Predictors of quality of life in a longitudinal study of users with severe mental disorders

Fleury, Marie‐Josée; Grenier, Guy; Bamvita, Jean‐Marie; Tremblay, Jacques; Schmitz, N.; Caron, Jean

doi:10.1186/1477-7525-11-92

Cited by 60 publications

(50 citation statements)

References 83 publications

(160 reference statements)

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“…A recovery process is very personal and can fluctuate [30] and the dimensions influence each other constantly. Therefore, treatment and support for people with SMI mental illness should focus on all three dimensions of recovery [25], and should be centred around their individual needs and quality of life [31]. …”

Section: Introductionmentioning

confidence: 99%

Identifying profiles of service users in housing services and exploring their quality of life and care needs

et al. 2016

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BackgroundHousing services aim to support people with mental illness in their daily life and recovery. As the level of recovery differs between service users, the quality of life and care needs also might vary. However, the type and amount of care and support that service users receive do not always match their recovery. In order to improve the quality of care, this study aims to explore whether subgroups of service users exist based on three dimensions of recovery and to examine and compare the quality of life and care needs of the persons in these subgroups.MethodsLatent class analysis was performed with data from 263 service users of housing services in the Netherlands. Classes were based on three variables: personal recovery (Mental Health Recovery Measure), social recovery (Social Functioning Scale), and clinical recovery (Brief Symptom Inventory). Subsequently, the quality of life (MANSA) and care needs (CANSAS) of the different classes were analysed by the use of descriptive and inferential statistics.ResultsThree classes could be distinguished. Class 1 (45%) comprised of people who score the highest of the three classes in terms of personal and social recovery and who experience the least number of symptoms. People in class 2 (44%) and class 3 (11%) score significantly lower on personal and social recovery, and they experience significantly more symptoms compared to class 1. The distinction between class 2 and 3 can be made on the significantly higher number of symptoms in class 3. All three classes differ significantly on quality of life and unmet needs.ConclusionsThe quality of life of service users of housing services needs improvement, as even persons in the best-recovered subgroup have a lower quality of life than the average population. Workers of housing services need to be aware of the recovery of a client and what his or her individual needs and goals are. Furthermore, better care (allocation) concerning mental and physical health and rehabilitation is needed. Care should be provided on all dimensions of recovery at the same time, therefore mental health care organisations should work together and integrate their services.Trial registrationISRCTN registry ISRCTN77355880 retrospectively registered 05/07/2013.

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Section: Introductionmentioning

confidence: 99%

Identifying profiles of service users in housing services and exploring their quality of life and care needs

et al. 2016

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“…Thus, it is essential to promote stimulation and social support for these patients, with the support of the entire health care network. (18) Physical activity showed a relationship with an improved quality of life (OR: 25.24). Regular exercise aimed at patients with schizophrenia can help to reduce body mass index, improve psychiatric symptoms, and lead to feelings of accomplishment and therefore provide an impact on quality of life.…”

Section: Discussionmentioning

confidence: 99%

Esquizofrenia refratária: qualidade de vida e fatores associados

et al. 2016

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Objective: To analyze the quality of life of people with refractory schizophrenia using clozapine, and its associated factors. Methods: A cross-sectional study, conducted in the extended western region of Minas Gerais, which included patients with refractory schizophrenia using the antipsychotic, clozapine. For the measurement of quality of life, the Quality of Life Scale was used, specific for patients with schizophrenia. Univariate and multivariate analyses were performed. Results: A total of 72 patients with a mean age of 42.9 years was part of the study. The overall score of the Quality of Life Scale indicated compromised quality of life, with a greater impairment in the social network domain (median = 2.36). The logistic regression analysis showed factors associated with a better quality of life. Conclusion: Low quality of life in patients with refractory schizophrenia was found. Physical activity, family income over three times the minimum wage, and having children were associated with a better quality of life. ResumoObjetivo: Analisar a qualidade de vida de pessoas com esquizofrenia refratária em uso de clozapina e seus fatores associados. Métodos: Estudo de delineamento transversal, realizado na Região Ampliada Oeste de Minas Gerais, que incluiu pacientes com esquizofrenia refratária em uso do antipsicótico clozapina. Para a mensuração da qualidade de vida, foi utilizada a escala Quality of Life Scale, específica para pacientes com esquizofrenia. Foram realizadas análise univariada e multivariada. Resultados: Participaram 72 pacientes, com média de idade de 42,9 anos. O escore global da Quality of Life Scale indicou qualidade de vida comprometida, com maior prejuízo no domínio rede social (mediana = 2,36). A análise de regressão logística apontou fatores associados a uma melhor qualidade de vida. Conclusão: Evidenciou-se uma baixa qualidade de vida dos pacientes com esquizofrenia refratária. Praticar atividade física, renda familiar acima de três salários mínimos e possuir filhos foram associados à melhor qualidade de vida.

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“…Social and emotional support services that promote social participation of MHC users in community-based settings are instrumental for maintaining positive mental health outcomes but are often limited (Arboleda-Fl orez & Stuart, 2012;Drake & Whitley, 2014;Tsai et al, 2012). MHC users with psychosis often have small social networks and strained interpersonal relationships (Fleury et al, 2013). The supportive social networks offered by support groups are instrumental in the rehabilitative process as it restores a sense of normality and has the potential to increase MHC users' subjective quality of life (Fleury et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…MHC users with psychosis often have small social networks and strained interpersonal relationships (Fleury et al, 2013). The supportive social networks offered by support groups are instrumental in the rehabilitative process as it restores a sense of normality and has the potential to increase MHC users' subjective quality of life (Fleury et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

A student-facilitated community-based support group initiative for Mental Health Care users in a Primary Health Care setting

Meiring¹,

Visser²,

Themistocleous³

2017

Health SA Gesondheid

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a b s t r a c tBackground: South African Mental Health Care (MHC) legislation advocates for supportive rehabilitative services in Primary Health Care (PHC) settings. PHC settings are often understaffed and MHC nurses in these settings overburdened with high patient loads.Alternative cost-effective psycho-social intervention strategies must be explored to supplement the overstrained MHC sector to meet the rehabilitative and supportive needs of service users in community settings. Using a social constructionist epistemology, this study aimed to highlight the value of a community-based support group for MHC users at a Tshwane District Community Health Centre. This was done by exploring the meaning group members attached to the group. The intervention was a collaborative partnership between a local University Psychology Department and the Department of Health, Tshwane District, utilising post-graduate psychology students as group facilitators.Methods: Qualitative research methods were applied. Data were collected using semistructured interviews and a collage-making and storytelling method. Thematic analysis highlighted the main themes representing the meaning the five participants ascribed to the group.Results: The findings suggest that the group offered the participants a sense of belonging and a means of social and emotional support. The group also created opportunity for learning, encouraged mental and physical mobilisation and stimulation, and served as an additional link to professional services. Conclusion:The findings suggest that student-facilitated support groups could offer a viable supplement for offering support to service users in PHC settings. The group assisted MHC users to cope with symptoms, social integration, and participating in meaningful activities as part of rehabilitation services.

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Predictors of quality of life in a longitudinal study of users with severe mental disorders

Cited by 60 publications

References 83 publications

Identifying profiles of service users in housing services and exploring their quality of life and care needs

Identifying profiles of service users in housing services and exploring their quality of life and care needs

Esquizofrenia refratária: qualidade de vida e fatores associados

A student-facilitated community-based support group initiative for Mental Health Care users in a Primary Health Care setting

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