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Empowerment and its Associations in Schizophrenia: A Cross-sectional Study

Community Mental Health Journal volume 50, pages 697–701 (2014)Cite this article

An Erratum to this article was published on 06 June 2014

Abstract

Empowerment denotes a sense of personal competence which is considered an essential requisite of fair outcome in schizophrenia. The current study assessed empowerment along with other relevant variables in patients with schizophrenia and a comparison group. Hierarchical multiple linear regression analysis identified independent living skills survey score and perceived social support as predicting empowerment in patients with schizophrenia, suggesting a correlational relationship. Empowerment could be a treatment goal in schizophrenia and independent living skills as well as perceived social support could be the mediating factors.

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References

  • Andreasen, N. C., Carpenter, W. T., Jr, Kane, J. M., Lasser, R. A., Marder, S. R., & Weinberger, D. R. (2005). Remission in schizophrenia: Proposed criteria and rationale for consensus. American Journal of Psychiatry, 162, 441–449.

    PubMed  Article  Google Scholar 

  • Bachmann, S., Bottmer, C., & Schroder, J. (2008). One-year outcome and its prediction in first-episode schizophrenia—a naturalistic study. Psychopathology, 41, 115–123.

    PubMed  Article  Google Scholar 

  • Bellack, A. S. (2006). Scientific and consumer models of recovery in schizophrenia: Concordance, contrasts, and implications. Schizophrenia Bulletin, 32, 432–442.

    PubMed Central  PubMed  Article  Google Scholar 

  • Bleuler, E. (1911). Dementia Praecox or the group of schizophrenias. (J. Zinkin, Ed., Trans.) (1950). New York: International University Press.

  • Carpenter, W. T., Bartko, J. J., Strauss, J. S., & Hawk, A. B. (1978). Signs and symptoms as predictors of outcome: A report from the International Pilot study of Schizophrenia. American Journal of Psychiatry, 135, 940–944.

    CAS  PubMed  Google Scholar 

  • Goldberg, D., & Williams, P. (1988). A user’s guide to the GHQ. Windsor: NFER-Nelson.

    Google Scholar 

  • Goldstein, M. J. (1987). The UCLA high-risk project. Schizophrenia Bulletin, 13, 505–514.

    CAS  PubMed  Article  Google Scholar 

  • Harrison, G., Croudace, T., Mason, P., Glazebrook, C., & Medley, I. (1996). Predicting the long-term outcome of schizophrenia. Psychological Medicine, 26, 697–705.

    CAS  PubMed  Article  Google Scholar 

  • Hawk, A. B., Carpenter, W. T., Jr, & Strauss, J. S. (1975). Diagnostic criteria and five-year outcome in schizophrenia. A report from the International Pilot Study of Schizophrenia. Archives of General Psychiatry, 32, 343–347.

    CAS  PubMed  Article  Google Scholar 

  • Hogan, T. P., Awad, A. G., & Eastwood, R. (1983). A self-report scale predictive of drug compliance in schizophrenics: Reliability and discriminative validity. Psychological Medicine, 13, 177–183.

    CAS  PubMed  Article  Google Scholar 

  • Holmes, T. H., & Rahe, R. H. (1967). The social readjustment rating scale. Journal of Psychosomatic Research, 11, 213–218.

    CAS  PubMed  Article  Google Scholar 

  • Kay, S. R., & Lindenmayer, J. P. (1987). Outcome predictors in acute schizophrenia. Prospective significance of background and clinical dimensions. Journal of Nervous and Mental Disease, 175, 152–160.

    CAS  PubMed  Article  Google Scholar 

  • Kilian, R., Lindenbach, I., Lobig, U., Uhle, M., Petscheleit, A., & Angermeyer, M. C. (2003). Indicators of empowerment and disempowerment in the subjective evaluation of the psychiatric treatment process by persons with severe and persistent mental illness: A qualitative and quantitative analysis. Social Science and Medicine, 57, 1127–1142.

    PubMed  Article  Google Scholar 

  • Kobayashi, T., & Kato, S. (2004). Psychopathology and outcome of first-admission schizophrenic patients: Hypochondriac–cenestopathic symptoms as predictors of an unfavorable outcome. Psychiatry and Clinical Neuroscience, 58, 567–572.

    Article  Google Scholar 

  • Lauronen, E., Miettunen, J., Veijola, J., Karhu, M., Jones, P. B., & Isohanni, M. (2007). Outcome and its predictors in schizophrenia within the Northern Finland 1966 Birth Cohort. European Psychiatry, 22, 129–136.

    CAS  PubMed  Article  Google Scholar 

  • Lee, P. W., Lieh-Mak, F., Yu, K. K., & Spinks, J. A. (1993). Coping strategies of schizophrenic patients and their relationship to outcome. British Journal of Psychiatry, 163, 177–182.

    CAS  PubMed  Article  Google Scholar 

  • Liberman, R. P., & Kopelowicz, A. (2005). Recovery from schizophrenia: A concept in search of research. Psychiatric Services, 56, 735–742.

    PubMed  Article  Google Scholar 

  • Lingjaerde, O., Ahlfors, U. G., Bech, P., Dencker, S. J., & Elgen, K. (1987). The UKU side effect rating scale. A new comprehensive rating scale for psychotropic drugs and a cross-sectional study of side effects in neuroleptic-treated patients. Acta Psychiatria Scandinavica Supplement, 334, 1–100.

    CAS  Article  Google Scholar 

  • McCabe, R., Saidi, M., & Priebe, S. (2007). Patient-reported outcomes in schizophrenia. British Journal of Psychiatry. Supplement, 50, s21–s28.

    PubMed  Article  Google Scholar 

  • McGlashan, T. H. (1986). The prediction of outcome in chronic schizophrenia. IV. The Chestnut Lodge follow-up study. Archives of General Psychiatry, 43, 167–176.

