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| RESEARCH ARTICLE |
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| Year : 2017 | Volume
: 14
| Issue : 1 | Page : 20-24 |
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The resilience and quality of life people with mental illness attending psychiatric rehabilitation centre
Asha vijayan1, Harshitha1, Nihizh Savio1, G Radhakrishnan2
1 Staff Nurse, Department of Nursing, NIMHANS National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India
2 Assistant professor Department of Nursing, NIMHANS National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India
| Date of Web Publication | 9-Jul-2019 |
Correspondence Address:
Asha vijayan
Staff Nurse, Department of Nursing, NIMHANS National Institute of Mental Health and Neurosciences, Bangalore, Karnataka
India
 Source of Support: None, Conflict of Interest: None  | 1 |
DOI: 10.4103/2231-1505.262416
Psychiatric disorders are the most common cause of disability. People with disability/disorders are often denied their rightful opportunities in work, relationships, housing, health care and other areas in which a full life is achieved. This adversely affects their quality of life. The rehabilitation of people with mental illness impacts their ability to lead independent lives outside the hospital. Studying the relationship between quality of life and resilience is needed for improving therapy and services. This study aimed to assess the relationship between the resilience and quality of life of people with mental illness attending psychiatric rehabilitation centre. A descriptive and correlation study carried out on day boarder’s patients attending psychiatric Rehabilitation Service unit, NIMHANS, India. Thirty patients with mental illness attending as day boarder in PRS unit for rehabilitation services were enrolled. They were evaluated using modified dispositional resilience scale and Quality of Life Instrument-BREF. The study result showed that patients had highest QOL scores in environment domain and overall mean QOL score was 64.25 ± 14.25 and the mean resilience score (54.8 ± 8.79) showed high resilience. There was a statistical significant positive correlation between all domain of QOL and level of resilience. There was improvement in psychological health as well as a positive correlation between the QOL and resilience in mentally ill.
Keywords: Resilience, Quality Of Life, Mental Illness, Psychiatric Rehabilitation Centre
How to cite this article:
vijayan A, Harshitha, Savio N, Radhakrishnan G. The resilience and quality of life people with mental illness attending psychiatric rehabilitation centre. Indian J Psy Nsg 2017;14:20-4 |
How to cite this URL:
vijayan A, Harshitha, Savio N, Radhakrishnan G. The resilience and quality of life people with mental illness attending psychiatric rehabilitation centre. Indian J Psy Nsg [serial online] 2017 [cited 2023 Jun 1];14:20-4. Available from: https://www.ijpn.in/text.asp?2017/14/1/20/262416 |
| Introduction | |  |
The concept of treatment in mental health services should be replaced by that of improvement of quality of life. Evaluating mental health interventions, especially rehabilitative interventions, should measure mainly their capacity to increase the QOL of their users. In fact, during the last decade, also the mental service users emphasize some dimensions of their QOL, such as the capacity to access to valued social roles, the removal of discriminatory barriers and a better social integration. This was strictly associated to a urgent need for mental health systems to modify the mission of care, from merely alleviating symptoms or reducing the relapses, to encouraging rehabilitation and achievement of global objectives[1],[2],[3],[4]. In psychiatry, resilience stands for one’s capacity to recover from extremes of trauma and stress. It is attributes of some people who manage to endure and recover fully, despite suffering significant traumatic conditions of extreme deprivation, serious threat, and major stress. Resilience in a person reflects a dynamic union of factors that encourages positive adaptation despite exposure to adverse life experiences. Resilience is associated with mental health and considered to be essential as a component of successful psychosocial adjustment which reflects the quality of life. The objective of this study was to assess the QOL, resilience and its relation among the patient with mental illness in a rehabilitation centre[5].
| Material and Methods | | |
This was designed as a non experimental descriptive correlational study. The data were collected in December 2015, at the rehabilitative centre (PRS) NIMHANS. Thirty subjects were selected for the study. All participating subjects provided informed consent after being acquainted with the purpose of study. In this study, questionnaires have been filled by participants and to enhance accuracy. All participants were informed that their responses would remain confidential. Researchers were present to explain how to complete the questionnaires. The researcher used the brief version of the WHO’s QOL scale (WHOQOL-BREF) and modified dispositional resilience scale (DRS-15) in this study. WHOQOL-BREF derived from the WHOQOL-100. The WHOQOL-BREF questionnaire included two items from the Overall QOL and General Health and 24 items of satisfaction that divided into four domains: Physical health with 7 items (DOM1), psychological health with 6 items (DOM2), social relationships with 3 items (DOM3) and environmental health with 8 items (DOM4). Each item is rated on a 5-point Likert scale. Each item of the WHOQOL-BREF is scored from 1 to 5 on a response scale. Raw domain scores for the WHOQOL were transformed to a 4-20 score according to guidelines[6]. Domain scores are scaled in a positive direction (i.e., higher scores denote higher QOL). The mean score of items within each domain is used to calculate the domain score. After computed the scores, they transformed linearly to a 0-100- scale[25],[26].
