Ten-year quality of life outcomes among patients with schizophrenia and schizoaffective disorder II. Predictive value of psychosocial factors

Abstract

In the long-term course of severe mental disorders (SZ/SA), changes in the psychosocial factors are stronger predictors of subjective quality of life outcome than disorder-related changes. The findings enable better understanding of the combined effects of psychopathology and psychosocial factors on quality of life outcome over a 10-year period.

The effect of service satisfaction and spiritual well-being on the quality of life of patients with schizophrenia

“…Several cross-sectional studies have investigated the relationship between the subjective QOL of people with severe mental disorders and socio-demographic and clinical characteristics (Norman et al, 2000;Fitzgerald et al, 2001;Becchi et al, 2004;Caron et al, 2005aCaron et al, , 2005bHofer et al, 2006;Narvaez et al, 2008;Hsiao et al, 2012;Fujimaki et al, 2012). In addition, some studies have explored the mediating role of self-related factors, such as lower self-esteem, lack of perceived social support and low self-efficacy in QOL appraisal (Bechdolf et al, 2003;Ritsner et al, 2012).…”

Subjective distress in a representative sample of outpatients with psychotic disorders

“…Consequently, the focus on psychotic symptoms has moved towards their personal and emotional burden, given their negative influence on quality of life (Millier et al, 2014;Ritsner et al, 2012). In this context, patients' distress has emerged as a core target of psychosis treatment (Birchwood, 2003;Sönmez et al, 2014).…”

“…These symptoms constitute a highly prevalent comorbidity in non-affective psychosis, associated with poorer prognosis (Hartley et al, 2013;Lako et al, 2012;Michail and Birchwood, 2014). However, the distress, though highly correlated with anxiety and depression, is a distinct affective feature, being more comprehensive and transient (Ritsner et al, 2012). Few studies have assessed subjective reports of patients' distress, despite the growing focus on patient-reported outcomes (McCabe et al, 2007;Thornicroft and Slade, 2014) and on patient narratives about illness in the context of personal recovery in psychotic disorders (Lysaker et al, 2010;Roe and Lachman, 2005).…”

“…It is a predictor of worse quality of life (Ritsner et al, 2006;Ritsner et al, 2012), and has been associated with more severe psychopathology (Bradshaw and Brekke, 1999;Hartley et al, 2013) and increased insight (Cooke et al, 2007;Selten et al, 2000). Even so, the variables associated with subjective distress remain under-investigated in the context of psychosis treatment, especially those related to service use.…”

Social Support and Health-Related Quality of Life among Mental Health Service Users in Japan

“…[6][7][8]). In both the general population, and for people with various mental health challenges, social support has been considered to be related to quality of life [9][10][11][12][13][14][15][16][17][18][19], and recovery [20,21].…”