schizophrenic Patients's Perception of Factors Leading to Relapse. Journal of American Science; 9(12), PP512-517.
[10] Chaurotia, V., Verma, K., and Baniya, B. (2016). A Study of Psychosocial Factor Related with Relapse in Schizophrenia. IOSR-JDMS, Volume 2016; 15(4): 26–34.
[11] Abdel-Baki, A. Lesage, A. Nicole, L. Cossette, M. Salvat E., and Lalonde, P.(2011)."Schizophrenia, an illness with bad outcome: myth or reality?," Canadian Journal of Psychiatry, vol. 56, no. 2, pp. 92-101.
[12] Moritz S., and Woodward, T. S.(2005). "Jumping to conclusions in delusional and non-delusional schizophrenic patients," Br J Clin Psychol, vol. 44, no. Pt 2, pp. 193-207.
[13] Huxley P. and Thornicroft, G.(2003). "Social inclusion, social quality and mental illness," Br J Psychiatry, vol. 182, pp. 289-290.
[14] Sagduyu, A. Aker, T. Ozmen, E. Uguz S., Ogel K. and Tamar, D. (2003). "[Relatives' beliefs and attitudes towards schizophrenia: an epidemiological investigation]," Turk Psikiyatri Derg, vol. 14, no. 3, pp. 203-212.
[15] Emsley, R., Chiliza, B., Asmal, L. and Brain, H.(2013). The nature of relapse in schizophrenia, BMC Psychiatry, 13: 50.
[16] Beebe, L. H. (2002). "Problems in community living identified by people with schizophrenia," J Psychosocial Nursing Mental Health Services, vol. 40, no. 2, pp. 38-45.
Cite This Article
  • APA Style

    Zeinab Ahmed Abdelsalam, Naglaa Mostafa Gaber. (2017). Correlates to Relapse as Perceived by Schizophrenic Patients. American Journal of Nursing Science, 6(4), 308-314. https://doi.org/10.11648/j.ajns.20170604.15

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    ACS Style

    Zeinab Ahmed Abdelsalam; Naglaa Mostafa Gaber. Correlates to Relapse as Perceived by Schizophrenic Patients. Am. J. Nurs. Sci. 2017, 6(4), 308-314. doi: 10.11648/j.ajns.20170604.15

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    AMA Style

    Zeinab Ahmed Abdelsalam, Naglaa Mostafa Gaber. Correlates to Relapse as Perceived by Schizophrenic Patients. Am J Nurs Sci. 2017;6(4):308-314. doi: 10.11648/j.ajns.20170604.15

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  • @article{10.11648/j.ajns.20170604.15,
      author = {Zeinab Ahmed Abdelsalam and Naglaa Mostafa Gaber},
      title = {Correlates to Relapse as Perceived by Schizophrenic Patients},
      journal = {American Journal of Nursing Science},
      volume = {6},
      number = {4},
      pages = {308-314},
      doi = {10.11648/j.ajns.20170604.15},
      url = {https://doi.org/10.11648/j.ajns.20170604.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20170604.15},
      abstract = {Relapse among schizophrenic patients is a major challenge for mental health service providers in Egypt. Relapse has negative consequences and it can affect to patients, their families, the mental health care providers and the country's economy. This study aimed to explore the correlates of relapse as perceived by schizophrenic patients. A descriptive correlational design was utilized in this study. Three tools were utilized; the socio-demographic data sheet, the patient's medical data sheet and the relapse factors questionnaire that was developed by the researchers. A purposive sample of 90 schizophrenic patients was recruited in the current study. The study was carried out at Psychiatric Medicine and Addiction Prevention Hospital – El Manial University Hospital. The results revealed that the majority of the sample agreed that the social stigma related factors, and lack of rehabilitation services in the community, in addition to decreased patient's compliance with the medications were the most reported factors for relapse. However, the multiple regression analysis showed that there were no significant relationships among patient's socio-demographic or medical data and their relapse. The study concluded that, many factors can interfere with the recovery process of schizophrenic patients such as, lack of social and community support, non compliance to medication, and stigma. The study recommended that applying the mental health education and provision of effective and accessible community mental health services can help in reducing the relapse among schizophrenic patients.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Correlates to Relapse as Perceived by Schizophrenic Patients
    AU  - Zeinab Ahmed Abdelsalam
    AU  - Naglaa Mostafa Gaber
    Y1  - 2017/07/10
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    DO  - 10.11648/j.ajns.20170604.15
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 308
    EP  - 314
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20170604.15
    AB  - Relapse among schizophrenic patients is a major challenge for mental health service providers in Egypt. Relapse has negative consequences and it can affect to patients, their families, the mental health care providers and the country's economy. This study aimed to explore the correlates of relapse as perceived by schizophrenic patients. A descriptive correlational design was utilized in this study. Three tools were utilized; the socio-demographic data sheet, the patient's medical data sheet and the relapse factors questionnaire that was developed by the researchers. A purposive sample of 90 schizophrenic patients was recruited in the current study. The study was carried out at Psychiatric Medicine and Addiction Prevention Hospital – El Manial University Hospital. The results revealed that the majority of the sample agreed that the social stigma related factors, and lack of rehabilitation services in the community, in addition to decreased patient's compliance with the medications were the most reported factors for relapse. However, the multiple regression analysis showed that there were no significant relationships among patient's socio-demographic or medical data and their relapse. The study concluded that, many factors can interfere with the recovery process of schizophrenic patients such as, lack of social and community support, non compliance to medication, and stigma. The study recommended that applying the mental health education and provision of effective and accessible community mental health services can help in reducing the relapse among schizophrenic patients.
    VL  - 6
    IS  - 4
    ER  - 

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Author Information
  • Psychiatric Mental Health Nursing Department, Faculty of Nursing, Cairo University, Cairo, Egypt

  • Psychiatric Mental Health Nursing Department, Faculty of Nursing, Cairo University, Cairo, Egypt

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