ABSTRACT
El estudio describe la relación entre los efectos secundarios a la medicación y la calidad de vida en pacientes con esquizofrenia. La muestra contó con 253 pacientes de los Servicios Públicos de Salud Mental de Bolivia, Perú y Chile quienes fueron evaluados con la Escala Barnes de Acatisia (EBA); la Escala de Simpson-Angus (SAS) y el Cuestionario de Calidad de Vida (SQoL-18). Ambas escalas: EBA (ß=-2,17; p=0,019) y SAS (ß=-1,97; p= 0,034) presentaron una relación significativa con la escala de calidad de vida. Variables sociodemográficas como la edad (ß=-2,17; p= 0,032); la ocupación (ß=-4,12; p= 0,046); el nivel educativo (ß=-7,14; p= 0,005); la etnia (ß=-3,91; p= 0,035) y variables clínicas como severidad del trastorno (PANSS) mostraron también un peso significativo en la calidad de vida (ß=-6,35; p= ≤ 0,01). Al igual que en países desarrollados, los efectos secundarios de los antipsicóticos tienen una influencia en la calidad de vida de los pacientes.
The study describes the relationship between antipsychotic drug side effects and quality of life in a sample of individuals suffering from schizophrenia. The sample included 253 patients' users of different Public Mental Health Services from Bolivia, Peru and Chile who were evaluated with the Barnes Akathisia Rating Scale (BARS), the Simpson-Angus (SAS) and the Schizophrenia Quality of Life short version questionnaire (SQoL-18). A statistical significant correlation was found between quality of life (SQoL-18) and total scores in the BARS (ß=-2,17; p= 0,019) and SAS (ß=-1,97; p= 0,034). Socio-demographic variables, such as age (ß=-2,17; p= 0,032), education (ß=-7,14; p= 0,005), occupation (ß=-4,12; p= 0,046) and ethnicity (ß=-3,91; p= 0,035), were significant predictors of quality of life. Clinical symptoms (PANSS) also contributed significantly to the model (ß=-6,35; p= ≤ 0,01). As in developed countries, the side effects of antipsychotics have an influence on patients' quality of life.
Subject(s)
Humans , Male , Female , Adult , Quality of Life , Schizophrenia/drug therapy , Schizophrenic Psychology , Antipsychotic Agents/adverse effects , Peru , Bolivia , Linear Models , Chile , Multivariate Analysis , Surveys and Questionnaires , Latin America , Mental Health Services/statistics & numerical dataABSTRACT
In many societies, family members are now the primary caregivers of mental health patients, taking on responsibilities traditionally under the purview of hospitals and medical professionals. The impact of this shift on the family is high, having both an emotional and economic toll. The aim of this paper is to review the main changes that occur in family dynamics for patients with schizophrenia. The article addresses three central themes: (i) changes in the family at the onset of the disorder, (ii) consequences for family members because of their caregiver role, and (iii) family interventions aimed at improving the complex dynamics within the family. After analyzing and discussing these themes, it is observed that despite advances in the field, the viability of taking care of a patient with schizophrenia by the family remains a challenge. Improving care will require commitments from the family, the mental health service system, and local and national governments for greater investments to improve the quality of life of society in general and individuals with schizophrenia in particular.
Subject(s)
Caregivers/psychology , Cost of Illness , Family Relations/psychology , Quality of Life/psychology , Schizophrenia/diagnosis , Schizophrenic Psychology , Expressed Emotion , Family Therapy , Help-Seeking Behavior , Humans , Interdisciplinary Communication , Intersectoral Collaboration , Mental Health Services , Professional-Family Relations , Prognosis , Schizophrenia/therapy , Social Stigma , Social SupportABSTRACT
Family interventions for schizophrenia have been amply demonstrated to be effective and are recommended by most of the international clinical guidelines. However, their implementation in the clinical setting as well as in treatment protocols of patients with psychosis has not been fully achieved yet. With the increasing deinstitutionalization of patients, family has begun to assume the role of care performed by psychiatric hospitals, with a high emotional cost for caregivers as well as the recognition of burden experiences. Families have been the substitute in the face of the scarcity of therapeutic, occupational, and residential resources. For this reason, the viability of patients' care by their families has become a challenge. This article aims to discuss the most important aspects of family interventions, their impact on families, and the most important challenges that need to be overcome in order to achieve well-being and recovery in both patients and caregivers.