Quality of Life in Aymara patients with schizophrenia in the Central-Southern Andes

Alejandra Caqueo-Urízar, Marine Alessandrini, Laurent Boyer

Resumen


The study aimed to compare the quality of life (QoL) of patients with
schizophrenia belonging to the Aymara ethnic group from the Central-
Southern Andes, with Non-Aymara patients. This cross-sectional study
was conducted in three mental health clinics in Chile, Peru, and
Bolivia. The data included sociodemographic, clinical characteristics
and the QoL was assessed using the S-QoL18. Comparative analyses
explored QoL differences between Aymara and Non-Aymara patients.
Two hundred and fifty-three patients participated. Aymara had lower
QoL scores compared to Non-Aymara patients, for total Index, family
relationships, and sentimental life dimensions. Monthly family incomes
and disorder duration were significantly lower for Aymara patients. Our
study supported the hypothesis of poor QoL in Aymara patients with
schizophrenia, after considering other socio-demographic and clinical
variables such as the attitude to medication.

Palabras clave


Quality of Life; S-QoL18; Schizophrenia; Ethnicity; Ethnic minorities; Aymara; Andes.

Referencias


Arsova, S., & Kopacheva Barsova, G. (2016). Patients with Schizophrenia and Social Contacts. Open Access Macedonian Journal of Medical Sciences, 4(3), 388-391. https://doi.org/10.3889/oamjms.2016.084

Auquier, P., Tinland, A., Fortanier, C., Loundou, A., Baumstarck, K., Lancon, C., & Boyer, L. (2013). Toward Meeting the Needs of Homeless People with Schizophrenia: The Validity of Quality of Life Measurement. PLoS ONE, 8(10), e79677. http://doi.org/10.1371/journal.pone.0079677

Awad, G., & Voruganti, L. (2008). The Burden of Schizophrenia on Caregivers: A Review. Pharmacoeconomics, 26(2), 149-162.

Awad, A.G., & Hogan, T.P. (1994). Subjective response to neuroleptics and the quality of life: implications for treatment outcome. Acta Psychiatrica Scandinavica, 89(s380), 27-32.

Baumstarck, K., Boucekine, M., Klemina, I., Reuter, F., Aghababian, V., Loundou, A., & Auquier, P. (2013). What is the relevance of quality of life assessment for patients with attention impairment? Health and Quality of Life Outcomes, 11(1), 70. https://doi.org/10.1186/1477-7525-11-70

Bender, R., & Lange, S. (2001). Adjusting for multiple testing—when and how? Journal of Clinical Epidemiology, 54(4), 343-349.

Bobes, J., & González, G. (2000). Calidad de vida en la esquizofrenia. In H. Katschnig, H. Freeman, & N. Sartorious (Eds.), Calidad de vida en los trastornos mentales (pp. 157-169). Barcelona: Masson.

Bobes, J., Garcia-Portilla, M. P., Bascaran, M. T., Saiz, P. A., & Bouzoño, M. (2007). Quality of life in schizophrenic patients. Dialogues in Clinical Neuroscience, 9(2), 215-226.

Boyer, L., Baumstarck, K., Iordanova, T., Fernandez, J., Jean, P., & Auquier, P. (2014). A poverty-related quality of life questionnaire can help to detect health inequalities in emergency departments. Journal of Clinical Epidemiology, 67(3), 285-295. https://doi.org/10.1016/j.jclinepi.2013.07.021

Boyer, L., Lançon, C., Baumstarck, K., Parola, N., Berbis, J., & Auquier, P. (2013). Evaluating the impact of a quality of life assessment with feedback to clinicians in patients with schizophrenia: Randomised controlled trial. The British Journal of Psychiatry, 202(6), 447-453. https://doi.org/10.1192/bjp.bp.112.123463

Boyer, L., Simeoni, M.-C., Loundou, A., D’Amato, T., Reine, G., Lançon, C., & Auquier, P. (2010). The development of the S-QoL 18: A shortened quality of life questionnaire for patients with schizophrenia. Schizophrenia Research, 121(1-3), 241-250. https://doi.org/10.1016/j.schres.2010.05.019

Browne, G., & Courtney, M. (2005). Housing, social support and people with schizophrenia: A grounded theory study. Issues in Mental Health Nursing, 26(3), 311-326. https://doi.org/10.1080/01612840590915694

