Predictive typology of subjective quality of life among participants with severe mental disorders after a five-year follow-up: a longitudinal two-step cluster analysis

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.

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

European Psychiatry ◽

10.1016/s0924-9338(02)00621-1 ◽

2002 ◽

Vol 17 (1) ◽

pp. 33-40 ◽

Cited By ~ 23

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.

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Factors influencing subjective quality of life in patients with schizophrenia and other mental disorders: A pooled analysis

Schizophrenia Research ◽

10.1016/j.schres.2009.12.020 ◽

2010 ◽

Vol 121 (1-3) ◽

pp. 251-258 ◽

Cited By ~ 58

Author(s):

Stefan Priebe ◽

Ulrich Reininghaus ◽

Rosemarie McCabe ◽

Tom Burns ◽

Mona Eklund ◽

...

Keyword(s):

Quality Of Life ◽

Mental Disorders ◽

Pooled Analysis ◽

Subjective Quality ◽

Subjective Quality Of Life ◽

Factors Influencing

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

Schizophrenia Research ◽

10.1016/j.schres.2016.02.034 ◽

2016 ◽

Vol 172 (1-3) ◽

pp. 23-28 ◽

Cited By ~ 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

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Sailing Can Improve Quality of Life of People with Severe Mental Disorders: Results of a Cross Over Randomized Controlled Trial

Clinical Practice and Epidemiology in Mental Health ◽

10.2174/1745017901410010080 ◽

2014 ◽

Vol 10 (1) ◽

pp. 80-86 ◽

Cited By ~ 12

Author(s):

Mauro Giovanni Carta ◽

Federica Maggiani ◽

Laura Pilutzu ◽

Maria Francesca Moro ◽

Gioia Mura ◽

...

Keyword(s):

Quality Of Life ◽

Mental Disorders ◽

Controlled Trial ◽

Rehabilitation Program ◽

Control Group ◽

Severe Mental Disorders ◽

Rehabilitation Protocols ◽

The Impact

The aim of this study was to evaluate the impact of a sailing rehabilitation program on the quality of life (QoL) in a sample of patients with severe mental disorders. The study adopted a randomized, crossover, waiting-list controlled design. The participants enrolled in the study were outpatients diagnosed with severe chronic mental disorders. The participants (N=40) exposed to rehabilitation with sailing took part in a series of supervised cruises near the gulf of Cagliari, South Sardinia, and showed a statistically significant improvement of their quality of life compared to the control group. This improvement was comparable to the improvement in psychopathologic status and social functioning as shown in a previous report of the same research project. The improvement was maintained at follow-up only during the trial and for a few months later: after 12 months, patients returned to their baseline values and their quality of life showed a worsening trend. This is the first study to show that rehabilitation with sailing may improve the quality of life of people with severe chronic mental disorders. In all likelihood, a program grounded on learning how to manage a sailing vessel - during which patients perform cruises that emphasize the exploration of the marine environment by sailing - might be interesting enough and capture the attention of the patients so as to favour greater effectiveness of standard rehabilitation protocols, but this should be specifically tested.

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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

Australian & New Zealand Journal of Psychiatry ◽

10.1177/00048674211009603 ◽

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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