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Quality of Life Research
Gepubliceerd in: Quality of Life Research 2/2008

01-03-2008

Determinants of objective and subjective quality of life in first-time-admission schizophrenic patients in Poland: a longitudinal study

Auteurs: Krystyna Górna, Krystyna Jaracz, Filip Rybakowski, Janusz Rybakowski

Gepubliceerd in: Quality of Life Research | Uitgave 2/2008

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Abstract

Objectives

This study involved a naturalistic, prospective project assessing objective and subjective dimensions of quality of life (QoL) and the range of its putative determinants in first-episode schizophrenia.

Methods

Seventy-four patients, mean age 24.7 years, participated in the study. The patients were assessed 1 month following the first hospitalisation (Time 1), 12 months later (Time 2), and 4–6 years after Time 1 (Time 3). The Social Functioning Scale and World Health Organisation Quality of Life-BREF (WHOQOL-BREF) were applied to evaluate objective and subjective QoL, respectively. The Positive and Negative Syndrome Scale was used to examine psychopathological status, and the Global Assessment Scale was applied to evaluate social adjustment prior to hospitalisation.

Results

The objective and subjective QoL was relatively low at Time 1. Over time, the objective QoL improved in three domains, decreased in one domain, and remained stable in three domains. The subjective QoL did not change. The most important predictors of both dimensions of QoL were psychopathology and duration of untreated psychosis.

