Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-10T06:33:47.871Z Has data issue: false hasContentIssue false
  • English
  • Français

Subjective quality of life in schizophrenic patients living in the community. Relationship to clinical and social characteristics

Published online by Cambridge University Press:  16 April 2020

A. Bengtsson-Tops  and
L. Hansson
A. Bengtsson-Tops
Affiliation:
Department of Clinical Neuroscience, Division of Psychiatry, University Hospital, 221 85Lund, Sweden
L. Hansson
Affiliation:
Department of Clinical Neuroscience, Division of Psychiatry, University Hospital, 221 85Lund, Sweden
Get access

Summary

The aims of this study were to assess the quality of life among 120 schizophrenic patients who were attending a psychiatric outpatient department and to investigate which socio-demographic and clinical factors influenced their subjective quality of life. Quality of life was assessed by the Lanchashire quality of life profile, social functioning was judged according to the Global Assessment of Functioning (GAF) scale, and psychopathology was rated by means of the Brief Psychiatric Rating Scale (BPRS). Both objective and subjective life conditions indicated an impaired quality of life for the patients. The areas of finance and work had the largest proportion of dissatisfied patients. Socio-demographic indicators showed to have a weak influence on the patient's self-assessed quality of life while clinical factors, such as psychopathology, strongly influenced the patient's life satisfaction. It is concluded that there is a need for further emphasise on the clinical, financial, and social interventions for this group of patients.

