Analysis of the current status and influencing factors of schizophrenia relapse
Objective To explore the recurrence of schizophrenia and analyze its influencing factors.Methods The study was conducted among patients diagnosed with schizophrenia at a specialized psychiatric hospital in Baoding city.Data were collected face-to-face using various scales,including the medication adherence scale,insight and treatment attitude scale,perceived devaluation-discrimination scale,and social support scale to ana-lyze factors influencing schizophrenia recurrence.Results A total of 430 patients were included,among whom 199 experienced a recurrence,yielding a recurrence rate of 46.27%.Binary logistic regression analysis revealed that longer illness duration(OR=10.294,P<0.001),stigma(OR=9.087,P<0.001),history of traumatic stress(OR=0.389,P=0.017),and a family history of schizophrenia(OR=3.066,P=0.001)were risk factors for recurrence.Additionally,higher monthly per capita family income(OR=0.300,P=0.020;OR=0.075,P<0.001;OR=0.096,P=0.001),better insight and treatment attitude(OR=0.570,P=0.539;OR=0.097,P=0.011;OR=0.018,P=0.001),and higher medication adherence(OR=0.189,P<0.001)were identified as protective factors.Conclusion In conclusion,the recurrence rate of schizophrenia remains high.Patients with longer illness durations,higher levels of stigma,traumatic stress history,family history of schizo-phrenia,lower monthly per capita family income,poorer insight and treatment attitudes,and lower medication adherence are at greater risk of recurrence.
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