American Journal of Psychiatry and Neuroscience

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Factors Associated with Relapse of Schizophrenia in Bangladesh

Received: 21 August 2020    Accepted: 01 September 2020    Published: 10 September 2020
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Abstract

Context: In the face of increasing number of relapse cases of schizophrenia, sufficient work is not available in Bangladesh. Aims: To find out the common factors of relapse of schizophrenia in Bangladesh and to find out the relationship of relapse of schizophrenia with sociodemographic characteristics. Settings and Design: Cross-sectional descriptive study; Department of Psychiatry, Combined Military Hospital, Dhaka, National Institute of Mental Health (NIMH), Dhaka and Psychiatry department of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka. Materials and Methods: Data from 50 relapse patients receiving treatment of schizophrenia were collected, from April 2018 to September 2018. Statistical Analysis Used: The data were processed and analyzed with the help of computer program SPSS (Statistical Package for Social Sciences) win version 16. Results: The mean age was 31.16 (±10.59) years ranging from 14 to 55 years. Majority of the respondents 70% (n=35) were under 35 years. 62% (n=31) of the respondents were male and 38% (n=19) were female. 96% (n=48) of the respondents were Muslims. 52% (n=26) of the respondents were married and 46% (n=23) were unmarried. 46% (n=23) were from rural background and 54% (n=27) of the respondents were from urban background. 40% (n=20) of the respondents were from lower class, 52% (n=26) were from middle class, and only 8% (n=4) were from higher class. 56% (n=28) of the respondents had perceived stressful life events and 44% (n=22) of the respondents had no such history. 52% (n=26) of the patients had experienced high expressed emotion and 48% (n=24) had low expressed emotion. Among the 50 relapsed schizophrenia patients, only 26% (n=13) had full compliance, 30% (n=15) had full noncompliance and rest had partial compliance. There was no significant relationship between educational status and medication compliance in the current study. The study revealed significant association with lower social class and presumptive stressful life events. Conclusions: This study highlighted the perceptions of schizophrenic patients and their caregivers about factors that influence relapse. It indicated that stressful life events, high expressed emotion, and non-compliance to medication had a role in relapse. This study provides information about socio-demographic and other related factors which can offer important guideline for future study. Adherence to antipsychotic medication, reducing high expressed emotion and stressful life events protect patients from relapse.

DOI 10.11648/j.ajpn.20200803.14
Published in American Journal of Psychiatry and Neuroscience (Volume 8, Issue 3, September 2020)
Page(s) 60-64
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Schizophrenia, Factor, Relapse, Prevention

References
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Author Information
  • Department of Psychiatry, Combined Military Hospital, Sylhet, Bangladesh

  • Department of Psychiatry, Combined Military Hospital, Rangpur, Bangladesh

  • Department of Psychiatry, Combined Military Hospital, Dhaka, Bangladesh

  • Combined Military Hospital (CMH), Sylhet, Bangladesh

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    Md Kamrul Hassan, Md Inamul Islam, Abul Hossain Muhammad Kazi Mostofa Kamal, Md Julfikkar Alam. (2020). Factors Associated with Relapse of Schizophrenia in Bangladesh. American Journal of Psychiatry and Neuroscience, 8(3), 60-64. https://doi.org/10.11648/j.ajpn.20200803.14

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    Md Kamrul Hassan; Md Inamul Islam; Abul Hossain Muhammad Kazi Mostofa Kamal; Md Julfikkar Alam. Factors Associated with Relapse of Schizophrenia in Bangladesh. Am. J. Psychiatry Neurosci. 2020, 8(3), 60-64. doi: 10.11648/j.ajpn.20200803.14

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    AMA Style

    Md Kamrul Hassan, Md Inamul Islam, Abul Hossain Muhammad Kazi Mostofa Kamal, Md Julfikkar Alam. Factors Associated with Relapse of Schizophrenia in Bangladesh. Am J Psychiatry Neurosci. 2020;8(3):60-64. doi: 10.11648/j.ajpn.20200803.14

