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Differences on Quality of Life of Patients with Schizophrenia: A Multicentric Study from Three Latin-America Countries

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Abstract

The aim of the study is to explore the variation on patient’s Quality of Life (QoL) across three Latin-Americans countries. The study included 253 stabilized outpatients with schizophrenia from three Mental Health Services in Bolivia (N = 83), Chile (N = 85) and Peru (N = 85). Patients’ were assessed using Schizophrenia Quality of Life Questionnaire (SQoL18). We collected socio-demographic information and clinical data, while recognizing the cultural complexity/dynamics of each country, and the influence of cultural contexts on how people experience the health systems. There are differences in QoL according to each country. Peru reports better levels of QoL at the Total Score Index and in most of the dimensions of the SQoL18. Bolivia shows the lowest indicators of QoL, except, interestingly, for the Resilience dimension where it reaches the highest scores. Even when the studied regions in the three Latin American countries share several cultural characteristics, there are also some important differences between them on patients’ QoL. Possible disparities at investment in mental health by the Governments of each country are discussed while possible influences of (inter)cultural contexts are taken into account.

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References

  • Awad, A.G., Voruganti, L.N., & Heslegrave, R.J. (1997). Measuring quality of life in patients with schizophrenia. PharmacoEconomics, 11, 32–47.

    Article  Google Scholar 

  • Bang, C. 2010 La estrategia de promoción de salud mental comunitaria: Una aproximación conceptual desde el paradigma de la complejidad. Memorias II Congreso Internacional de Investigación y Práctica Profesional en Psicología, Tomo 3. Facultad de Psicología UBA, ed., pp. 242–245. Buenos Aires: Facultad de Psicología UBA. [Links].

  • Boyer, L., Simeoni, M.C., Loundou, A., D’Amato, T., Reine, G., Lancon, C. et al. (2010). The development of the S-QoL 18: a shortened quality of life questionnaire for patients with schizophrenia. Schizophrenia Research, 121(1-3), 241-250.

    Article  Google Scholar 

  • Boyer, L., Baumstarck, K., Boucekine, M., Blanc, J., Lancon, C., & Auquier, P. (2013). Measuring quality of life in patients with schizophrenia: an overview. Expert Review of Pharmacoeconomics & Outcomes Research, 13(3), 343–349.

    Article  Google Scholar 

  • Caqueo-Urízar, A., Gutiérrez-Maldonado, J., Ferrer-García, M., Urzúa-Morales, A., & Fernández-Dávila, P. (2013). Typology of schizophrenic symptoms and quality of life in patients and their main caregivers of North of Chile. International Journal of Social Psychiatry, 59(1), 93-100.

    Article  Google Scholar 

  • Caqueo-Urízar, A., Boyer, L., Boucekine, M., & Auquier, P. (2014). Spanish cross-cultural adaptation and psychometric properties of the Schizophrenia Quality of Life short-version questionnaire (SQoL18) in 3 middle-income countries: Bolivia, Chile and Peru. Schizophrenia Research, 159(1), 136–143.

    Article  Google Scholar 

  • Caqueo-Urízar, A., Breslau, J. & Gilman, S. (2015). Beliefs about the causes of schizophrenia among Aymara and non-Aymara patients and their primary caregivers in the Central-Southern Andes. International Journal of Social Psychiatry, 61(1) 82–91.

    Article  Google Scholar 

  • Carreño, A. 2013 Revisiter les frontières et réparer l’histoire.Itinéraires thérapeutiques et processus de sauvegarde de la médecine traditionnelle andine dans un contexte transnational [Revisiting boundaries, recovering history: therapeutic pathways and the process of safeguarding traditional Andean medicine in a transnational framework]. In Anthropologie & Santé. http://journals.openedition.org/anthropologiesante/1087. https://doi.org/10.4000/anthropologiesante.1087.

