Psychopathology, rehospitalization and quality of life among patients with schizophrenia under home care case management in Taiwan
Resource
J. Formos. Med. Assoc., 112(4), 208-215
Journal
Journal of the Formosan Medical Association
Journal Volume
112
Journal Volume
112
Journal Issue
4
Journal Issue
4
Pages
208-215
Start Page
208
End Page
215
ISSN
0929-6646
Date Issued
2013-04
Author(s)
LI-REN CHANG
YU-HSUAN LIN
HUNG-CHIEH WU CHANG
YING-ZAI CHEN
Abstract
Background/Purpose: To study the outcome of a group of patients with schizophrenia receiving community home care case management programs by delineating the relationship among their psychopathology, rehospitalization rates and health-related quality of life (HRQoL). Methods: This is a cross-sectional study on HRQoL, functioning and associating factors and a retrospectivehistorical control study by comparing the frequency and duration of rehospitalization in a sample of 60 patients with schizophrenia under nonintensive case management (non-ICM) in Taiwan. All participants were assessed on the Positive and Negative Syndrome Scale for Schizophrenia (PANSS) for psychopathology, on EuroQoL-5D (EQ-5D) and EQ visual analogue (EQ-VAS) for HRQoL, andGlobal Assessment of Functioning (GAF) for socio-occupational dysfunction. Other clinical characteristics are also gathered. Results: Patients with schizophrenia treated with non-ICM had a significant reduction in admission frequency (-0.10 ± 0.36 times per year, p = 0.042) and length of inpatient stay (-27.8 ± 78.0 days per year, p = 0.008). Better EQ-5D and EQ-VAS are significantly associated with lower general psychopathology score, while better EQ-VAS is significantly associated with older age and higher negative symptoms subscale score. GAF is negatively associated with higher positive symptoms and negative symptoms subscale scores, while positively correlated with a greater reduction in number and frequency of admission. Conclusion: Non-ICM can help to decrease rehospitalization of home care patients. HRQoL and functioning can be assessed by the three perspectives we used, and each measure was correlated to different dimensions of patient psychopathology. It will be better if we include baseline and post-intervention PANSS scores, HRQoL and functioning as outcome indicators. ? 2012.
Subjects
EQ-5D; Nonintensive case management; Quality of life; Rehospitalization; Schizophrenia
SDGs
Other Subjects
antidepressant agent; atypical antipsychotic agent; benzodiazepine; beta adrenergic receptor blocking agent; chlorpromazine; cholinergic receptor blocking agent; mood stabilizer; adult; article; brain function; case management; community care; controlled study; cross-sectional study; disease association; disease severity; female; Global Assessment of Functioning; home mental health care; hospital admission; hospital patient; hospital readmission; hospitalization; human; length of stay; major clinical study; male; mental disease; neuropathology; occupational disease; Positive and Negative Syndrome Scale; quality of life; retrospective study; schizophrenia; scoring system; sociooccupational dysfunction; Taiwan; treatment outcome; visual analog scale; Adult; Case Management; Cross-Sectional Studies; Female; Home Care Services; Hospitalization; Humans; Male; Middle Aged; Psychopathology; Quality of Life; Schizophrenia; Schizophrenic Psychology; Taiwan; Visual Analog Scale
Type
journal article