The Relationship Between Consumer Insight and Provider-Consumer Agreement Regarding Consumer’s Quality of Life

Abstract

This study examined the relationship between insight and mental health consumers and providers agreement regarding consumers rated quality of life (QoL). Seventy mental health consumers and their 23 care providers filled-out parallel questionnaires designed to measure consumer QoL. Consumers' insight was also assessed. For most QoL domains, agreement between consumers and providers was higher for persons with high insight. For the Psychological well being dimension a negative correlation was uncovered for persons with low insight indicating disagreement between consumer and provider. These findings are discussed within the context of the literature on insight and agreement between consumer and provider as related to the therapeutic alliance.

Agreement between clients with schizophrenia and mental health workers on clients' social quality of life: The role of social cognition and symptoms

“…Results showed that low social cognition ability of persons with schizophrenia, as well as negative symptomatology, is related to the underestimation of mental health workers with regard to the client's SQoL. These results are in accord with previous studies that showed insight and symptoms to account for discrepancy in quality‐of‐life perception and therapeutic relationship (Hasson‐Ohayon et al ., ; Lysaker, Hasson‐Ohayon, et al ., ).…”

“…Agreement between clients and clinicians with regard to clients' quality of life tends to vary from zero to moderate (Bowie et al, 2007;Hasson-Ohayon, Roe, Kravetz, Levy-Frank, & Meir, 2011;Kravetz, Faust, & Dasberg, 2002). Notably, agreement seems to be more present in objective domains of quality of life, such as the activities of daily living and economic life domains, and not in the relatively subjective domain of SQoL (Hasson-Ohayon et al, 2011). Few studies have addressed possible explanations for the limited degree of agreement, which is commonly presented as negative bias (i.e., underestimation of the therapist) of the mental health worker with regard to positive outcome of the client.…”

“…Viewing the bias as overestimation on behalf of the client, this positive bias may be a feature of general unawareness of illness or incoherent narrative (Hasson-Ohayon et al, 2011). Additionally, the high level of symptoms experienced by the client is also associated with his/her overestimation (Lysaker, Hasson-Ohayon, et al, 2013).…”

Recovery and serious mental illness: a review of current clinical and research paradigms and future directions

“…Notable in this view is that clinicians have primary responsibility in terms of making accurate appraisals regarding whether the client achieves recovery, and that recovery is defined by a level of functioning and the remission of symptoms rather than on the subjective experiences of the individual experiencing SMI. These approaches tend to rely on traditionally paternalistic views of SMI and often neglect the considerable disagreement between providers and clients with regard to clients' quality of life, as clients tend to report better outcomes than their providers [21,22].…”

The relationship between level of cognitive impairments and functional outcome trajectories in first-episode schizophrenia

“…These subjective indicators are sensitive to treatment and may ultimately mediate the process leading towards full symptomatic and functional recovery (Torgalsbøen, 2005). Past research has shown that patients and clinicians may disagree on the clients' quality of life (Hasson-Ohayon, Roe, Kravetz, Levy-Frank & Meir, 2011;Kravetz, Faust & Dasberg, 2002), which may negatively affect patients' satisfaction with treatment (Roe, Lereya & Fennig, 2001). More importantly, it reflects the fact that patients and clinicians may have different opinions on what defines a meaningful life.…”