Keywords

clinical factorscommunity carequality of lifeschizophrenic patientssocio-demographic factors
Type
Original article
Information
European Psychiatry , Volume 14 , Issue 5 , September 1999 , pp. 256 - 263
Copyright
Copyright © 1999 Éditions scientifiques et médicales Elsevier SAS.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Andrews, FWithey, S. Social indicators of well-being. New York: Plenum Press; 1976.CrossRefGoogle Scholar
Angermeyer, MCKilian, R. Theoretical models of quality of life for mental disorder.In: Katschnig, HFreeman, HSartorius, N eds. Quality of life in mental disorders. West Sussex, UK: Wiley and Sons Ltd; 1997. p. 1930.Google Scholar
Antonovsky, A. Hälsans Mysterium. Stockholm: Naturoch Kultur 1991.Google Scholar
Awad, GAVoruganti, LNPHeslegrave, RJ. A conceptual model of quality of life in schizophrenia: description and preliminary clinical validation. Qual Life Res 1997; 6: 21–26.CrossRefGoogle ScholarPubMed
Baker, FIntagliata, J. Quality of life in the evaluation of community support systems. Eval Prog Planning 1982; 5: 69–79.CrossRefGoogle ScholarPubMed
Becker, MDiamond, RSainfort, F. A new patient focused index for measuring quality of life in persons with severe and persistent mental illness. Qual Life Res 1993; 2: 239–251.CrossRefGoogle ScholarPubMed
Bigelow, DABrodsky, GStewart, LOlson, M. The concept and measurement of quality of life as a dependent variable in evaluation of mental health services.In: Stahler, GJTash, WR eds. Innovative approaches to mental health evaluation. New York: Academic Press Inc; 1982. p. 345–366.CrossRefGoogle Scholar
Bigelow, DAGareau, MJYoung, DJ. A quality of life interview. Psychosocial Rehab J 1990; 14: 94–98.CrossRefGoogle Scholar
Browne, SRoe, MLane, AGervin, MMorris, MKinsella, A. Quality of life in schizophrenia: relationship to socio-demographic factors, symptomatology and tardive dyskinesia. Acta Psychiatr Scand 1996; 94: 118–124.CrossRefGoogle Scholar
Browne, SGaravan, JGervin, MRoe, MLarkin, CO'Challaghan, E. Quality of life in schizophrenia: insight and subjective response to neuroleptics. J Nerv Ment Dis 1998; 186: 74–78.CrossRefGoogle ScholarPubMed
Diagnostic and statistical manual of mental disorders (DSM-IV). Washington DC: American Psychiatric Association; 1994.Google Scholar
Hansson, LSvensson, BBjörkman, T. Quality of life of the mentally ill. Reliability of the Swedish version of the Lancashire quality of life profile. Eur Psychiatry 1998; 13: 231–234.CrossRefGoogle ScholarPubMed
Heinze, MTaylor, REPriebe, S. The quality of life of patients with paranoid schizophrenia in London and Berlin. Soc Psychiatry Psychiatr Epidemiol 1997; 32: 292–297.CrossRefGoogle ScholarPubMed
Henderson, SDuncan-Jones, PByrne, DGScott, R. Measuring social relationships: the interview schedule for social interaction. Psychol Med 1980; 10: 723–734.CrossRefGoogle ScholarPubMed
Hunt, SM. The problem of quality of life. Qual Life Res 1997; 6: 205–212.Google ScholarPubMed
Huxley, PWarner, R. Case management, quality of life and satisfaction with services of long-term psychiatric patients. Hosp Community Psychiatry 1992; 43: 799–802.Google ScholarPubMed
Kemmler, GHolzner, BNeudirfer, CMeise, UHinterhuber, H. General life satisfaction and domain-specific quality of life in chronic schizophrenic patients. Qual Life Res 1997; 6: 265–273.CrossRefGoogle ScholarPubMed
Katschnig, H. How useful is the concept of quality of life in psychiatry?In: Katschnig, HFreeman, HSartorius, N eds. Quality of life in mental disorders. West Sussex, UK: Wiley and Sons Ltd; 1997. p. 316Google Scholar
Kolakowska, T. The brief psychiatric rating scale. Oxford: Oxford University Press; 1976.Google Scholar
Lehman, AWard, NLinn, L. Chronic mental patients: the quality of life issue. Am J Psychiatry 1982; 139: 1271–1276.Google ScholarPubMed
Lehman, A. The well-being of chronic mental patients. Arch Gen Psychiatry 1983; 40: 369–373.CrossRefGoogle ScholarPubMed
Lehman, A. The effects of psychiatric symptoms on quality of life assessments among the chronic mentally ill. Eval Prog Planning 1983; 6: 143–151.CrossRefGoogle ScholarPubMed
Lehman, A. Measures of quality of life among persons with severe and persistent mental disorders. Soc Psychiatry Psychiatr Epidemiol 1996; 31: 78–88.CrossRefGoogle ScholarPubMed
Macgilp, D. A quality of life study of discharged long-term psychiatric patients. J Adv Nurs 1991; 16: 1206–1215.CrossRefGoogle ScholarPubMed
Malm, UMay, PDencker, S. Evaluation of the quality of life of the schizophrenic outpatient: a checklist. Schizophr Bull 1981; 7: 477–487.CrossRefGoogle ScholarPubMed
Mercier, CKing, S. A latent variable causal model of the quality of life and community tenure of psychotic patients. Acta Psychiatr Scand 1994; 89: 72–77.CrossRefGoogle ScholarPubMed
Norusis, MJ. SPSS for Windows 7. 0. Spss Inc. Chicago: Spss Inc; 1993.Google Scholar
Oliver, JHuxley, PBridges, KMohamad, H. Quality of life and mental health services. London: Routledge; 1996.Google Scholar
Oliver, JHuxley, PPriebe, SKaiser, W. Measuring the quality of life of severely mentally ill people using the Lancashire quality of life profile. Soc Psychiatry Psychiatr Epidemiol 1997; 32: 76–83.CrossRefGoogle ScholarPubMed
Overall, JEGorham, DR. BPRS. Psychol Reports 1962.Google Scholar
Pearlin, LMenaghan, ELieberman, MMullan, J.. The stress process. J Health Soc Behav 1981; 22: 337–356.CrossRefGoogle ScholarPubMed
Phelan, MSlade, MDunn, GHolloway, GStrathdee, GThornicroft, G. Camberwell assessment of need. London: London Institute of Psychiatry; 1993.Google Scholar
Rosenfield, S. Factors contributing to the subjective quality of life of the chronic mentally ill. J Health Soc Behav 1992; 33: 299–315.CrossRefGoogle ScholarPubMed
Rödner-Wanner, UOliver, JPriebe, S. Does quality of life differ in schizophrenic women and men? An empirical study. Int J Soc Psychiatry 1997; 43: 129–143.CrossRefGoogle Scholar
Sainfort, FBecker, MDiamond, R. Judgement of quality of life of individuals with severe mental disorders: patient self-report vs. providers perspectives. Am J Psychiatry 1996; 153: 497–502.Google Scholar
Skantze, KMalm, UDencker, SJMay, PCorrigan, P. Comparison of quality of life with standard of living in schizophrenic outpatients. Br J Psychiatry 1992; 161: 797–801.CrossRefGoogle Scholar
Skantze, KMalm, U. A new approach to facilitation of working alliances based on patient's quality of life goals. Nord J Psychiatry 1994; 48: 37–55.CrossRefGoogle Scholar
Sullivan, GWells, KBLeake, B. Quality of life of seriously mentally ill persons in Mississippi. Hosp Community Psychiatry 1991; 42: 752–755.Google ScholarPubMed
Sullivan, GWells, KBLeake, B. Clinical factors assocciated with better quality of life in a seriously mentally ill population. Hosp Community Psychiatry 1992; 43: 794–798.Google Scholar
Warner, RHuxley, P. Psychopathology and quality of life among mentally ill patients in the community. British and US samples compared. Br J Psychiatry 1993; 163: 505–509.CrossRefGoogle ScholarPubMed
Zizzi, ABarry, MCocharane, R.. A mediational model of quality of life for individuals with severe mental health problems. Psychol Med 1998; 28: 121–130.Google Scholar
Submit a response

Comments

No Comments have been published for this article.