Conclusions

Because psychopathology seems to have the greatest impact on the QoL, there is a need to develop community psychosocial treatment to reduce these symptoms and to support patients in the early phase of the disease.
vorige artikel Tooth loss, chewing ability and quality of life
volgende artikel Is parental rearing an associated factor of quality of life in adulthood?
Literatuur
1.
Katsching, H. (2006). Quality of life in mental disorders: Challenges for research and clinical practice. World Psychiatry, 5, 139–145.
2.
Farkhoury, W. K. H., & Priebe S. (2002). Subjective quality of life: its association with other constructs. International Review of Psychiatry, 14, 219–224.CrossRef
3.
Lauer, G. (1999). Concepts of quality of life in mental health care. In: Priebe, S., Oliver, J. P. J., & Kaiser, W. (Eds.), Quality of life and mental health care (pp. 19–34). Philadelphia, PA: Wrightson Biomedical.
4.
Ruggeri, M., Warner, R., Bissofi, G., & Fontecedro, L. (2001). Subjective and objective dimensions of quality of life in psychiatric patients: A factor analytical approach. The South-Verona Outcome Project 4. British Journal of Psychiatry, 178, 268–275.PubMedCrossRef
5.
Addington, J., Young, J., & Addington, D. (2003). Social outcome in early psychosis. Psychological Medicine, 33, 1119–1124.PubMedCrossRef
6.
Browne, S., Clarke, M., Gervin, M., Waddington, J. L., Larkin, C., & O’Callaghan, E. (2000). Determinants of quality of life at first presentation with schizophrenia British Journal of Psychiatry, 176, 173–176.PubMedCrossRef
7.
Galletly, Ch., Clark, C. R., McFarlane, A. C., & Weber, D. (1997). Relationships between changes in symptoms rating, neuropsychological test performance and quality of life in schizophrenic patients treated with clozapine. Psychiatry Research, 72, 161–166.PubMedCrossRef
8.
Ho, B., Nopoulos, P., Flaum, M., Arndt, S., & Andreasen, N. (1998). Two-year outcome in first-episode schizophrenia: Predictive value of symptoms for quality of life. American Journal of Psychiatry, 155, 1196–1201.PubMed
9.
Hofer, A., Rettenbacher, M., Widschwendter, Ch., Kemmler, G., Hummer, M., & Fleischhacker, W. W. (2006). Correlates of subjective and functional outcomes in outpatient clinic attendees with schizophrenia and schizoaffective disorder. European Archives of Psychiatry and Clinical Neurosciences, 256, 246–255.CrossRef
10.
Karow, A., Moritz, S., Lambert, M., Schoder, S., & Krausz, M. (2005). PANSS syndromes and quality of life in schizophrenia. Psychopathology, 38, 320–326.PubMedCrossRef
11.
Priebe, S., Roeder-Wanner, U. U., & Kaiser, W. (2000). Quality of life in first-admitted schizophrenia patients: A follow-up study. Psychological Medicine, 30, 225–230.PubMedCrossRef
12.
Clarke, M., Whitty, P., Browne, S., McTigue, O., Kamali, M., Gervin, M., Kinsella, A., Paddington, J. L., Larkin, C., & O’Callaghan, E. (2006). Untreated illness and outcome of psychosis. British Journal of Psychiatry, 189, 235–240.PubMedCrossRef
13.
Drake, R. J., Haley, C. J., Akhtar, S., & Lewis, S. W. (2000). Causes and consequences of duration of untreated psychosis in schizophrenia. British Journal of Psychiatry, 177, 511–515.PubMedCrossRef
14.
Bailer, J., Brauer, W., & Rey, E-R. (1996). Premorbid adjustment as predictor of outcome in schizophrenia: Results of a prospective study. Acta Psychiatrica Scandinavica, 93, 368–377.PubMedCrossRef
15.
Haim, R., Rabinowitz, J., & Bromet, E. (2006). The relationship of premorbid functioning to illness course in schizophrenia and psychotic mood disorders during two years following first hospitalization. Journal of Nervous and Mental Disease, 194, 791–795.PubMedCrossRef
16.
Malla, A. K., Norman, R. M., Manchada, R., & Townsend, L. (2002). Symptoms, cognition, treatment adherence and functional outcome in first-episode psychosis. Psychological Medicine, 32, 1109–1119.PubMedCrossRef
17.
Eack, S. M., Newhill, Ch. E., Anderson, C. M., & Rotondi, A. J. (2007). Quality of life for persons living with schizophrenia: More than just symptoms. Psychiatric Rehabilitation Journal, 30, 219–222.PubMedCrossRef
18.
Howard, L., Leese, M., & Thornicroft, G. (2000). Social network and functional status in patients with psychosis. Acta Psychiatrica Scandinavica, 102, 376–385.PubMedCrossRef
