Predictors of improvement in quality of life of long-term mentally ill individuals receiving case management

2002 ◽  
Vol 17 (1) ◽  
pp. 33-40 ◽  
Author(s):  
T. Björkman ◽  
L. Hansson
Keyword(s):  
Quality Of Life ◽  
Case Management ◽  
Mentally Ill ◽  
Psychosocial Functioning ◽  
Psychiatric Symptoms ◽  
Subjective Quality ◽  
Subjective Quality Of Life

SummaryOne hundred and thirteen long-term mentally ill clients receiving case management were investigated with regard to psychosocial and clinical predictors of changes in subjective quality of life during an 18-month follow-up. Better psychosocial functioning and fewer psychiatric symptoms at baseline predicted a greater improvement in quality of life. A larger decrease in symptom severity and a greater improvement in the social network during the follow-up were identified as the most important predictors of a greater improvement in subjective quality of life. The results of the study suggest that an emphasis should be put on effective symptom management, a reduction of needs for care and social support in order to fulfill the aims of improving subjective quality of life in patients receiving case management.

Predictors of quality of life in people with severe mental illness

1999 ◽  
Vol 175 (5) ◽  
pp. 426-432 ◽  
Author(s):  
Thomas Fahy ◽  
Andy Kent ◽  
Theresa Tattan ◽  
Elizabeth Van Horn ◽  
Ian White
Keyword(s):  
Quality Of Life ◽  
Mental Illness ◽  
Case Management ◽  
Severe Mental Illness ◽  
Unmet Needs ◽  
Subjective Quality ◽  
Improve Quality ◽  
Subjective Quality Of Life ◽  
Clinical Variables

BackgroundIt is not clear which model of case management is most likely to improve quality of life in people with severe mental illness.AimsTo use baseline data derived from the UK700 Case Management Trial to assess the relative importance of clinical, social and unmet needs variables as predictors of subjective quality of life in patients with severe mental illness.MethodPatients (n=708) were assessed on quality of life (Lancashire Quality of Life Profile), needs (Camber well Assessment of Need), psychopathology and social functioning. Variables that were amenable to change through case management were investigated as predictors of quality of life.ResultsSocial variables accounted for 7% of the variance for subjective quality of life, compared with 19% for clinical variables, and 20% for unmet needs. The strongest predictors of subjective quality of life were unmet basic, social and functioning needs, depression and positive psychotic symptoms.ConclusionsSubjective quality of life in severely mentally ill patients is predicted by clinical variables and unmet needs. The results identify priority areas for the attention of case managers who seek to improve quality of life in these patients.

scholarly journals Effectiveness and costs of acute day hospital treatment compared with conventional in-patient care

2006 ◽  
Vol 188 (3) ◽  
pp. 243-249 ◽  
Author(s):  
Stefan Priebe ◽  
Gemma Jones ◽  
Rosemarie McCabe ◽  
Jane Briscoe ◽  
Donna Wright ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Care ◽  
Treatment Satisfaction ◽  
Psychiatric Treatment ◽  
Subjective Quality ◽  
Hospital Treatment ◽  
Day Hospital ◽  
Subjective Quality Of Life

BackgroundData on effectiveness of acute day hospital treatment for psychiatric illness are inconsistent.AimsTo establish the effectiveness and costs of care in a day hospital providing acute treatment exclusively.MethodIn a randomised controlled trial, 206 voluntarily admitted patients were allocated to either day hospital treatment or conventional wards. Psychopathology, treatment satisfaction and subjective quality of life at discharge, 3 months and 12 months after discharge, readmissions to acute psychiatric treatment within 3 and 12 months, and costs in the index treatment period were taken as outcome criteria.ResultsDay hospital patients showed significantly more favourable changes in psychopathology at discharge but not at follow-up. They also reported higher treatment satisfaction at discharge and after 3 months, but not after 12 months. There were no significant differences in subjective quality of life or in readmissions during follow-up. Mean total support costs were higher for the day hospital group.ConclusionsDay hospital treatment for voluntary psychiatric patients in an inner-city area appears more effective in terms of reducing psychopathology in the short term and generates greater patient satisfaction than conventional in-patient care, but may be more costly.

