Parental stress among patients with schizophrenia spectrum disorder in Hospital Kuala Lumpur / Fatimah Emran

Background: Parental stress among patients with schizophrenia spectrum disorder is detrimental and often associated with adverse outcome. This vulnerable group of people often struggles with their psychiatric symptoms and adverse effects of medication which may interfere with optimal parenting. Bein...

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Main Author: Emran, Fatimah
Format: Thesis
Language:English
Published: 2019
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Online Access:https://ir.uitm.edu.my/id/eprint/29634/1/29634.pdf
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spelling my-uitm-ir.296342022-07-15T08:00:15Z Parental stress among patients with schizophrenia spectrum disorder in Hospital Kuala Lumpur / Fatimah Emran 2019-03 Emran, Fatimah Parents. Parenthood. Including parent and child, husbands, fathers, wives, mothers Stress. Adjustment. Adjustment disorders Psychoses Background: Parental stress among patients with schizophrenia spectrum disorder is detrimental and often associated with adverse outcome. This vulnerable group of people often struggles with their psychiatric symptoms and adverse effects of medication which may interfere with optimal parenting. Being disadvantaged, they reported multiple challenges in parenting their children, which may all contribute to parental stress. Hence, identifying factors contributing to parental stress is crucial so that adequate support and holistic treatment can be delivered to the patients, in order to ensure well-being of both parents and children. Objective: To determine the prevalence of parental stress among patients with schizophrenia spectrum disorder, to identify the associated factors contributing to parental stress, and the association between severity of psychiatric symptoms with parental stress. Methodology: This is a cross-sectional study involving 115 patients with schizophrenia spectrum disorder who were attending psychiatric clinic in Hospital Kuala Lumpur, recruited through universal sampling. Those who fulfilled the selection criteria and gave informed consent were selected. Socio-demographic data, perceived parenting capacity, children data, and illness data were obtained from the patient during interview as well as from the clinical notes. Presence of parental stress and severity of psychiatric symptoms were measured using Parental Stress Scale (PSS) and Brief Psychiatric Rating Scale (BPRS) respectively. Descriptive analysis was performed, followed by univariate analysis and multiple logistic regression analysis. Results: Of the total 115 participants, 60 (52.2%) patients with schizophrenia spectrum disorder had parental stress. The presence of parental stress was significantly associated with being non-Malay (χ² (1, n =115) = 4.610, p =0.032), lower household income or among Bottom 40 group (χ² (1, n =115) = 3.241, p =0.004), parenting children with mental or learning disability (χ² (1, n =115) = 5.213, p =0.022), and symptomatic of psychiatric symptoms (χ² (1, n =115) = 11.640, p =0.001). There was significant association between severity of psychiatric symptoms and parental stress (p =0.004). Conclusion: Parental stress is prevalent among patients with schizophrenia spectrum disorder. Being non-Malay, lower household income, parenting children with mental or learning disability, and symptomatic of psychiatric symptoms contribute to parental stress among this vulnerable population. Hence, health care professional should actively recognize any warning signs and provide them with necessary supports to reduce serious implications associated to parental stress. 2019-03 Thesis https://ir.uitm.edu.my/id/eprint/29634/ https://ir.uitm.edu.my/id/eprint/29634/1/29634.pdf text en public masters Universiti Teknologi MARA (Kampus Sg. Buloh) Faculty of Medicine Hashim, Nurul Azreen Razali, Salmi
institution Universiti Teknologi MARA
collection UiTM Institutional Repository
language English
advisor Hashim, Nurul Azreen
Razali, Salmi
topic Parents
Parenthood
Including parent and child, husbands, fathers, wives, mothers
Parents
Parenthood
Including parent and child, husbands, fathers, wives, mothers
Psychoses
spellingShingle Parents
Parenthood
Including parent and child, husbands, fathers, wives, mothers
Parents
Parenthood
Including parent and child, husbands, fathers, wives, mothers
Psychoses
Emran, Fatimah
Parental stress among patients with schizophrenia spectrum disorder in Hospital Kuala Lumpur / Fatimah Emran
description Background: Parental stress among patients with schizophrenia spectrum disorder is detrimental and often associated with adverse outcome. This vulnerable group of people often struggles with their psychiatric symptoms and adverse effects of medication which may interfere with optimal parenting. Being disadvantaged, they reported multiple challenges in parenting their children, which may all contribute to parental stress. Hence, identifying factors contributing to parental stress is crucial so that adequate support and holistic treatment can be delivered to the patients, in order to ensure well-being of both parents and children. Objective: To determine the prevalence of parental stress among patients with schizophrenia spectrum disorder, to identify the associated factors contributing to parental stress, and the association between severity of psychiatric symptoms with parental stress. Methodology: This is a cross-sectional study involving 115 patients with schizophrenia spectrum disorder who were attending psychiatric clinic in Hospital Kuala Lumpur, recruited through universal sampling. Those who fulfilled the selection criteria and gave informed consent were selected. Socio-demographic data, perceived parenting capacity, children data, and illness data were obtained from the patient during interview as well as from the clinical notes. Presence of parental stress and severity of psychiatric symptoms were measured using Parental Stress Scale (PSS) and Brief Psychiatric Rating Scale (BPRS) respectively. Descriptive analysis was performed, followed by univariate analysis and multiple logistic regression analysis. Results: Of the total 115 participants, 60 (52.2%) patients with schizophrenia spectrum disorder had parental stress. The presence of parental stress was significantly associated with being non-Malay (χ² (1, n =115) = 4.610, p =0.032), lower household income or among Bottom 40 group (χ² (1, n =115) = 3.241, p =0.004), parenting children with mental or learning disability (χ² (1, n =115) = 5.213, p =0.022), and symptomatic of psychiatric symptoms (χ² (1, n =115) = 11.640, p =0.001). There was significant association between severity of psychiatric symptoms and parental stress (p =0.004). Conclusion: Parental stress is prevalent among patients with schizophrenia spectrum disorder. Being non-Malay, lower household income, parenting children with mental or learning disability, and symptomatic of psychiatric symptoms contribute to parental stress among this vulnerable population. Hence, health care professional should actively recognize any warning signs and provide them with necessary supports to reduce serious implications associated to parental stress.
format Thesis
qualification_level Master's degree
author Emran, Fatimah
author_facet Emran, Fatimah
author_sort Emran, Fatimah
title Parental stress among patients with schizophrenia spectrum disorder in Hospital Kuala Lumpur / Fatimah Emran
title_short Parental stress among patients with schizophrenia spectrum disorder in Hospital Kuala Lumpur / Fatimah Emran
title_full Parental stress among patients with schizophrenia spectrum disorder in Hospital Kuala Lumpur / Fatimah Emran
title_fullStr Parental stress among patients with schizophrenia spectrum disorder in Hospital Kuala Lumpur / Fatimah Emran
title_full_unstemmed Parental stress among patients with schizophrenia spectrum disorder in Hospital Kuala Lumpur / Fatimah Emran
title_sort parental stress among patients with schizophrenia spectrum disorder in hospital kuala lumpur / fatimah emran
granting_institution Universiti Teknologi MARA (Kampus Sg. Buloh)
granting_department Faculty of Medicine
publishDate 2019
url https://ir.uitm.edu.my/id/eprint/29634/1/29634.pdf
_version_ 1783734077767024640