Improving the Quality of Life of People with Severe Mental Disorders

Mercier, Céline

doi:10.1007/978-94-011-0171-4_5

Cited by 9 publications

(7 citation statements)

References 65 publications

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“…In addition, caution should be exercised in extrapolating these results to other patients with schizophrenia, since this study included stable patients as an eligibility criterion, thus failing to analyze possibly more severe patients. The same caution should be exercised in analyzing the percentage of losses (42.0%), which did not differ by gender, age, or diagnosis, although similar to other studies on this population 34 .…”

Section: Explanatory Variables*supporting

confidence: 67%

“…This result is backed by the literature, not by the type of treatment per se, but by the fact that the more severe patients (and thus those with low quality of life) use the mental health programs more frequently through outpatient follow-up, as compared to less severe patients. In fact, publications with literature reviews in this area in the last 15 years have shown similar trends, whereby patients with greater autonomy and less contact with mental health services perceived a better quality of life 26,34 .…”

Section: Explanatory Variables*mentioning

confidence: 88%

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Factors associated with low quality of life in schizophrenia

et al. 2005

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Interest in quality of life in mental health care has been stimulated by the deinstitutionalization of psychiatric patients as well as a parallel interest in understanding the scope of their daily lives. This study aims to investigate the socio-demographic and clinical variables related to low quality of life, using a cross-sectional design to evaluate quality of life by means of the QLS-BR scale. We interviewed a sample of 123 outpatients from a reference mental health center in Divinópolis, Minas Gerais State, Brazil, clinically diagnosed with schizophrenia. Univariate and multivariate logistic regression analyses were carried out. The results showed that low quality of life is associated with one or more of the following: male gender, single marital status, low income plus low schooling, use of three or more prescribed psychoactive drugs, psychomotor agitation during the interview, and current follow-up care. The study identifies plausible indicators for the attention and care needed to improve psychiatric patient treatment.

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Section: Explanatory Variables*supporting

confidence: 67%

Section: Explanatory Variables*mentioning

confidence: 88%

Factors associated with low quality of life in schizophrenia

et al. 2005

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“…The assessment may help to identify problematic or unsatisfying aspects in a patient's life, to ascertain what aspects can be improved and eventually monitor the patient's progress. The patient's perception of their daily lives, their experiences in the REMS and their perception of these experiences (38), are key in their willingness to change. Patients shall be reluctant to change aspects in life they are satisfied with, whereas not addressing aspects they are unsatisfied with might jeopardize the therapeutic alliance (39).…”

Section: Introductionmentioning

confidence: 99%

Exploring Needs and Quality of Life of Forensic Psychiatric Inpatients in the Reformed Italian System, Implications for Care and Safety

Vorstenbosch

Castelletti

2020

Front. Psychiatry

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The Italian forensic psychiatric system underwent drastic reforms. The newly developed facilities are inspired by psychiatric community services, embracing a recovery-oriented approach. Needs and quality of life are broader concepts that consider the more rehabilitative and humanitarian aspects of treatment. In one of the new Italian forensic psychiatric services, this cross-sectional study aimed to investigate the needs and quality of life of forensic psychiatric patients. A second aim was to validate the Italian version of the Forensic inpatient Quality of Life questionnaire Short Version (FQL-SV). Overall, 42 forensic psychiatric patients were assessed using the Forensic version of the Camberwell Assessment of Need (CANFOR), the Historical-Clinical-Risk-Management-20 (HCR-20), the FQL-SV, and the World Health Organization Quality of Life (WHOQoL-Bref). Patients reported significantly fewer needs, whether met or unmet, than their treating clinicians. The general level of agreement between patients and clinicians on specific needs was low Kappa values were < .40 for 64% of the total needs and 46% of the unmet needs. Risk factors according to the HCR-20 mean scores were 13.1, 4.6, and 6.4 for the historical, clinical and risk management subscale. Quality of life was moderate to high for 74% of the patients. Our results showed that lower numbers of needs, whether reported by patients or clinicians, were associated with a better quality of life. The Italian FQL-SV had a Cronbach's alpha of 0.86 and correlated as expected with the WHOQoL-Bref. The FQL-SV is a valid and reliable tool, justifying its use for routinely assessing QoL in Italian forensic psychiatric services. This study enhances our understanding of needs and quality of life of forensic psychiatric patients and how their assessment could have an additional value for recoveryoriented treatment in forensic psychiatry. Although the detained status of forensic patients imposes real limits on the capacity for autonomy and choice, incorporating the patient's perspective on decision-making processes, in relation to aspects of treatment, care, and daily life, may have benefits such as a better treatment adherence or therapeutic alliance. Future research should clarify how routinely assessing needs and quality of life can contribute to the recovery of these forensic psychiatric patients.

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“…During and after the deinstitutionalization movement, numerous studies explored quality of life among people with mental health problems (MHP) living in the community (Barry & Zissi, 1997;Holloway & Carson, 2002;Katschnig, Freeman, & Sartorius, 2006;Mercier, 1994).…”

Section: Introductionmentioning

confidence: 99%

Quality of Life Among Norwegians with Chronic Mental Health Problems Living in the Community versus the General Population

Langeland

Wahl

Kristoffersen

et al. 2007

Community Ment Health J

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We used the Quality of Life Scale to assess quality of life among 107 Norwegians with chronic mental health problems (MHP) from the community health care system versus 1893 general population adults. The groups differed in quality of life, including broader life domains. Age and quality of life were more strongly positively correlated in the MHP group than in the general population. Mental symptoms (measured by the Symptom Checklist-90 Revised) and quality of life were strongly negatively correlated in the MHP group. Services for people with chronic MHP should focus on enhancing quality of life and on its role as an outcome variable.

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Improving the Quality of Life of People with Severe Mental Disorders

Cited by 9 publications

References 65 publications

Factors associated with low quality of life in schizophrenia

Factors associated with low quality of life in schizophrenia

Exploring Needs and Quality of Life of Forensic Psychiatric Inpatients in the Reformed Italian System, Implications for Care and Safety

Quality of Life Among Norwegians with Chronic Mental Health Problems Living in the Community versus the General Population

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