Modified DRS is a 30 item 4–point Likert scale which consists of positive and negative item to be score separately. The level of resilience classified in to five categories from very low resilience to very high resilience (0-93).
Four domains of WHOQOL-BREF questionnaire and resilience were considered as dependent variables. The other data collected were included sex, age, education years, marital status, income level (per month), and local residence as independent variables. The age of participants was represented by two categories of ≤ 3 5year and >35 year. Education years were categorized into two groups: 0-12 year and >12 year. Marital status was categorized into two categories including ever married and never married. Income level was divided into two categories including <20,000 and > 20,000per month. Diagnosis was divided into two categories as schizophrenia and others. Duration of illness was categorized as < 5 yrs and > 5 years. Duration of attending PRS background was divided into two categories including <1 year and year >1 year. Local residence was categorized into two categories including urban and rural. Supportive system categorized under family members and others.
| Results | | |
Out of all 30 participants who completed WHOQOL-BREF questionnaire 16(53.33%) were male and 14(45.4%) were female. Majority of subjects with in the age group of 30-45 yrs 16 (53.33%), follow hindu religion 23(73.33%). The majority of subjects were from low socio economic background 26(86.66%) and married 16(53.33%) and 20(66.66%) had family support. The duration of illness within 0-5 yrs 15(50%) and duration of attending PRS is more than 3 yrs15 (50 %). Majority of the group can be comparable since no significant difference between the groups as given in [Table 1] (Mean± sd = 69.17±14.42) indicate maintenance of good interpersonal relationship and good social support. Moreover, the lowest mean score was shown for DOM2 -psychological health, (Mean± sd = 60.13±14.45), indicating negative feelings, low spiritual health and low self esteem and the level of resilience among the subjects shows high level of resilience[ (54.8±8.79)as given in [Table 2].
There were statistically significant positive correlations between all four domains of WHOQOL-BREF as given in [Table 3] and statistically significant positive correlation between all domains of QOL with resilience as shown in [Table 4]. There was a statistical significant positive correlation of domain 1 (physical health) with duration of illness and negative correlation with religion. Domain 2(psychological health) have statistical significant positive correlation with education, duration of illness and duration in PRS. Domain 3 and Domain 4 (social relation and environmental health) shows statistical significant positive correlation with duration of illness and duration in PRS as given in [Table 5]. | Table: 3 Correlation between different domains in QOL of Subjects (n=30)
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 | Table: 4 Correlation between different domains in QOL with resilience (n=30)
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There was a statistical significant positive correlation of resilience with diagnosis, duration of illness and duration n PRS and negatively correlated with family income as given in [Table 6]. The mean scores of four domains were different and statistically significant except physical health and psychological health (DOM1 & DOM2) and social relationship and environmental health (DOM3& DOM4). The most difference was observed between psychological health and social relationship (DOM2 and DOM3) as shown in [Table 7]. | Table 7: Comparison of mean score of different domain (paired t-tests were used.)
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| Discussion | | |
Previous studies shows that people with schizophrenia were having lowest QOL scores in social relationships domain of WHO QOL – BREF (Solanki et al9 2012). Current studies support the evidence that the people with schizophrenia who is attending in PRS having highest mean satisfaction in social relationship (Mean±SD = 69.17±14.42), indicate maintenance of good interpersonal relationship and good social supports given in PRS . Moreover, the lowest mean score was shown psychological health (Mean±SD = 60.13±14.45), focus the need for psychological support in terms of improving self esteem, creating positive feeling and developing spiritual health among the people with mental illness. The mean scores of four domains were different .The most difference was observed between psychological health and social relationship. There were positive correlation between all DOM of QOL and level of resilience .QOL and resilience were positively correlated with duration of illness and duration in PRS. Some factors were associated with higher resilience level (Eg. less duration of illness, more duration in PRS and marital status) that needs to do more investigation.
| Conclusion | | |
This study prove that the people with mental illness have good quality of life and high level of resilience who are attending rehabilitation centre in PRS NIMHANS, which support the effectiveness of rehabilitation service in QOL and resilience in people with mental illness and also confirms the positive correlation between the QOL and resilience in mental illness which aid in improving the therapy and services in rehabilitative care in mental illness. This study aids to evaluate needs for rehabilitative therapy and area of concern for improved recovery from mental illness.
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[Table 1], [Table 2], [Table 3], [Table 4], [Table 5], [Table 6]
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