Subjective quality of life in patients with chronic schizophrenia: relationships between psychosocial and clinical characteristics

Kao, Yu Hsun; Liu, Yia-Ping; Chou, Ming-Kuen; Cheng, Tsung-Hsing

doi:10.1016/j.comppsych.2010.05.008

Cited by 54 publications

(58 citation statements)

References 43 publications

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“…They reported that objective QOL improved with insight; however, insight and subjective QOL were not related. Kao et al32 investigated the relationship between insight and subjective QOL in 104 chronic inpatients using the Self-Appraisal of Illness Questionnaire33 and the World Health Organization Quality of Life – Brief Version 34. They observed that subjective QOL was better in patients with poor awareness of their need for treatment and of the presence and outcomes of their illness.…”

Section: Discussionmentioning

confidence: 99%

The relationship between insight and subjective experience in schizophrenia

Kako¹,

Ito²,

Hashimoto³

et al. 2014

NDT

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ObjectivesTo examine the relationship between level of insight and various subjective experiences for patients with schizophrenia.Materials and methodsSeventy-four patients with schizophrenia who were discharged from our hospital were evaluated. The level of insight into their illness and various subjective experiences were evaluated at discharge. We used the Scale to Assess Unawareness of Mental Disorder (SUMD) for evaluation of insight. In addition, five different rating scales were used to evaluate subjective experiences: Subjective Experience of Deficits in Schizophrenia (SEDS), Subjective Well-being under Neuroleptic drug treatment Short form (SWNS), Schizophrenia Quality of Life Scale (SQLS), Beck Depression Inventory (BDI), and the Drug Attitude Inventory (DAI)-30.ResultsThe SWNS and the scores for awareness of mental disorder and awareness of the social consequences of mental disorder on SUMD showed a weak positive correlation. The DAI-30 showed a significant negative correlation with most general items on SUMD and a negative correlation between the subscale scores for the awareness and attribution of past symptoms. SEDS, SWNS, SQLS, and the BDI significantly correlated with the subscale scores for awareness of current symptoms on SUMD, and weakly correlated with the subscale scores for attribution of current negative symptoms.ConclusionAwareness of subjective distress was related to awareness of having a mental disorder. Feeling subjective distress was related to awareness of current symptoms, as well as to the ability to attribute current negative symptoms to a mental disorder. Positive attitudes toward medication correlated with better general insight into the illness.

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Section: Discussionmentioning

confidence: 99%

The relationship between insight and subjective experience in schizophrenia

Kako¹,

Ito²,

Hashimoto³

et al. 2014

NDT

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“…This may suggest intrinsic differences in the way and manner sufferers of these disorders respond and cope with the differences in symptomatology and challenges of the illnesses. Kao and colleagues found that age, onset of illness, insight measures, symptom severity, general psychopathology, and antipsychotic-induced side effects were the determinants of quality of life among schizophrenia patients in their own study (Kao et al 2011). The association we found between functioning and Quality of life in schizophrenia is in support of the findings of Fan and colleagues (Fan et al 2007).…”

Section: Discussionmentioning

confidence: 96%

“…Specifically, positive subscale, negative subscale, general psychopathology and total PANSS have been reported to significantly negatively correlate with quality of life (Solanki et al 2008). Although fewer studies have been carried out on quality of life in mood disorders, there are indications that quality of life is strongly influenced by depressive symptoms (Kao et al 2011;Renwick et al 2012). The work of Marrag et al in France revealed that all the dimensions of quality of life are affected in bipolar disorder (Marrag et al 2014) and even in the state of full remission.…”

Section: Introductionmentioning

confidence: 96%

“…Others are patient's age, age onset of illness, insight, medication side effects, and depressive symptoms (Kao et al 2011). Different domains of quality of life are also likely to have differential predictors (Kao et al 2011). It is well recognized that quality of life is strongly associated with levels of psychopathology (Browne et al 1996;Wegener et al 2005).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Quality of Life in Psychosis: Prevalence and Associated Factors in a Nigerian Clinical Population

Lasebikan

Owoaje

2015

Community Ment Health J

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Aim of the study was to assess sociodemographic and clinical determinants of quality of life in psychotic patients in a general hospital population in Nigeria. Information was obtained on demography, duration of untreated illness (DUI) and functioning among Schizophrenia (368), schizoaffective disorder (70), and 214 patients with affective psychosis. Functioning was assessed using GAF, severity of psychopathology with PANSS and quality of life using WHOQoL-BREF. In general, the differences in the QoL across the three psychotic disorders were small. Linear regression analysis, showed that high GAF p < 0.001, medication adherence, p = 0.007 were associated with good QoL in schizophrenia, low PANSS p < 0.001 and short DUI p = 0.001 in schizoaffective disorder and low PANSS, high GAF p < 0.001 respectively in affective psychosis. QoL and its determinants in psychosis are not absolutely different. More research is required in this area.

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Evaluation of health promotion programmes in severe mental illness: theory and practice

Hasselt

Krabbe

Postma

et al. 2014

Int J Methods Psych Res

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Health promotion programmes for patients with severe mental illness (HPP) are not uniformly evaluated. We discuss the evaluation of HPP in theory and practice, as a prerequisite for future uniform evaluation. We explored the expected outcome and mechanism of HPP in the current literature. Based on this theoretical exploration we selected measures assessing the expected outcome and mechanism in current practice. The individual properties of these measures were described. Based on our theoretical exploration the outcome of HPP can be expressed in several aspects of health. Health can be improved through several mechanisms. In the current evaluation of HPP only some of the expected outcomes were evaluated. The measures used for evaluation were not all representative for the constructs they should assess. Important aspects of HPP are currently not evaluated, based on a comparison between our theoretical exploration of expected outcome and mechanism and current practice. Additionally, not all measures in use are suitable for evaluation of HPP. Therefore, development and identification of suitable measures is necessary. Our framework offers valuable directions for the development of such measures and the future evaluation of HPP.

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Subjective quality of life in patients with chronic schizophrenia: relationships between psychosocial and clinical characteristics

Cited by 54 publications

References 43 publications

The relationship between insight and subjective experience in schizophrenia

The relationship between insight and subjective experience in schizophrenia

Quality of Life in Psychosis: Prevalence and Associated Factors in a Nigerian Clinical Population

Evaluation of health promotion programmes in severe mental illness: theory and practice

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