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Predictors of Positive Recovery Attitudes among Patients with Schizophrenia Attending a Psychiatric Outpatient Clinic in Maiduguri, Northeastern Nigeria


Affiliations
1 Departmental of Mental Health, Federal Neuropsychiatric Hospital Maiduguri, Nigeria, West Africa, Nigeria
2 Department of Mental Health, University of Maiduguri Teaching Hospital, Nigeria, West Africa, Nigeria
     

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An evolving concept in recovery from mental illness dwells on the patients' perspectives towards attainment of life goals despite incomplete remission. The study aims to explore the level of recovery attitude and the possible association with socio-demographic and clinical variables. Two hundred and eighty two male and female patients' with schizophrenia were interviewed using structured instruments: Recovery Attitude Questionnaire (RAQ), Brief Psychiatric Rating Scale (BPRS), Oslo 3 Social Support Scale, Morisky Medication adherence Scale (MMAS) and Simpson and Angus Scale (SAS). Chi square analysis was used to assess for the correlates of recovery attitude and variables with significant associations were subjected to binary logistic regression analysis. Two hundred and forty two (85.8%) of the participants had positive recovery attitude and the correlates of positive recovery attitude were: being employed (χ2 = 5.702; p = 0.017), duration of illness less than one year (χ2 = 7.947; p = 0.047), nil hospital admission (χ2 = 10.75; p = 0.013), nil history of relapse (χ2 = 6.307; p = 0.012), normal to minimally ill on BPRS (χ2 =18.20; p = 0.000), high social support (χ2 = 44.72; p = 0.000) and low stigma on discrimination (χ2 = 8.173; p = 0.004), social withdrawal (χ2 = 3.613; p = 0.05) and stigma resistance subscale (χ2 = 33.36; p = 0.000). The study revealed a high level of positive recovery attitude among patients with schizophrenia with high social support being the greatest independent predictor of recovery attitude. The outcome of this study therefore draws attention to the potential benefit of programmes that strengthen the social network as well as hope inspiring activities to enhance recovery.


Keywords

Recovery, Schizophrenia, Positive, Attitude.
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  • Predictors of Positive Recovery Attitudes among Patients with Schizophrenia Attending a Psychiatric Outpatient Clinic in Maiduguri, Northeastern Nigeria

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Authors

Falmata Baba Shettima
Departmental of Mental Health, Federal Neuropsychiatric Hospital Maiduguri, Nigeria, West Africa, Nigeria
Musa Abba Wakil
Department of Mental Health, University of Maiduguri Teaching Hospital, Nigeria, West Africa, Nigeria
Jidda Said
Department of Mental Health, University of Maiduguri Teaching Hospital, Nigeria, West Africa, Nigeria
Isa Bukar Rabbebe
Departmental of Mental Health, Federal Neuropsychiatric Hospital Maiduguri, Nigeria, West Africa, Nigeria
Umar Baba Musami
Department of Mental Health, University of Maiduguri Teaching Hospital, Nigeria, West Africa, Nigeria

Abstract


An evolving concept in recovery from mental illness dwells on the patients' perspectives towards attainment of life goals despite incomplete remission. The study aims to explore the level of recovery attitude and the possible association with socio-demographic and clinical variables. Two hundred and eighty two male and female patients' with schizophrenia were interviewed using structured instruments: Recovery Attitude Questionnaire (RAQ), Brief Psychiatric Rating Scale (BPRS), Oslo 3 Social Support Scale, Morisky Medication adherence Scale (MMAS) and Simpson and Angus Scale (SAS). Chi square analysis was used to assess for the correlates of recovery attitude and variables with significant associations were subjected to binary logistic regression analysis. Two hundred and forty two (85.8%) of the participants had positive recovery attitude and the correlates of positive recovery attitude were: being employed (χ2 = 5.702; p = 0.017), duration of illness less than one year (χ2 = 7.947; p = 0.047), nil hospital admission (χ2 = 10.75; p = 0.013), nil history of relapse (χ2 = 6.307; p = 0.012), normal to minimally ill on BPRS (χ2 =18.20; p = 0.000), high social support (χ2 = 44.72; p = 0.000) and low stigma on discrimination (χ2 = 8.173; p = 0.004), social withdrawal (χ2 = 3.613; p = 0.05) and stigma resistance subscale (χ2 = 33.36; p = 0.000). The study revealed a high level of positive recovery attitude among patients with schizophrenia with high social support being the greatest independent predictor of recovery attitude. The outcome of this study therefore draws attention to the potential benefit of programmes that strengthen the social network as well as hope inspiring activities to enhance recovery.


Keywords


Recovery, Schizophrenia, Positive, Attitude.

References





DOI: https://doi.org/10.15614/ijpp%2F2022%2Fv13i3%2F218238