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All Journal Contagion: Scientific Periodical Journal of Public Health and Coastal Health
Kirana, Wahyu
STIKes YARSI Pontianak
Health Professions Public Health

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Determinants of Relapse Among Schizophrenia Patients in West Kalimantan: A Cross-sectional Study Kirana, Wahyu; Safitri, Dewin; Anggreini, Yunita Dwi
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.26541

Abstract

Relapse can affect functional impairment, rehospitalization, readmission, and long-term disability among schizophrenia patients. Although several factors, such as medication adherence, internalized stigma, and family support, are recognized as determining factors, there is still limited evidence from the Indonesian context, especially in West Kalimantan. This study aimed to evaluate the factors associated with relapse among schizophrenia patients. A quantitative, cross-sectional design was conducted at a mental hospital in West Kalimantan. A total of 63 patients and their families participated in this study, selected using a consecutive sampling technique. The MMAS-8, ISMI-9, and family support questionnaires were used to collect the data; patients completed the MMAS-8 and ISMI-9 questionnaires directly, whereas their&#8194;families completed the family support questionnaire using a Google Form. The patients' medical reports were used to identify the relapse rate. Data were analyzed using Fisher's exact test and multivariate logistic regression.? Fisher's exact test showed that medication adherence was significantly associated with relapse (p = 0.02, p < 0.05), while internalized stigma and family support were not associated (p = 0.21; p = 0.12, p > 0.05). Medication adherence was the strongest factor associated with relapse, with an Adjusted Odds Ratio (AOR) of 2.091. This finding suggests that schizophrenia patients with a low level of medication adherence were over two times more likely to experience a lifetime relapse compared to those with a higher level of medication adherence?Keywords: ?Family Support, Internalized Stigma, Medication Adherence, Relapse, Schizophrenia
Co-Authors Anggreini, Yunita Dwi Safitri, Dewin