Quality of life assessment in people living with psychosis

Herrman, Helen; Hawthorne, Graeme; Thomas, R.

doi:10.1007/s00127-002-0587-y

Cited by 119 publications

(101 citation statements)

References 37 publications

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“…Past findings relating to gender and quality of life have varied. While some studies of mentally ill populations have found no differences between males and females (e.g., Herrman et al, 2002;Naumann and Byrne, 2004;Skantze et al, 1992), others have found gender to influence self-reported quality of life (e.g., Kilian et al, 2001;Trompenaars, Masthoff, Van Heck, Hodiamont, & De Vries, 2005). Our study revealed no association between age and quality of life, replicating results from previous studies (e.g., Barry & Crosby, 1993;Herrman et al, 2002;Naumann and Byrne, 2004).…”

Section: Discussionsupporting

confidence: 80%

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The influence of socio‐demographic and illness variables on quality of life in acute psychiatric inpatients

Hodgson

Pattison

Bostock

et al. 2007

Clin Psychology and Psychoth

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The mental-health literature highlights the importance of improved quality of life as an explicit goal of the mental-health service. Recent work indicates that assessment of subjective quality of life can be feasible and meaningful in individuals with psychiatric disorders. Although a number of studies have examined the influence of demographic variables on subjective quality of life in individuals with psychiatric disorders, there remains a paucity of studies that have made comparisons between diagnoses in inpatient populations. We used the WHOQOL-BREF to examine the influence of different psychiatric diagnoses on quality of life and investigated whether the relationship between demographic variables and quality of life was the same across diagnoses. We found that the relationship between demographic and illness variables was complex, with inconsistent effects across WHOQOL-BREF domains. Certain domains of the WHOQOL-BREF were more sensitive to the influence of psychiatric diagnosis than others.

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Section: Discussionsupporting

confidence: 80%

“…The World Health Organisation (WHO) defines it as, 'an individual's perception of their position in life in the Thomas, 2002). Furthermore, there is a risk of marginalizing patients with mental illness if the validity of their perspectives is discounted (Herrman et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

The influence of socio‐demographic and illness variables on quality of life in acute psychiatric inpatients

Hodgson

Pattison

Bostock

et al. 2007

Clin Psychology and Psychoth

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“…The WHOQOL-BREF questionnaire has been studied in an international, age-heterogeneous sample (Skevington et al 2004), as well as in diverse patient groups in various countries (e.g., Fang et al 2002;Herrman et al 2002;Hsiung et al 2005;Jang et al 2004;Leple`ge et al 2000;Min et al 2002;Noerholm et al 2004;O'Carroll et al 2000;Ohaeri et al 2004;Taylor et al 2004;Trompenaars et al 2005), but not specifically in the populations of older people. Although the international validation sample of the WHOQOL-BREF (Skevington et al 2004) included individuals aged 12-97 years, results pertaining to the subgroup of older adults (aged 60 and above) were not reported.…”

Section: Introductionmentioning

confidence: 99%

Assessing quality of life in older people: psychometric properties of the WHOQOL-BREF

et al. 2006

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The World Health Organization has developed a brief generic questionnaire to assess quality of life, the WHOQOL-BREF. It has been studied in diverse groups, but not specifically in older people. The purpose of this study was to analyze the psychometric properties of the French version of the WHOQOL-BREF questionnaire in healthy older people and to compare the mean profiles of participants with the mean profile obtained in the international validation study of the WHOQOL-BREF. Of the total sample of 262 Swiss French speaking older participants, 122 completed a retest after 2 weeks. The WHOQOL-BREF items demonstrated high test-retest reliability and validity. The WHOQOL-BREF items were differentially related to physical and mental health measures (SF-12 components, morbidity, and depression), thereby demonstrating convergent and discriminant validity. Compared to the international validation sample of the WHOQOL-BREF, participants of the present study reported higher QOL on 22 of the 26 items. A comparison of item profiles between male and female participants revealed gender differences for two items only (social support and negative feelings). We conclude that the psychometric properties of the WHOQOL-BREF items in older adults are good. To consider the 24 specific facets that are assessed by the WHOQOL-BREF appropriately, we recommend using item profiles on the individual and the sample level.

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“…5,13,14 The few studies comparing the subjective evaluation of the QOL as assessed by patients and their care providers, showed incongruencies of reports, especially in social relations and occupational aspects. 15,16 The available literature thus suggests that there may be diagnosis and stage of illness-specific profiles of SQOL impairment, although direct comparisons between studies are difficult owing to methodological differences in types of scales and patient populations. Factors such as psychosocial variables, 1 2 comorbidities and psychopathology, 1 7 personality-related and situational factors, 18 change of environment and care setting, 19 medication, cognitive, and emotional functioning, 20 social adjustment and support network, 21 age, education, and work status, 22 were shown to influence SQOL.…”

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confidence: 99%

Subjective Quality of Life in Psychiatric Patients: Diagnosis and Illness-Specific Profiles

et al. 2008

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Objective:In accordance with the definition of health by the World Health Organization, outcome measures beyond mere syndromic recovery, such as quality of life ratings, would aid psychiatric practice and research. This is the first study of psychiatric diagnosis and illness stage specific profiles of subjective quality of life (SQOL) impairment.Method: Patients (n = 150) hospitalized at the Prague Psychiatric Center rated their SQOL using the Schwartz Outcome Scale at admission and discharge. Severity of illness and clinical improvement were measured by the Clinical Global Impression Scale. Results:The highest and lowest SQOL at admission were reported by patients with psychosis and mood disorders respectively (F = 7.3, df = 2,147, P < 0.001). SQOL improved significantly during hospitalization in all diagnostic categories (F = 90.0, df = 1,147, P < 0.001), with the smallest and largest improvement in patients with psychosis and mood disorders, respectively (F = 5.6, df = 2,147, P = 0.005). There was a trend for differences in ratings of clinical improvement by patients, compared with psychiatrists, across diagnostic categories (F = 2.9, df = 2,147, P = 0.06), with significant differences only in patients with anxiety disorders. These patients also reported the lowest SQOL at discharge (F = 3.0, df = 2,147, P = 0.05). Global improvement correlated with improvement in SQOL only in patients with mood disorders (r = -0.4, P = 0.005). Conclusions:Main psychiatric diagnostic categories differ in SQOL and in association between SQOL and treatment. These differences may reflect illness-specific mechanisms, such as depressive symptoms in mood disorders, low insight in psychotic patients, aggravation of anxiety before discharge in patients with anxiety disorders, and may aid in planning of specific treatment interventions.Can J Psychiatry 2008;53(9):587-593 Clinical Implications· SQOL is a means of studying the physical, emotional, mental, social, and behavioural well-being of a patient. · Assessing SQOL can help identify specific problems and needs, and may help in tailoring specific treatment interventions. · Assessing SQOL may improve communication and understanding between patients and medical staff. Limitations· Generalizability of findings from tertiary care centre to other settings may be limited. · We combined inpatients and patients attending day treatment program. · There were differences between groups in age and number of previous hospitalizations, which we controlled for using multiple regression.

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Quality of life assessment in people living with psychosis

Cited by 119 publications

References 37 publications

The influence of socio‐demographic and illness variables on quality of life in acute psychiatric inpatients

The influence of socio‐demographic and illness variables on quality of life in acute psychiatric inpatients

Assessing quality of life in older people: psychometric properties of the WHOQOL-BREF

Subjective Quality of Life in Psychiatric Patients: Diagnosis and Illness-Specific Profiles

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