The effect of service satisfaction and spiritual well-being on the quality of life of patients with schizophrenia

The effect of service satisfaction and spiritual well-being on the quality of life of patients with schizophrenia

Abstract Quality of life (QOL) has been considered an important outcome measure in psychiatric research and determinants of QOL have been widely investigated. We aimed at detecting predictors of QOL at baseline and at testing the longitudinal interrelations of the baseline predictors with QOL scores...

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Bibliographic Details
Published in:Psychiatry research Vol. 216; no. 2; pp. 185 - 191
Main Authors: Lanfredi, Mariangela, Candini, Valentina, Buizza, Chiara, Ferrari, Clarissa, Boero, Maria E, Giobbio, Gian M, Goldschmidt, Nicoletta, Greppo, Stefania, Iozzino, Laura, Maggi, Paolo, Melegari, Anna, Pasqualetti, Patrizio, Rossi, Giuseppe, de Girolamo, Giovanni
Format: Journal Article
Language:English
Published: Kidlington Elsevier Ireland Ltd 15-05-2014
Elsevier
Subjects:
Adult and adolescent clinical studies
Biological and medical sciences
Determinants
Female
Humans
Logistic Models
Longitudinal Studies
Male
Medical sciences
Middle Aged
Personal Satisfaction
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychoses
Quality of Life
Residential facilities
Satisfaction
Schizophrenia
Schizophrenia - diagnosis
Schizophrenic Psychology
Social Support
Spirituality
Schizophrenia
Spirituality
Determinants
Residential facilities
Satisfaction
Quality of life
Psychosis
Human
Well being
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Summary:Abstract Quality of life (QOL) has been considered an important outcome measure in psychiatric research and determinants of QOL have been widely investigated. We aimed at detecting predictors of QOL at baseline and at testing the longitudinal interrelations of the baseline predictors with QOL scores at a 1-year follow-up in a sample of patients living in Residential Facilities (RFs). Logistic regression models were adopted to evaluate the association between WHOQoL-Bref scores and potential determinants of QOL. In addition, all variables significantly associated with QOL domains in the final logistic regression model were included by using the Structural Equation Modeling (SEM). We included 139 patients with a diagnosis of schizophrenia spectrum. In the final logistic regression model level of activity, social support, age, service satisfaction, spiritual well-being and symptoms׳ severity were identified as predictors of QOL scores at baseline. Longitudinal analyses carried out by SEM showed that 40% of QOL follow-up variability was explained by QOL at baseline, and significant indirect effects toward QOL at follow-up were found for satisfaction with services and for social support. Rehabilitation plans for people with schizophrenia living in RFs should also consider mediators of change in subjective QOL such as satisfaction with mental health services.
Bibliography:ObjectType-Article-1
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ISSN:0165-1781
1872-7123
DOI:10.1016/j.psychres.2014.01.045