FACTORS INFLUENCING RELAPSE IN SCHIZOPHRENIC PATIENTS IN NONG PHOK DISTRICT, ROI ET PROVINCE

Abstract

A cross-sectional analytic study was conducted to investigate factors influencing relapse in schizophrenic patients in Nong Phok District, Roi Et Province. The study included 163 participants and was carried out from May to September 2024, using a researcher-developed questionnaire. Descriptive statistics, including frequency, percentage, mean, standard deviation, median, 25th and 75th percentiles, were used alongside inferential statistics. Multivariate logistic regression analysis and 95% confidence intervals (CIs) for adjusted odds ratios (AORs) were employed.

The results showed that the following factors influenced relapse among schizophrenic patients: Patients with an income below 1,500 baht had a 6.28 times higher likelihood of relapse compared to those earning at least 1,500 baht (AOR = 6.28, 95%CI = 1.55–25.48), Patients who were employed had a lower likelihood of relapse than unemployed patients, with a 0.14 times lower risk (AOR = 0.14, 95%CI = 0.03–0.63), Patients who had previously used substances were 99% less likely to experience relapse [(1–0.01)*100] (AOR = 0.01, 95%CI = 0.01–0.13), Patients with good knowledge about their condition had a 97% reduced risk of relapse [(1–0.03)*100] (AOR = 0.03, 95%CI = 0.01–0.23), Patients receiving strong social support had a 79% lower risk of relapse [(1–0.21)*100] (AOR = 0.21, 95%CI = 0.06–0.68). Other variables lacked sufficient data to determine any significant relationships.