Relationship of psychopathological symptoms and cognitive function to subjective quality of life in patients with chronic schizophrenia

BackgroundStudies conducted outside of China have found that stigma can predict low quality of life, and research in China has shown that stigma has an impact on the quality of life of convalescent patients with schizophrenia. Nevertheless, there is no indepth research on the impact of stigma on the quality of life of patients.AimsTo research the correlation of stigma and the subjective quality of life of persons with chronic schizophrenia in the community.MethodsWe adopted a stratified sampling method. General questionnaire, quality of life scale and stigma scale were given to 602 persons with chronic schizophrenia in the community.ResultsThe mean (SD) value of the Subjective Quality of Life Scale total scores was 32.99 (13.85). The mean (SD) value of the total stigma scores was 43.50 (5.02). After correlation analysis and multivariate stepwise regression analysis, it was shown that the total scores for self-stigma and each factor were positively correlated with subjective quality of life (r=0.462,p<0.001), psychosocial factors (r=0.517,p<0.001), and symptoms and adverse reaction factor scores (r=0.363,p<0.001), and the correlation coefficients were statistically significant.ConclusionsThe higher the stigma of persons with schizophrenia in the community, the lower the subjective quality of life is. This suggests that reduction of self-stigma should be considered in the improvement of the quality of life of persons with schizophrenia in the community.

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Effects of a Wonderful Life Program on the Wellbeing Behaviors, Life Satisfaction and Subjective Quality of Life of Community Elderly People in KOREA: Wonderful Life Program Includes SAFETY

J-Institute ◽

10.22471/crisis.2019.4.1.01 ◽

2019 ◽

Vol 4 (1) ◽

pp. 1-7

Author(s):

Mi-kyeong Byeon ◽

◽

Sun-jung Park ◽

Eun-young Choi ◽

◽

...

Keyword(s):

Quality Of Life ◽

Life Satisfaction ◽

Elderly People ◽

Subjective Quality ◽

Subjective Quality Of Life

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Cognitive determinants of community functioning and quality of life in homeless adults with mental illness: 6-year follow-up from the At Home/Chez Soi Study Toronto site

Psychological Medicine ◽

10.1017/s0033291721001550 ◽

2021 ◽

pp. 1-9

Author(s):

K. M. Gicas ◽

C. Mejia-Lancheros ◽

R. Nisenbaum ◽

R. Wang ◽

S. W. Hwang ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Functional Outcomes ◽

Verbal Learning ◽

Subjective Quality ◽

Subjective Quality Of Life ◽

Homeless Adults ◽

Community Functioning ◽

At Home

Abstract Background High rates of physical and mental health comorbidities are associated with functional impairment among persons who are homeless. Cognitive dysfunction is common, but how it contributes to various functional outcomes in this population has not been well investigated. This study examines how cognition covaries with community functioning and subjective quality of life over a 6-year period while accounting for the effects of risk and protective factors. Methods Participants were 349 homeless adults (mean age = 39.8) recruited from the Toronto site of the At Home/Chez Soi study, a large Canadian randomized control trial of Housing First. Participants completed up to four clinical evaluations over 6 years. Factor scores were created to index verbal learning and memory (vLM) and processing speed-cognitive flexibility (PSCF). The primary outcomes were community functioning and subjective quality of life. Risk factors included lifetime homelessness, mental health diagnoses, medical comorbidity, and childhood adversity. Linear mixed-effects models were conducted to examine cognition-functional outcome associations over time, with resilience as a moderator. Results Better vLM (b = 0.787, p = 0.010) and PSCF (b = 1.66, p < 0.001) were associated with better community functioning, but not with quality of life. Resilience conferred a protective effect on subjective quality of life (b = 1.45, p = 0.011) but did not moderate outcomes. Conclusions Our findings suggest a need to consider the unique determinants of community functioning and quality of life among homeless adults. Cognition should be prioritized as a key intervention target within existing service delivery models to optimize long-term functional outcomes.

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