dc.contributor.author
Berghöfer, Anne
dc.contributor.author
Martin, Luise
dc.contributor.author
Hense, Sabrina
dc.contributor.author
Weinmann, Stefan
dc.contributor.author
Roll, Stephanie
dc.date.accessioned
2022-09-16T12:24:54Z
dc.date.available
2022-09-16T12:24:54Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/36345
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-36061
dc.description.abstract
Purpose: This study (a) assessed quality of life (QoL) in a patient sample with severe mental illness in an integrated psychiatric care (IC) programme in selected regions in Germany, (b) compared QoL among diagnostic groups and (c) identified socio-demographic, psychiatric anamnestic and clinical characteristics associated with QoL.
Methods: This cross-sectional study included severely mentally ill outpatients with substantial impairments in social functioning. Separate dimensions of QoL were assessed with the World Health Organisation’s generic 26-item quality of life (WHOQOL-BREF) instrument. Descriptive analyses and analyses of variance (ANOVAs) were conducted for the overall sample as well as for diagnostic group.
Results: A total of 953 patients fully completed the WHOQOL-BREF questionnaire. QoL in this sample was lower than in the general population (mean 34.1; 95% confidence interval (CI) 32.8 to 35.5), with the lowest QoL in unipolar depression patients (mean 30.5; 95% CI 28.9 to 32.2) and the highest in dementia patients (mean 53.0; 95% CI 47.5 to 58.5). Main psychiatric diagnosis, living situation (alone, partner/relatives, assisted), number of disease episodes, source of income, age and clinical global impression (CGI) scores were identified as potential predictors of QoL, but explained only a small part of the variation.
Conclusion: Aspects of health care that increase QoL despite the presence of a mental disorder are essential for severely mentally ill patients, as complete freedom from the disorder cannot be expected. QoL as a patient-centred outcome should be used as only one component among the recovery measures evaluating treatment outcomes in mental health care.
en
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
Quality of life
en
dc.subject
Severe mental disorder
en
dc.subject
Determinants
en
dc.subject
Integrated care
en
dc.subject
WHOQOL-BREF questionnaire
en
dc.subject
Clinical global impression scale
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Quality of life in patients with severe mental illness: a cross-sectional survey in an integrated outpatient health care model
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.doi
10.1007/s11136-020-02470-0
dcterms.bibliographicCitation.journaltitle
Quality of Life Research
dcterms.bibliographicCitation.originalpublishername
Springer Nature
dcterms.bibliographicCitation.pagestart
2073
dcterms.bibliographicCitation.pageend
2087
dcterms.bibliographicCitation.volume
29
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.funding
Springer Nature DEAL
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
32170584
dcterms.isPartOf.issn
0962-9343
dcterms.isPartOf.eissn
1573-2649