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  • @article{10.11648/j.ajpn.20200803.14,
      author = {Md Kamrul Hassan and Md Inamul Islam and Abul Hossain Muhammad Kazi Mostofa Kamal and Md Julfikkar Alam},
      title = {Factors Associated with Relapse of Schizophrenia in Bangladesh},
      journal = {American Journal of Psychiatry and Neuroscience},
      volume = {8},
      number = {3},
      pages = {60-64},
      doi = {10.11648/j.ajpn.20200803.14},
      url = {https://doi.org/10.11648/j.ajpn.20200803.14},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajpn.20200803.14},
      abstract = {Context: In the face of increasing number of relapse cases of schizophrenia, sufficient work is not available in Bangladesh. Aims: To find out the common factors of relapse of schizophrenia in Bangladesh and to find out the relationship of relapse of schizophrenia with sociodemographic characteristics. Settings and Design: Cross-sectional descriptive study; Department of Psychiatry, Combined Military Hospital, Dhaka, National Institute of Mental Health (NIMH), Dhaka and Psychiatry department of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka. Materials and Methods: Data from 50 relapse patients receiving treatment of schizophrenia were collected, from April 2018 to September 2018. Statistical Analysis Used: The data were processed and analyzed with the help of computer program SPSS (Statistical Package for Social Sciences) win version 16. Results: The mean age was 31.16 (±10.59) years ranging from 14 to 55 years. Majority of the respondents 70% (n=35) were under 35 years. 62% (n=31) of the respondents were male and 38% (n=19) were female. 96% (n=48) of the respondents were Muslims. 52% (n=26) of the respondents were married and 46% (n=23) were unmarried. 46% (n=23) were from rural background and 54% (n=27) of the respondents were from urban background. 40% (n=20) of the respondents were from lower class, 52% (n=26) were from middle class, and only 8% (n=4) were from higher class. 56% (n=28) of the respondents had perceived stressful life events and 44% (n=22) of the respondents had no such history. 52% (n=26) of the patients had experienced high expressed emotion and 48% (n=24) had low expressed emotion. Among the 50 relapsed schizophrenia patients, only 26% (n=13) had full compliance, 30% (n=15) had full noncompliance and rest had partial compliance. There was no significant relationship between educational status and medication compliance in the current study. The study revealed significant association with lower social class and presumptive stressful life events. Conclusions: This study highlighted the perceptions of schizophrenic patients and their caregivers about factors that influence relapse. It indicated that stressful life events, high expressed emotion, and non-compliance to medication had a role in relapse. This study provides information about socio-demographic and other related factors which can offer important guideline for future study. Adherence to antipsychotic medication, reducing high expressed emotion and stressful life events protect patients from relapse.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Factors Associated with Relapse of Schizophrenia in Bangladesh
    AU  - Md Kamrul Hassan
    AU  - Md Inamul Islam
    AU  - Abul Hossain Muhammad Kazi Mostofa Kamal
    AU  - Md Julfikkar Alam
    Y1  - 2020/09/10
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajpn.20200803.14
    DO  - 10.11648/j.ajpn.20200803.14
    T2  - American Journal of Psychiatry and Neuroscience
    JF  - American Journal of Psychiatry and Neuroscience
    JO  - American Journal of Psychiatry and Neuroscience
    SP  - 60
    EP  - 64
    PB  - Science Publishing Group
    SN  - 2330-426X
    UR  - https://doi.org/10.11648/j.ajpn.20200803.14
    AB  - Context: In the face of increasing number of relapse cases of schizophrenia, sufficient work is not available in Bangladesh. Aims: To find out the common factors of relapse of schizophrenia in Bangladesh and to find out the relationship of relapse of schizophrenia with sociodemographic characteristics. Settings and Design: Cross-sectional descriptive study; Department of Psychiatry, Combined Military Hospital, Dhaka, National Institute of Mental Health (NIMH), Dhaka and Psychiatry department of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka. Materials and Methods: Data from 50 relapse patients receiving treatment of schizophrenia were collected, from April 2018 to September 2018. Statistical Analysis Used: The data were processed and analyzed with the help of computer program SPSS (Statistical Package for Social Sciences) win version 16. Results: The mean age was 31.16 (±10.59) years ranging from 14 to 55 years. Majority of the respondents 70% (n=35) were under 35 years. 62% (n=31) of the respondents were male and 38% (n=19) were female. 96% (n=48) of the respondents were Muslims. 52% (n=26) of the respondents were married and 46% (n=23) were unmarried. 46% (n=23) were from rural background and 54% (n=27) of the respondents were from urban background. 40% (n=20) of the respondents were from lower class, 52% (n=26) were from middle class, and only 8% (n=4) were from higher class. 56% (n=28) of the respondents had perceived stressful life events and 44% (n=22) of the respondents had no such history. 52% (n=26) of the patients had experienced high expressed emotion and 48% (n=24) had low expressed emotion. Among the 50 relapsed schizophrenia patients, only 26% (n=13) had full compliance, 30% (n=15) had full noncompliance and rest had partial compliance. There was no significant relationship between educational status and medication compliance in the current study. The study revealed significant association with lower social class and presumptive stressful life events. Conclusions: This study highlighted the perceptions of schizophrenic patients and their caregivers about factors that influence relapse. It indicated that stressful life events, high expressed emotion, and non-compliance to medication had a role in relapse. This study provides information about socio-demographic and other related factors which can offer important guideline for future study. Adherence to antipsychotic medication, reducing high expressed emotion and stressful life events protect patients from relapse.
    VL  - 8
    IS  - 3
    ER  - 

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