Are factors associated with subjective quality of life in people with severe mental illness consistent over time? — A 6-year follow-up study

Hansson, Lars; Björkman, Tommy

doi:10.1007/s11136-006-9119-7

Cited by 50 publications

(49 citation statements)

References 28 publications

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“…Our main longitudinal finding is that QOL at baseline accounted for 40% of variance in the same factor at follow-up. This is consistent with other longitudinal studies done in different clinical samples (Slade et al, 2004;Hansson and Bjorkman, 2007). Moreover, Landolt et al (2012), using a SEM approach in a groups of patients with a first-episode of schizophrenia, found that fewer unmet needs, higher depression, baseline QOL, age and gender (female) were all factors associated with higher QOL at follow-up.…”

Section: Longitudinal Findingssupporting

confidence: 88%

The effect of service satisfaction and spiritual well-being on the quality of life of patients with schizophrenia

Lanfredi

Candini

Buizza

et al. 2014

Psychiatry Research

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a b s t r a c tQuality of life (QOL) has been considered an important outcome measure in psychiatric research and determinants of QOL have been widely investigated. We aimed at detecting predictors of QOL at baseline and at testing the longitudinal interrelations of the baseline predictors with QOL scores at a 1-year follow-up in a sample of patients living in Residential Facilities (RFs). Logistic regression models were adopted to evaluate the association between WHOQoL-Bref scores and potential determinants of QOL. In addition, all variables significantly associated with QOL domains in the final logistic regression model were included by using the Structural Equation Modeling (SEM). We included 139 patients with a diagnosis of schizophrenia spectrum. In the final logistic regression model level of activity, social support, age, service satisfaction, spiritual well-being and symptoms' severity were identified as predictors of QOL scores at baseline. Longitudinal analyses carried out by SEM showed that 40% of QOL follow-up variability was explained by QOL at baseline, and significant indirect effects toward QOL at follow-up were found for satisfaction with services and for social support. Rehabilitation plans for people with schizophrenia living in RFs should also consider mediators of change in subjective QOL such as satisfaction with mental health services.

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Section: Longitudinal Findingssupporting

confidence: 88%

The effect of service satisfaction and spiritual well-being on the quality of life of patients with schizophrenia

Lanfredi

Candini

Buizza

et al. 2014

Psychiatry Research

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“…Patient-rated unmet needs were a stronger predictor of subsequent quality of life than social role functioning, psychopathology, satisfaction with services, and therapists' ratings of needs [31]. Hansson and Björkman [9], on the contrary, did not find any longitudinal associations between needs and quality of life.…”

mentioning

confidence: 77%

“…Cross-sectional studies [3,9,10,32,35,39] have confirmed the interrelation between unmet needs and quality of life including patients with high, medium, and low levels of functioning [3]. For met needs, the interrelation with quality of life was less consistent.…”

mentioning

confidence: 99%

The interrelation of needs and quality of life in first-episode schizophrenia

Landolt

Rössler

Burns

et al. 2011

Eur Arch Psychiatry Clin Neurosci

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The interrelation between needs for care and quality of life has been described and replicated by several studies. The present work aims to add to the understanding of longitudinal interrelations between needs for care, quality of life, and other outcome measures by analyzing a sample of patients at the onset of schizophrenia. This study relied on data from the EUFEST trial, designed to compare first- and second-generation antipsychotics during 1 year. At baseline, 498 patients have been included. The first (baseline) and the last assessment (12 months after baseline) were used for the analyses. Predictors of quality of life were determined using regression analyses. We tested the complex longitudinal interrelations between baseline and outcome measures with structural equation models. Unmet needs were not definitively confirmed as a predictor of subsequent quality of life, unless unmet needs changing to no needs were separated from unmet needs changing to met needs. Each unmet need that changed to no need enhanced the quality of life (mean score 1-7) by 0.136 scale points. This study suggests that when studying quality of life and needs for treatment, it is crucial to differentiate whether unmet needs disappeared or whether they were met, as the former has a stronger impact on quality of life.

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“…Improved overall perceived AHR in the area of health needs may have contributed, in turn, to the decrease in the number of basic, social and service needs at T2, as these are often secondary needs linked indirectly to the quality of clinical treatment for individuals with SMDs (Korkeila et al 2005). The literature acknowledges that a reduction in psychotic symptoms improves quality of life for individuals with SMDs (Hansson and Björkman 2007;Lasalvia et al 2005). Meanwhile, the increase in overall perceived AHR regarding information on illness and treatment, as well as involvement in treatment decisions, indicates that services may have successfully integrated the principles of recovery advocated in the Quebec Mental Health Action Plan (MSSS 2005).…”

Section: Discussionmentioning

confidence: 99%

Adequacy of Help Received by Individuals with Severe Mental Disorders After a Major Healthcare Reform in Quebec: Predictors and Changes at 5-Year Follow-Up

Fleury

Bamvita

Schmitz

et al. 2015

Adm Policy Ment Health

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This study assessed predictors and changes in adequacy of help received (AHR), as perceived by 204 individuals with severe mental disorders (SMDs) transferred from a mental health institution to the community following a key healthcare reform. Adjusted perceived AHR remained stable after 2 years (T1), but decreased at 5-year follow-up (T2). Predictors of higher adjusted perceived AHR are age, severity of needs, help received from services and relatives, and number of health professionals consulted. Community mental health services need to address the two major predictors of adjusted perceived AHR: severity of needs among individuals with SMDs and level of help from services.

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Are factors associated with subjective quality of life in people with severe mental illness consistent over time? — A 6-year follow-up study

Cited by 50 publications

References 28 publications

The effect of service satisfaction and spiritual well-being on the quality of life of patients with schizophrenia

The effect of service satisfaction and spiritual well-being on the quality of life of patients with schizophrenia

The interrelation of needs and quality of life in first-episode schizophrenia

Adequacy of Help Received by Individuals with Severe Mental Disorders After a Major Healthcare Reform in Quebec: Predictors and Changes at 5-Year Follow-Up

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