The quality of life of patients with psychosis attending psychosocial rehabilitation programs: the effect of trauma, anxiety and resilience.

Postgraduate Thesis uoadl:2937703 28 Read counter

Unit:
Κατεύθυνση Προαγωγή ψυχικής υγείας - Πρόληψη ψυχιατρικών διαταραχών
Library of the School of Health Sciences
Deposit date:
2021-03-04
Year:
2021
Author:
Liamperi Eleni
Supervisors info:
Οικονόμου Μαρίνα, Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Τριανταφύλλου Ευγενία, Διδάκτωρ, Ιατρική Σχολή, ΕΚΠΑ
Ψάρρος Κωνσταντίνος, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Η ποιότητα ζωής ασθενών με ψύχωση που παρακολουθούν προγράμματα ψυχοκοινωνικής αποκατάστασης: η επίδραση του τραύματος, του άγχους και της ψυχικής ανθεκτικότητας
Languages:
Greek
Translated title:
The quality of life of patients with psychosis attending psychosocial rehabilitation programs: the effect of trauma, anxiety and resilience.
Summary:
Abstract
Introduction: In recent decades, there has been intense research interest in the quality of life of people suffering from chronic mental disorders, and especially in the spectrum of schizophrenia, due to disability and incapacity caused by the disorders. It has been found that the severity of the disease, the duration of the disease, the long-term inpatient treatment, as well as the lack of compliance with the medication are negatively correlated with the quality of life of people with schizophrenia.
Therefore, improving the quality of life of patients participating in these programmes is considered a primary aim of psychosocial rehabilitation. In addition, several studies sustain the association between childhood adversity and psychosis, and stress symptoms are very common in psychosis.
At the same time, a significant number of studies support a positive correlation between resilience and the outcome of schizophrenia.
However, there is a limited range of studies investigating trauma, anxiety and resilience in the quality of life of patients with psychosis who attend a program of psychosocial rehabilitation both internationally and in the Greek population.
Aim: The purpose of this study was twofold: 1) to investigate the quality of life and other psychosocial parameters of people with psychosis who attended a psychosocial rehabilitation program at a Day Care Center in Greece, and 2) to study the association and the effect of trauma, stress and resilience in the quality of life of these patients.
Methodology: In this cross-sectional study, participated 38 patients with psychosis who attended a psychosocial rehabilitation program at a Day Center. The World Health Organization Quality of Life Questionnaire (WHOQOL-BREF) was used to measure quality of life, the Early Trauma Inventory - Self-Report – Short Form Questionnaire was used to measure child trauma, the Spielberger Anxiety Questionnaire (State-Trait Anxiety Inventory) for measuring stress, as well as the Dispositional Resilience Scale (15) for measuring resilience.
Results: Regarding the demographic characteristics, only in the dimension of social relations were found statistically significant differences between the living conditions (F = 5.27, p = 0.004). Regarding the early trauma, a significant negative correlation was found between the section "social relations" of Quality of Life and the emotional abuse, r (38) = -0,41, and in trauma, r (38) = - 0,34, as well as between the "environment" section and trauma, r (38) = - 0.36. More specifically, emotional abuse and trauma seem to statistically significantly affect the levels of "social relationships" and explain the 64% of the variance variability (R2 = 0.64). Regarding anxiety, it was found that all dimensions of the WHOQOL-BREF questionnaire were negatively correlated with trait anxiety and strait anxiety {Quality of Life / General state of health: r (38) = - 0.56 and respectively r (38 ) = -0.70, physical health: r (38) = -0.68 and r (38) = -0.68, psychological health: r (38) = -0.74 and r (38) = -0 , 75, social relations: r (38) = -0,38 and r (38) = -0,50, and environment: r (38) = -0,57 and r (38) = -0,49}. In particular, state anxiety seems to explain the 62% of the variation in "physical health" (R2 = 0.62), as well as the 74% of the "psychological health" of patients with psychosis (R2 = 0.74). Regarding resilience, Quality of Life / General Health was positively correlated with commitment, r (38) = 0.50, and resilience, r (38) = 0.37, and equally its dimensions, "physical health" with commitment, r (38) = 0.54, life control, r (38) = 0.35, and resilience, r (38) = 0, 61, "psychological health" with commitment, r (38) = 0.58, life control, r (38) = 0.33, and resilience, r (38) = 0.59, "social relations" with commitment, r (38) = 0.61, life control, r (38) = 0.44, and resilience, r (38) = 0.65, and the "environment" with commitment, r (38) = 0.53, and with resilience, r (38) = 0.37.
Discussion: The present study contributed significantly to the investigation of the quality of life of patients with psychosis who attended a psychosocial rehabilitation program, incorporating variables such as early trauma, anxiety and resilience.
Main subject category:
Health Sciences
Keywords:
Quality of life, Psychosis, Early trauma, Anxiety, Resilience
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
189
Number of pages:
104
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