TITLE

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

AUTHOR(S)
Fleury, Marie-Josée; Grenier, Guy; Bamvita, Jean-Marie; Tremblay, Jacques; Schmitz, Norbert; Caron, Jean
PUB. DATE
July 2013
SOURCE
Health & Quality of Life Outcomes;2013, Vol. 11 Issue 1, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Since 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). Methods: Users 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. Results: Lower 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. Conclusion: Reducing 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.
ACCESSION #
88981864

 

Related Articles

  • developing a guide to mental health for families and carers of people with intellectual disability. Spiller, Mary Jane // Learning Disability Practice;Oct2004, Vol. 7 Issue 8, p28 

    Focuses on the development of a guide to mental health for families and carers of people with intellectual disability. Impact of the presence of a mental health problem on the quality of life; Ways of helping people with mental health problems; Information about caring for someone with mental...

  • Utility Assessment in Patients with Mental Disorders. König, Hans-Helmut; Günther, Oliver H.; Angermeyer, Matthias C.; Roick, Christiane // PharmacoEconomics;2009, Vol. 27 Issue 5, p405 

    Background: Preference-based health-state values, also referred to as utility scores, are considered an important measure of outcome in the evaluation of healthcare. A common approach to elicit utility scores is the use of the time trade-off (TTO) method; however, the data on TTO utility scores...

  • Use of standardised outcome measures in adult mental health services: randomised controlled trial. Slade, Mike; McCrone, Paul; Kuipers, Elizabeth; Leese, Morven; Cahill, Sharon; Parabiaghi, Alberto; Priebe, Stefan; Thornicroft, Graham // British Journal of Psychiatry;Oct2006, Vol. 189, p330 

    Background: Routine use of standardised outcome measures is not universal.Aims: To evaluate the effectiveness of standardised outcome assessment.Method: A randomised controlled trial, involving 160 representative adult mental health patients and paired...

  • Quality of life of people with mental health problems: a synthesis of qualitative research. Connell, Janice; Brazier, John; O'Cathain, Alicia; Lloyd-Jones, Myfanwy; Paisley, Suzy // Health & Quality of Life Outcomes;2012, Vol. 10 Issue 1, p1 

    Purpose: To identify the domains of quality of life important to people with mental health problems. Method: A systematic review of qualitative research undertaken with people with mental health problems using a framework synthesis. Results: We identified six domains: well-being and ill-being;...

  • The relation between perceived need for mental health treatment, DSM diagnosis, and quality of life: a Canadian population-based survey. Sareen, Jitender; Stein, Murray B.; Campbell, Darren W.; Hassard, Thomas; Menec, Verena // Canadian Journal of Psychiatry;Feb2005, Vol. 50 Issue 2, p87 

    Objectives: Prevalence estimates of mental disorders were designed to provide an indirect estimate of the need for mental health services in the community. However, recent studies have demonstrated that meeting criteria for a DSM-based disorder does not necessarily equate with need...

  • Rethink calls for practical solutions to reconnect with a 'forgotten generation' McMillan, Ian; Allen, Daniel // Mental Health Practice;Jun2005, Vol. 8 Issue 9, p5 

    This article presents information related to Rethink that calls for practical solutions to reconnect with a forgotten generation. A 'forgotten generation' of more than 50,000 people with severe mental illness is being shunned by mainstream services because of strict referral criteria, a leading...

  • The effectiveness of community care for people with severe mental disorders. Prot-Klinger, Katarzyna; Pawłowska, Małgorzata // Archives of Psychiatry & Psychotherapy;Dec2009, Vol. 11 Issue 4, p43 

    Background. A constant effort is observed all over the world to displace treatment from mental hospitals and other long stay institutions to a community form of care. Community care is poorly developed in Poland. This induces surveys estimating the effectiveness of community care recently...

  • Mediation analysis of severity of needs, service performance and outcomes for patients with mental disorders. Fleury, Marie-Josée; Roux, Paul; Passerieux, Christine // British Journal of Psychiatry;Dec2016, Vol. 209 Issue 6, p511 

    Background Needs and service performance assessment are key components in improving recovery among individuals with mental disorders. Aims To test the role of service performance as a mediating factor between severity of patients’ needs and outcomes. Method A total of 339 adults with...

  • Counselors and Physicians Providing Mental Health Services: An Integrated Approach. Enochs, Wendy K.; Young, Mark; Choate, Robert O. // Adultspan: Theory Research & Practice;Fall2006, Vol. 5 Issue 2, p101 

    The authors argue that there is a clear link between mental and physical health issues. A wellness-based approach to integrated health care, such as the one described in this article, may allow older clients to be empowered to make lifestyle changes that can improve the quality of their lives...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics