Factors that influence hospitalization stress in patients with chronic schizophrenia: A cross-sectional study in psychiatric hospitals.
Sumin Chai, Goun Kim
PMID 39075883WHAT IT FOUND
Social support was not linked to hospitalization stress in 135 chronic schizophrenia inpatients.
Stress was higher in married patients, and at the upper stress range, in those without prior cohabitation or voluntary admission.
Key findings
01The mean hospitalization stress score was 1.55 on a 0 to 3 scale, and the unjust human rights infringement subscale scored 1.73.
02Married participants had higher hospitalization stress (1.94) than participants who were separated, widowed or divorced (1.41).
03Perceived social support was not associated with hospitalization stress at any tested percentile, but at the 90th percentile interpersonal relationships were positively associated (β = 0.34) while separated/widowed/divorced status (β = -0.37), cohabiting before hospitalization (β = -0.25) and voluntary admission (β = -0.28) were negatively associated.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Convenience sampling from two psychiatric hospitals in City B, South Korea, limits generalizability to other settings or patients. Only 10 participants were married, so the married group may not represent married patients with chronic schizophrenia. The cross-sectional design measured associations at one time point and cannot show that any factor caused hospitalization stress. Participants with severe symptoms, self-harm or harm to others, substance or alcohol dependence, intellectual disability, dual diagnosis or significant communication difficulties were excluded, so acute and more impaired patients are not represented. The social support measure captured subjective perceived support, not external support systems, and the authors note this may limit interpretation. Some associations were significant only at one percentile, so they may reflect chance or a subgroup pattern rather than a consistent effect.
Declared interests
No funding was reported, and the authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that perceived social support, marriage, cohabitation history or admission type caused stress. This cross-sectional survey measured associations in 135 inpatients, and several associations appeared only among the most stressed patients.