RELATION BETWEEN THE LEVEL OF HOPE AND FUNCTIONAL RECOVERY AMONG PATIENTS WITH SCHIZOPHRENIA

Mahmoud, Amal Sobhy; Ali, Soma Ibrahem; Hafez Elbaz, Amira Mohamed

doi:10.21608/pssjn.2021.65362.1090

RELATION BETWEEN THE LEVEL OF HOPE AND FUNCTIONAL RECOVERY AMONG PATIENTS WITH SCHIZOPHRENIA

Document Type : Original Article

Authors

¹ Prof. of Psychiatric and Mental Health Nursing, faculty of nursing,port-said university

² Lecturer in Psychiatric Nursing and Mental Health department

³ psychiatric nursing and mental health of nursing department in port said university

10.21608/pssjn.2021.65362.1090

Abstract

Background: Schizophrenia is a severemental disorder interfering with an individual’s capacity of clear thinking, managing emotions, making decisions, and relations with others. Aim was to investigate therelation between the hope and functional recovery among patients with schizophrenia. Subjects and method: Design: the study utilized a descriptive correlational research design was used. Setting: psychiatric in patient unit at port said psychiatric health hospital. Tools: The herth hope index (hhi); composed of 12 items adapted version of the herth hope scale (hhs). Tool II: the functional remission of general schizophrenia scale is a 19 items clinician-based questionnaire. In addition, to the demographic and clinical data sheet. Results: there was a statistically significant relation between hope level and the onset of treatment, number of hospitalization. Hope was shown to be significantly linked to gender, age, and family income. There was a statistically significant positive association between hope and functional remission. Conclusion: thestudy concluded that most of the studied patients have a high level of hope and functional recovery. In addition, it was found that there was a significant positive association between the total score of hope level of schizophrenic patients and the total score of functional recovery. Recommendation: the study recommended thathope-instilling programs and psychological counseling services have to be provided to schizophrenic patients. Moreover,social skills training programs must be carried out for patients with schizophrenia and cooperation with other institutions and organizations has to be achieved for enhancing their levels of professional functioning.

Keywords

Main Subjects

Psychiatric Nursing and Mental Health

References

Alvarez-Jimenez, M., Priede, A., Hetrick, S. E., Bendall, S., Killackey, E., Parker, A.G., & Gleeson, J.F. (2012). Risk factors for relapse following treatment for first episode psychosis: A systematic review and meta-analysis of longitudinal studies. Schizophrenia research, 139(1-3), 116-128.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.‏

Barut, J.K., Dietrich, M.S., Zanoni, P.A., & Ridner, S.H. (2016). Sense of belonging and hope in the lives of persons with schizophrenia. Archives of psychiatric nursing, 30(2), 178-184.

Chien, W.T., Mui, J., Gray, R., & Cheung, E. (2016). Adherence therapy versus routine psychiatric care for people with schizophrenia spectrum disorders: A randomized controlled trial. BMC psychiatry, 16(1), 42.

Coşkun, E., & Altun, Ö. Ş. (2018). The relationship between the hope levels of patients with schizophrenia and functional recovery. Archives of psychiatric nursing, 32(1), 98-102.

Dewedar, A.E.S., Harfush, S.A., & Gemeay, E.M. (2018). Relationship between insight, self‐stigma and level of hope among patients with schizophrenia. IOSR J Nurs Health Sci (IOSR‐JNHS), 7(5), 15-24.

Eizenberg, M., Ohayon, I.H., Yanos, P.T., Lysaker, P.H., & Roe, D. (2013) Internalized stigma and quality of life among persons with severe mental illness: The mediating roles of self-esteem and hope. Psychiatry research, 208(1), 15–20

Forray, C., & Buller, R. (2017). Challenges and opportunities for the development of new antipsychotic drugs. Biochemical pharmacology,1;143:10-24

Grover, S., & Sahoo, S. (2020). Outcome measurement in schizophrenia: Challenges and barriers. In Schizophrenia Treatment Outcomes (pp. 91-124). Springer, Cham. Book

Gururajan, A., & Malone, D. T. (2016). Does cannabidiol have a role in the treatment of schizophrenia? Schizophrenia Research, 176(2-3), 281-290.

Haddad, P. M., Brain, C., & Scott, J. (2014). Nonadherence with antipsychotic medication in schizophrenia: challenges and management strategies. Patient related outcome measures, 5, 43–62.

Hasson-Ohayon, I., Kravetz, S., Meir, T., & Rozencwaig, S. (2009). Insight into severe mental illness, hope, and quality of life of persons with schizophrenia and schizoaffective disorders. Psychiatry Research, 167(3), 231-238.

Haugan, G., Utvær, B.K.S., & Moksnes, U.K. (2013). The Herth Hope Index: A psychometric study among cognitively intact nursing home patients. Journal of Nursing Measurement, 21(3), 378-400.doi: 10.1891/1061-3749.21.3.378.

