Abstract
ASSESSMENT OF DISABILITY IN THE PERSONS WITH CHRONIC SCHIZOPHRENIA

Dr. Pankaj Kumar Gupta* and Dr. Sally John

ABSTRACT

Background and objective: People with chronic schizophrenia experience numerous limitations in everyday functioning, some of which include difficulties in interpersonal activities, self- care, communication, understanding and work. There is a lack of comprehensive synthesis of research findings on the full extent of psychosocial difficulties experienced by people living with schizophrenia. It is important to identify the individuals‟ functional level for any long term management including vocational and cognitive training. To initiate a comprehensive plan of care including psycho-social rehabilitation and reintegration into the society there must be proper understanding of the person in the context of his or her specific environment, de-stigmatization and community oriented programs to enhance the knowledge about the illness also depend on the level of disability assessed and concrete steps to reduce the disability. Thus the present study aims to assess disability in person with schizophrenia. Methods: Study conducted: Acharya Vinoba bhave rural Hospital situated in Sawangi(Meghe) wardha. Study design: The study is a cross sectional study., Period of study: 1 year, Sample size: 100 patients were diagnosed as per ICD 10 diagnosis of schizophrenia for a minimum period of two years will be included. Assessment tools:  Semi-structured Performa for socio- demographic and clinical variables .  PANSS  IDEAS  WHO-DAS 2.0 Results: The patients with chronic schizophrenia under remission reported that significant relation established between psychopathology with global disability score of ideas scale and total disability score of WHO-DAS.2 scale, but no significant relationship has been established between total disability score of who-das scale with duration of illness. Conclusion: Earlier the diagnosis made and treatment started it has positive effect on the course and outcome. Disability in schizophrenia is related to poor compliance, poor social support and lack of insight.

Keywords: Schizophrenia, Disability, psychopathology.


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