A mediational model of quality of life for individuals with severe mental health problems

1998 ◽  
Vol 28 (5) ◽  
pp. 1221-1230 ◽  
Author(s):  
A. ZISSI ◽  
M. M. BARRY ◽  
R. COCHRANE
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Mental Health Problems ◽  
Subjective Quality ◽  
Self Concept ◽  
Subjective Quality Of Life ◽  
Mediational Model ◽  
Objective Indicators

Background. Despite the increasing importance of quality of life in the mental health field, the theoretical conceptualization of the construct remains poorly developed. A proposed mediational model of quality of life, which links subjective quality of life with self-related constructs, is examined with a group of long-term psychiatric hostel residents. The present study aims to develop a measure of quality of life based on the proposed model, to explore the data and their implications for service development and finally to conduct a preliminary analysis of the model's predictions.Method. A cross-sectional research design was employed. Quality of life interviews, using a modified version of Lehman's Quality of Life Interview, were carried out with 54 psychiatric residents in Greece. The model's predictions were examined by using a series of regression analyses.Results. The results indicate that perceived improvements in lifestyle, greater autonomy and positive self-concept are significantly and directly associated with better quality of life. In contrast, a direct relationship between objective indicators and subjective quality of life was not found.Conclusions. The traditional two-part quality of life model that includes objective indicators of life circumstances and subjective indicators is extended to included the constructs of self-concept and perceived autonomy. The present extended mediational model of quality of life for individuals with long-term mental health problems appears to have important implications for the planning and delivery of mental health programmes.

Subjective quality of life in first-episode psychosis. A ten year follow-up study

2016 ◽  
Vol 172 (1-3) ◽  
pp. 23-28 ◽  
Author(s):  
Erlend Strand Gardsjord ◽  
Kristin Lie Romm ◽  
Svein Friis ◽  
Helene Eidsmo Barder ◽  
Julie Evensen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
First Episode Psychosis ◽  
Subjective Quality ◽  
First Episode ◽  
Subjective Quality Of Life ◽  
Follow Up Study ◽  
Episode Psychosis

Long-term outcome and subjective quality of life after surgical treatment of lower lip cancer

2014 ◽  
Vol 19 (5) ◽  
pp. 1093-1099 ◽  
Author(s):  
Michael Schüller ◽  
Martin Gosau ◽  
Steffen Müller ◽  
Michael Gerken ◽  
Christian Rohrmeier ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Subjective Quality ◽  
Subjective Quality Of Life ◽  
Lip Cancer ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Lower Lip

Patterns and predictors of trajectories for subjective quality of life in patients with early psychosis: Three-year follow-up of the randomized controlled trial on extended early intervention

2021 ◽  
pp. 000486742110096
Author(s):  
Candice Tze Kwan Kam ◽  
Wing Chung Chang ◽  
Vivian Wing Yan Kwong ◽  
Emily Sin Ki Lau ◽  
Gloria Hoi Kei Chan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Randomized Controlled Trial ◽  
Early Intervention ◽  
Controlled Trial ◽  
Subjective Quality ◽  
Subjective Quality Of Life ◽  
Randomized Controlled ◽  
Life Trajectory

Objective: Subjective quality of life is an important outcome of psychotic disorders. However, longitudinal course of subjective quality of life in the early illness stage is under-studied. We aimed to investigate the patterns and baseline predictors of subjective quality of life trajectories over 3 years in early psychosis patients, utilizing growth mixing modeling analysis, in the context of a 3-year follow-up of a randomized controlled trial comparing 1-year extension of early intervention with step-down psychiatric care for first-episode psychosis. Method: One hundred sixty Chinese patients were recruited from specialized early intervention program for first-episode psychosis in Hong Kong after they had completed this 2-year early intervention service, and underwent 1-year randomized controlled trial as well as 2-year post–randomized controlled trial follow-up (i.e. 3-year follow-up). Assessments on premorbid adjustment, onset profile, psychopathology, functioning and treatment characteristics were conducted. Individual class membership of subjective quality of life trajectory derived from growth mixing modeling was based on the 36-Item Short Form Health Survey mental component summary scores measured at four different time-points (baseline, 1, 2 and 3 years) among 142 participants across 3-year follow-up. Results: Three distinct subjective quality of life trajectories were identified including higher-improving (68.3%, n = 97), lower-stable (24.6%, n = 35) and deteriorating (7%, n = 10) trajectories. Age of onset; duration of untreated psychosis; depressive, positive and negative symptoms; and intervention condition were significantly different between good (higher-improving trajectory) and poor (combined lower-stable and deteriorating trajectories) trajectory groups. Multiple regression analysis revealed that younger age of onset, more severe depression and receipt of step-down care independently predicted poor subjective quality of life trajectory. Conclusion: Approximately one-third of patients displayed poor subjective quality of life trajectory in the early phase of psychotic illness. Our results affirm depression as a critical determinant of prospective subjective quality of life and underscores positive effect of extended early intervention on sustained subjective quality of life improvement. Further longitudinal research is warranted to facilitate better characterization of subjective quality of life course patterns and development of targeted intervention to optimize subjective quality of life in patients with early psychosis.

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