Family support and adaptation mechanisms of adults outpatients with schizophrenia

  • Wiwik Widiyawati
    Doctoral Program of Public Health, Faculty of Public Health, Universitas Airlangga, Surabaya; Faculty of Medicine, Universitas Muhammadiyah Gresik, Indonesia.
  • Ah Yusuf
    Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.
  • Shrimarti Rukmini Devy
    Departement of Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
  • Dini Mei Widayanti
    STIKES Hangtuah Surabaya, Indonesia.


Background: The presence of psychotic symptoms in adults’ with schizophrenia need an increase in family control and support to prevent the risk of aggressive behavior. However, the issue of whether psychotic symptoms hold any clinical relevance in relatively stable outpatient samples has not been established. The purpose of this study, therefore, was to identify the relationship between family supports and adaptation mechanisms of adults’ outpatients with schizophrenia.

Design and methods: The study design involves quantitative research and descriptive correlation, attained through purposive sampling approach. 101 samples were obtained from the population of schizophrenia outpatients. The questionnaires of House and Kahn were used as an instrument to evaluate family support, while Nursalam questionnaires were used to access adaptation skills.

Results: Findings from Spearman’s rho test showed P<0.005, indicating the provision of high family support, while patients were highly adaptive to the symptoms of schizophrenia.

Conclusions: This study indicates the positive influence of family support on the adaptability of schizophrenia outpatients, hence there is need for relatives to provide good level of support, in order to facilitate adaptability.