FAMILY SUPPORT AND CLINICAL CORRELATES AMONG PATIENTS WITH SCHIZOPHRENIA IN A NEUROPSYCHIATRIC HOSPITAL IN NIGERIA
Keywords:family support, schizophrenia.
AbstractIn developing countries, families play a central role in caring for the mentally ill. However, the assessment of the level of family support in relation to the sociodemographic and clinical factors of schizophrenia patients have not been well researched. This study is a furtherance of the management schizophrenia patients by assessing their level of perceived family support and its relationship to their socio-demographic and clinical variables. It is a cross-sectional descriptive study of 100 patients with schizophrenia attending the outpatient clinic of a specialist psychiatric hospital, for follow up care. Diagnoses were based on ICD-10 Diagnostic criteria for research. The questionnaires administered to the participants consists of clinical and socio-demographic factors and self-rated 20-item Perceived Social Support-family scale. Most participants had strong family support (96%) while the rest had weak family support. The unmarried participants were associated with higher family support scores than the married. (Mann Whitney U=548.00, p=0.03). There was no relationship between family support and age or duration of illness and treatment. It is important to strengthen the existing family support and to utilize it in the management of patients with schizophrenia. This will reduce the burden on families and contribute to better outcome measures among schizophrenia patients.
Abu-Laban, S.M and Abu-Laban, A. (1994) Culture, Society and Change. In an Introduction to
sociology. Nelson, Canada.
Adeponle, A.B. (2003). A survey of quality of life of patients with major mental disorder. A dissertation submitted to
National postgraduate medical college of Nigeria in partial fulfilment of award of fellowship.
Adeponle, A.B., Brett, D.T., Moruf, L.A., & Laurence, J.K. (2009) Family participation in treatment, post-discharge
appointment and medication adherence at a Nigerian psychiatric hospital. British Journal of Psychiatry. 194, 86-
Adewuya, A.O (2007). Subjective quality of life of Nigerian outpatients with schizophrenia. A dissertation submitted to
National postgraduate Medical College of Nigeria in partial fulfilment of award of fellowship.
Afolabi, M.O., Abioye-kuteyi, E.A., Fatoye, F.O., Bello, I & Adewuya, A.O. (2007) Pattern of depression and family
support in a Nigerian family practice population. The Internet Journal of Family Practice.;5(2):1528-8358.
Akande, J. (1979). â€œLaw and the status of women in Nigeriaâ€, report prepared for the African Training and Research
centre for women.
Armstrong, D. (1997). Outline of Sociology as Applied to Medicine. London, John Wright Publishing.
Ayonrinde, O., Gureje, O., & Lawal, R. (2004) Psychiatric research in Nigeria: Bridging tradition and modernization.
British Journal of Psychiatry.; 184:536-538.
Becker, T., Lesse, M., & McCrone, P. (1998) Impact of Community mental health services on userâ€™s Social network.
British Journal of Psychiatry. 173, 404-408.
Bhugra, D. (1989) Attitudes towards mental illness: A review of the literature. Acta Psychiatrica Scandinavica.; 80:1-
Blazer, D.C. (1982) Social support and mortality in an elderly community population. American Journal of
Cassel, J. (1976) The Contribution of the Social environment to host resistance. American Journal of Epidemiology.
Cohen, S. & Mckay, G. (1984) Interpersonal relationships as buffers of the impact of psychological stress on
health. In Baun,. A., Singer,. J.E., Taylor,S.E.(Eds), Handbook of psychology and health-
Dakof, G. A. & Taylor, S.E. (1990) Victims perception of social support: What is helpful from whom? Journal of
Personality and Social Psychology. 58(1), 80-89.
Diego, D. & Henlen, K. (2007) Communication of suicide intent by schizophrenic subjects. International Journal of
Mental Health System.; 1:6 doi: 10:1186/1752-4458-1-6
Erhabor, S.I. (2003) Culture, Psychosocial disorders and mental health: An African perspective. TRANS-internet-
Zeitschrift fur Kulturwissenschaften 2008: No.15.
Erna Erawati.E. & Budi Anna Keliat.B.K.(2015). The Family Support for Schizophrenia Patients on Community a
Case Study. European Psychiatry. Volume30, supplement1,28-31, page 917.
Fatoye, F.O., Ayeni, A.E., & Oladimeji, B.Y. (2006) Social support and psychosocial functioning in patients with
affective disorders. Nigerian Journal of Psychiatry; Vol.4 No.1:45-49.
Gupta, Sanjay, Steinmeyer, Charles, H., Lockwood, Kari, R.N., Lentz, Babara, R.N., Schultz, & Kay, R.N. (2007)
Comparism of older patients with Bipolar disorder and schizophrenia/schizoaffective disorder.; 15(7), 627-633.
Henderson, A.S. (1984) Interpreting the evidence of social support. Journal of Social Psychiatry. 19, 49-52.
Kuipers, L., & Bebbington, P.E., (1990) Working Partnership: Clinicians and careers in the management of
longstanding mental illness. Oxford, Heinemann Medical.
Murdock, G. (1949) Social Structure. New York, Free Press.
Ohaeri, J.U. (1998) Perception of the social support role of the extended family network by some Nigerians with
schizophrenia and affective disorders. Social Science and Medicine Journal. 47(10), 1463-72.
Okpokoro.U., Adams.C.E.& Sampson.S.(2014).FamilyIntervention(brief)forSchizophrenia.Cochrane Database Syst
Procidano, M. & Heller, K. (1983) Measures of perceived social support from friends and family: Three validation
studies. American Journal of Community Psychiatry. 11, 1-24.
Sharir, D., Tanasescu.M., Turbow.D. & Mamman.Y.(2007) Social support and Quality of life among Psychiatric
patients in residential homes. International Journal of Psychosocial Rehabilitation. 11(1), 85
Simpson, I. H. (2006) 'Family'. Microsoft (R) Encarta(R) (CD);
Weeks, R.V. (1984) Muslim Peoples: A World Ethnographic Survey. (2nd ed.) Westport, CT Greenwood Press.
World Health Organization (2001). Mental Health new understanding, new hope.
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