Hussain Sadia, Imran Nazish, Hotiana Usman Amin, Mazhar Nauman, Asif Aftab
Ms. Sadia Hussain, MSc Psychology. Intern Psychologist, Academic Department of Psychiatry & Behavioural Sciences King Edward Medical University/Mayo Hospital, Lahore, Pakistan.
Dr. Nazish Imran, MBBS; FRCPsych; MRCPsych (London). Associate Professor, Child & Family Psychiatry Department. King Edward Medical University/Mayo Hospital, Lahore, Pakistan.
Pak J Med Sci. 2017 Jul-Aug;33(4):829-834. doi: 10.12669/pjms.334.13128.
Patient's perception of their illness influences their healthcare decisions. The objectives of this study were to explore patient's own beliefs about their illness (Schizophrenia) and perceived social support, and its impact on their attitudes toward pharmacological treatment in Lahore, Pakistan.
This study was conducted at Mayo Hospital Lahore from March to September 2016. Hundred individuals suffering from Schizophrenia completed four questionnaires; a socio-demographic questionnaire, the Illness Perception Questionnaire for Schizophrenia(IPQ-S), Drug attitude Inventory-10 (DAI) and Multidimensional Scale of Perceived Social Support (PSS).
Stress, family problems, lack of friends & financial worries were endorsed strongly by patients as cause of their mental illness. Ambiguity regarding their mental illness duration and personal control was observed. Patients' perceived significant negative consequences, negative emotional response, as well as had poor understanding of their mental illness and treatment effectiveness. Statistically significant gender differences in treatment control and illness coherence subscales of IPQS were observed. Drug attitude inventory was positively correlated with Treatment control subscale (p < .01) and negatively correlated with Illness coherence subscale of IPQS (p < .05). The negative consequences subscale and perceived social support was negatively correlated (p < .01).
Patient's perception about their own illness is predictor of their drug taking attitude and perceived social support. Study results should help to develop new interventions to correct inaccurate beliefs in patients with schizophrenia to improve illness outcome.
患者对自身疾病的认知会影响他们的医疗保健决策。本研究的目的是探究患者自身对其疾病（精神分裂症）的信念、感知到的社会支持，以及这对他们在巴基斯坦拉合尔对药物治疗态度的影响。
本研究于2016年3月至9月在拉合尔的梅奥医院进行。100名精神分裂症患者完成了四份问卷；一份社会人口统计学问卷、精神分裂症疾病认知问卷（IPQ-S）、药物态度量表-10（DAI）和多维感知社会支持量表（PSS）。
患者强烈认可压力、家庭问题、缺乏朋友和经济担忧是其精神疾病的病因。观察到他们对精神疾病持续时间和个人控制存在模糊认知。患者感知到显著的负面后果、负面情绪反应，并且对其精神疾病和治疗效果理解不佳。在IPQS的治疗控制和疾病连贯性子量表中观察到具有统计学意义的性别差异。药物态度量表与治疗控制子量表呈正相关（p < .01），与IPQS的疾病连贯性子量表呈负相关（p < .05）。负面后果子量表与感知社会支持呈负相关（p < .01）。
患者对自身疾病的认知是其服药态度和感知社会支持的预测指标。研究结果应有助于开发新的干预措施，以纠正精神分裂症患者的错误信念，改善疾病预后。
