BACKGROUND: There is little knowledge of the predictors of objective and subjective quality of life. AIMS: To describe changes at 2 and 6 years in objective and subjective quality of life in 261 individuals attending a community mental health service and to identify predictors of change in each life domain. METHOD: Prospective study of demographic, diagnostic and service utilisation characteristics, psychopathology, functioning, disability, self-esteem, affect balance and service satisfaction. RESULTS: Female gender, unmarried status, older age, less education and greater disability predicted a worsening of objective quality of life over time, but explain a small amount of variance. The variance in subjective quality of life was higher (>40%). Greater clinician-rated anxiety and depressive symptoms had a negative effect on satisfaction with health and general well-being. Psychological status, self-esteem and satisfaction with service were the most important predictors in almost all subjective domains; these variables should be important targets for treatment. CONCLUSIONS: This study is the first to provide information to enable clinicians to make prognostic judgements about quality of life and plan effective therapeutic strategies to improve quality of life.
BACKGROUND: There is little knowledge of the predictors of objective and subjective quality of life. AIMS: To describe changes at 2 and 6 years in objective and subjective quality of life in 261 individuals attending a community mental health service and to identify predictors of change in each life domain. METHOD: Prospective study of demographic, diagnostic and service utilisation characteristics, psychopathology, functioning, disability, self-esteem, affect balance and service satisfaction. RESULTS: Female gender, unmarried status, older age, less education and greater disability predicted a worsening of objective quality of life over time, but explain a small amount of variance. The variance in subjective quality of life was higher (>40%). Greater clinician-rated anxiety and depressive symptoms had a negative effect on satisfaction with health and general well-being. Psychological status, self-esteem and satisfaction with service were the most important predictors in almost all subjective domains; these variables should be important targets for treatment. CONCLUSIONS: This study is the first to provide information to enable clinicians to make prognostic judgements about quality of life and plan effective therapeutic strategies to improve quality of life.
Authors: Jenille M Narvaez; Elizabeth W Twamley; Christine L McKibbin; Robert K Heaton; Thomas L Patterson Journal: Schizophr Res Date: 2007-10-04 Impact factor: 4.939
Authors: Pierre Michel; Karine Baumstarck; Christophe Lancon; Badih Ghattas; Anderson Loundou; Pascal Auquier; Laurent Boyer Journal: Qual Life Res Date: 2017-03-25 Impact factor: 4.147
Authors: Srijana Shrestha; Melinda A Stanley; Nancy L Wilson; Jeffrey A Cully; Mark E Kunik; Diane M Novy; Howard M Rhoades; Amber B Amspoker Journal: Int Psychogeriatr Date: 2014-12-12 Impact factor: 3.878