Articles Vol. 67 No. CĐ8-NCKH 06/07/2026

THE CURRENT SITUATION OF COMMUNITY INTEGRATION FOR SCHIZOPHRENIA PATIENTS AT DONG DA WARD HEALTH STATION, HANOI CITY

Hoang Thi Thu Cham1,2,3,4, Pham Thi Thu Huong2,4, Tran Ngoc Phan1,3, Le Chau Anh2,4, Vu Thi Ngoc5,6
1 Dong Da Ward Health Station
2 Hanoi Medical University
3 Trạm Y tế Phường Đống Đa
4 Trường Đại học Y Hà Nội
5 Hanoi Psychiatric Hospital
6 Bệnh viện Tâm thần Hà Nội
DOI: 10.52163/yhc.v67iCD8.5708
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Abstract

Objective: Describes of the current state of community integration measured by the Community Integration Questionnaire-Revised scale (CIQ–R) and related factors among patients with schizophrenia at Dong Da Ward Health Station, Hanoi City 2025.

Subject and method: This is a cross-sectional descriptive study 94 patients with schizophrenia among the age of 18-65 with duration of illness at least 1 year who received outpatient treatment from October 2025 to March 2026.

Results: The median age was 53 ± 14, and the duration of illness was 27,50 ± 16,25 years. The majority were male (75,5%), unemployed (83,0%), and had low incomes (64,9%). Community integration (CIE) was low (7,70 ± 5,72). Females scored higher than males in the family integration, social integration, and overall scores, with statistical significance (p < 0.05). The older the age and longer the duration of illness, the lower the CIE. Those with incomes > 750,000 VND/month and who were employment had higher CIE. No association was found between CIE and educational level, medication adherence, and family function (p > 0.05).

Conclusion: In addition to managing and supporting patients’ adherence to medication treatment, relevant agencies and the healthcare system need to work together towards models of social rehabilitation and vocational support to improve the quality of life for patients with intellectual disabilities and reduce the overall burden on society.

References
[1]
WHO. Schizophrenia 2022 [Available from: https://www.who.int/news-room/fact- sheets/detail/schizophrenia Google Scholar
[2]
Wong Y-LI, Diane M, and Min S-Y. Neighborhood Experiences and Community Integration. Social Work in Mental Health. 2006;4(3):45-59. Google Scholar
[3]
Luo X, Law SF, Wang X, Shi J, Zeng W, Ma X, et al. Effectiveness of an Assertive Community Treatment program for people with severe schizophrenia in mainland China – a 12-month randomized controlled trial. Psychological Medicine. 2019;49(6):969-79. doi: 10.1017/S0033291718001629. Google Scholar
[4]
Chafi YK, Amare T, Haile K, Damene W, Tesfaye G, Minichil W. Prevalence and correlates of job loss among schizophrenia outpatients at St. AmanuelMental Specialized Hospital, Addis Ababa, Ethiopia; cross sectional study. PLoS One. 2020;15(12):e0242352. doi: 10.1371/journal.pone.0242352. Google Scholar
[5]
Chadi Abdallah MD, Carl I. Cohen MD, Miguel Sanchez-Almira MD, Pia Reyes MD, Paul Ramirez PD. Community Integration and Associated Factors Among Older Adults With Schizophrenia. Psychiatric Services. 2009;60(12):1642-8. doi: 10.1176/ps.2009.60.12.1642. Google Scholar
[6]
Serra R, Etemadi Y, van Regteren Altena M, Barbui C, Tarsitani L. A systematic review of Clinical Practice Guidelines for the development of the WHO's Package of Interventions for Rehabilitation: focus on schizophrenia. Front Public Health. 2023;11:1215617. doi: 10.3389/fpubh.2023.1215617. Google Scholar
[7]
Brasso C, Bellino S, Bozzatello P, Montemagni C, Rocca P. Real-life functioning and duration of illness in schizophrenia: A mediation analysis. Heliyon. 2025;11(1):e41332. doi:10.1016/j.heliyon.2025.e41332. Google Scholar
[8]
Bernardo M, Cañas F, Herrera B, García Dorado M. Adherence predicts symptomatic and psychosocial remission in schizophrenia: Naturalistic study of patient integration in the community. Revista de Psiquiatría y Salud Mental (English Edition). 2017;10(3):149-59. doi: 10.1016/j.rpsm.2016.04.001. Google Scholar
[9]
Morisky DE, Ang A, Krousel-Wood M, Ward HJ. Predictive validity of a medication adherence measure in an outpatient setting. J Clin Hypertens (Greenwich). 2008;10(5):348-54. doi: 10.1111/j.1751-7176.2008.07572. Google Scholar
[10]
Smilkstein G. The family APGAR: a proposal for a family function test and its use by physicians. J Fam Pract. 1978;6(6):1231-9. Google Scholar
[11]
Callaway L, Winkler D, Tippett A, Herd N, Migliorini C, Willer B. The Community Integration Questionnaire - Revised: Australian normative data and measurement of electronic social networking. Aust Occup Ther J. 2016;63(3):143-53. doi: 10.1111/1440-1630.12284. Google Scholar
[12]
Pham TTH, Wu C-Y, Lee MB, Nguyen VT, Pham TTH, Nguyen TLA, et al. Longitudinal associations between psychological factors, community integration, and suicide risks among patients with treatment-resistant depression in Vietnam. Frontiers in Psychiatry. 2025;16. doi: 10.3389/fpsyt.2025.1597196. Google Scholar
[13]
Rabinowitz J, Levine SZ, Häfner H. A population based elaboration of the role of age of onset on the course of schizophrenia. Schizophrenia Research. 2006;88(1):96-101. doi: 10.1016/j.schres.2006.07.007. Google Scholar
[14]
Harvey PD, Heaton RK, Carpenter WT, Jr., Green MF, Gold JM, Schoenbaum M. Functional impairment in people with schizophrenia: focus on employability and eligibility for disability compensation. Schizophr Res. 2012;140(1-3):1-8. doi: 10.1016/j.schres.2012.03.025. Google Scholar
[15]
Huong PTT, Wu C-Y, Lee M-B, Chen I-M. Associations of Suicide Risk and Community Integration Among Patients With Treatment-Resistant Depression. Frontiers in Psychiatry. 2022; Volume 13 - 2022. doi: 10.3389/fpsyt.2022.806291. Google Scholar
[16]
Ran M-S, Mao W-J, Chan CL-W, Chen EY-H, Conwell Y. Gender differences in outcomes in people with schizophrenia in rural China: 14-year follow-up study. British Journal of Psychiatry. 2015;206(4):283-8. doi: 10.1192/bjp.bp.113.139733. Google Scholar
[17]
De Winter L, Couwenbergh C, van Weeghel J, Hasson-Ohayon I, Vermeulen JM, Mulder CL, et al. Changes in social functioning over the course of psychotic disorders–A meta-analysis. Schizophrenia Research. 2022;239:55-82. doi: 10.1016/j.schres.2021.11.010. Google Scholar
[18]
Fond GB, Yon DK, Tran B, Mallet J, Urbach M, Leignier S, et al. Poverty and inequality in real-world schizophrenia: a national study. Frontiers in Psychiatry. 2023. doi: 10.3389/fpubh.2023.1182441. Google Scholar