Coping Styles and Clinical Factors in Relation to Quality of Life among Patients with Schizophrenia
Quality of Life among Patients with Schizophrenia
Abstract
This is a cross sectional study examining quality of life in relation to coping styles among
patients with Schizophrenia (N=92) in remission, from June 2002 to December 2002. Remission state is determined by Brief Psychiatric Rating Scale (BPRS). The psychiatric diagnosis was made by treating psychiatrist using the Clinical Interview Schedule for the DSM-IV Diagnosis. They are subsequently asked to complete demographic and clinical data questionnaire and followed by 36-item short-form health survey (SF-36) of the Medical Outcome Study (MOS) for the assessment of quality of life and the Coping Inventory for Stressful Situation (CISS). The QOL in term of overall mental health among patients with schizophrenia was significantly and positively associated with ethnic group (p<0.05), employment status, type of antipsychotic (p<0.05) and number of admission (p<0.05). Being Chinese and employed are associated with better QOL in term of overall mental health. The commonly used coping style among patients with Schizophrenia is the distraction component of avoidance-oriented coping. The task-oriented coping was significantly and positively correlated with quality of life in term of mental component. There was a negative correlation between the emotion-oriented coping and all the domain of the quality of life. In conclusion, better quality of life is positively correlated with task-oriented coping and inversely related with emotion-oriented coping.
Keywords :
coping styles,
quality of life,
schizophrenia,
Abstrak
Ini adalah kajian irisan lintang yang memeriksa kaitan kualiti hidup (KH) dengan faktor klinikal dan cara menangani stres pada pesakit Skizofrenia (N=92) dalam remisi daripada bulan Jun hingga Disember 2002. Tahap remisi ditentukan berdasarkan skala BPRS (Skala Ringkas Psikotik Psikiatri) dan diagnosa oleh Pakar Psikiatri yang merawat pesakit berdasarkan Temuduga Klinikal Berjadual Diagnosa untuk Manual diagnostik Statistik Edisi ke IV (DSM IV). Mereka berikutnya diminta melengkapkan soalan data demografik dan faktor klinikal serta seterusnya soalan pernilaian kualiti hidup(KH) dan cara tangani stress dengan masing-masing menggunakan 36 Item Soalan Ringkas Kajiselidik Kesihatan (SF36) untuk Kajian Hasil Perubatan dan Inventori Menangani Situasi Stres (CISS). KH pada terma kesihatan mental secara keseluruhannya pada pesakit Skizofrenia menunjukan ada perbedaan signifikan didalam kumpulan etnik (p<0.05), status pekerjaan (p<0.05), rawatan antipsikotik dan bilangan kemasukan pesakit ke wad (p<0.05). Kaum Cina dan mereka yang bekerja mempunyai perbezaan signifikan (p<0.05) pada KH untuk terma keseluruhan kesihatan mental. Cara menangani stress yang paling kerap digunakan oleh pesakit Skizofrenia adalah komponen menarik perhatian berorientasikan pengelakan. Menangani stres berorientasikan tugas mempunyai korelasi positif yang signifikan pada komponen mental KH. Sementara menangani berorientasikan emosi mempunyai korelasi negatif pada semua domin KH. Kesimpulannya, KH yang baik berkorelasi secara positif dengan cara menangani stres berorientasikan tugas dan berkorelasi secara terbalik pada cara menangani berorientasikan emosi.
Kata Kunci :
cara tangani stres,
kualiti hidup,
skizofrenia,
Correspondance Address
Associate Professor Dr Ainsah Omar, Department of Psychiatry, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Kuala Lumpur, Malaysia.
Email: ainsah@mail.hukm.ukm.my / oyjaao@yahoo.com.my
