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Psychosocial, Economic Support Services and Demographic Factors Affecting the Prognosis of Schizophrenic Clients at Adama Hospital Medical College

Received: 5 May 2016     Accepted: 16 May 2016     Published: 18 June 2016
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Abstract

The aim of this study is to identify the psychosocial, economic support services and demographic factors affecting the prognosis of schizophrenic clients at Adama Hospital medical college, Oromia region, Ethiopia. To conduct the study, quantitative method was employed and a survey was conducted from February to march 2014. A sample of 100 schizophrenic clients who are on follow-up with antipsychotic medication for greater than one year was selected by using psychiatric nurse and mental health officer for their cooperative communication using mental state examination to assess their cognition before delivering questionnaire for the study’. For the study of the psychosocial, economic support service and demographic factors affecting the prognosis of schizophrenia, questionnaire was developed according to the objective of the study and translated into local language (Amharic language). To ensure the validity and reliability of developed questionnaire various measures were taken and pilot study was conducted at the study site. In accordance with finding of pretest, minor modifications were made to the questionnaire. The data were analyzed using frequency, percentage, through SPSS version 16.0 statistical packages. The results showed that 30% clients were below age 25 years, 18% of schizophrenic clients are illiterate, 38% of them are grade 1-8, 31% of them are grade 8-12, and 3% of them are certificate. The 74% of schizophrenic client’s monthly income is below $27, 49% of schizophrenic client are unmarried, 13% of them are separated and divorced, and 1% of them are widowed. With regard to occupational status 52% of schizophrenic’s client are unemployed, 1% dismissed, 10% of them are house holder and 20% of them are daily laborer. 43% of clients discontinued taking the prescribed medication, 16% of the respondents reported that they had experienced stigma in their life due to schizophrenia disorder. The findings of the study showed that, the psychosocial, economic support services and demographic factors affecting the prognosis of schizophrenia disorder is assessed and identified in the study area. This needs an urgent attention at all levels of societal hierarchy including minsters, administrators, stakeholders, health professionals, and the community to overcome the problem. Finally, recommendations were forwarded based on the major findings so as to minimize the problem.

Published in American Journal of Psychiatry and Neuroscience (Volume 4, Issue 4)
DOI 10.11648/j.ajpn.20160404.11
Page(s) 57-64
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), 2016. Published by Science Publishing Group

Keywords

Prognosis of Schizophrenia, Psychosocial, Economic Support Service, Demographic Factors

References
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[2] Kaplan HI and Sadock B, [2007]. Synopsis of psychiatry: Behavioral science (clinical psychiatry) 10th edition.
[3] Kaplan HI and Sadok B, [1988]. Pocket hand book of clinical psychiatry: 2nd edition New York.
[4] Alem A, Fikadu A, Kebede D, Shibre T [2004]. Bipolar disorder among an isolated island community in Ethiopia, Journal of Affective Disorders. Ethiopia.
[5] Alem A and Yitayew Y, [2007]. Psychiatry for primary health care practitioner in Ethiopia: Addis Ababa University. Ethiopia.
[6] Kebede, Alem A, Shibre T, [2004]. Schizophrenia Research: Addis Ababa University. Ethiopia.
[7] American Psychiatric Association, [2014]. Diagnostic and Statistical Manual of Mental Disorders: 5th edition, Arlington.
[8] American psychiatry association, [2013]. Diagnostic and statistical manual of mental disorder: 4th edition revised, Washington Dc 5.
[9] Thomson and Logo S, [2008]. Gale encyclopedia of mental health, second edition. China.
[10] Gorczynski P and Faulkner G, [2010]. Exercise therapy for schizophrenia, Cochrane Database of Systematic Reviews: PMID.
[11] Jablensky A, Sartorius N, Ernberg G, [1992]. Schizophrenia: manifestations, incidence and course in different cultures, A World Health Organization ten-country study, Psychological MedMonogram.
[12] Vanessa Taylor, [2011], Prevalence of schizophrenia: National institute of mental health. US.
[13] World Health Organization, [2001] mental health: new understanding, new hope, World Health Organization: Geneva.
[14] Assefa, D, Shibre, T [2012]. International stigma among patients with schizophrenia in Ethiopia: a cross sectional facility based study. BMC psychiatry.
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  • APA Style

    Nuru Hassen Ibrahim, Kumsa Donis. (2016). Psychosocial, Economic Support Services and Demographic Factors Affecting the Prognosis of Schizophrenic Clients at Adama Hospital Medical College. American Journal of Psychiatry and Neuroscience, 4(4), 57-64. https://doi.org/10.11648/j.ajpn.20160404.11

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    ACS Style

    Nuru Hassen Ibrahim; Kumsa Donis. Psychosocial, Economic Support Services and Demographic Factors Affecting the Prognosis of Schizophrenic Clients at Adama Hospital Medical College. Am. J. Psychiatry Neurosci. 2016, 4(4), 57-64. doi: 10.11648/j.ajpn.20160404.11

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    AMA Style

    Nuru Hassen Ibrahim, Kumsa Donis. Psychosocial, Economic Support Services and Demographic Factors Affecting the Prognosis of Schizophrenic Clients at Adama Hospital Medical College. Am J Psychiatry Neurosci. 2016;4(4):57-64. doi: 10.11648/j.ajpn.20160404.11

