مرکز منطقه ای اطلاع رساني علوم و فناوري - ويژگي هاي همه گيرشناختي بيماران اسكيزوفرينگ در يك پيگيري شش ساله

چكيده لاتين :

Background and Objectives: Schizophrenia is a mental disorder which causes severe psychological and occupational problems. Manner of treatment, long - term follow up and even family life style are important factors in determining the rates of deterioration. The aims of this study were to prospective evaluate the rate of deterioration in chronic schizophrenic patients, as well as to study the patientʹs socioeconomic status, number of hospitalizations, quality of care and level of their functioning. Materials and Methods: One hundred patients who had been schizophrenic for about four years were followed up in a prospective study. Several factors including age of onset, sex distribution, geographical distribution (urban versus rural), degree of deterioration in male and female patients, socioeconomic level, number of hospitalization, length of hospitalization, quality of care and compliance, and level of functioning according to the Global Assessment of Functioning (G.A.F) scale were thoroughly examined. Results: This study showed that schizophrenia had a relatively earlier onset in our patients compared to the available data about schizophrenic patients in western countries. The ratio of patients coming from urban areas versus rural areas was 2:1. Fifty five percent of patients were hospitalized less than three times, 18% less than five times, and 21% had been for more than six times. Quality of care and patients compliance was poor. The score of G.A.F. scale compared to western data was low and in about 80% of cases it was even lower than 40. Conclusion: These findings suggest that therapeutic interventions for patient with schizophrenia should be enhanced and expanded from mental hospitals to society and families.