19.
Haddock, G., Lewis, S., Bental, S., Dunn, G., Drake, R., & Tarrier, N. (2006). Influence of age on outcome of psychological treatment in first–episode of schizophrenia. British Journal of Psychiatry, 188, 250–254.PubMedCrossRef
20.
Roder-Wanner, U-U., & Priebe, S. (1998). Objective and subjective quality of life of first–admitted women and men with schizophrenia. European Archives of Psychiatry and Clinical Neuroscience, 248, 250–258.PubMedCrossRef
21.
Thornicroft, G., Leese, M., Tansella, M., Howard, L., Toulmin, H., Herran, A., & Schene, A. (2002). Gender differences in living with schizophrenia. A cross-sectional European multi-site study. Schizophrenia Research, 57, 191–200.PubMedCrossRef
22.
Bechdolf, A., Klosterkotter, J., Hambrecht, M., Knost, B., Kuntermann, Ch., Schiller, S., & Pukrop, R. (2003). Determinants of subjective quality of life in post acute patients with schizophrenia. European Archives of Psychiatry and Clinical Neuroscience, 253, 228–235.PubMedCrossRef
23.
Hansson, L., & Bjorkman, T. (2007). Are factors associated with subjective quality of life in people with severe mental illness consistent over time?–A 6-year follow-up study. Quality of Life Research, 16, 9–16.PubMedCrossRef
24.
Norman, R. M. G., Malla, A. K., McLean, T., Voruganti, L. P. N., Cortes, L., McIntosh, E., Cheng, S., & Rickwood, A. (2000). The relationship of symptoms and level of functioning in schizophrenia to general wellbeing and the Quality of Life Scale. Acta Psychiatrica Scandinavica, 102, 303–309.PubMedCrossRef
25.
Sim, K., Mahendran, R., Siris, S. G., Heckers, S., & Chong, S. A. (2004). Subjective quality of life in first episode schizophrenia spectrum disorders with comorbid depression. Psychiatry Research, 129, 141–147.PubMedCrossRef
26.
Caron, J., Lecomte, Y., Stip, E., & Renaud, S. (2005). Predictors of quality of life in schizophrenia. Community Mental Health Journal, 41, 399–417.PubMedCrossRef
27.
Malla, A. K., Norman, R. M. G., McLean, T. S., MacDonald, C., McIntosh, E., Dean-Lashley, F., Lynch, J., Scholten, D., & Ahmed, R. (2004). Determinants of quality of life in first-episode psychosis. Acta Psychiatrica Scandinavica, 109, 46–54.PubMedCrossRef
28.
Ritsner, M., Gibel, A., & Ratner, Y. (2006). Determinants of changes in perceived quality of life in the course of schizophrenia. Quality of Life Research, 15, 515–526.PubMedCrossRef
29.
Malla, A., & Payne, J. (2005). First-episode psychosis: Psychopathology, quality of life, and functional outcome. Schizophrenia Bulletin, 31, 650–671.PubMedCrossRef
30.
Gupta, S., Andreasen, N. C., Arndt, S., Flaum, M., Hubbard, W., & Ziebell, S. (1997). The Iowa longitudinal study of recent onset psychosis: One-year follow-up of first episode patients. Schizophrenia Research, 23, 1–13.PubMedCrossRef
31.
Gorna, K., Jaracz, K., Rybakowski, F. (2005). Objective and subjective quality of life in schizophrenic patients after a first hospitalization. Roczniki Akademii Medycznej w Białymstoku, 50, 225–227.PubMed
32.
Cechnicki, A. (2001). Quality of life of schizophrenic patients–the results of authors’ own research. Psychoterapia, 2, 5–17.
33.
World Health Organization. (1992). Schedule for clinical assessment in psychiatry. WHO: Geneva.
34.
Załuska, M. (1997). Skala Funkcjonowania Społecznego (SFS) Birchwooda jako narzędzie oceny funkcjonowania chorych na schizofrenię. Postępy Psychiatrii i Neurologii, 6, 237–251.
35.
Birchwood, M., Smith, J., Cochrane, R., Wetton, S., & Copestake, S. (1990). The Social Functioning Scale. The development and validation of a new scale of social adjustment for use in family intervention programmes with schizophrenic patients. British Journal of Psychiatry, 157, 853–859.PubMed
36.
Jaracz, K., Kalfoss, M., Górna, K., & Bączyk, G. (2006). Quality of life in Polish respondents: Psychometric properties of the Polish WHOQOL - Bref. Scandinavian Journal of Caring Sciences, 20, 251–260.PubMedCrossRef
37.
Skevington, S. M., Lotfy, M., & O’Connell, K. A. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A report from WHOQOL Group. Quality of Life Research, 13, 299–310.PubMedCrossRef
38.
Kay, S. R. (1987). The Positive and Negative Symptom Scale (PANSS) of schizophrenia. Schizophrenia Bulletin, 13, 261–276.PubMed
39.