    CAS  PubMed  Article  Google Scholar 

  • Nehra, R., Kulhara, P., & Verma, S. (1998). Manual for PGI Social Support Questionnaire. Varanasi: Rupa Psychological Centre.

    Google Scholar 

  • Patterson, D. A., & Lee, M. S. (1995). Field trial of the global assessment of functioning scale—modified. American Journal of Psychiatry, 152, 1386–1388.

    CAS  PubMed  Google Scholar 

  • Rappaport, J. (1987). Terms of empowerment/exemplars of prevention: Toward a theory for community psychology. American Journal of Community Psychology, 15, 121–148.

    CAS  PubMed  Article  Google Scholar 

  • Rogers, E. S., Chamberlin, J., Ellison, M. L., & Crean, T. (1997). A consumer-constructed scale to measure empowerment among users of mental health services. Psychiatric Services, 48, 1042–1047.

    CAS  PubMed  Google Scholar 

  • Rosen, K., & Garety, P. (2005). Predicting recovery from schizophrenia: A retrospective comparison of characteristics at onset of people with single and multiple episodes. Schizophrenia Bulletin, 31, 735–750.

    PubMed  Article  Google Scholar 

  • Rudnick, A., & Kravetz, S. (2001). The relation of social support-seeking to quality of life in schizophrenia. Journal of Nervous and Mental Disease, 189, 258–262.

    CAS  PubMed  Article  Google Scholar 

  • San, L., Ciudad, A., Alvarez, E., Bobes, J., & Gilaberte, I. (2007). Symptomatic remission and social/vocational functioning in outpatients with schizophrenia: Prevalence and associations in a cross-sectional study. European Psychiatry, 22, 490–498.

    PubMed  Article  Google Scholar 

  • Sarason, I. G., Levine, H. M., Basham, R. B., & Sarason, B. R. (1983). Assessing social support: The social support questionnaire. Journal of Personality and Social Psychology, 44, 127–139.

    Article  Google Scholar 

  • Segal, S. P., Silverman, C., & Temkin, T. (1995). Measuring empowerment in client-run self-help agencies. Community Mental Health Journal, 31, 215–227.

    CAS  PubMed  Article  Google Scholar 

  • Selten, J. P., Veen, N. D., Hoek, H. W., Laan, W., Schols, D., van der Tweel, I., et al. (2007). Early course of schizophrenia in a representative Dutch incidence cohort. Schizophrenia Research, 97, 79–87.

    PubMed  Article  Google Scholar 

  • Sethi, B. B., Chaturvedi, P. K., & Saxena, N. K. (1985). Attitude of family and outcome of schizophrenia. Indian Journal of Social Psychiatry, 1, 186–193.

    Google Scholar 

  • Siegel, S. J., Irani, F., Brensinger, C. M., Kohler, C. G., Bilker, W. B., Ragland, J. D., et al. (2006). Prognostic variables at intake and long-term level of function in schizophrenia. American Journal of Psychiatry, 163, 433–441.

    PubMed  Article  Google Scholar 

  • Singh, G., Kaur, D., & Kaur, H. (1983). Presumptive stressful life event scale. Agra: National Psychological Corporation.

    Google Scholar 

  • Torgalsboen, A. K., & Rund, B. R. (1998). “Full recovery” from schizophrenia in the long term: A ten-year follow-up of eight former schizophrenic patients. Psychiatry, 61, 20–34.

    CAS  PubMed  Google Scholar 

  • Tsuang, M. T., Woolson, R. F., & Fleming, J. A. (1979). Long-term outcome of major psychoses. I. Schizophrenia and affective disorders compared with psychiatrically symptom-free surgical conditions. Archives of General Psychiatry, 36, 1295–1301.

    CAS  PubMed  Article  Google Scholar 

  • Vaillant, G. E. (1964). Prospective prediction of schizophrenic remission. Archives of General Psychiatry, 11, 509–518.

    CAS  PubMed  Article  Google Scholar 

  • Wallace, C. J., Liberman, R. P., Tauber, R., & Wallace, J. (2000). The independent living skills survey: A comprehensive measure of the community functioning of severely and persistently mentally ill individuals. Schizophrenia Bulletin, 26, 631–658.

    CAS  PubMed  Article  Google Scholar 

  • World Health Organization. (1993). The ICD-10 classification of mental and behavioural disorders diagnostic criteria for research. Geneva: WHO.

    Google Scholar 

  • Yamada, S., & Suzuki, K. (2007). Application of empowerment scale to patients with schizophrenia: Japanese experience. Psychiatry and Clinical Neuroscience, 61, 594–601.

    Article  Google Scholar 

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Affiliations

  1. KPC Medical College & Hospiital, Jadavpur, Kolkata, India

    Amlan Kusum Jana & Daya Ram

  2. Central Institute of Psychiatry, Kanke, Ranchi, 834006, Jharkhand, India

    Samir Kumar Praharaj

  3. Department of Psychiatry, Kasturba Medical College, Manipal, 576104, Karnataka, India

    Amlan Kusum Jana, Daya Ram & Samir Kumar Praharaj

Authors
  1. Amlan Kusum Jana
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  2. Daya Ram
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  3. Samir Kumar Praharaj
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Correspondence to Samir Kumar Praharaj.

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Jana, A.K., Ram, D. & Praharaj, S.K. Empowerment and its Associations in Schizophrenia: A Cross-sectional Study. Community Ment Health J 50, 697–701 (2014). https://doi.org/10.1007/s10597-014-9729-4

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  • DOI: https://doi.org/10.1007/s10597-014-9729-4

Keywords

  • Schizophrenia
  • Empowerment
  • Independent living skills
  • Perceived social support