Functional remission and employment among patients with schizophrenia in Malaysia

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objective The study aimed to determine the rates of functional remission and employment as well as the factors associated with functional remission among patients with Schizophrenia, receiving community psychiatric service in an urban setting in Malaysia. Methods From a total of 250 patients randomly selected, 155 fulfilled the study requirement and were assessed on their functional remission status using the Personal and Social Performance Scale. The relationships between functional remission and socio-demographic factors, clinical factors, social support, symptom remission and rates of hospitalization were examined. Results The results revealed that 74% (n = 115) of the respondents had functional remission with only 20% (n = 31) currently employed. Functional remission was found to be significantly associated with good social support (84.4% versus 36.4% p < 0.001, OR = 9.487 [95% CI = 4.008-22.457]); shorter illness duration of less than 10 years (81.2% versus 66.7% p = 0.038, OR = 2.167 [95% CI = 1.035-4.535]); good medication compliance (79.1% versus 50.0% p = 0.002, OR = 3.778 [95% CI = 1.570-9.090]); hospital admissions of lower than 3 per year (80.5% versus 44.4% p < 0.001 OR = 5.150 [95% CI = 2.145-12.365]) and; symptomatic remission (87.3% versus 37.4% p < 0.001 [95% CI = 0.070 (0.029-0.168]). A multiple regression analysis revealed only social support, lower hospitalization rate and symptom remission, as significant predictors of functional remission. Conclusion A majority of patients with Schizophrenia in this study achieved functional remission, however, only a small percentage of them were employed. Functional remission was influenced by severity of illness and levels of social support in these patients.

Original languageEnglish
JournalComprehensive Psychiatry
Volume55
Issue numberSUPPL. 1
DOIs
Publication statusPublished - Jan 2014

Fingerprint

Malaysia
Social Support
Schizophrenia
Hospitalization
Community Psychiatry
Medication Adherence
Social Welfare
Regression Analysis
Demography

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

@article{1b588a1245894c069c46059102123bd5,
title = "Functional remission and employment among patients with schizophrenia in Malaysia",
abstract = "Objective The study aimed to determine the rates of functional remission and employment as well as the factors associated with functional remission among patients with Schizophrenia, receiving community psychiatric service in an urban setting in Malaysia. Methods From a total of 250 patients randomly selected, 155 fulfilled the study requirement and were assessed on their functional remission status using the Personal and Social Performance Scale. The relationships between functional remission and socio-demographic factors, clinical factors, social support, symptom remission and rates of hospitalization were examined. Results The results revealed that 74{\%} (n = 115) of the respondents had functional remission with only 20{\%} (n = 31) currently employed. Functional remission was found to be significantly associated with good social support (84.4{\%} versus 36.4{\%} p < 0.001, OR = 9.487 [95{\%} CI = 4.008-22.457]); shorter illness duration of less than 10 years (81.2{\%} versus 66.7{\%} p = 0.038, OR = 2.167 [95{\%} CI = 1.035-4.535]); good medication compliance (79.1{\%} versus 50.0{\%} p = 0.002, OR = 3.778 [95{\%} CI = 1.570-9.090]); hospital admissions of lower than 3 per year (80.5{\%} versus 44.4{\%} p < 0.001 OR = 5.150 [95{\%} CI = 2.145-12.365]) and; symptomatic remission (87.3{\%} versus 37.4{\%} p < 0.001 [95{\%} CI = 0.070 (0.029-0.168]). A multiple regression analysis revealed only social support, lower hospitalization rate and symptom remission, as significant predictors of functional remission. Conclusion A majority of patients with Schizophrenia in this study achieved functional remission, however, only a small percentage of them were employed. Functional remission was influenced by severity of illness and levels of social support in these patients.",
author = "Rahima Dahlan and Marhani Midin and Shah, {Shamsul Azhar} and {Nik Jaafar}, {Nik Ruzyanei} and {Abdul Rahman}, {Fairuz Nazri} and Azlin Baharudin and Srijit Das and Hatta Sidi",
year = "2014",
month = "1",
doi = "10.1016/j.comppsych.2013.03.007",
language = "English",
volume = "55",
journal = "Comprehensive Psychiatry",
issn = "0010-440X",
publisher = "W.B. Saunders Ltd",
number = "SUPPL. 1",