Heres, S., Lambert, M., & Vauth, R. (2014). Treatment of early episode in patients with schizophrenia: the role of long acting antipsychotics. European Psychiatry, 29, 1409-1413.

Herth, K. (1992). Abbreviated instrument to measure hope: Development and psychometric evaluation. Journal of Advanced Nursing, 7(10):1251-9.

Karve S, Cleves MA, Helm M, Hudson TJ, West DS, Martin BC.(2009) Good and poor adherence: optimal cut-point for adherence measures using administrative claims data. Curr Med Res Opin. 2009 Sep;25(9):2303-10.

Kavak, F., & Yılmaz, E. (2018). The effect of hope on the treatment adherence of schizophrenia patients. J Turgut Ozal Medic Cent, 25(3), 416-419.

Keshavan, M. S., Diwadkar, V. A., Montrose, D. M., Rajarethinam, R., & Sweeney, J. A. (2005).Premorbid indicators and risk for schizophrenia: A selective review and update. Schizophrenia research, 79(1), 45-57.

Lahera, G., Gálvez, J. L., Sánchez, P., Martínez-Roig, M., Pérez-Fuster, J. V., García-Portilla, P., & Roca, M. (2018). Functional recovery in patients with schizophrenia: Recommendations from a panel of experts. BMC psychiatry, 18(1), 176.‏

Landeen, J., Pawlick, J., Woodside, H., Kirkpatrick, H., & Byrne, C. (2000). Hope, quality of life, and symptom severity in individuals with schizophrenia. Psychiatric Rehabilitation Journal, 23(4), 364.

Landeen, J., & Seeman, M. V. (2000). Exploring hope in individuals with schizophrenia. International Journal of Psychosocial Rehabilitation, 5, 45-52.

Lappin, J.M., Morgan, C., Chalavi, S., Morgan, K.D., Reinders, A.A.T. S., Fearon, P., & Dazzan, P. (2014). Bilateral hippocampal increase following first-episode psychosis is associated with good clinical, functional and cognitive outcomes. Psychological medicine, 44(6), 1279-1291.

Llorca, Pierre-Michel, Christophe Lançon, SylvieLancrenon,Franck- Jean Bayle, Hervé Caci, Frédéric Rouillon, & PhilipGorwood (2009). The functional remission of general schizophrenia scale: development and validation of a new questionnaire. Schizophrenia Research 113(2), 218-25

Lysaker, P.H., Campbell, K., & Johannesen, J.K. (2005). Hope, awareness of illness, and coping in schizophrenia spectrum disorders: Evidence of an interaction. The Journal of nervous and mental disease, 193(5), 287-292

Potvin, S., Stip, E., Sepehry, A.A., Gendron, A., Bah, R., & Kouassi, E. (2008). Inflammatory cytokine alterations in schizophrenia: A systematic quantitative review. Biological psychiatry, 63(8), 801-808.

Seeman, M. (2019). Does Gender Influence Outcome in Schizophrenia? Psychiatric Quarterly, 90, 173-184.

Tandberg, M., Ueland, T., Sundet, K., Haahr, U., Joa, I., Johannessen, J. O., & McGlashan, T. (2011). Neuro-cognition and occupational functioning in patients with first-episode psychosis: A 2-year follow-up study. Psychiatry Research, 188(3), 334-342.

Turner, N., O'Mahony, P., Hill, M., Fanning, F., Larkin, C., Waddington, J., & Clarke, M. (2015). Work life after psychosis: A detailed examination. Work, 51(1), 143-152.

Van Gestel‐Timmermans, H., Van Den Bogaard, J., Brouwers, E., Herth, K., & Van Nieuwenhuizen, C. (2010). Hope as a determinant of mental health recovery: A psychometric evaluation of the Herth Hope Index‐Dutch version. Scandinavian journal of caring sciences, 24, 67-74.

Uribe, P. M., Bardales, M. C., & Herth, K. (2012). Propiedades psicométricas de la Escala de Esperanza de Herth en español. Revista Iberoamericana de Diagnóstico y Evaluación-e Avaliação Psicológica, 1(33), 127-145.

Uzdil, N., & Tanrıverdi, D. (2015). Effect of psychosocial skills training on functional remission of patients with schizophrenia. Western Journal of Nursing Research, 37(9), 1142-1159.

Wciórka, J., Świtaj, P., & Anczewska, M. (2015). The stages of recovery in relation to the other subjective and objective aspects of psychosis. Psychiatry research, 225(3), 613-618.

Whiteford, H. A., Degenhardt, L., Rehm, J., Baxter, A. J., Ferrari, A. J., Erskine, H. E., & Burstein, R. (2013). Global burden of disease attributable to mental and substance use disorders: Findings from the global burden of disease study 2010. The Lancet, 382(9904), 1575-1586.

Zahran, N., Khalil, A., Okasha, T., & Sadek, H., (2006). Systematic review of Egyptian studies on schizophrenia, psychiatry research, unpublished Master desertion, Faculty of Medicine, Ain Shams University.