Subjective quality of life, psychopathology, satisfaction with care and insight: an exploratory study.
We have investigated the determinants of global subjective quality of life (GSQOL) using data from a controlled trial of intensive case management for the severely mentally ill. In a multiple regression analysis depression, age, objective quality of life and domain-specific quality of life together explained 59% of the variance in GSQOL. GSQOL was not significantly correlated with measures of positive psychotic symptomatology, insight or attitudes to treatment but was correlated with satisfaction with care (r = .21, p = .011). Change in GSQOL over 18 months was correlated with change in domain-specific quality of life (r = -.45, p = .002) and depression (r = -.43, p = .01): multiple regression analysis confirmed that both variables had an independent effect on change in GSQOL.
Holloway
F
F
Bethlem Royal Hospital, Beckenham, Kent.
Carson
J
J
D000328:Adult; D001294:Attitude to Health; D005260:Female; D005544:Forecasting; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology* / Q000534:rehabilitation*; D008605:Mental Health Services / Q000592:standards; D017060:Patient Satisfaction; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D011897:Random Allocation; D012044:Regression Analysis; D012720:Severity of Illness Index