The interrelation of needs and quality of life in first-episode schizophrenia

Landolt, Karin; Rössler, Wulf; Burns, Tom; Ajdacic-Gross, Vladeta; Galderisi, Silvana; Libiger, Jan; Derks, Eske M.; Kahn, René S.; Fleischhacker, W. Wolfgang

doi:10.1007/s00406-011-0275-6

Cited by 16 publications

(15 citation statements)

References 38 publications

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“…This is consistent with other longitudinal studies done in different clinical samples (Slade et al, 2004;Hansson and Bjorkman, 2007). Moreover, Landolt et al (2012), using a SEM approach in a groups of patients with a first-episode of schizophrenia, found that fewer unmet needs, higher depression, baseline QOL, age and gender (female) were all factors associated with higher QOL at follow-up. In our study, besides service satisfaction and social support, the other predictors of change were longitudinally inconsistent.…”

Section: Longitudinal Findingssupporting

confidence: 90%

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: Longitudinal Findingssupporting

confidence: 90%

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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“…In accordance with our first hypothesis, the strongest predictor of SQOL was found to be the severity of needs: the less severe the needs, the higher the SQOL. This result compares with previous studies, which found that unmet needs (serious problems) [24,78-80] had a highly negative impact on SQOL. Findings using the CAN as the needs instrument made a distinction between serious problems, moderate problems and absence of needs [24,47,81,82].…”

Section: Discussioncontrasting

confidence: 73%

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

Fleury

Grenier

Bamvita

et al. 2013

Health Qual Life Outcomes

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BackgroundSince the end of the 20th century, quality of life has become a key outcome indicator in planning and evaluation of health services. From a sample of 297 users with severe mental disorders from Montreal (Canada), this study aimed to identify the key predictors of subjective quality of life (SQOL).MethodsUsers were recruited and interviewed from December 2008 to September 2010 and re-interviewed approximately 18 months later. A comprehensive framework including socio-demographic data, clinical, needs and functionality variables, negative life events, social support and healthcare service use, and appreciation data were considered as predictors. Clinical records and eight standardized instruments were used.ResultsLower severity of needs, schizophrenia, better social integration, better reassurance of worth, fewer drug abuse problems, and living in supervised housing are predictors of SQOL. With regard to needs, absence or lower severity of needs in the areas of company, daytime activities, social exclusion, safety to self, and benefits are linked to SQOL.ConclusionReducing the severity of needs is especially beneficial to ensure a higher SQOL for users with severe mental disorders. To improve SQOL, priority must be given to programs and interventions that promote the development of a stimulating and supportive social network, and maintain a plurality of residential services matching the functional abilities of users.

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“…), with one additional article meeting criteria for Part B, but not Part A (Landolt et al . ). This article was reviewed in the full‐text review of both searches, however, did not report specific needs.…”

Section: Resultsmentioning

confidence: 97%

Needs of individuals recovering from a first episode of mental illness: A scoping review

Davies

Gordon

Pelentsov

et al. 2018

Int J Mental Health Nurs

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Central to the role of mental health clinicians is the assessment of needs. A number of assessment tools have been used to evaluate the needs of individuals diagnosed with a mental illness. These tools have largely been developed for people with a severe and persistent mental illness and may not be suitable for individuals who are recovering from a first episode of mental illness. The aims of this review were therefore to identify the needs experienced by individuals recovering from a first episode of mental illness; determine what tools have been used to evaluate these needs; and explore whether existing tools adequately reflect the needs described in the literature. Twenty-one articles were included, comprising articles which identified needs (n = 10), needs assessment tools (n = 1), or articles which identified both needs and a needs assessment tool (n = 10). Results indicate that individuals who have been admitted to a specialized mental health unit and are recovering from a first episode of mental illness may experience an extensive range of needs, spanning emotional, psychological, social, informational, functional, practical, and relationship needs. Four established needs assessment tools were found to have been used to evaluate these needs; however, these do not appear to represent all needs discovered in this review, were mostly developed for populations with a long-term mental illness, and may not be suitable for assessing the needs of individuals recovering from a first episode of mental illness following a presentation to a specialized mental health unit.

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The interrelation of needs and quality of life in first-episode schizophrenia

Cited by 16 publications

References 38 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

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

Needs of individuals recovering from a first episode of mental illness: A scoping review

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