Indian Journal of Health Social Work
PERCEIVED SOCIAL SUPPORT AS A PREDICTOR OF SOCIAL AND OCCUPATIONAL FUNCTIONING- A STUDY ON PERSONS WITH SCHIZOPHRENIA
Pomi Mahanta1, Indrajeet Banerjee2 & Sonia P. Deuri3
Correspondence: Pomi Mahanta, e- mail: email@example.com
Background: Schizophrenia is a chronic illness which can lead to functional impairment and dysfunction in interpersonal relationships. Aims and objectives: The present study aims to explore perceived social support, social and occupational functioning among persons with schizophrenia and to find out the association between them. Methods: Descriptive study design was used to select sample. A total of 60 persons with Schizophrenia (ICD-10) were selected using purposive sampling, fulfilling the inclusion criteria and consents were taken for assessment. Socio-demographic data sheet, Brief Psychiatric Rating Scale (BPRS), Multi-dimensional Scale of Perceived Social Support (MSPSS) and Social and Occupational Functioning scale (SOFS) were administered. The present study was undertaken with the permission of scientific and institute ethics committee. Collected data were analyzed using the software (Statistical Packages for the Social Sciences, SPSS 25.0). Results: 60% of persons with schizophrenia experience moderate to severe impairment in social and occupational functioning with 60% moderate level of perceived social support. There is significant negative correlation between perceived social support and social and occupational functioning [r= -367**, (p= 0.01)] and in regression analysis perceived social support is a strong contributor to the variance of social and occupational functioning in persons with schizophrenia (Beta=.401, t=-3.184, p=.002). Conclusion: An enhanced social support will help the better the social and Occupational functioning.
Key words: Schizophrenia, social support, social and occupational functioning, mental health professionals.
The lifetime and current prevalence of schizophrenia and other psychotic disorders were 1.53% and 0.50% (NMHS, 2016).Social and occupational functioning is the overall functional outcome and the ability of the individual to live in a community of which he or she is a part (Saraswat et al. 2006).Perceived social support is an important psychosocial factor for mental health and wellbeing. Perceived social support in this research is related to support from significant others, family and friends. Persons with schizophrenia can experience loss of support from family, friends, resulting in impairment in social and occupational functioning. Social support has received national attention as a key component of the mental health recovery paradigm for people with severe mental illness (Hogan, 2003).Having a strong social support system is vital to maintaining mental health. A strong social support system can alleviate stress by providing individuals with another person to share their problem with. It plays an important role in the life of person living with schizophrenia and has impact on social and occupational functioning. Enhanced social support leads to better social and occupational functioning. Persons with schizophrenia are often in unemployment and have to depend in other emotionally supportive network. Person with schizophrenia having negative symptoms have to completely depend on the other networks. Perceived social support is very important for person with schizophrenia to cope with effectively during the course of the illness. Lack of social support has a significant impact on the lives of person living with schizophrenia. Various aspects and areas related to schizophrenia were studied but there is research paucity related to perceived social support and social and occupational functioning specially from Assam and the North-Eastern parts of the country.
· To assess the perceived social support and social and occupational functioning of persons with schizophrenia
· To find out the relationship between social and occupational functioning and perceived social support of persons with schizophrenia
MATERIALS AND METHODS
The research design in the study was descriptive in nature. The study was conducted in the Out Patient Department. The study consisted of persons with schizophrenia who accessed treatment and follow up from all over Assam and neighboring states. The sample of 60 patients was selected purposively as per sample size calculator (Krejcie & Morgan, 1970) from among persons having the diagnosis of schizophrenia (F-20.0-F20.9), according to the diagnosis criteria of ICD-10 (Clinical descriptions and diagnostic guidelines). Persons with schizophrenia aged between 21-50 years of both the gender who scored less than 31 in BPRS scale with illness of at least two years duration were included. Persons with comorbid psychiatric, physical and neurological disorder, missing information’s were excluded from the study.
Description of the tools:
1. Socio demographic data sheet – A semi structured socio demographic data sheet was developed by the researcher for the purpose of assessing the socio demographic characteristics of persons with schizophrenia. It was validated by discipline experts.
2. Socio-economic status :revised Kuppuswamy scale consists of education, occupation and monthly family income was used to assess the socio economic status of the persons with schizophrenia.
3. Brief Psychiatric Rating Scale (BPRS): consists of 18 questions which is used as a screening tool rated in the scale of 0-7.
4. Social and occupational functioning scale: It is used for measuring the social and occupational functioning of persons with schizophrenia developed by Saraswat et al. (2006) The SOFS demonstrated adequate internal consistency and retest reliability. The coefficient alpha was 0.91 for the total score. Higher scores on SOFS indicate greater impairment in social and occupational functioning.
5. Multidimensional scale of perceived social support (MSPSS):developed by Zimet & Farley, (1988). This questionnaire is self-rated and consists of 12 items and the participants have to rate their agreement or disagreement by selecting between seven alternatives responses. The scale attributes good internal and test-retest reliability. The scoring of the scales are comprised of low support (1-2.9), moderate support (3-5), and high support (5.1-7).
The present study was undertaken with the permission of scientific and ethics committee of LGBRIMH, Tezpur. All authors certify responsibility for this study.
After the data collection, analysis is done using the software Statistical Package for Social Sciences (SPSS 25.0) according to the objectives of the study. Data were described using mean, standard deviation, frequency and percentage, Pearson correlation and regression.