Browne, S.R., Lane, A., Gervin, M., Morris, M., Kinsella, A., Larkin, C., & O’Callaghan, E. (1996). Quality of life in schizophrenia: Relationship to socio-demographic factors, symptomatology and tardive dyskinesia. Acta Psychiatrica Scandinavica, 94(2), 118-124. https://doi.org/10.1111/j.1600-0447.1996.tb09835.x

Butzlaff, R.L., & Hooley, J.M. (1998). Expressed emotion and psychiatric relapse: A meta-analysis. Archives of General Psychiatry, 55(6), 547-551. https://doi.org/10.1001/archpsyc.55.6.547

Caqueo-Urízar, A., Alessandrini, M., Urzúa, A., Zendjidjian, X., Boyer, L., & Williams, D. R. (2017a). Caregiver’s quality of life and its positive impact on symptomatology and quality of life of patients with schizophrenia. Health and Quality of Life Outcomes, 15, 76. http://doi.org/10.1186/s12955-017-0652-6

Caqueo-Urízar, A., Boyer, L., & Gilman, S. (2017b). Needs of patients with schizophrenia among an ethnic minority group in Latin America. Journal of Immigrant and Minority Health, 19(3), 606-615.

Caqueo-Urízar, A., Rus-Calafell, M., Craig, T. K. J., Irarrazaval, M., Urzúa, A., Boyer, L., & Williams, D. R. (2017c). Schizophrenia: Impact on Family Dynamics. Current Psychiatry Reports, 19(1). https://doi.org/10.1007/s11920-017-0756-z

Caqueo-Urízar, A., Alessandrini, M., Zendjidjian, X., Urzúa, A., Boyer, L., & Williams, D. R. (2016). Religion involvement and quality of life in caregivers of patients with schizophrenia in Latin-America. Psychiatry Research, 246, 769-775. https://doi.org/10.1016/j.psychres.2016.07.063

Caqueo-Urízar, A., Boyer, L., Boucekine, M., & Auquier, P. (2014). Spanish cross-cultural adaptation and psychometric properties of the Schizophrenia. Quality of Life short-version questionnaire (SQoL18) in 3 middle-income countries: Bolivia, Chile and Peru. Schizophrenia Research, 159(1), 136-143. https://doi.org/10.1016/j.schres.2014.08.013

Caqueo-Urízar, A., Breslau, J., & Gilman, S. (2015). Beliefs about the causes of schizophrenia among Aymara and non-Aymara patients and their primary caregivers in the Central-Southern Andes. International Journal of Social Psychiatry, 61(1), 82-91.

Caqueo-Urízar, A., Gutiérrez-Maldonado, J., Ferrer-García, M., & Darrigrande-Molina, P. (2012). Sobrecarga en Cuidadores Aymaras de pacientes con Esquizofrenia. Revista de Psiquiatría y Salud Mental, 5(3), 191-196. https://doi.org/10.1016/j.rpsm.2011.07.001

Caqueo-Urízar, A., Miranda-Castillo, C., Giráldez, S. L., Maturana, S. L., Pérez, M. R., & Tapia, F. M. (2014). An updated review on burden on caregivers of schizophrenia patients. Psicothema, 26(2), 235-243.

Caqueo-Urízar, A., & Gutiérrez-Maldonado, J. (2006). Burden of Care in Families of Patients with Schizophrenia. Quality of Life Research, 15(4), 719-724. https://doi.org/10.1007/s11136-005-4629-2

Caron, J., Mercier, C., Diaz, P., & Martin, A. (2005). Socio-demographic and clinical predictors of quality of life in patients with schizophrenia or schizo-affective disorder. Psychiatry Research, 137(3), 203-213. https://doi.org/10.1016/j.psychres.2005.07.002

Cavieres, F., & Valdebenito, V. (2005). Funcionamiento cognitivo y calidad de vida en la esquizofrenia. Revista chilena de neuro-psiquiatría, 43(2), 97-108. https://doi.org/10.4067/S0717-92272005000200003

Chou, C.-Y., Yang, T.-T., Ma, M.-C., Teng, P.-R., & Cheng, T.-C. (2015). Psychometric validations and comparisons of schizophrenia-specific health-related quality of life measures. Psychiatry Research, 226(1), 257-263. https://doi.org/10.1016/j.psychres.2014.12.059

