Social integration and the quality of life of schizophrenic patients in different types of complementary care

2000 ◽  
Vol 15 (8) ◽  
pp. 450-460 ◽  
Author(s):  
M Leiße ◽  
T.W Kallert
Keyword(s):  
Quality Of Life ◽  
Social Life ◽  
Psychiatric Care ◽  
Leisure Activities ◽  
Subjective Quality ◽  
Subjective Quality Of Life ◽  
Living Situation ◽  
Different Types ◽  
Social Disabilities

Following reunification in Germany in 1990 the new states in the Federal Republic faced the task of restructuring and rebuilding the structures of complementary care for the chronically mentally ill. First and foremost, residential facilities had to be established that would correspond to and meet the currently high need for de-hospitalization by making different types of care and care concepts available. Five groups of patients with chronic schizophrenic psychoses (N = 245 patients) who live in different types of psychiatric care facilities (psychiatric nursing home, social therapeutic hostel, sheltered community residence) or at home, either with or without a family network, were studied. In addition to the sociodemographic data, the psychopathology and the extent of social disabilities were also surveyed, as well as data on the living situation and the subjective quality of life with an emphasis on ‘social relationships’, ‘recreation/leisure activities’, and ‘general independence’.The five groups differed with regard to various sociodemographic and disorder-related variables, particularly with regard to the extent of social disabilities. Especially relevant, however, are the differences among the patient groups in the extent of daily social life and recreational/leisure activities that are partially reflected in their statements on the subjective quality of life. Primarily for the two groups of home residents, but also in part for the patients living in sheltered community care, social contacts are more or less limited to the residential situation and patients are more or less otherwise socially isolated. This is due among other things to the fact that patients who have been hospitalized for long periods do not as a rule return to their prior area of residence; thus, the available compensatory mediation of relationships with the social environment does not suffice. Demands for the further development of complementary systems of psychiatric care derive from these findings.

Conventional versus atypical neuroleptics: subjective quality of life in schizophrenic patients

1997 ◽  
Vol 170 (5) ◽  
pp. 422-425 ◽  
Author(s):  
M. Franz ◽  
Stefanie Lis ◽  
K. Plüddemann ◽  
B. Gallhofer
Keyword(s):  
Quality Of Life ◽  
Social Life ◽  
Well Being ◽  
Subjective Quality ◽  
Psychotic Symptoms ◽  
Atypical Neuroleptics ◽  
Subjective Quality Of Life ◽  
Schizophrenic Patients ◽  
The Impact

BackgroundThe effectiveness of anti-psychotic drugs against positive psychotic symptoms has been demonstrated in many studies, but their effects on quality of life have yet to be clarified. The impact of different neuroleptic therapies on the subjective quality of life of schizophrenic patients is evaluated in a cross-sectional open study.MethodDuring a four-month period a standardised quality of life interview for schizophrenic patients was applied on day 10 after admission; 33 patients on atypical neuroleptics (AAP) were compared with 31 matched patients on conventional neuroleptics (CAP).ResultsThe AAP group had significantly higher scores in general quality of life as well as in different life domains: physical well-being, social life and everyday life. In separate comparisons of the AAP group, patients on clozapine and risperidone were found to have a higher quality of life score than patients on CAP or zotepine.ConclusionsThe pharmacological profile of clozapine and risperidone may provide a basis for explaining the higher subjective quality of life found in this study. The lower quality of life of the CAP group may possibly be related to intrinsic effects of the conventional antipsychotics.

A survey of the self-rated quality of life of individuals with schizophrenia in community residential settings

2000 ◽  
Vol 17 (1) ◽  
pp. 22-24 ◽  
Author(s):  
Siobhan Flanagan ◽  
Mairead Doyle ◽  
Stephen Browne ◽  
Conall Larkin ◽  
Eadbhard O'Callaghan
Keyword(s):  
Quality Of Life ◽  
Family Relations ◽  
Subjective Quality ◽  
The Self ◽  
Life Domains ◽  
Subjective Quality Of Life ◽  
Living Situation ◽  
Residential Settings ◽  
Dsm Iv

AbstractObjectives: To evaluate the self-rated or subjective quality of life of individuals with schizophrenia in residential care settings.Method: Forty individuals who fulfilled DSM-IV criteria for schizophrenia were interviewed using the Lancashire Quality of Life Profile.Results: Fifty-two per cent of the sample reported their global subjective quality of life to be satisfactory. Global subjective quality of life was rated lower than the majority of life domains evaluated. The areas of least satisfaction included finances and work. However, the majority of patients were satisfied with their living situation, safety, health, religion, leisure, social and family relations. There was some evidence of a quality of life gradient across these residential settings.Conclusions: Although these patients were satisfied with the majority of life domains assessed, these data need to be interpreted cautiously given the limitations of the study design and the method used to evaluate quality of life.

scholarly journals Gender Differences in Subjective Quality of Life of Elite and Competitive Sports Games Players

2020 ◽  
Vol 60 (1) ◽  
pp. 105-116
Author(s):  
Juraj Nemček
Keyword(s):  
Quality Of Life ◽  
Psychological Health ◽  
Social Relation ◽  
Leisure Activities ◽  
Subjective Quality ◽  
Competitive Sports ◽  
Subjective Quality Of Life ◽  
Male And Female ◽  
Quality Of Life Indicators