  • Cohen, C., Vahia, I., Reyes, P., Diwan, S., Bankole, A., Palekar, N., & Ramirez, P. (2008). Schizophrenia in later life: Clinical symptoms and social well-being. Psychiatric Services, 59, 232–234.

    Article  Google Scholar 

  • De Munter, K. 2007 Nayra. Ojos al sur del presente: aproximaciones antropológicas a la interculturalidad contemporánea. Oruro: Latinas Editores-CEPA.

  • De Munter, K. (2010). Tejiendo reciprocidades: John Murra y el contextualizar entre los aymara contemporáneos. En Chungara. Revista de Antropología Chilena, 42(1), 243-251.

    Google Scholar 

  • Eack, S., & Newhill, C. (2007). Psychiatric symptoms and quality of life in schizophrenia: A meta-analysis. Schizophrenia Bulletin, 33, 1225–1237.

    Article  Google Scholar 

  • Faget-Agius, C., Boyer, L., Jonathan, W., Jean-Philippe, R., Raphaelle, R., Elisabeth, S., Sylviane. C.G., Pascal, A., Maxime, G., & Christophe, L. (2015). Neural substrate of quality of life in patients with schizophrenia: a magnetisation transfer imaging study. Scientific Reports, 5, 17650.

    Article  Google Scholar 

  • Fernández Juárez, G. (ed.). Salud e interculturalidad en América Latina. Perspectivas antropológicas. Abya-Yala 2004.

    Google Scholar 

  • Fernández Juárez, G., ed. 2006a Salud e interculturalidad en América Latina. Antropología de la Salud y Crítica Intercultural. Abya-Yala.

  • Fernández Juárez, G. 2006b Al hospital van los que mueren”. Desencuentros en salud interucltural en los Andes Bolivianos. En Fernández Juárez, G. (ed.), Salud e interculturalidad en América Latina. Abya-Yala: Antropología de la Salud y Crítica Intercultural.

  • Gooding, P., Littlewood, D., Owen, R., Johnson, J., & Tarrier, N. (2017). Psychological resilience in people experiencing schizophrenia and suicidal thoughts and behaviours. Journal of Mental Health, [Epub ahead of print].

    Google Scholar 

  • Jaen-Varas, D., Silva Ribeiro, W., Whitfield, J. & de Jesus Mari, J. 2014. Mental Health and Psychiatric Care in Bolivia: What Do We Know? Literature Review in International Journal of Mental Health Systems 8(1): 18.

    Article  Google Scholar 

  • Johnson, J., Gooding, P.A., Wood, A.M., Taylor, P.J, Pratt, D., & Tarrier, N. (2010). Resilience to suicidal ideation in psychosis: positive self-appraisals buffer the impact of hopelessness. Behaviour Research and Therapy, 48, 883–889.

    Article  Google Scholar 

  • Kay, S.R., Fiszbein, A., & Opler, L.A. (1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13(2), 261-276.

    Article  Google Scholar 

  • Kao, Y.C., Liu, Y.P., Chou, M.K., & Cheng, T.H. (2011). Subjective quality of life in patients with chronic schizophrenia: relationships between psychosocial and clinical characteristics. Comprehensive Psychiatry, 52, 171–180.

    Article  Google Scholar 

  • Kovess-Masféty, V., Xavier, M., Moreno, Kustner, B., Suchocka, A., Sevilla-Dedieu, C., Dubuis, J., Lacalmontie, E., Pellet, J., Roelandt, J-L., & Walsh, D. (2006). Schizophrenia and quality of life: a one-year follow-up in four EU countries. BMC Psychiatry 6, 39.

    Article  Google Scholar 

  • Lazar, Sian (2008). El Alto, Rebel city. Self and Citizenship in Andean Bolivia. Duke University Press, Durham.

    Google Scholar 

  • Michaux, J. (2004). Hacia un sistema de salud intercultural en Bolivia: de la tolerancia a la necesidad sentida. En Fernández Juárez, G. (ed.). Salud e interculturalidad en América Latina. Perspectivas antropológicas. Abya-Yala.

