Display options
Cite
Olagunju AT, Adegbaju DA, Uwakwe R. Disability among Attendees with Schizophrenia in a Nigerian Hospital: Further Evidence for Integrated Rehabilitative Treatment Designs. Ment Illn. 2016;8(2):6647doi: 10.4081/mi.2016.6647.
Olagunju, A. T., Adegbaju, D. A., & Uwakwe, R. (2016). Disability among Attendees with Schizophrenia in a Nigerian Hospital: Further Evidence for Integrated Rehabilitative Treatment Designs. Mental illness, 8(2), 6647. https://doi.org/10.4081/mi.2016.6647
Olagunju, Andrew Toyin, et al. "Disability among Attendees with Schizophrenia in a Nigerian Hospital: Further Evidence for Integrated Rehabilitative Treatment Designs." Mental illness vol. 8,2 (2016): 6647. doi: https://doi.org/10.4081/mi.2016.6647
Olagunju AT, Adegbaju DA, Uwakwe R. Disability among Attendees with Schizophrenia in a Nigerian Hospital: Further Evidence for Integrated Rehabilitative Treatment Designs. Ment Illn. 2016 Dec 21;8(2):6647. doi: 10.4081/mi.2016.6647. eCollection 2016 Nov 23. PMID: 28217272; PMCID: PMC5225829.
Copy Download .nbib Format: NLM
Share it on

Ment Illn. 2016 Dec 21;8(2):6647. doi: 10.4081/mi.2016.6647. eCollection 2016 Nov 23.

Disability among Attendees with Schizophrenia in a Nigerian Hospital: Further Evidence for Integrated Rehabilitative Treatment Designs.

Mental illness

Andrew Toyin Olagunju, Dapo Adebowale Adegbaju, Richard Uwakwe

Affiliations

  1. Department of Psychiatry, College of Medicine, University of Lagos , Nigeria.
  2. Federal Neuropsychiatric Hospital , Yaba, Lagos, Nigeria.
  3. Faculty of Medicine, Nnamdi Azikiwe University , Anambra State, Nigeria.

PMID: 28217272 PMCID: PMC5225829 DOI: 10.4081/mi.2016.6647

Abstract

Evidence-based rehabilitative treatment is constrained due to limited knowledge about disability and its related factors among individuals with schizophrenia across West Africa. This study aims to investigate the pattern of disability, and the associated factors among individuals with schizophrenia. One hundred consecutively recruited consenting participants were subjected to designed questionnaire to inquire about their demographic and illness-related variables. This was followed by the administration of Structured Clinical Interview for DSM-IV-TR Axis I Disorders and Brief Psychiatric Rating Scale to confirm the diagnosis of schizophrenia and rate severity of symptoms respectively in them. In addition, the World Health Organisation Disability Assessment Scale II (WHODAS-II) was used to assess for disability in all participants. Different degrees of disability based on WHODAS-II mean score of 27.02±3.49 were noted among individuals with schizophrenia, and affectation of domains of disability like self care, getting along with others, life activities and participation in the society among others were observed. In addition, high level of disability was significantly associated with younger adults in the age group 18-44 years (P=0.007), unemployment status (P=0.003), remittance source of income (P=0.034) and ethnicity (P=0.017); conversely, less number of children (P=0.033), less amount spent on treatment (P<0.001) and lower BPRS score (P<0.001) correlated negatively with high level of disability. In spite of clinical stability following treatment, individuals with schizophrenia were disabled to varied degrees, and socioeconomic as well as illness-related factors constituted important correlates. Integration of rehabilitation along with social intervention into treatment design to reduce disability is implied, and further research is also warranted.

Keywords: Associated factors; Disability; Rehabilitation; Schizophrenia; Social intervention

Conflict of interest statement

Conflict of interest: the authors declare no potential conflict of interest.

References

  1. Psychopathology. 2003 Jul-Aug;36(4):181-9 - PubMed
  2. Int J Soc Psychiatry. 1994 Spring;40(1):27-34 - PubMed
  3. Dialogues Clin Neurosci. 2001 Jun;3(2):136-7 - PubMed
  4. Soc Psychiatry Psychiatr Epidemiol. 2013 Sep;48(9):1405-15 - PubMed
  5. Am J Psychiatry. 2010 Sep;167(9):1116-24 - PubMed
  6. East Afr Med J. 2004 Dec;81(12):620-5 - PubMed
  7. Arch Gen Psychiatry. 1992 Aug;49(8):624-9 - PubMed
  8. Niger J Clin Pract. 2007 Mar;10(1):58-65 - PubMed
  9. Ann Afr Med. 2010 Jan-Mar;9(1):5-10 - PubMed
  10. Singapore Med J. 2008 May;49(5):380-3 - PubMed
  11. Br J Psychiatry. 2004 Jun;184:517-25 - PubMed
  12. Am J Public Health. 1999 Sep;89(9):1315-8 - PubMed
  13. Trop Geogr Med. 1995;47(3):125-9 - PubMed
  14. J Behav Health Serv Res. 2007 Apr;34(2):109-20 - PubMed
  15. Am J Psychiatry. 1987 Jun;144(6):727-35 - PubMed
  16. Int J Psychiatry Clin Pract. 2011 Mar;15(1):27-34 - PubMed
  17. East Mediterr Health J. 2009 Jan-Feb;15(1):65-75 - PubMed

Publication Types