SummaryThe objective of the present study was to analyse subjective quality of life (S-QOL) throughout the quality of life indicators’ (QOLIs) and quality of life domains’ (QOLDs) satisfaction, and overall S-QOL among elite and competitive sports games players (i.e. players) and compare the SQOL between the male and female. The research sample comprised of 106 male players (mean age 27.2 ± 1.96 years) and 28 female players (mean age 24.9 ± 1.45 years). A standardized Subjective Quality of Life Analyses (S.QUA.L.A.) was used as a primary research method. No significant differences were found in overall S-QOL neither in QOLDs’ satisfaction between male and female players. Male players present significantly higher satisfaction with leisure activities, sport and work than females. Both genders equally declared the highest S-QOL by social relation and physical health/level of independence and the lowest level of S-QOL by psychological health/spirituality.

Living situation, subjective quality of life and social network among individuals with schizophrenia living in community settings

2002 ◽  
Vol 106 (5) ◽  
pp. 343-350 ◽  
Author(s):  
L. Hansson ◽  
T. Middelboe ◽  
K. W. Sørgaard ◽  
A. Bengtsson-Tops ◽  
O. Bjarnason ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Network ◽  
Subjective Quality ◽  
Community Settings ◽  
Subjective Quality Of Life ◽  
Living Situation

scholarly journals Quality of Elderly People’s Life in the Region of Malopolskie Voivodship

2019 ◽  
Vol 1 (340) ◽  
pp. 43-56
Author(s):  
Magdalena Katarzyna Kowalska
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Social Life ◽  
The Elderly ◽  
Health Condition ◽  
Living Conditions ◽  
Subjective Quality ◽  
The European Union ◽  
Subjective Quality Of Life

The ageing of the population is one of the most important problems of contemporary European societies. It is assumed that, within the next two decades, the percentage of people aged 65 and older throughout the population of the European Union will increase up to 20%, and around 2060 – nearly one third of the community’s inhabitants will reach this age. Therefore, it is important for the elderly people to have proper living conditions ensured, in particular in countries such as Poland, where seniors are still marginalised and excluded from many areas of social life. The quality of life of people in the post‑working age can be determined by taking account of numerous factors. These include, above all: financial situation, living conditions, health condition, self‑esteem, and the feeling of playing a significant role for the family and for the society.The purpose of the presented study is to assess the quality of life of elderly people from the region of Malopolskie Voivodship. The analysis of the research material takes account of various aspects of this particular category, namely the quality of life, with clear focus on the so‑called subjective quality of life. Conclusions were drawn on the basis of results of the study conducted in 2015 on a group of 150 people aged 60+, living in the counties of Myślenice and Nowy Targ from the Małopolskie Voivodship.Among numerous elements that can be used to assess the quality of life, crucial importance has the determination of the degree of satisfaction of seniors on several levels: with regard to relations with family members, health condition, and the housing situation. In addition, it was deemed important to identify the attitude of the environment towards seniors, as well as indicate the needs and expectations of elderly people with regard to e.g. services and products missing from the Polish market and addressed to this age category.The research results indicate that the subjective quality of life of the examined elderly people from the two counties is on an average level. Such a conclusion may be drawn on the basis of opinions of the respondents, who are rather satisfied with contacts with the environment and, at the same time, moderately satisfied with their health condition. Furthermore, the examined seniors notice clear shortages on the Polish market within the offer of services and products addressed specifically to their age group.

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

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.

Examining the experiences and quality of life of patients with an autism spectrum disorder detained in high secure psychiatric care

2017 ◽  
Vol 3 (1) ◽  
pp. 3-14 ◽  
Author(s):  
David Murphy ◽  
Hannah Mullens
Keyword(s):  
Quality Of Life ◽  
Autism Spectrum Disorder ◽  
Psychiatric Care ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Living Situation ◽  
Diverse Range ◽  
Content Type ◽  
Secure Psychiatric Care

Purpose Although individuals with an autism spectrum disorder (ASD) represent a small proportion of forensic psychiatric patients as a group they present with specific difficulties and needs. There is also evidence that if detained individuals with an ASD experience particular difficulties within custodial environments as a result of a mismatch between the difficulties associated with their ASD and the environmental demands. The purpose of this paper is to explore the experience of individuals with an ASD admitted to a high secure psychiatric care (HSPC) hospital. Design/methodology/approach Using both a semi-structured interview and a quality of life self-report measure (the Lancashire Quality of Life Profile) the experiences and views of seven patients with an ASD detained in one HSPC hospital were qualitatively explored. Findings Whilst a diverse range of negative and positive aspects of being within HSPC were identified by patients interviewed, those with prison experience thought HSPC was a less stressful environment with more therapeutic opportunities. As a group, patients with an ASD reported a similar or significantly better quality of life in many domains (global, leisure, financial and living situation) compared to other detained forensic patient groups. Practical implications Although most patients with an ASD interviewed reported positive experiences, there are a number of practical improvements that could be made within the hospital to reduce experienced stress levels and perhaps improve therapeutic outcomes. Originality/value Within the context of the Department of Health's autism strategy (2010) and subsequent update think autism (2014), the survey highlights continued ASD awareness training for staff as important. In responding to the risks and needs of individuals with an ASD in HSPC there is further support for the development of an ASD specialist service.

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