}

TY - JOUR

T1 - Functional remission and employment among patients with schizophrenia in Malaysia

AU - Dahlan, Rahima

AU - Midin, Marhani

AU - Shah, Shamsul Azhar

AU - Nik Jaafar, Nik Ruzyanei

AU - Abdul Rahman, Fairuz Nazri

AU - Baharudin, Azlin

AU - Das, Srijit

AU - Sidi, Hatta

PY - 2014/1

Y1 - 2014/1

N2 - Objective The study aimed to determine the rates of functional remission and employment as well as the factors associated with functional remission among patients with Schizophrenia, receiving community psychiatric service in an urban setting in Malaysia. Methods From a total of 250 patients randomly selected, 155 fulfilled the study requirement and were assessed on their functional remission status using the Personal and Social Performance Scale. The relationships between functional remission and socio-demographic factors, clinical factors, social support, symptom remission and rates of hospitalization were examined. Results The results revealed that 74% (n = 115) of the respondents had functional remission with only 20% (n = 31) currently employed. Functional remission was found to be significantly associated with good social support (84.4% versus 36.4% p < 0.001, OR = 9.487 [95% CI = 4.008-22.457]); shorter illness duration of less than 10 years (81.2% versus 66.7% p = 0.038, OR = 2.167 [95% CI = 1.035-4.535]); good medication compliance (79.1% versus 50.0% p = 0.002, OR = 3.778 [95% CI = 1.570-9.090]); hospital admissions of lower than 3 per year (80.5% versus 44.4% p < 0.001 OR = 5.150 [95% CI = 2.145-12.365]) and; symptomatic remission (87.3% versus 37.4% p < 0.001 [95% CI = 0.070 (0.029-0.168]). A multiple regression analysis revealed only social support, lower hospitalization rate and symptom remission, as significant predictors of functional remission. Conclusion A majority of patients with Schizophrenia in this study achieved functional remission, however, only a small percentage of them were employed. Functional remission was influenced by severity of illness and levels of social support in these patients.

AB - Objective The study aimed to determine the rates of functional remission and employment as well as the factors associated with functional remission among patients with Schizophrenia, receiving community psychiatric service in an urban setting in Malaysia. Methods From a total of 250 patients randomly selected, 155 fulfilled the study requirement and were assessed on their functional remission status using the Personal and Social Performance Scale. The relationships between functional remission and socio-demographic factors, clinical factors, social support, symptom remission and rates of hospitalization were examined. Results The results revealed that 74% (n = 115) of the respondents had functional remission with only 20% (n = 31) currently employed. Functional remission was found to be significantly associated with good social support (84.4% versus 36.4% p < 0.001, OR = 9.487 [95% CI = 4.008-22.457]); shorter illness duration of less than 10 years (81.2% versus 66.7% p = 0.038, OR = 2.167 [95% CI = 1.035-4.535]); good medication compliance (79.1% versus 50.0% p = 0.002, OR = 3.778 [95% CI = 1.570-9.090]); hospital admissions of lower than 3 per year (80.5% versus 44.4% p < 0.001 OR = 5.150 [95% CI = 2.145-12.365]) and; symptomatic remission (87.3% versus 37.4% p < 0.001 [95% CI = 0.070 (0.029-0.168]). A multiple regression analysis revealed only social support, lower hospitalization rate and symptom remission, as significant predictors of functional remission. Conclusion A majority of patients with Schizophrenia in this study achieved functional remission, however, only a small percentage of them were employed. Functional remission was influenced by severity of illness and levels of social support in these patients.

UR - http://www.scopus.com/inward/record.url?scp=84889889150&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84889889150&partnerID=8YFLogxK

U2 - 10.1016/j.comppsych.2013.03.007

DO - 10.1016/j.comppsych.2013.03.007

M3 - Article

VL - 55

JO - Comprehensive Psychiatry

JF - Comprehensive Psychiatry

SN - 0010-440X

IS - SUPPL. 1

ER -