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  • @article{10.11648/j.ajpn.20160404.11,
      author = {Nuru Hassen Ibrahim and Kumsa Donis},
      title = {Psychosocial, Economic Support Services and Demographic Factors Affecting the Prognosis of Schizophrenic Clients at Adama Hospital Medical College},
      journal = {American Journal of Psychiatry and Neuroscience},
      volume = {4},
      number = {4},
      pages = {57-64},
      doi = {10.11648/j.ajpn.20160404.11},
      url = {https://doi.org/10.11648/j.ajpn.20160404.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20160404.11},
      abstract = {The aim of this study is to identify the psychosocial, economic support services and demographic factors affecting the prognosis of schizophrenic clients at Adama Hospital medical college, Oromia region, Ethiopia. To conduct the study, quantitative method was employed and a survey was conducted from February to march 2014. A sample of 100 schizophrenic clients who are on follow-up with antipsychotic medication for greater than one year was selected by using psychiatric nurse and mental health officer for their cooperative communication using mental state examination to assess their cognition before delivering questionnaire for the study’. For the study of the psychosocial, economic support service and demographic factors affecting the prognosis of schizophrenia, questionnaire was developed according to the objective of the study and translated into local language (Amharic language). To ensure the validity and reliability of developed questionnaire various measures were taken and pilot study was conducted at the study site. In accordance with finding of pretest, minor modifications were made to the questionnaire. The data were analyzed using frequency, percentage, through SPSS version 16.0 statistical packages. The results showed that 30% clients were below age 25 years, 18% of schizophrenic clients are illiterate, 38% of them are grade 1-8, 31% of them are grade 8-12, and 3% of them are certificate. The 74% of schizophrenic client’s monthly income is below $27, 49% of schizophrenic client are unmarried, 13% of them are separated and divorced, and 1% of them are widowed. With regard to occupational status 52% of schizophrenic’s client are unemployed, 1% dismissed, 10% of them are house holder and 20% of them are daily laborer. 43% of clients discontinued taking the prescribed medication, 16% of the respondents reported that they had experienced stigma in their life due to schizophrenia disorder. The findings of the study showed that, the psychosocial, economic support services and demographic factors affecting the prognosis of schizophrenia disorder is assessed and identified in the study area. This needs an urgent attention at all levels of societal hierarchy including minsters, administrators, stakeholders, health professionals, and the community to overcome the problem. Finally, recommendations were forwarded based on the major findings so as to minimize the problem.},
     year = {2016}
    }
    

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  • TY  - JOUR
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    AU  - Nuru Hassen Ibrahim
    AU  - Kumsa Donis
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    DO  - 10.11648/j.ajpn.20160404.11
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    JF  - American Journal of Psychiatry and Neuroscience
    JO  - American Journal of Psychiatry and Neuroscience
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    PB  - Science Publishing Group
    SN  - 2330-426X
    UR  - https://doi.org/10.11648/j.ajpn.20160404.11
    AB  - The aim of this study is to identify the psychosocial, economic support services and demographic factors affecting the prognosis of schizophrenic clients at Adama Hospital medical college, Oromia region, Ethiopia. To conduct the study, quantitative method was employed and a survey was conducted from February to march 2014. A sample of 100 schizophrenic clients who are on follow-up with antipsychotic medication for greater than one year was selected by using psychiatric nurse and mental health officer for their cooperative communication using mental state examination to assess their cognition before delivering questionnaire for the study’. For the study of the psychosocial, economic support service and demographic factors affecting the prognosis of schizophrenia, questionnaire was developed according to the objective of the study and translated into local language (Amharic language). To ensure the validity and reliability of developed questionnaire various measures were taken and pilot study was conducted at the study site. In accordance with finding of pretest, minor modifications were made to the questionnaire. The data were analyzed using frequency, percentage, through SPSS version 16.0 statistical packages. The results showed that 30% clients were below age 25 years, 18% of schizophrenic clients are illiterate, 38% of them are grade 1-8, 31% of them are grade 8-12, and 3% of them are certificate. The 74% of schizophrenic client’s monthly income is below $27, 49% of schizophrenic client are unmarried, 13% of them are separated and divorced, and 1% of them are widowed. With regard to occupational status 52% of schizophrenic’s client are unemployed, 1% dismissed, 10% of them are house holder and 20% of them are daily laborer. 43% of clients discontinued taking the prescribed medication, 16% of the respondents reported that they had experienced stigma in their life due to schizophrenia disorder. The findings of the study showed that, the psychosocial, economic support services and demographic factors affecting the prognosis of schizophrenia disorder is assessed and identified in the study area. This needs an urgent attention at all levels of societal hierarchy including minsters, administrators, stakeholders, health professionals, and the community to overcome the problem. Finally, recommendations were forwarded based on the major findings so as to minimize the problem.
    VL  - 4
    IS  - 4
    ER  - 

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Author Information
  • School of Social and Public Department, Adama Hospital Medical College, Adama City, Ethiopia

  • School of Psychology, Adama Science and Technology University, Adama City, Ethiopia

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