De Munter, K. (2010). Tejiendo reciprocidades: John Murra y el contextualizar entre los aymara contemporáneos. Chungará (Arica), 42(1), 247-255. https://doi.org/10.4067/S0717-73562010000100033

De Toledo, E., & Blay, S. L. (2004). Community perception of mental disorders. Social Psychiatry and Psychiatric Epidemiology, 39(12), 955-961. https://doi.org/10.1007/s00127-004-0820-y

Fresán, A., De la Fuente-Sandoval, C., Loyzaga, C., Garcı́a-Anaya, M., Meyenberg, N., Nicolini, H., & Apiquian, R. (2005). A forced five-dimensional factor analysis and concurrent validity of the Positive and Negative Syndrome Scale in Mexican schizophrenic patients. Schizophrenia Research, 72(2), 123-129. https://doi.org/10.1016/j.schres.2004.03.021

Gavilán, V., Vigueras, P., Carrasco, A., Cabezas, R., Madariaga, V., Escobar, M., & Mamani, C. (2006). Pautas de crianza aymara. Estudio ‘Significaciones, actitudes y prácticas de familias aymara en relación a la crianza y cuidado infantil de los niños y niñas desde la gestación hasta los diez años’. Iquique, Chile: Universidad Arturo Prat.

Giddens, A. (2006). Sociología. Madrid: Alianza Editorial.

Górna, K., Jaracz, K., Rybakowski, F., & Rybakowski, J. (2008). Determinants of objective and subjective quality of life in first-time-admission schizophrenic patients in Poland: a longitudinal study. Quality of Life Research, 17(2), 237-247. https://doi.org/10.1007/s11136-007-9296-z

Gray, R., Rofail, D., Allen, J., & Newey, T. (2005). A survey of patient satisfaction with and subjective experiences of treatment with antipsychotic medication. Journal of Advanced Nursing, 52(1), 31-37.

Gundermann, H. (2000). Las organizaciones étnicas y el discurso de la identidad en el norte de Chile, 1980-2000. Estudios Atacameños, 19, 75-91.

Gundermann, H., González, H., & Vergara, J. I. (2007). Vigencia y desplazamiento de la lengua aymara en Chile. Estudios filológicos, 42, 123-140.

Haas, J. S., Earle, C. C., Orav, J. E., Brawarsky, P., Neville, B. A., & Williams, D. R. (2008). Racial Segregation and Disparities in Cancer Stage for Seniors. Journal of General Internal Medicine, 23(5), 699-705. http://doi.org/10.1007/s11606-008-0545-9

Hofer, A., Kemmler, G., Eder, U., Edlinger, M., Hummer, M., & Fleischhacker, W.W. (2004). Quality of life in schizophrenia: The impact of psychopathology, attitude toward medication and side effects. The Journal of Clinical Psychiatry, 65(7), 932-939.

Hogan, T. P., Awad, A. G., & Eastwood, R. (1983). A self-report scale predictive of drug compliance in schizophrenics: Reliability and discriminative validity. Psychological Medicine, 13(1), 177. https://doi.org/10.1017/S0033291700050182

Karanci, A. N. (1995). Caregivers of Turkish schizophrenic patients: causal attributions, burdens and attitudes to help from the health professionals. Social Psychiatry and Psychiatric Epidemiology, 30(6), 261-268.

Kay, S. R., Fiszbein, A., & Opfer, L. A. (1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13(2), 261.

Kirberg, A. (2006). La salud del niño aymara. Revista chilena de pediatría, 77(6), 608-609. https://doi.org/10.4067/S0370-41062006000600009

Köster, G. (1992). Los Aymaras: Características demográficas de un grupo étnico indígena antiguo en los Andes centrales. In H. Van den Berg, & N. Schiffers (Eds.), La cosmovisión Aymara (pp. 81-111). La Paz, Bolivia: Hisbol-UCB.

Kung, W. (2003). The Illness, Stigma, Culture, or Immigration? Burdens on Chinese American Caregivers of Patients With Schizophrenia. Families in Society: The Journal of Contemporary Social Services, 84(4), 547-557. https://doi.org/10.1606/1044-3894.140

Leiva, I. C. (2008). Acercamiento antropológico del concepto de salud mental en los aymaras del sector Isluga. Revista Cultura y religión, 2(3), 2.

