Correlates of Subjective Quality of Life in People With Schizophrenia

Marwaha, Steven; Johnson, Sonia; Bebbington, Paul; Angermeyer, Matthias C.; Brugha, Traolach; Azorin, Jean‐Michel; Kilian, Reinhold; Kornfeld, A.; Toumi, Mondher

doi:10.1097/nmd.0b013e318162aa9c

Cited by 84 publications

(30 citation statements)

References 42 publications

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“…Consistent results of 3 studies (Table 1) were published in unemployed patients who revealed higher scores in total psychopathology, negative symptoms, bizarre behavior, blunted affect, and depression compared to employed subjects [35][36][37]. Improved quality of life among subjects in competitive employment was found in several studies [38][39][40]. This type of employment may also be beneficial for general well-being [35], self-esteem [36], network sizes [41], satisfaction with leisure [35,36] and decline in use of outpatient services [42].…”

Section: Ijomeh 2015;28(3) 414supporting

confidence: 73%

Does employment promote the process of recovery from schizophrenia? A review of the existing evidence

Charzyñska

Kucharska

Mortimer

2015

Int J Occup Med Environ Health

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The aim of this review is to appraise current evidence on the association between employment and specific, non-vocational components that are indicators of recovery from schizophrenia, such as symptom remission, neurocognitive functioning, social cognitive functioning, and quality of life. Out of 754 studies identified in a comprehensive bibliographical data search, 43 were selected for abstract screening and 18 were included in the final review. The studies were categorized in terms of the type of employment investigated (supported employment, Individual Placement and Support, competitive employment). Studies on the Individual Placement and Support programs provide the strongest evidence for their effectiveness in terms of non-vocational outcomes. Quality of life, psychopathology and well being were the most frequently investigated outcomes and only 2 studies utilized a global concept of recovery as a measure. Employment was also associated with positive changes in domains that are not directly related to working, e.g., leisure activities. The current review reports promising, but not conclusive, results in the improvement of quality of life, social functioning and other indicators of recovery, but there is still a need for high quality, long term follow-up, randomized studies to further investigate this relationship.

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Section: Ijomeh 2015;28(3) 414supporting

confidence: 73%

Does employment promote the process of recovery from schizophrenia? A review of the existing evidence

Charzyñska

Kucharska

Mortimer

2015

Int J Occup Med Environ Health

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“…In the European Schizophrenia Cohort Study which was a naturalistic investigation of people with schizophrenia living in 3 European countries, correlates of QOL identified include; depression, accommodation status and employment. 39 Similar QOL correlates have also been identified among Nigerian patients with schizophrenia. 26,27 Poor social support has been identified as an important determinant of poor subjective QOL among Nigerian patients.…”

Section: Discussionmentioning

confidence: 51%

A review of quality of life studies in Nigerian patients with psychiatric disorders

Aloba¹,

Fatoye²,

Mapayi³

et al. 2013

Afr. J. Psych

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The concept of Quality of Life is becoming an increasingly important measure of the impact of psychiatric disorders and is now recognized as useful in the healthcare evaluation of patients with psychiatric disorders. The aim of this review was to document and analyze the research data on quality of life in Nigerian patients with psychiatric disorders. The electronic databases, Medline and Pubmed were searched for published articles on quality of life in Nigerian patients with psychiatric disorders. A total of 6 studies met the inclusion criteria. All the studies employed the generic World Health Organization Quality of Life Scale -Brief version, which is the only quality of life instrument whose psychometric properties have been evaluated among Nigerian patients with psychiatric disorders. Some of the studies revealed that quality of life was significantly associated with socio demographic factors such marital and employment status and social support. Poor quality of life was reported to be associated with illnessrelated factors such as co morbid medical problems, presence of anxiety and depressive symptoms and non adherence to medications. All the studies with the exception of two were conducted in centers located in South-western Nigeria. Quality of life in Nigerian patients suffering from psychiatric disorders is under-researched. There is need for more studies to prospectively investigate quality of life and associated factors among Nigerian patients with psychiatric disorders.

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“…We used the European Schizophrenia Cohort (EuroSC) – a naturalistic 2-year follow-up of a cohort of 1,208 European schizophrenia patients [14]. Indeed, the EuroSC cohort has been extensively used in past research, which focused on investigating treatment efficacy [15], patients’ quality of life [16–18], employment [19], social contact [20,21] and subjective feelings of security and safety [22], as well as assessing caregiver burden [23] and quantifying direct health care costs associated with managing the disease [24,25]. …”

Section: Introductionmentioning

confidence: 99%

Healthcare resource use in schizophrenia, EuroSC findings

Millier

Horváth

Kóczián

et al. 2017

Journal of Market Access & Health Policy

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Background: It is unclear if the burden associated with schizophrenia is affected by the type and severity of patient’s symptoms. Objective: This study aims to quantify healthcare resource use associated with different profiles of schizophrenia symptoms. Study design: Post-hoc analysis of data from a naturalistic follow-up study. Setting: Secondary psychiatric services in France, Germany and the UK. Patients: EuroSC cohort:, representative sample of 1,208 schizophrenia patients Main outcome measure: We classified patients into eight health states, according to the Lenert classification (HS1–HS8), and estimated 6-month healthcare resource use (outpatient and day clinic visits, and hospitalisations) across the health states. Results: Approximately half of the patients were classed as having mild symptoms (HS1), with around 20% experiencing moderate, predominantly negative symptoms (HS2). The remaining health states were represented by <10% of patients each. Very few patients experienced extremely severe symptoms (HS8). No health state was associated with excess utilisation across all resource types. In terms of outpatient visits, patients were estimated to see a psychiatrist most often (3.01–4.15 visits over 6 months). Hospital admission was needed in 11%(HS1) – 35%(HS8) of patients and inpatient stays were generally prolonged for all health states (39–57 days). The average number of inpatient days was highest for patients in HS8 (18.17 days), followed by patients with severe negative symptoms (HS4; 13.37 days). In other health states characterised by severe symptoms (HS5–HS7), the average number of inpatient days was approximately half of those seen for HS4 (6.09–7.66). Conclusion: While none of the symptom profiles was associated with excess resource usage, hospitalization days were highest for HS with severe, predominantly negative or extremely severe symptoms. Patients with predominantly negative, moderate or severe symptoms appeared to have a high number of psychologist visits – an interesting finding that may reflect a specific therapeutic approach to the treatment of these patients.

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Correlates of Subjective Quality of Life in People With Schizophrenia

Cited by 84 publications

References 42 publications

Does employment promote the process of recovery from schizophrenia? A review of the existing evidence

Does employment promote the process of recovery from schizophrenia? A review of the existing evidence

A review of quality of life studies in Nigerian patients with psychiatric disorders

Healthcare resource use in schizophrenia, EuroSC findings

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