The Disability Profile of Patients with Schizophrenia in Psychiatric Hospital and Community Settings in Singapore

P. W. Eu, C. Lee, G. Parker, J. Loh

Research output: Contribution to journalArticle

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Abstract

The disability profile of persons with schizophrenia in Singapore and how disability levels vary in patients cared for in the community and in the long-stay wards of a state mental hospital were studied using the Life Skills Profile (LSP). The inter-rater reliability of the LSP assessed by the intraclass correlation coefficient (ICC), was lower than in the Australian studies.The test-retest ICCs for the total LSP score and the five subscale scores were satisfactory for the hospitalised subjects and for the community psychiatric nurse subjects, but generally poor for the community care facility subjects.The average ICCs were lower compared to the Australian study. Female hospitalised subjects but not male hospitalised subjects returned higher disability scores on all LSP scales compared to community subjects. This study provided some preliminary data on the usefulness and validity of the LSP in a multi-ethnic Asian setting like Singapore. If the LSP is used as a measure of disability in schizophrenia, it would appear that ratings should only be made by those who know the subject well, and that raters should be formally trained mental health professionals.

Original languageEnglish
Pages (from-to)559-562
Number of pages4
JournalSingapore Medical Journal
Volume42
Issue number12
Publication statusPublished - Dec 2001
Externally publishedYes

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Singapore
Psychiatric Hospitals
Schizophrenia
Community Psychiatry
State Hospitals
Disabled Persons
Mental Health
Nurses

Cite this

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The Disability Profile of Patients with Schizophrenia in Psychiatric Hospital and Community Settings in Singapore. / Eu, P. W.; Lee, C.; Parker, G.; Loh, J.

In: Singapore Medical Journal, Vol. 42, No. 12, 12.2001, p. 559-562.

Research output: Contribution to journalArticle

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AB - The disability profile of persons with schizophrenia in Singapore and how disability levels vary in patients cared for in the community and in the long-stay wards of a state mental hospital were studied using the Life Skills Profile (LSP). The inter-rater reliability of the LSP assessed by the intraclass correlation coefficient (ICC), was lower than in the Australian studies.The test-retest ICCs for the total LSP score and the five subscale scores were satisfactory for the hospitalised subjects and for the community psychiatric nurse subjects, but generally poor for the community care facility subjects.The average ICCs were lower compared to the Australian study. Female hospitalised subjects but not male hospitalised subjects returned higher disability scores on all LSP scales compared to community subjects. This study provided some preliminary data on the usefulness and validity of the LSP in a multi-ethnic Asian setting like Singapore. If the LSP is used as a measure of disability in schizophrenia, it would appear that ratings should only be made by those who know the subject well, and that raters should be formally trained mental health professionals.

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