Bhuvaneshwari, S (2015) Unmet needs, Knowledge, Attitude and Practice of Contraception in Women with Schizophrenia/Schizoaffective disorder. Masters thesis, Christian Medical College, Vellore.
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Abstract
OBJECTIVES: 1. To assess the unmet needs, knowledge, attitude, practice of contraception of married women with diagnosis of schizophrenia/schizoaffective disorder in remission. 2. To evaluate factors associated with unmet needs and contraceptive practices. METHODS: Married women attending outpatient services of Department of Psychiatry of a tertiary care general hospital with ICD 10 diagnosis of schizophrenia/schizoaffective disorder in remission were recruited after obtaining informed consent. Socio demographic and clinical details were collected. Psychopathology rating was done using Positive & Negative Syndrome Scale (PANSS) and unmet needs were assessed using Camberwell assessment of Need Short Appraisal Schedule – patient rated version (CANSAS P). Knowledge, attitude, practise of contraception was assessed using modified version of a standardised questionnaire from the National Family Health Survey (NFHS Part 3). Statistical methods included descriptive methods, tests of association and logistic regression. RESULTS: Majority of women were housewives and from rural background.63.9% of women were educated up to high school. Mean PANSS score was 38 and 74% of patients had no unmet needs. Unmet needs were significantly associated with the location of residence being urban and lower level of education. Current practise of contraception was present in 71% of patients and factors significantly associated with the practice were age above 33 years, having two children, having at least one male child and undifferentiated schizophrenia. These results were discussed. CONCLUSIONS: This group of married women with Schizophrenia in remission had lesser number of unmet needs compared to no needs and met needs in various domains. Domains of unmet need were identified as were company, sexual expression, intimate relationship, psychological distress and looking after home. Twenty five percent of women had unmet need in at least one domain. Factors associated with unmet need were patient’s area of residence being urban and low level of education up to primary school level. Majority of women in this group had knowledge about a minimum of one contraceptive method. Uses of contraception was associated with age more than 33 years, parity, number of male children and undifferentiated subtype of Schizophrenia and was not associated with other socio demographic and illness variables.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Unmet needs ; Knowledge ; Attitude ; Practice ; Contraception ; Women ; Schizophrenia ; Schizoaffective disorder. |
| Subjects: | MEDICAL > Psychiatry |
| Depositing User: | Punitha K |
| Date Deposited: | 05 May 2018 16:13 |
| Last Modified: | 05 May 2018 16:13 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/7514 |
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