Effect of rehabilitation educational program on quality of life of persons with severe mental disorder

Main Article Content

Pornpen Sirisatayawong
Pisak Chinchai
Tiam Srikhamjak


Introduction: The aims of rehabilitation for persons with severe mental disorder are to improve their social and occupational functioning, thus increasing their quality of life. Poor understanding about illness and how to encourage and support patient to perform a valued occupation, is a major barrier to the quality of life of these persons. Caregiver education in rehabilitation is an intervention program that might be helpful for improving the quality of life of persons with severe mental disorder.

Objective: To investigate the effect of the rehabilitation education program given to their caregivers on the quality of life of persons with severe mental disorder.

Materials and methods: Quasi-experimental research design was conducted on persons with severe mental disorder. They were between 20–60 years of age and discharged from hospital. All subjects lived in the community not longer than one and a half year. Thirty subjects were recruited but only twenty-seven persons were completed the program. Of 27 subjects, they were divided into a 13-person experimental group and a 14-person control group. Only experimental group was given the education program for their caregivers. Both groups were interviewed according to the World Health Organization of Quality of Life Index (WHOQOL) – BREF (Thai version) before and 2 months after intervention.

Results: Before imprementation of the program, both experimental and control group got equal scores of quality of life in physical health, psychological well-being, social relationships and environment domain as well as the overall quality of life and general health. After 2 months, the experimental group got higher scores of quality of life in all areas. Their scores were different from those in pre-intervention in all areas and also different from control group in all areas. In contrast, after intervention, the control group had lower quality of life scores in physical health, environment as well as the overall quality of life and general health. Their scores were also less than those at pre-intervention.

Conclusion: Educational program of rehabilitation for the caregivers is an intervention to enhance quality of life of the people with severe mental disorder.

Bull Chiang Mai Assoc Med Sci 2016; 49(2): 197-206. Doi: 10.14456/jams.2016.25


Download data is not yet available.

Article Details

How to Cite
Sirisatayawong, P., Chinchai, P., & Srikhamjak, T. (2016). Effect of rehabilitation educational program on quality of life of persons with severe mental disorder. Journal of Associated Medical Sciences, 49(2), 197. Retrieved from https://he01.tci-thaijo.org/index.php/bulletinAMS/article/view/59888
Research Articles


1. Lortrakul M. Psychiatric classification and diagnosis. In: Lortrakul M, Sukanich P, editors. Psychiatry, Ramathibodi. 8th ed. Bangkok: Savichankarnpim, Ltd.; 2003. p. 65-72. (in Thai)

2. Bonder BR. Psychopathology and Function. 4th ed. Thorofare, NJ.: SLACK Incorporated; 2010.

3. World Health Organization. World Health Report - Mental Health: New Understanding, New Hope. Geneva; Switzerland: World Health Organization, 2001.

4. Rattanaphom K, Pongsaksri M, Sirisatayawong P, Pinmuangthong N. Research Report: Development of a Rehabilitation Program for Psychiatric Patients in the Community According to the Occupational Therapy Perspective - Need Assessment of Community-Based Rehabilitation. Chiang Mai: Suan Prung Psychiatric Hospital, Department of Mental Health, Ministry of Public Health, 2004. (in Thai)

5. Mahadnirunkul S, Tantipiwattanasakul W, Pumprisan W, Wongsuwan K, Ponmanajirungkul R. Comparison of the WHOQOL-100 and the WHOQOL-Bref (26-item). Journal of mental Health of Thailand 1998; 5(3): 4-15. (in Thai)

6. World Health Organization. WHOQOL Measuring Quality of Life. Geneva, Switzerland: World Health Organization, 1997.

7. Basu D. Quality-Of-Life Issues in Mental Health Care: Past, Present, and Future. Psychiatry 2004; 7(3): 35-43.

8. Chan S, Yu IW. Quality of life of clients with schizophrenia. J Adv Nurs 2002; 45: 72-83.

9. Boyer G, Hachey R, Mercier C. Perceptions of Occupational Performance and Subjective Quality of Life in Persons with Severe Mental Illness. Occup Ther Ment Health 2008; 15(2): 1-15.

10. Feely TH, Servoss TJ, Fox CH. The Effects of An Outpatient Wellness Program on Subjective Quality of Life in People with Psychiatric Disabilities. Psychiatr Rehabil J 2004; 27: 275-8.

11. Makara-Studzinska M, Wolyniak M, Partyka I. The quality of life in patients with schizophrenia in community mental health service - selected factors. JPCCR 2011; 5(1): 31-4.

