How useful is the concept of quality of life in psychiatry?

Katschnig, H.

doi:10.1097/00001504-199709000-00001

Cited by 159 publications

(173 citation statements)

References 35 publications

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“…The largest N consists of 440 parent-child pairs for CSHCN with mental health problems, 271 pairs for CSHCN with physical health problems and 670 pairs for controls. ICCs represent poor to fair (equal or lower than 0.40), moderate (0.41-0.60), good (0.61-0.80), and excellent agreement (0.81-1.00) [30] higher, because they do not want to admit how much their health condition affects them [7,21,33], because they are not fully aware of restrictions due to this condition [7,19,33] or because they have adapted to their situation [21,34]. However, that higher self-ratings also were identified among healthy controls contradicts the pattern proposed by Upton et al (self-rating \ parent rating) [11].…”

Section: Discussionmentioning

confidence: 99%

Assessing parent–child agreement in health-related quality of life among three health status groups

Dey

Landolt

Mohler‐Kuo

2012

Soc Psychiatry Psychiatr Epidemiol

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Purpose To examine parent-child agreement regarding a child's health-related quality of life (HRQOL) among three health status groups. Methods Parent-child agreement was evaluated for three health status groups of a population-based sample: (1) children with mental health problems (N = 461), (2) children with physical health problems (N = 281), and (3) healthy controls (N = 699). The KIDSCREEN-27 was used to assess HRQOL. The children were 9-14 years of age. Results Intraclass correlation coefficients were mostly good across all HRQOL scores and health status groups. This relatively high level of agreement was also reflected by the following findings: first, the AGREE group was the largest in three out of five HRQOL subscales in all health status groups; second, when disagreement occurred, it was often minor in magnitude. Despite this relatively high level of agreement, the means of self-ratings were significantly higher for all HRQOL scores and health status groups than the means of proxy ratings. These higher self-ratings were especially pronounced among children with mental health problems in certain HRQOL domains.Conclusions Even though the level of parent-child agreement regarding a child's HRQOL is relatively high, it should be considered that children (especially those with mental health problems) often report better HRQOL than their parents. It is, therefore, highly recommended that both proxy-and self-ratings are used to evaluate a child's HRQOL comprehensively.Keywords Health-related quality of life Á Parent-child agreement Á Mental Á Physical

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Section: Discussionmentioning

confidence: 99%

Assessing parent–child agreement in health-related quality of life among three health status groups

Dey

Landolt

Mohler‐Kuo

2012

Soc Psychiatry Psychiatr Epidemiol

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“…Ao se falar em qualidade de vida, devem-se considerar aspectos de bem-estar psicológico e social, condição de saúde, funcionamento emocional, desempenho funcional, satisfação com a vida, padrão de vida e suporte social 3 . Desta forma, devido à influência de múltiplos fatores na qualidade de vida, esta se constitui em um tema de grande relevância e pródigo para o trabalho interdisciplinar na escola.…”

Section: Introductionunclassified

Prevalência de comportamentos de risco em adolescentes

Coutinho

Santos²,

Folmer

et al. 2013

Cad. saúde colet.

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Cad. Saúde Colet., 2013, Rio de Janeiro, 21 (4): 441-9 441 Artigo Original ResumoEste estudo visou analisar a prevalência de comportamentos de risco à saúde, tais como: sedentarismo, má alimentação, etilismo, adição em drogas, envolvimento em brigas e relações sexuais sem proteção, em adolescentes no município de Uruguaiana (RS), Brasil. A coleta de dados foi realizada a partir de um questionário sobre comportamento de risco e estilo de vida, composto de 13 questões com variáveis demográficas, socioeconômicas e comportamentais. Os comportamentos de risco prevalentes foram nunca/raramente uso de preservativos nas relações sexuais, o consumo de bebidas alcoólicas e o envolvimento em brigas. Cerca de 30% dos adolescentes apresentaram pelo menos um comportamento de risco, e 20% apresentaram dois ou mais desses. Dada a frequência de exposição, torna-se necessário a implementação de medidas de saúde no contexto escolar visando a diminuição da exposição a esses fatores de risco, promovendo a saúde desses adolescentes.Palavras-chave: comportamentos de risco; adolescentes; saúde. AbstractThe aim of this study was to examine the prevalence of health risk behaviors such as inactivity, poor nutrition, alcoholism, drug addition, involvement in physical fights and the lack of use of condoms during sex, in adolescents of Uruguaiana (RS), Brazil. The data were collected using a questionnaire on risk behavior and lifestyle, consisting of 13 questions with demographic, socioeconomic, and behavioral variables. We have founded that the risk behaviors more prevalent were never\ rarely use of condoms during sexual intercourse, consumption of alcohol and engaging in fights. About 30% of adolescents presented, at least, one risk behavior and 20% presented two or more risk behaviors. Given this frequency of exposure to its risks, it is necessary to implement health measures in the school context, aimed to reduce exposure to these risk factors, promoting the health of adolescents.

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“…A person's quality of life should not only be defined by a person's subjective sense of well-being, but also by the ability to function in various life domains, and by the possibility to access resources and opportunities (Katschnig, 1997;Lehman, 1997). While subjective wellbeing and happiness might seem to be the ultimate goal all people are striving for, functioning in social roles and access to resources and opportunities are the prerequisite for the possibility that such well-being and happiness can also be present in the future.…”

Section: Resultsmentioning

confidence: 99%

“…There are three types of symptoms, which can distort subjective quality of life assessments: affective, cognitive and reality distortion symptoms, such as delusions and hallucinations. The respective distortions of quality of life measures, have been called the affective, the cognitive and the reality distortion fallacy (Katschnig, 1997).…”

Section: Occasional Difficultiesjn Adequa-tely Perceiving and Communimentioning

confidence: 99%

How useful is the concept of quality of life in psychiatry?

Cited by 159 publications

References 35 publications

Assessing parent–child agreement in health-related quality of life among three health status groups

Assessing parent–child agreement in health-related quality of life among three health status groups

Prevalência de comportamentos de risco em adolescentes

Why it is so difficult for persons with schizophrenia living in the community to achieve an adequate quality of life

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