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EFFECTS OF PSYCHOSOCIAL DAY CARE PROGRAMME ON QUALITY OF LIFE IN PATIENTS AFFECTED WITH SCHIZOPHRENIA – A PROSPECTIVE STUDY

Tanja Grahovac Juretić orcid.org/0000-0002-8508-6688 ; Psychiatric Clinic, Clinical Hospital Centre Rijeka, Rijeka, Croatia
Klementina Ružić ; Psychiatric Clinic, Clinical Hospital Centre Rijeka, Rijeka, Croatia
Marina Letica-Crepulja ; Psychiatric Clinic, Clinical Hospital Centre Rijeka, Rijeka, Croatia
Daniela Petrić ; Psychiatric Clinic, Clinical Hospital Centre Rijeka, Rijeka, Croatia
Elizabeta Dadić-Hero ; Community Primary Health Centre, Primorsko-goranska County, Rijeka, Croatia; Department of Social Medicine and Epidemiology, School of Medicine, Rijeka, Croatia
Tanja Frančišković ; Psychiatric Clinic, Clinical Hospital Centre Rijeka, Rijeka, Croatia

Sažetak

Background: The basic aim of this prospective research was to establish the effect of psychosocial day care programme on the
therapy outcomes in patients with schizophrenia.
Subjects and methods: While 115 patients with schizophrenia were invited to participate, 100 of them completed the study and
were subdivided into two groups. In addition to pharmacotherapy, the experimental group only (N=50) was integrated into a dayhospital-
based psychosocial day care programme. The instruments were applied in three phases: the first measurement for
experimental group subjects took place on the first day of psychosocial day-care programme, while for the control group subjects the
same was performed on the last day of inpatient care. The second measurement for the experimental group was performed in the end
of psychosocial day-care programme, while for the control group patients it occurred four months after inpatient treatment. The
third measurement was carried out six months after the second one. The following instruments were applied: General Demographic
Questionnaire at the first measurement, Manchester Short Assessment of Quality of Life-MANSA both at the first and third
measurement, and Positive and Negative Symptoms Scale-PANSS at all three measurements.
Results: Experimental group patients showed a statistically significant increase in quality of life outcomes as well as statistically
significant decrease in positive symptoms and general psychopathology at all three measurements and with regard to the control
group. As to the negative symptoms, only the third measurement revealed a statistically significant difference.
Conclusion: The results obtained indicate that the adjuvant treatment of psychosocial day care programme has a positive effect
on treatment outcomes: on the increase of the patients’ quality of life, and, to some extent, on the decrease of symptom intensity in
positive symptoms in schizophrenia spectrum. However, the effect of psychosocial day-care programme on the negative symptoms
was proved to be considerably smaller.

Ključne riječi

schizophrenia; quality of life; psychosocial day care programme; mental disease

Hrčak ID:

175254

URI

https://hrcak.srce.hr/175254

Datum izdavanja:

7.6.2016.

Posjeta: 892 *