12. Pongsaghuansin P, Wirakaratana C, Prateeppajitti C. Quality of life of psychiatric patients, caregivers and health care providers: A study at Srithanya Hospital. Journal of Mental Health of Thailand 1998; 5(3): 16-24. (in Thai).

13. Somchai P, Kanachai V, Sminoy S. Effects of wellness program on quality of life of schizophrenic patients. Journal of Nurses’ Association of Thailand, North-Eastern Division 2012; 30(3): 113-21. (in Thai)

14. Supish A. Quality of life and social support of persons with schizophrenia [Master of Nursing Science]. Chaing Mai: Chiang Mai University; 2003. (in Thai)

15. Akvardar Y, Akdede BB, Ozerdem A, Eser E, Topkaya S, Alptekin K. Assessment of quality of life with the WHOQOL-BREF in a group of Turkish psychiatric patients compared with diabetic and healthy subjects. Psychiatry Clin Neurosci 2006; 60: 693-9.

16. Evans S, Banerjee S, Leese M, Huxley P. The impact of mental illness on quality of life: A comparison of severe mental illness, common mental disorder and healthy population samples. Qual Life Res 2007; 16: 17-29.

17. Hodgson ZG, Pattison C, Bostock L, Murphy T, Stewart ME. The Influence of Socio-Demographic and Illness Variables on Quality of Life in Acute Psychiatric Inpatients. Clin Psychol Psychother 2007; 14: 269-77.

18. Eklund M. Psychiatric patients' Occupational Roles Change Over Time and Associations with Self-Related Quality of Life. Scand J Occup Ther 2001; 8: 125-30.

19. Kabanov MM. Stigma, Compliance, and Quality of Life in Psychiatric ractice (in Connection with the Objectives of Rehabilitation. Int J Ment Health 2004; 33(3): 4-5.

20. Schulze B, Angermeyer MC. People with schizophrenia believe that they are stimatiged at work and in the community. Evid Base Ment Health 2003; 6: 96.

21. Chinchai P, Bunyamark T, Sirisatayawong P. Effects of caregiver education in stroke rehabilitation on the quality of life of stroke survivors. WFOT Bulletin 2010; 61: 56-63.

22. Sitanon N, Chawengchao B. Caregiver's knowledge and understanding in preventing hemiplegic complications. The Journal of Occupational Therapist Association of Thailand 2004; 9(1): 1-10.

23. Lee S, Lee MTY, Chiu MYL, Kleinman A. Experience of social stigma by people with schizophrenia in Hong Kong. Br J Psychiatr 2005; 186: 153-7.

24. McFarlane W, Dixon L, Lukens E, Lucksted A. Family psychoeducation and schizophrenia: A review of the literature. J Marital Fam Ther 2003; 23: 223-45.

25. Moxon AM, Ronan KR. Providing information to relatives and pt about EE and schizophrenia in community RCT. Clin Schizophr Relat Psychoses 2008. 47-58.

26. Seo M, Kim HL. Effectiveness of an education program to reduce negative attitudes toward persons with mental illness using online media. Asian Nurs Res 2010; 4: 90-101.

27. Stuart H, Arboleda-Florez J. Community attitudes toward people with schizophrenia. Can J Psychiatr 2001; 46: 245-52.

28. Tanaka G, Ogawa T, Inadomi H, Kikuchi Y, Ohta Y. Effects of an educational program on public attitudes towards mental illness. Psychiatr Clin Neurosci 2003; 57: 595-602.

29. Wood L, Birtel M, Alsawy S, Pyle M, Morrison A. Public perceptions of stigma towards people with schizophrenia, depression, and anxiety. Psychiatr Res 2014; 220: 604-8.

30. Dickerson FB, Sommerville J, Origoni AE, Ringel NB, Parente F. Experiences of stigma among outpatients with schizophrenia. Schizophr Bull 2002; 28: 143-55.

31. Koschorke M, Padmavati R, Kumar S, Cohen A, Weiss HA, Chatterjee S, et al. Experiences of stigma and discrimiation of people with schizo in india. Soc Sci Med 2014; 123: 149-59.

32. Kumar D, Kumar P, Singh AR, Bhandari SS. Knowledge and attitude towards mental illness of key informants and general population: A Comparative study. Dysphrenia 2012; 3: 57-64.

33. Mino Y, Yasuda N, Tsuda T, Shimodera S. Effects of a one-hour educational program on medical students' attitudes to mental illness. Psychiatr Clin Neurosci 2001; 55: 501-7.