The quality of life assessment of chronic schizophrenia and diabetic patients with WHO-QOL in Indian population: a comparative study

Abstract
Background: Schizophrenia is a chronic, severe and disabling psychiatric disorder and diabetes mellitus is one of the most prevalent non-psychiatric chronic illnesses. Both the diseases have common features of their chronicity, economic burden and dysfunction of occupation. QOL becomes more important health outcome tool in disorders that are chronic or where treatment continues over a long period. Methodology: In this study, descriptive survey was used to collect the data. Demographics details, laboratory results, given drugs, medical and medication history were documented into the data entry form and were asked to fill the BREF WHOQOL questionnaires (Malayalam version). Results: The BREF WHOQOL score was high in the Diabetic group in all the four domains as compared with the Schizophrenia group. Since P value is less than .05 in all cases, the difference is statistically significant. Discussion: The schizophrenia patients may have problems in maintaining relationships, frustration in working place, social isolation and stigma which again make their QoL scores lower especially when compared to a chronic physical illness like diabetes. The low score in schizophrenia indicates that mental illness influence above components of this domain. Conclusion: Mental health care is an integral part of healthcare. psychiatric illnesses is associated with lower QoL. Keywords: Schizophrenia, quality of life, Diabetes mellitus, WHOQOL-Bref scale, domains.