Determinants of subjective quality of life in patients attending community‐based mental health services. The South‐Verona Outcome Project 5

Ruggeri, Mirella; Gater, Richard; Bisoffi, Giulia; Barbui, Corrado; Tansella, Michele

doi:10.1034/j.1600-0447.2002.01293.x

Cited by 95 publications

(65 citation statements)

References 31 publications

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“…At baseline, service satisfaction was strongly associated to high scores on all QOL different domains in this clinical population. Using SEM, we found that patients with higher service satisfaction were 67% more likely to report higher QOL, and this predictor explained 18% of the total QOL variance: this result is in line with a previous study (Ruggeri et al, 2002) that found that this variable explained 22% of QOL variance. The clinical implication of this finding for the care delivered in residential settings is straightforward: care takers should make every effort in order to improve satisfaction toward services; since patients' stay in RFs is generally prolonged, carers should pay great attention to individual needs and preferences, should work to realize a domestic-like environment (as opposed to an institutional, dehumanizing environment), and should develop individual treatment plans, all conditions favoring service satisfaction and, through that, a subjective QOL.…”

Section: Discussionsupporting

confidence: 91%

“…With regard to social support, our findings are equally in agreement with previous data indicating a direct association between a larger social network and QOL of severely ill patients (Caron et al, 1998;Ruggeri et al, 2002). This result has clear implications for the appropriate management of patients living in assisted settings: care takers should promote effective interventions to foster patients' supportive social relationships.…”

Section: Social Support and Activity Levelsupporting

confidence: 92%

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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: Discussionsupporting

confidence: 91%

Section: Social Support and Activity Levelsupporting

confidence: 92%

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 bias in these studies, which might influence results is that few, if any, studies have included all these factors in comprehensive analyses of determinants of subjective quality of life. For example, one presentation from the South-Verona Outcome Project found subjective quality of life to be cross-sectionally associated mainly to service satisfaction, but did not include needs, perceptions of social network or self-reported symptoms in their analyses (32). The EPSILON study performed an analysis of the relationship between needs and quality of life without accounting for other co-variates than psychosocial functioning (6).…”

Section: Discussionmentioning

confidence: 99%

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

Hansson

Björkman

2006

Qual Life Res

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Subjective quality of life in severe mental illness 2 ABSTRACT Objective: To investigate the cross-sectional relationship between subjective quality of life and sociodemographic clinical and social factors over three points of assessment during a 6-year follow up, and to investigate longitudinal predictors of subjective quality of life. Method:We investigated a sample of people with severe mental illness (N=92), mainly with a psychosis diagnosis, at baseline and at an 18-month and 6-year follow-up. Measures Results: Cross-sectionally subjective quality of life was associated to self-reported symptoms, social network and unmet needs. However, these determinants varied in importance between points of assessment. Longitudinal predictors of subjective quality of life were changes in self-reported symptoms and social network. Conclusion:There was a rather consistent set of determinants of subjective quality of life over time. Social network seems to be an important factor with relevance for improvements in subjective quality of life, however largely overlooked in earlier studies within the field.

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“…Quality of life was evaluated with the Italian version of the Lancashire Quality of Life Profile [15] and family burden by the Family Problem Questionnaire [16]. Meaningful life events were recorded on the Event Monitoring Form every 6 months, and at 18 months, an ad hoc questionnaire on satisfaction with the treatment was selfadministered by patients and family members.…”

Section: Methodsmentioning

confidence: 99%

Outcome of community-based rehabilitation program for people with mental illness who are considered difficult to treat

Barbato¹,

Agnetti²,

D'Avanzo³

et al. 2007

JRRD

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Abstract-This observational study investigated the outcomes of a community-based rehabilitation program that was designed to enhance social functioning, social inclusion, and well-being of people with mental illness who were considered treatment failures by psychiatric professionals in Italy. Of the 144 patients who entered the program, 131 started the program and 109 completed either 12 or 18 months of treatment. Illness severity was assessed by the Health of the Nation Outcome Scales (HoNOS) and social functioning by the Social and Occupational Functioning Assessment Scale (SOFAS). On the HoNOS, 33% of patients showed reliable change. On the SOFAS, 27% showed reliable change, although the change was substantial for few patients. Over time, patients showed moderate but significant improvements on the HoNOS and SOFAS. The HoNOS subscales concerning interpersonal relationships and social inclusion showed significant change. Very isolated people with mental illness gained some advantages from this rehabilitation program that was based on a close relationship with a key worker; however, the program duration may have been inadequate to produce substantial changes. Our findings warrant further research based on controlled studies.

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Determinants of subjective quality of life in patients attending community‐based mental health services. The South‐Verona Outcome Project 5

Abstract: Different domains of QoL are predicted by different indicators. In some important domains, self-perceived satisfactory and effective care might have an impact on the QoL of patients.

Cited by 95 publications

References 31 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

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

Outcome of community-based rehabilitation program for people with mental illness who are considered difficult to treat

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