The present study endeavoured to evaluate the quality of life of the homeless and restored women with psychosis. The influence of their living conditions in three different psycho-social milieus and the disability levels on their Quality of Life was also examined. This study was carried out on women clients with psychosis who received medical and psycho-social care under three different programs of Iswar Sankalpa (a Kolkata - based NGO), India.
Methods: A matched group design using mixed method technique was adopted for the study. The sample of 50 clients with psychosis was comprised of 16 homeless clients under the Out-reach program, 18 homeless clients under the Shelter home program and 16 previously homeless clients under the Restoration program. The sample was evaluated using the IDEAS and WHOQOL-BREF. After collection of data, statistical analysis was done using the SPSS- version 22.
Results: The results mirrored that a statistically significant negative correlation exists between the clients’ disability and two domains of QOL, these are- social relationships and environment. Regarding the psychological health and environment domains of QOL, the Shelter home and the Restoration groups significantly differed from the Outreach group. The mildly disabled clients differed significantly from the severely disabled clients in respect to the social relationships domain of the QOL.
Conclusion: The knowledge of specific areas of dissatisfaction in QOL of the women with psychosis may haveimplications for the service providers and service planners for more improved medico and psychosocial intervention.
National Coalition for the Homeless, 2201 P St., NW, Washington, DC, 20037; 202/462-4822.
Fairclough, D.L. (2002). Introduction. In Des-ign and Analysis of Quality of Life Studies in Clinical Trials. New York: Champan and Hall/CRC; 2002: 4-15.
Barry, M., Crossby, C. & Bogg, J. (1993). Methodological issues in evaluating mental health services: a review of the empirical evidence. Social psychiatry and psychiatric Epidemiology.
Lehman, A.F., and Dixon, L. eds. (1995). Do-uble Jeopardy: Chronic Mental Illness and Substance Abuse. New York, NY: Harwood Academic Publishers.
Miller, L., & Finnerty, M. (1996). Sexuality, pregnancy, and childbearing among women with schizophrenia-spectrum disorders. Psychiatric Services, 47, 502–505.
Department of Health and Human Services. (2003). American Psychiatric Association. Personal Recovery and Mental Illness: A Guide for Mental Health Professionals, Washington DC.
Singh A, Nizamie SH. (2005). Disability: The concept and related Indian legislations. Mental Health Reviews. (2004). Available from URL: http://www.psyplexus.com/mhr/disability_india.html. Accessed on 13 September.
Chaudhury, P. K., Deka, K. And Chetia, D. (2006). Disability associated with mental disorders. Indian J Psychiatry. Apr- Jun; 48(2): 95–101. doi: 10.4103/0019-5545.31597.
Sanderson K, Andrews G. (2002). Preva-lence and severity of mental health related disability and relationship to diagnosis. Psychiatr Serv.; 53:80–6. [Pub Med]
Jablensky, A., McGrath, J., et al. (1999). People living with psychotic illness: An Australian study 1997–98: An overview. Commonwealth of Australia.
Indian disability assessment and evaluation scale. (2000). Rehabilitation Committee of Indian Psychiatric Society. Dec.
World Health Organization's Quality of Life group (1992) Measuring Quality of Life; Development of the World Health Organiz-ation Quality of Life Instrument (WHOQOL).
WHOQOL Group. (1994). Development of the WHOQOL: Rationale and current status. Int J Mental Health; 23:24–56.
Statistical Package for Social Sciences, (2013). SPSS Inc. SPSS Base 22.0 for Windows user's guide, version 22.
Thara, R. & Srinivasan, T.N. (1997). ‘Outcome of marriage in schizophrenia’, Social Psychiatry & Psychiatric Epidemiology, vol. 32, pp. 416-20
Muller, P., Gaebel, W., Bandelow, B., Kopcke, W., Linden, M., Muller-Spahn, F., Pietzcker, A., Tegeler, J. (1998). ‘The social status of schizophrenic patients’, Nervenarzt, vol. 69, pp. 204-9.
Browne, S., Roe, M., Lane, A., Gervin, M., Morris, M., Kinsella, A., Larkin, C., O'Callaghan, E. (1996). ‘Quality of life in schizophrenia: Relationship to sociodemographic factors, symptomatology and tardive dyskinesia’, Acta Psychiatrica Scandinavica, vol. 94, pp. 118-124.
Marwaha, S., Johnson, S., Bebbington, P., Angermeyer, M.C., Brugha, T., Azorin, J.M., Kilian, R., Kornfeld, A., Toumi, M. (2008), ‘Correlates of subjective quality of life in people with schizophrenia: findings from the Euro SC study’, Journal of Nervous & Mental Disease, vol. 196, 87-94.
Holding, T.A., Urbanc, S., Kay, D.W. (1983). ‘Social outcome after first admission for Schizophrenia in Tasmania. A study of matched pairs’, Social Psychiatry, vol. 18, pp. 145-52.
Mubarak, A.R. & Barber, J.G. (2003). ‘Emotional expressiveness and the quality of life of patients with schizophrenia’, Social Psychiatry & Psychiatric Epidemiology, vol. 38, pp. 380-4.
Bengtsson-Tops, A. & Hansson, L. (1999). ‘Clinical and social needs of schizophrenic Outpatients living in the community: the relationship between needs and subjective quality of life’, Social Psychiatry & Psychiatric Epidemiology, vol. 34, pp. 513-8.
Ritsner, M. (2003). ‘Predicting changes in domain-specific quality of life of schizophrenia patients’, Journal of Nervous & Mental Disease, vol. 191, pp. 287-94.
Kumar, S., Samuel, R. & Prabhu, R. (1992). Schizophrenia and quality of life in relation to health and illness: Socio cultural issues at world congress of Social Psychiatry, New Delhi.