Lund, C., De Silva, M., Plagerson, S., Cooper, S., Chisholm, D., Das, J., & Patel, V. (2011). Poverty and mental disorders: breaking the cycle in low-income and middle-income countries. The Lancet, 378(9801), 1502-1514.

Machín, M. (2011). Los Derechos Humanos y la Migración en Chile: Desafíos y Oportunidades para una Convivencia Intercultural. Resumen Ejecutivo, Informe Migrantes Noviembre 2011. Retrieved from http://www.iom.int/files/live/sites/iom/files/pbn/docs/Panorama_Migratorio_de_America_del_Sur_2012.pdf

Marwaha, S., & Johnson, S. (2004). Schizophrenia and employment. Social Psychiatry and Psychiatric Epidemiology, 39(5), 337-349. https://doi.org/10.1007/s00127-004-0762-4

McCrone, P., Leese, M., Thornicroft, G., Schene, A., Knudsen, H. C., & Vázquez-Barquero, J. L., EPSILON Study Grp. (2001). A comparison of needs of patients with schizophrenia in five European countries: The EPSILON Study. Acta Psychiatrica Scandinavica, 103(5), 370-379. https://doi.org/10.1034/j.1600-0447.2001.00207.x

McLafferty, S. (1982). Neighborhood characteristics and hospital closures: A comparison of the public private and voluntary hospital systems. Social Science & Medicine, 16(19), 1667-1674.

Nielsen, R. E., Lindström, E., Nielsen, J., & Levander, S. (2012). DAI-10 is as good as DAI-30 in schizophrenia. European Neuropsychopharmacology, 22(10), 747-750. https://doi.org/10.1016/j.euroneuro.2012.02.008

Núñez, R. E., & Cornejo, C. (2012). Facing the Sunrise: Cultural Worldview Underlying Intrinsic-Based Encoding of Absolute Frames of Reference in Aymara. Cognitive Science, 36(6), 965-991. https://doi.org/10.1111/j.1551-6709.2012.01237.x

Organización Mundial para las Migraciones. (2012). Panorama Migratorio de América del Sur. Retrieved from http://www.observatorio.cl/sites/default/files/biblioteca/informe_migrantes_final_editado1.pdf.

Patel, K., Kouvonen, A., Close, C., Väänänen, A., O’Reilly, D., & Donnelly, M. (2017). What do register-based studies tell us about migrant mental health? A scoping review. Systematic Reviews, 6, 78. http://doi.org/10.1186/s13643-017-0463-1

Pellegrino, A. (2003). La migración internacional en América Latina y el Caribe: tendencias y perfiles de los migrantes, (Vol. 35). Santiago de Chile: Naciones Unidas.

Peralta, V., & Cuesta M. J. (1994). Validación de la Escala de los Síndromes Positivo y Negativo (PANSS) en una muestra de esquizofrénicos españoles. [Validation of the positive and negative syndrome scale (PANSS) in a sample of Spanish schizophrenic]. Actas Luso-Española de Neurología, Psiquiatría y Ciencias Afines, 22(4), 171-177.

Pinikahana, J., Happell, B., Hope, J., & Keks, N. A. (2002). Quality of life in schizophrenia: A review of the literature from 1995 to 2000. International Journal of Mental Health Nursing, 11(2), 103-111.

Rice, M.F. (1987). Inner-city hospital closures/relocations: Race, income status, and legal issues. Social Science & Medicine, 24(11), 889-896.

Robles García, R., Salazar Alvarado, V., Páez Agraz, F., & Ramírez Barreto, F. (2004). Evaluación de actitudes al medicamento en pacientes con esquizofrenia: Propiedades psicométricas de la versión en español del DAI. Actas Españolas de Psiquiatría, 32(3), 138-142.

Rudnick, A. (2001). The impact of coping on the relation between symptoms and quality of life in schizophrenia. Psychiatry, 64(4), 304-308.

Ruggeri, M., Dall’Agnola, R., Agostini, C., & Bisoffi, G. (1994). Acceptability, sensitivity and content validity of the VECS and VSSS in measuring expectations and satisfaction in psychiatric patients and their relatives. Social Psychiatry and Psychiatric Epidemiology, 29(6), 265-276.

Ruggeri, M., Nose, M., Bonetto, C., Cristofalo, D., Lasalvia, A., Salvi, G., … & Tansella, M. (2005). Changes and predictors of change in objective and subjective quality of life: Multiwave follow-up study in community psychiatric practice. The British Journal of Psychiatry, 187(2), 121-130.