Lindenmayer, J. P., Bernstein-Hyman, R., & Grochowski, S. (1994). Five-factor model of schizophrenia. Journal of Nervous and Mental Disease, 182, 631–638.PubMedCrossRef
40.
Endicott, J., Spitzer, R. L., Fleiss, J. L., & Cohen, J. (1976). The Global Assessment Scale. Archives of General Psychiatry, 33, 766–771.PubMed
41.
King B. M., & Minium E. W. (2003). Statistical reasoning in psychology and education. (4th ed.) New York: Wiley.
42.
Molenberghs, G., Thijs, H., Jansen, I., Beunckens, C., Kenward, M.G., Mallinckrod, C., & Carroll, R. J. (2004). Analyzing incomplete longitudinal clinical trial data. Biostatistics, 5, 445–464.PubMedCrossRef
43.
SPSS 12.0: SPSS brief guide. (2004). Chicago Inc.
44.
Fitzgerald, P. B., de Castella, R. A., Filia, K., Collins, J., Brewer, K., Williams, C. L., Davey, P., & Kulkarni, J. (2003). A longitudinal study of patient- and observer-rated quality of life in schizophrenia. Psychiatry Research, 119, 55–62.PubMedCrossRef
45.
Malla, A. K., Norman, R. M. G., McLean, T. S., & McIntosh, E. (2001). Impact of phase-specific treatment of first episode of psychosis on Wisconsin Quality of Life Index (client version). Acta Psychiatrica Scandinavica, 103, 355–361.PubMedCrossRef
46.
McGorry, P. D., Ewards, J., Michalopoulos, C., Harrigan, S. M., & Jackson, H. J. (1996). EPPIC: An evolving system of early detection and optimal management. Schizophrenia Bulletin, 22, 305–326.PubMed
47.
Sim, K., Chan, Y. H., Chua, T. H., Mahendran, R., Chong, S. A., McGorry, P. (2006). Physical comorbidity, insight, quality of life and global functioning in first episode schizophrenia: A 24–month, longitudinal outcome study. Schizophrenia Research, 88, 82–89.PubMedCrossRef
48.
Salome, F., Petitjean, F., Germain, C., & Demant J. C. (2004). The subjective quality of life of patients with schizophrenia: Influence of psychopathology and patients’ expectations. A comparative study. Encephale, 30, 60–68.PubMedCrossRef
49.
Harris, M. G., Henry, L. P., Harrigan, S. M., Purcell, R., Schwartz, O. S., Farrelly, S. E., Prosser, A. L., Jackson, H. J., & McGorry, P. D. (2005). The relationship between duration of untreated psychosis and outcome: An eight-year prospective study. Schizophrenia Research, 79, 85–93.PubMedCrossRef
50.
Huppert, J. D., Weis, K. A., Lim, R., Pratt, S., & Smith, T. E. (2001). Quality of life in schizophrenia: Contributions of anxiety and depression. Schizophrenia Research, 51, 171–180.PubMedCrossRef
51.
Eklund, M., & Bäckström, M. (2005). A model of subjective quality of life for outpatients with schizophrenia and other psychoses. Quality of Life Research, 14, 1157–1168.PubMedCrossRef
52.
Mercier, C., & King, S. (1994). A latent variable causal model of the quality of life and community tenure of psychotic patients. Acta Psychiatr Scandivca, 89, 72–77.CrossRef
53.
Rüesch, P., Graf, J., Meyer, P. C., Rössler, W., & Hell, D. (2004). Occupation, social support and quality of life in persons with schizophrenia or affective disorders. Social Psychiatry and Psychiatric Epidemiology, 39, 686–694.PubMedCrossRef
54.
Zissi, A., Barry, M. M., & Cochrane, R. (1998). A mediational model of quality of life for individuals with severe mental health problems. Psychological Medicine, 28, 1221–1230.PubMedCrossRef
55.
Awad, A. G., Voruganti, L. N. P., & Helsegrave, R. J. (1997). A conceptual model of quality of life in schizophrenia: Description and preliminary clinical validation. Quality Life Research, 6, 21–26.CrossRef
56.
Ritsner, M., Ben-Avi. I., Ponizovsky, A., Timinsky, I., Bistrov, E., & Modai, I. (2003). Quality of life and coping with schizophrenia symptoms. Quality of Life Research, 12, 1–9.PubMedCrossRef
57.
Ritsner, M. (2003). Predicting changes in domain-specific quality of life of schizophrenia patients. Journal Nervous Mental Disease, 191, 287–294.CrossRef
Metagegevens
Titel
Determinants of objective and subjective quality of life in first-time-admission schizophrenic patients in Poland: a longitudinal study
Auteurs
Krystyna Górna
Krystyna Jaracz
Filip Rybakowski
Janusz Rybakowski
Publicatiedatum
01-03-2008
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 2/2008
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-007-9296-z

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