Some sociodemographic features and factors associated with treatment in patients with schizoprenia
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Dosyalar
Tarih
2007
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: To define clinical features and sociodemographic characteristics of patients with schizophrenia according to disease subgroups in the less developed East and South-Eastern regions of Turkey where people live in wide family systems, to determine the factors affecting treatment including drug selection and to figure out substance abuse pattern. Methods: Three hundred and twenty nine are male and 134 female, total 463 patients with ages ranging from 15-65 who presented to the state hospital outpatient clinic together with their families and who were decided to be admitted and treated inpatiently were included in this study. Results: 87.5% of the patients were unoccupied, 26.3% were not able to read or write and 36.7% were primary school graduate. 84.7% of the patients were from lower socioeconomic group and 60.3% were single. 62.4% of the patients met the diagnosis criteria for paranoid, 22.7% disorganized, 8.2% residual and 6.7% undifferentiated types of schizophrenia diagnosis. 17.1% have not used any substance while 76.0% were smoking and the remaining was smoking in addition to alcohol and/or marihuana. Typical antipsychotics were the first choice in drug selection at the beginning of treatment with a percentage 95.9 (n=444) and this rate decreased to 76.3% in long term management. Discussion: Typical antipsychotics remained as the first choice in the treatment of our patients. Regular medication use seemed shows strong positive relation to hospitalization number but showed weak positive relation to age, living with the family, duration of treatment and being married. In other words, patients' being in constant relationship with his/her physician and receiving social support from their relatives had positive input in the treatment. Negative relation between the first used medication and substance abuse, occupation, low socioeconomic status seemed to prevent regular use of medications. We can increase compliance by using the support given by the family and the close social relationships as well as our culture's avoidance type impact on substance abuse. We can also increase life quality and productivity of our patients by directing our limited economical reserves toward use of atypical antipsychotics which have less side effects and more effect on negative symptoms of the disease.
Açıklama
Anahtar Kelimeler
Schizophrenia; Sociodemographic features; Substance; Treatment
Kaynak
Anadolu Psikiyatri Dergisi
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
8
Sayı
2