Ruiz, P. (1998). The role of culture in psychiatric care. American Journal of Psychiatry, 155(12), 1763-1765.

Salokangas, R. K. R., Honkonen, T., Stengard, E., & Koivisto, A. M. (2001). To be or not to be married- that is the question of quality of life in men with schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 36(8), 381-390.

Schomerus, G., Heider, D., Angermeyer, M. C., Bebbington, P. E., Azorin, J.-M., Brugha, T., & Toumi, M. (2007). Residential area and social contacts in schizophrenia: Results from the European Schizophrenia Cohort (EuroSC). Social Psychiatry and Psychiatric Epidemiology, 42(8), 617-622. https://doi.org/10.1007/s00127-007-0220-1

Selten, J. P., Cantor-Graae, E., & Kahn, R. S. (2007). Migration and schizophrenia. Current Opinion in Psychiatry, 20(2), 111-115.

Smith, D. B., Feng, Z., Fennell, M. L., Zinn, J. S., & Mor, V. (2007). Separate and Unequal: Racial Segregation And Disparities In Quality Across U.S. Nursing Homes. Health Affairs, 26(5), 1448-1458. https://doi.org/10.1377/hlthaff.26.5.1448

Thompson, A. B., Carrasquillo, O., Gameroff, M. J., & Weissman, M. M. (2010). Psychiatric Treatment Needs Among the Medically Underserved: A Study of Black and White Primary Care Patients Residing in a Racial Minority Neighborhood. Primary Care Companion to The Journal of Clinical Psychiatry, 12(6), e1-e7. http://doi.org/10.4088/PCC.09m00804whi

Urzúa, A., Heredia, O., & Caqueo-Urízar, A. (2016). Salud mental y estrés por aculturación en inmigrantes sudamericanos en el norte de Chile. Revista Médica de Chile, 144(5), 563-570.

Van Kessel, J. (1996a). La cosmovisión Aymara. In J. Hidalgo, F. Schiappacasse, F. Niemeyer, C. Aldunate, & P. Mege (Eds.), Etnografía: Sociedades indígenas contemporáneas y su ideología (pp. 169-187). Santiago, Chile: Editorial Andrés Bello.

Van Kessel, J. (1996b). Los Aymaras contemporáneos de Chile. In J. Hidalgo, F. Schiappacasse, F. Niemeyer, C. Aldunate, & P. Mege (Eds.), Etnografía: Sociedades indígenas contemporáneas y su ideología (pp. 47-67). Santiago, Chile: Editorial Andrés Bello.

Vicente, B., Kohn, R., Rioseco, P., Saldivia, S., & Torres, S. (2005). Psychiatric disorders among the Mapuche in Chile. International Journal of social psychiatry, 51(2), 119-127.

Villa, M., & Martínez, J. (2001). Tendencias y patrones de la migración internacional en América Latina y el Caribe. In United Nations (Ed.), La migración internacional y el desarrollo en las Américas. Simposio sobre migración internacional en las Américas, serie Seminarios y conferencia (pp. 19-141). Santiago, Chile: Naciones Unidas.

Wagstaff, A. (2002). Poverty and health sector inequalities. Bulletin of the World Health Organization, 80(2), 97-105.

Williams, D. R., & Collins, C. (2001). Racial residential segregation: a fundamental cause of racial disparities in health. Public Health Reports, 116(5), 404-416.

World Health Organization [WHO] (Ed.). (1992). ICD-10 Classifications of Mental and Behavioural Disorder: Clinical Descriptions and Diagnostic Guidelines. Geneva, Switzerland: World Health Organization.

Zapata, C. (2007). Memoria e historia: El proyecto de una identidad colectiva entre los aymaras de Chile. Chungará (Arica), 39(2), 171-183. https://doi.org/10.4067/S0717-73562007000200002

Zendjidjian, X.-Y., Baumstarck, K., Auquier, P., Loundou, A., Lançon, C., & Boyer, L. (2014). Satisfaction of hospitalized psychiatry patients: why should clinicians care? Patient Preference and Adherence, 2014(8), 575-583. http://doi.org/10.2147/PPA.S62278




DOI: http://dx.doi.org/10.11144/Javeriana.upsy16-5.qlap

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