Operational Definition of Serious Mental Illness: Heterogeneity in a Review of the Research on Quality-of-Life Interventions

2020 ◽  
Vol 26 (3) ◽  
pp. 229-244 ◽  
Author(s):  
Concepción Martínez-Martínez ◽  
Miguel Richart-Martínez ◽  
Juan Diego Ramos-Pichardo

BACKGROUND: An operational definition of serious mental illness (SMI) with well-defined inclusion criteria allows the identification of the most vulnerable individuals and secures resources to meet their needs and develop social programs for their treatment, rehabilitation, and recovery. In addition, the contents of a clinical construct such as SMI have an impact on both the development and the clinical application of the research results. However, currently, different ways of operationalizing the definition of SMI coexist. AIMS: The aim of this review was to explore whether unanimity exists in the operationalization of SMI definitions in quality-of-life interventions research. METHODS: A review of the literature based on searches of the MEDLINE and PsycINFO databases was conducted. Intervention studies were selected in which quality of life was the outcome variable and adults with SMI were the subject population. RESULTS: A wide range of definition of SMI is used in the scientific literature. CONCLUSIONS: There is a lack of unanimity in the variables considered necessary to identify SMI. The scientific literature uses different approaches to operationalize SMI, and these approaches vary considerably among studies. Caution is required when interpreting quality-of-life research that includes individuals labeled with SMI. It is necessary to reach a consensus on the criteria for applying the SMI label to ensure its content validity.

2020 ◽  
Author(s):  
Christian Arinze Okonkwo ◽  
Peter Olarenwaju Ibikunle ◽  
Izuchukwu Nwafor ◽  
Andrew Orovwigho

BACKGROUND Quality of life (QoL), physical activity (PA) level and psychological profile (PF) of patients with serious mental illness have been neglected during patient’s management OBJECTIVE The purpose of this study was to determine the effect of selected psychotropic drugs on the QoL, PA level and PF of patients with serious mental illness METHODS A cross sectional survey involving one hundred and twenty-four subject [62 Serious Mental Illness (SMI) and 62 apparently healthy subjects as control] using purposive and consecutive sampling respectively .Questionnaires for each of the constructs were administered to the participants for data collation. Analysis of the data was done using non parametric inferential statistics of Mann-Whitney U independent test and Spearman’s rho correlation with alpha level set as 0.05. RESULTS Significant difference was recorded in the QoL (p<0.05) of patient with SMI and apparently healthy psychotropic naive participants. There was a significant correlation between the QoL (p<0.05) and PF of participants with SMI. Participants with SMI had significantly lower QoL than apparently healthy psychotropic naive subject. QoL of the healthy psychotropic naive group was better than those of the participants with SMI. Female participants with SMI had higher PA than their male counterparts CONCLUSIONS Psychological profiles of male participants with SMI were lower than male healthy psychotropic naive participants. Clinicians should take precaution to monitor the QoL, PA level and PF because the constructs are relevant in evaluation of treatment outcome.


2008 ◽  
Vol 49 (2) ◽  
pp. 109-114 ◽  
Author(s):  
Faith Dickerson ◽  
Clayton H. Brown ◽  
LiJuan Fang ◽  
Richard W. Goldberg ◽  
Julie Kreyenbuhl ◽  
...  

2019 ◽  
Vol 42 (3) ◽  
pp. 229-237 ◽  
Author(s):  
Letitia E. Travaglini ◽  
Jan Cosgrave ◽  
Elizabeth A. Klingaman

Author(s):  
Jolita GREBLIKAITĖ ◽  
Milita VIENAŽINDIENĖ ◽  
Regina ANDRIUKAITIENĖ

The social welfare of the community, as a reflection of the quality of life, is characterized by a dynamic and complex nature, and is now becoming an increasingly relevant and more debatable topic in the scientific community. An integrated assessment of social welfare becomes the most important prerequisite for increasing the quality of life. The theoretical studies of social welfare assessment have shown that in order to assess it, a systematic approach is needed that distinguishes living quality factors and their groups and identifies the relationships between them. It is obvious that only the assessment of the existing social welfare situation can form the direction of improving the quality of life. In this article the authors, analyzing the issue of social welfare management as one of the most painful problems of the community today, define the concept of quality of life and social welfare, identify factors of social welfare quality and their assessment indicators, reveal the peculiarities of community-oriented activities. Based on the analysis of scientific literature, the authors of the article present a conceptual model illustrating community social welfare management and improving the quality of social life by responding to the needs of the community. The model consists of 5 main stages, each stage solving individual tasks. In the initial stages, an analysis of the current situation is carried out in the aspect of determinants of social welfare, the existing level is determined and comparison with the previous periods is performed. In the next stages a social welfare development plan is being prepared and implemented. According to the authors, applying the proposed model of social welfare management in the community, it is possible to ensure a higher level of social quality of life. Research method is the analysis and synthesis of scientific literature, logical, comparative and graphic representation.


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