title: 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 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.
authors.affiliation: IRCCS San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
authors.forename: Mariangela
authors.initials: M
authors.lastname: Lanfredi
authors.affiliation: IRCCS San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
authors.forename: Valentina
authors.initials: V
authors.lastname: Candini
authors.affiliation: IRCCS San Giovanni di Dio Fatebenefratelli, Brescia, Italy; Unit of Clinic and Dynamic Psychology, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Buizza
authors.affiliation: IRCCS San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
authors.forename: Clarissa
authors.initials: C
authors.lastname: Ferrari
authors.affiliation: Hospital Beata Vergine della Consolata, Torino, Italy.
authors.forename: Maria E
authors.initials: ME
authors.lastname: Boero
authors.affiliation: Hospital Sacro Cuore di Gesù, Milano, Italy; Hospital Villa Sant׳Ambrogio, Milano, Italy.
authors.forename: Gian M
authors.initials: GM
authors.lastname: Giobbio
authors.affiliation: Hospital Villa Sant׳Ambrogio, Milano, Italy.
authors.forename: Nicoletta
authors.initials: N
authors.lastname: Goldschmidt
authors.affiliation: Hospital Villa Sant׳Ambrogio, Milano, Italy.
authors.forename: Stefania
authors.initials: S
authors.lastname: Greppo
authors.affiliation: IRCCS San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
authors.forename: Laura
authors.initials: L
authors.lastname: Iozzino
authors.affiliation: Hospital Sacro Cuore di Gesù, Milano, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Maggi
authors.affiliation: Hospital Beata Vergine della Consolata, Torino, Italy.
authors.forename: Anna
authors.initials: A
authors.lastname: Melegari
authors.affiliation: Medical Statistics & Information Technology, Fatebenefratelli Association for Research, Isola Tiberina, Rome, Italy.
authors.forename: Patrizio
authors.initials: P
authors.lastname: Pasqualetti
authors.affiliation: IRCCS San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Rossi
authors.affiliation: IRCCS San Giovanni di Dio Fatebenefratelli, Brescia, Italy. Electronic address: gdegirolamo@fatebenefratelli.it.
authors.forename: Giovanni
authors.initials: G
authors.lastname: de Girolamo
mesh_terms: D005260:Female; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D011788:Quality of Life; D012559:Schizophrenia / Q000175:diagnosis; D012565:Schizophrenic Psychology; D012944:Social Support; D029181:Spirituality
keywords: Determinants; Quality of life; Residential facilities; Satisfaction; Schizophrenia; Spirituality