Relationship between Psychological Resilience and Frequency of Relapse and Rehospitalization in A sample of Schizophrenic Patients Visiting Port-Said Mental Health and Addiction Treatment Hospital

Abstract

Background: Relapse is common and causes a high burden in schizophrenic patients. Stress is a main factor in relapse, so stress-resistant factors are proposed to have an important role to prevent it and improve outcomes in schizophrenia. One of these factors is Resilience. Aim of the work: To find the relationship between resilience and frequency of relapse among schizophrenic patients, and to help in developing new therapeutic programs that may lead to decrease the frequency of relapse in schizophrenic patients. Patients and Methods: This is a cross-sectional study. Eighty schizophrenic patients were selected among patients attending Port-Said Mental Health Clinic; 56 were males and 24 were females. Psychotic state was assessed using Positive and Negative Syndrome Scale (PANSS); Medication adherence was assessed using Morisky-8 scale. Resilience was assessed using The Resilience Attitude Scale. Results: There were generally no age, gender, work type, educational or social state differences in relation to frequency of admission. In addition, there was no statistical relation to frequency of admission as regards to education and marital state. On the other side, patients who were admitted less than or equal twice have generally high resilience level than who were admitted more than twice. Conclusion: Resilience is a very important protective factor against relapse in patients with schizophrenia.

Keywords

• schizophrenia
• relapse
• resilience
• stress
• rehospitalization