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Conference Paper: Symptom recognition and illness labelling: comparison between Chinese patients with psychosis and their caregivers

TitleSymptom recognition and illness labelling: comparison between Chinese patients with psychosis and their caregivers
Authors
Issue Date2014
PublisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://easap.asia/index.htm
Citation
The 2014 Regional Congress of the World Psychiatric Association (WPA), Hong Kong, 12-14 December 2014. In East Asian Archives of Psychiatry, 2014, v. 24 n. 4 suppl., p. 72, abstract OP3.3.2 How to Cite?
AbstractOBJECTIVES: Recognition of symptoms and attribution of the condition form some essential parts of illness representation and appraisal for patients with schizophrenia and their caregivers. However, there has been no study exploring their symptoms recognition with illness labelling and thus, fail to provide an overall view of illness appraisal. This study aimed to explore the perception of symptoms and illness labelling by Chinese schizophrenic patients and their respective caregivers. METHODS: A total of 80 patient-caregiver dyads were recruited from the Early Assessment Service for Young people with psychosis (EASY) service in Hong Kong. The symptoms experienced by patients during illness and how participants labelled the condition of patients were explored using open-ended questions. The association between the illness labelling with the symptoms reported by participants was also assessed. RESULTS: The most frequently reported symptom class by patients was positive symptoms (Reported times [RT] = 76, 42.8%), followed by behavioural problems (RT = 33, 18.6%) whereas caregivers reported behavioural problems (RT = 70, 36.8%) more than positive symptoms (RT = 40, 21.1%). Negative and cognitive symptoms were reported less by both groups. A significant relationship was found between the psychosis label and the positive symptoms of the illness for caregivers (X2 = 5.367, df = 1, p = 0.021). CONCLUSIONS: By exploring symptoms recognition, illness labelling by patients and their caregivers and its relationship, these give us a more comprehensive understanding of their illness appraisal. Our results suggested that communication with patients and their caregivers should go beyond illness label and focus also on the actual understanding of other aspects of the illness such as symptoms. Our findings also guide us in the refinement of psychoeducation programme for caregivers and patients, that is, to put more emphasis on the recognition of negative symptoms as part of the condition, and alignment of their understanding.
DescriptionCongress Theme: Yin and Yang of Mental Health in Asia - Balancing Polarities
Oral Presentation 3.3 – Severe Mental Illness (III)no. OP3.3.2
Persistent Identifierhttp://hdl.handle.net/10722/214254
ISSN
2015 SCImago Journal Rankings: 0.331

 

DC FieldValueLanguage
dc.contributor.authorWong, MMH-
dc.contributor.authorChan, SKW-
dc.contributor.authorHui, CLM-
dc.contributor.authorLee, EHM-
dc.contributor.authorChang, WC-
dc.contributor.authorChen, EYH-
dc.date.accessioned2015-08-21T11:03:53Z-
dc.date.available2015-08-21T11:03:53Z-
dc.date.issued2014-
dc.identifier.citationThe 2014 Regional Congress of the World Psychiatric Association (WPA), Hong Kong, 12-14 December 2014. In East Asian Archives of Psychiatry, 2014, v. 24 n. 4 suppl., p. 72, abstract OP3.3.2-
dc.identifier.issn2078-9947-
dc.identifier.urihttp://hdl.handle.net/10722/214254-
dc.descriptionCongress Theme: Yin and Yang of Mental Health in Asia - Balancing Polarities-
dc.descriptionOral Presentation 3.3 – Severe Mental Illness (III)no. OP3.3.2-
dc.description.abstractOBJECTIVES: Recognition of symptoms and attribution of the condition form some essential parts of illness representation and appraisal for patients with schizophrenia and their caregivers. However, there has been no study exploring their symptoms recognition with illness labelling and thus, fail to provide an overall view of illness appraisal. This study aimed to explore the perception of symptoms and illness labelling by Chinese schizophrenic patients and their respective caregivers. METHODS: A total of 80 patient-caregiver dyads were recruited from the Early Assessment Service for Young people with psychosis (EASY) service in Hong Kong. The symptoms experienced by patients during illness and how participants labelled the condition of patients were explored using open-ended questions. The association between the illness labelling with the symptoms reported by participants was also assessed. RESULTS: The most frequently reported symptom class by patients was positive symptoms (Reported times [RT] = 76, 42.8%), followed by behavioural problems (RT = 33, 18.6%) whereas caregivers reported behavioural problems (RT = 70, 36.8%) more than positive symptoms (RT = 40, 21.1%). Negative and cognitive symptoms were reported less by both groups. A significant relationship was found between the psychosis label and the positive symptoms of the illness for caregivers (X2 = 5.367, df = 1, p = 0.021). CONCLUSIONS: By exploring symptoms recognition, illness labelling by patients and their caregivers and its relationship, these give us a more comprehensive understanding of their illness appraisal. Our results suggested that communication with patients and their caregivers should go beyond illness label and focus also on the actual understanding of other aspects of the illness such as symptoms. Our findings also guide us in the refinement of psychoeducation programme for caregivers and patients, that is, to put more emphasis on the recognition of negative symptoms as part of the condition, and alignment of their understanding.-
dc.languageeng-
dc.publisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://easap.asia/index.htm-
dc.relation.ispartofEast Asian Archives of Psychiatry-
dc.relation.ispartof東亞精神科學志-
dc.rightsEast Asian Archives of Psychiatry. Copyright © Hong Kong Academy of Medicine Press.-
dc.titleSymptom recognition and illness labelling: comparison between Chinese patients with psychosis and their caregivers-
dc.typeConference_Paper-
dc.identifier.emailChan, SKW: kwsherry@hku.hk-
dc.identifier.emailHui, CLM: christyh@hkucc.hku.hk-
dc.identifier.emailLee, EHM: edwinlhm@hku.hk-
dc.identifier.emailChang, WC: changwc@hku.hk-
dc.identifier.emailChen, EYH: eyhchen@hku.hk-
dc.identifier.authorityChan, SKW=rp00539-
dc.identifier.authorityHui, CLM=rp01993-
dc.identifier.authorityLee, EHM=rp01575-
dc.identifier.authorityChang, WC=rp01465-
dc.identifier.authorityChen, EYH=rp00392-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.hkuros249130-
dc.identifier.volume24-
dc.identifier.issue4 suppl.-
dc.identifier.spage72, abstract OP3.3.2-
dc.identifier.epage72, abstract OP3.3.2-
dc.publisher.placeHong Kong-

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