title: Associations Between Quality of Life and Functioning in an Assertive Community Treatment Population.
abstract: OBJECTIVE
  Level of functioning is positively associated with subjective quality of life for people with severe mental illness, but a detailed relationship between functioning and satisfaction with various life domains is largely unknown, and this gap prompted this study.
  
  
  METHODS
  Demographic and clinical data were obtained from 149 patients engaged with 12 assertive community treatment teams in Norway. Multivariate regression analyses were used to explore associations between subjective quality of life and patient characteristics.
  
  
  RESULTS
  Analyses confirmed positive associations between quality of life and age, functioning, and weekly contact with family and friends and a negative association with anxiety and depressive symptoms. Positive associations between several areas of practical and social functioning and satisfaction with related life domains also were found.
  
  
  CONCLUSIONS
  Although a causal direction of the associations between functioning and life satisfaction has not been determined in this study, the positive findings might indicate that programs aiming to improve functioning could affect patients' quality of life.
authors.affiliation: Dr. Clausen, Dr. Sverdvik Heiervang, and Professor Ruud are with the Department of Research and Development, Mental Health Services, Akershus University Hospital, Lørenskog, Norway (e-mail: hanne.kristin.clausen@ahus.no ). Dr. Clausen and Professor Ruud are also with the Institute of Clinical Medicine, University of Oslo, Oslo, Norway, where Professor Saltyte Benth is affiliated. Professor Saltyte Benth is also with the Helse Øst Centre for Health Services Research, Akershus University Hospital, Lørenskog, Norway. Dr. Landheim, Ms. Odden, and Ms. Stuen are with the Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Brumunddal, Norway. Dr. Landheim is also with the Department of Addiction Research, University of Oslo. Professor Killaspy is with the Division of Psychiatry, University College London, London, United Kingdom.
authors.forename: Hanne
authors.initials: H
authors.lastname: Clausen
authors.affiliation: Dr. Clausen, Dr. Sverdvik Heiervang, and Professor Ruud are with the Department of Research and Development, Mental Health Services, Akershus University Hospital, Lørenskog, Norway (e-mail: hanne.kristin.clausen@ahus.no ). Dr. Clausen and Professor Ruud are also with the Institute of Clinical Medicine, University of Oslo, Oslo, Norway, where Professor Saltyte Benth is affiliated. Professor Saltyte Benth is also with the Helse Øst Centre for Health Services Research, Akershus University Hospital, Lørenskog, Norway. Dr. Landheim, Ms. Odden, and Ms. Stuen are with the Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Brumunddal, Norway. Dr. Landheim is also with the Department of Addiction Research, University of Oslo. Professor Killaspy is with the Division of Psychiatry, University College London, London, United Kingdom.
authors.forename: Anne
authors.initials: A
authors.lastname: Landheim
authors.affiliation: Dr. Clausen, Dr. Sverdvik Heiervang, and Professor Ruud are with the Department of Research and Development, Mental Health Services, Akershus University Hospital, Lørenskog, Norway (e-mail: hanne.kristin.clausen@ahus.no ). Dr. Clausen and Professor Ruud are also with the Institute of Clinical Medicine, University of Oslo, Oslo, Norway, where Professor Saltyte Benth is affiliated. Professor Saltyte Benth is also with the Helse Øst Centre for Health Services Research, Akershus University Hospital, Lørenskog, Norway. Dr. Landheim, Ms. Odden, and Ms. Stuen are with the Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Brumunddal, Norway. Dr. Landheim is also with the Department of Addiction Research, University of Oslo. Professor Killaspy is with the Division of Psychiatry, University College London, London, United Kingdom.
authors.forename: Sigrun
authors.initials: S
authors.lastname: Odden
authors.affiliation: Dr. Clausen, Dr. Sverdvik Heiervang, and Professor Ruud are with the Department of Research and Development, Mental Health Services, Akershus University Hospital, Lørenskog, Norway (e-mail: hanne.kristin.clausen@ahus.no ). Dr. Clausen and Professor Ruud are also with the Institute of Clinical Medicine, University of Oslo, Oslo, Norway, where Professor Saltyte Benth is affiliated. Professor Saltyte Benth is also with the Helse Øst Centre for Health Services Research, Akershus University Hospital, Lørenskog, Norway. Dr. Landheim, Ms. Odden, and Ms. Stuen are with the Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Brumunddal, Norway. Dr. Landheim is also with the Department of Addiction Research, University of Oslo. Professor Killaspy is with the Division of Psychiatry, University College London, London, United Kingdom.