    Google Scholar 

  • Mizuno, Y., Wartelsteiner, F., & Frajo-Apor, B. (2016). Resilience research in schizophrenia: A review of recent developments. Current Opinion in Psychiatry, 29, 218–223.

    Article  Google Scholar 

  • Mol, A. (2008). The Logic of Care: Health and the Problem of Patient Choice. Londres y Nueva York: Routledge.

    Book  Google Scholar 

  • Organización Mundial de la Salud 2013 Estadísticas sanitarias mundiales 2013 [2013 World Health Statistics], http://www.who.int/gho/publications/world_health_statistics/2013/es/.

  • Organización Panamericana de la Salud 2013 WHO-AIMS: Informe Regional sobre los sistemas de salud mental en América Latina y el Caribe [Regional report on systems of mental health in Latin America and the Caribbean]. Oficina Sanitaria Panamericana, Oficina Regional de la Organización Mundial de la Salud, http://mhpss.net/wpcontent/uploads/group-documents/226/1392656131-WHOAIMS_Sistemasaludmental_2013.pdf.

  • Peralta, V., & Cuesta, M.J. (1994). Validación de la Escala de los Síndromes Positivo y Negativo (PANSS) en una muestra de esquizofrénicos españoles. [Validation of the positive and negative syndrome scale (PANSS) in a sample of Spanish schizophrenic]. Actas Luso Esp Neurol Psiquiatr Cienc Afines 22(4), 171-7.

    Google Scholar 

  • Ramírez, S. 2006 La interculturalidad sin todos sus agentes sociales. El problema de la salud intercultural en Bolivia. Fernández Juárez, G. (ed.), Salud e interculturalidad en América Latina. Abya-Yala: Antropología de la Salud y Crítica Intercultural.

  • Rutter, M. (1987). Psychosocial resilience and protective mechanisms. American Journal of Orthopsychiatry, 57, 316–331.

    Article  Google Scholar 

  • Van Den Brink, R., Wiersma, D., Wolters, K., Bullenkamp, J., Hansson, L., Lauber, C., et al. (2011). Non-uniform effectiveness of structured patient-clinician communication in community mental healthcare: an international comparison. Social Psychiatry & Psychiatric Epidemiology, 46(8), 685–693.

    Article  Google Scholar 

  • Wartelsteiner, F., Mizuno, Y., Frajo-Apor, B., Kemmler, G., Pardeller, S., Sondermann, C., Welte, A., Fleischhacker, W.W., Uchida, H., & Hofer, A. (2016). Quality of life in stabilized patients with schizophrenia is mainly associated with resilience and self-esteem. Acta Psychiatrica Scandinavica, 134, 360–367.

    Article  Google Scholar 

  • Winkelman, M. (2008). Culture and Health. Applications from Medical Anthropology. Wiley & Sons.

    Google Scholar 

  • World Bank 2016 The World Bank Annual Report 2016. Washington, DC. © World Bank, https://openknowledge.worldbank.org/handle/10986/24985. License: CC BY 3.0 IGO.

  • World Health Organization (1992). ICD-10 Classifications of Mental and Behavioural Disorder: Clinical Descriptions and Diagnostic Guidelines. Geneva. World Health Organization.

    Google Scholar 

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Funding

This research was funded in part by the Universidad de Tarapacá through Proyecto Mayor de Investigación Científica y Tecnológica UTA no. 3732-16.

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Correspondence to Alejandra Caqueo-Urízar.

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Caqueo-Urízar, A., Urzúa, A., de Munter, K. et al. Differences on Quality of Life of Patients with Schizophrenia: A Multicentric Study from Three Latin-America Countries. Cult Med Psychiatry 43, 326–335 (2019). https://doi.org/10.1007/s11013-018-9618-3

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