Low level of knowledge regarding diagnosis and treatment among inpatients with schizophrenia in Shanghai

Jingjing Huang,1 Andrea Chiovenda,2 Yang Shao,1 Huajian Ma,1 Huafang Li,1 Mary-Jo DelVecchio Good2 1Department of Psychiatry, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; 2Department of Global Health and Social Medicine, Harvard Medical School, B...

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Autores principales:	Huang J, Chiovenda A, Shao Y, Ma H, Li H, Good MJDV
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	ethics informed consent schizophrenia illness knowledge Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/f160eba0ec5f462696db9f239d4937d9
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spelling	oai:doaj.org-article:f160eba0ec5f462696db9f239d4937d92021-12-02T02:15:21ZLow level of knowledge regarding diagnosis and treatment among inpatients with schizophrenia in Shanghai1178-2021https://doaj.org/article/f160eba0ec5f462696db9f239d4937d92018-01-01T00:00:00Zhttps://www.dovepress.com/low-level-of-knowledge-regarding-diagnosis-and-treatment-among-inpatie-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Jingjing Huang,1 Andrea Chiovenda,2 Yang Shao,1 Huajian Ma,1 Huafang Li,1 Mary-Jo DelVecchio Good2 1Department of Psychiatry, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; 2Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA Objective: The study was designed to measure the level of knowledge of the diagnosis of illness and its treatment among patients with schizophrenia in China, and to examine the association between the capacity to provide informed consent and participation in treatment.Participants and methods: A cross-sectional study was conducted at three clinical inpatient sites in Shanghai, China, during 2015. Patients’ knowledge of the illness, as well as the knowledge of the patients’ families and psychiatrists, was determined. Logistic regression was used to determine the factors associated with patients’ knowledge of schizophrenia.Results: Out of 109 enrolled schizophrenic inpatients (mean age 42.46±1.29 years), 60.6% were aware of their diagnosis and 67.0% knew details of their treatment plan. The group with unimpaired capacity for giving informed consent had a greater knowledge of their diagnosis (χ2=5.002, p=0.038) and of their treatment plan (χ2=11.196, p<0.01) in comparison with patients who were regarded to be impaired. Using logistic regression analysis, it was found that patients’ capacity to give informed consent to treatment was associated with the level of knowledge surrounding the diagnosis (odds ratio =3.230, p<0.05) and the level of knowledge of treatment (odds ratio =4.962, p<0.01).Conclusion: The level of knowledge reported by inpatients with schizophrenia was low with respect to the diagnosis of schizophrenia and of the treatment associated with this illness. An association between patients’ capacities for giving informed consent and knowledge of their illness was confirmed in the present study. The results suggest that, in clinical practice, the informed consent process should be strengthened to protect the interests of patients with schizophrenia. Keywords: ethics, informed consent, schizophrenia, illness knowledgeHuang JChiovenda AShao YMa HLi HGood MJDVDove Medical Pressarticleethicsinformed consentschizophreniaillness knowledgeNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 185-191 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	ethics informed consent schizophrenia illness knowledge Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	ethics informed consent schizophrenia illness knowledge Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Huang J Chiovenda A Shao Y Ma H Li H Good MJDV Low level of knowledge regarding diagnosis and treatment among inpatients with schizophrenia in Shanghai
description	Jingjing Huang,1 Andrea Chiovenda,2 Yang Shao,1 Huajian Ma,1 Huafang Li,1 Mary-Jo DelVecchio Good2 1Department of Psychiatry, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; 2Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA Objective: The study was designed to measure the level of knowledge of the diagnosis of illness and its treatment among patients with schizophrenia in China, and to examine the association between the capacity to provide informed consent and participation in treatment.Participants and methods: A cross-sectional study was conducted at three clinical inpatient sites in Shanghai, China, during 2015. Patients’ knowledge of the illness, as well as the knowledge of the patients’ families and psychiatrists, was determined. Logistic regression was used to determine the factors associated with patients’ knowledge of schizophrenia.Results: Out of 109 enrolled schizophrenic inpatients (mean age 42.46±1.29 years), 60.6% were aware of their diagnosis and 67.0% knew details of their treatment plan. The group with unimpaired capacity for giving informed consent had a greater knowledge of their diagnosis (χ2=5.002, p=0.038) and of their treatment plan (χ2=11.196, p<0.01) in comparison with patients who were regarded to be impaired. Using logistic regression analysis, it was found that patients’ capacity to give informed consent to treatment was associated with the level of knowledge surrounding the diagnosis (odds ratio =3.230, p<0.05) and the level of knowledge of treatment (odds ratio =4.962, p<0.01).Conclusion: The level of knowledge reported by inpatients with schizophrenia was low with respect to the diagnosis of schizophrenia and of the treatment associated with this illness. An association between patients’ capacities for giving informed consent and knowledge of their illness was confirmed in the present study. The results suggest that, in clinical practice, the informed consent process should be strengthened to protect the interests of patients with schizophrenia. Keywords: ethics, informed consent, schizophrenia, illness knowledge
format	article
author	Huang J Chiovenda A Shao Y Ma H Li H Good MJDV
author_facet	Huang J Chiovenda A Shao Y Ma H Li H Good MJDV
author_sort	Huang J
title	Low level of knowledge regarding diagnosis and treatment among inpatients with schizophrenia in Shanghai
title_short	Low level of knowledge regarding diagnosis and treatment among inpatients with schizophrenia in Shanghai
title_full	Low level of knowledge regarding diagnosis and treatment among inpatients with schizophrenia in Shanghai
title_fullStr	Low level of knowledge regarding diagnosis and treatment among inpatients with schizophrenia in Shanghai
title_full_unstemmed	Low level of knowledge regarding diagnosis and treatment among inpatients with schizophrenia in Shanghai
title_sort	low level of knowledge regarding diagnosis and treatment among inpatients with schizophrenia in shanghai
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/f160eba0ec5f462696db9f239d4937d9
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_version_	1718402629083594752

Low level of knowledge regarding diagnosis and treatment among inpatients with schizophrenia in Shanghai

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