authors.forename: Kristin Sverdvik
authors.initials: KS
authors.lastname: Heiervang
authors.affiliation: Dr. Clausen, Dr. Sverdvik Heiervang, and Professor Ruud are with the Department of Research and Development, Mental Health Services, Akershus University Hospital, Lørenskog, Norway (e-mail: hanne.kristin.clausen@ahus.no ). Dr. Clausen and Professor Ruud are also with the Institute of Clinical Medicine, University of Oslo, Oslo, Norway, where Professor Saltyte Benth is affiliated. Professor Saltyte Benth is also with the Helse Øst Centre for Health Services Research, Akershus University Hospital, Lørenskog, Norway. Dr. Landheim, Ms. Odden, and Ms. Stuen are with the Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Brumunddal, Norway. Dr. Landheim is also with the Department of Addiction Research, University of Oslo. Professor Killaspy is with the Division of Psychiatry, University College London, London, United Kingdom.
authors.forename: Hanne Kilen
authors.initials: HK
authors.lastname: Stuen
authors.affiliation: Dr. Clausen, Dr. Sverdvik Heiervang, and Professor Ruud are with the Department of Research and Development, Mental Health Services, Akershus University Hospital, Lørenskog, Norway (e-mail: hanne.kristin.clausen@ahus.no ). Dr. Clausen and Professor Ruud are also with the Institute of Clinical Medicine, University of Oslo, Oslo, Norway, where Professor Saltyte Benth is affiliated. Professor Saltyte Benth is also with the Helse Øst Centre for Health Services Research, Akershus University Hospital, Lørenskog, Norway. Dr. Landheim, Ms. Odden, and Ms. Stuen are with the Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Brumunddal, Norway. Dr. Landheim is also with the Department of Addiction Research, University of Oslo. Professor Killaspy is with the Division of Psychiatry, University College London, London, United Kingdom.
authors.forename: Helen
authors.initials: H
authors.lastname: Killaspy
authors.affiliation: Dr. Clausen, Dr. Sverdvik Heiervang, and Professor Ruud are with the Department of Research and Development, Mental Health Services, Akershus University Hospital, Lørenskog, Norway (e-mail: hanne.kristin.clausen@ahus.no ). Dr. Clausen and Professor Ruud are also with the Institute of Clinical Medicine, University of Oslo, Oslo, Norway, where Professor Saltyte Benth is affiliated. Professor Saltyte Benth is also with the Helse Øst Centre for Health Services Research, Akershus University Hospital, Lørenskog, Norway. Dr. Landheim, Ms. Odden, and Ms. Stuen are with the Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Brumunddal, Norway. Dr. Landheim is also with the Department of Addiction Research, University of Oslo. Professor Killaspy is with the Division of Psychiatry, University College London, London, United Kingdom.
authors.forename: Jurate
authors.initials: J
authors.lastname: Šaltytė Benth
authors.affiliation: Dr. Clausen, Dr. Sverdvik Heiervang, and Professor Ruud are with the Department of Research and Development, Mental Health Services, Akershus University Hospital, Lørenskog, Norway (e-mail: hanne.kristin.clausen@ahus.no ). Dr. Clausen and Professor Ruud are also with the Institute of Clinical Medicine, University of Oslo, Oslo, Norway, where Professor Saltyte Benth is affiliated. Professor Saltyte Benth is also with the Helse Øst Centre for Health Services Research, Akershus University Hospital, Lørenskog, Norway. Dr. Landheim, Ms. Odden, and Ms. Stuen are with the Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Brumunddal, Norway. Dr. Landheim is also with the Department of Addiction Research, University of Oslo. Professor Killaspy is with the Division of Psychiatry, University College London, London, United Kingdom.
authors.forename: Torleif
authors.initials: T
authors.lastname: Ruud
mesh_terms: D000328:Adult; D001007:Anxiety / Q000175:diagnosis*; D003156:Community Mental Health Services; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D015999:Multivariate Analysis; D009664:Norway; D010549:Personal Satisfaction; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life / Q000523:psychology*; D012044:Regression Analysis; D011795:Surveys and Questionnaires