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Gepubliceerd in: Quality of Life Research 5/2009

01-06-2009

The value of adding the Quality of Life Enjoyment and Satisfaction Questionnaire to outcome assessments of psychiatric inpatients with mood and affective disorders

Auteurs: Madeleine L. Hope, Andrew C. Page, Geoffrey R. Hooke

Gepubliceerd in: Quality of Life Research | Uitgave 5/2009

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Abstract

Purpose

In the domain of mental health outcomes, increasing interest has been shown in complementing traditional symptom measures with measures of a patient’s quality of life. The objective of this study was to evaluate the value of including the Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) in the routine assessment battery used at a psychiatric hospital.

Methods

The sample consisted of 1,276 consecutive inpatients treated at a private psychiatric hospital over a two-year period. Admission and discharge data were collected for the Q-LES-Q, the mental health subscales of the Medical Outcomes Short Form Questionnaire (SF-36), the Depression Anxiety Stress Scales, and the Health of the Nation Outcome Scale.

Results

Large patient improvements from admission to discharge were seen across all instruments (effect sizes from 0.8 to 1.5), including the Q-LES-Q (effect size 1.3). The Q-LES-Q correlated with existing symptom measures, and regression analyses revealed that quality of life predicted length of hospital stay even after symptoms of depression and anxiety were taken into account.

Conclusions

Although the Q-LES-Q was correlated with symptom measures already in use, it added to the ability to predict patient length of stay, and showed some divergence from measures of clinical outcomes. This pattern was seen despite intentionally restricting the sample to patients with mood and affective disorder diagnoses. The value of considering quality of life in a comprehensive assessment of mental health outcomes is discussed.
Literatuur
1.
go back to reference Basu, D. (2004). Quality of life issues in mental health care: Past, present and future. German Journal of Psychiatry, 7, 35–43. Basu, D. (2004). Quality of life issues in mental health care: Past, present and future. German Journal of Psychiatry, 7, 35–43.
3.
go back to reference Ritsner, M. (2007). The distress/protection vulnerability model of quality of life impairment syndrome. In M. Ritsner & A. G. Awad (Eds.), Quality of life impairment in schizophrenia, mood and anxiety disorders: New perspectives on research and treatment. Dordrecht, The Netherlands: Springer.CrossRef Ritsner, M. (2007). The distress/protection vulnerability model of quality of life impairment syndrome. In M. Ritsner & A. G. Awad (Eds.), Quality of life impairment in schizophrenia, mood and anxiety disorders: New perspectives on research and treatment. Dordrecht, The Netherlands: Springer.CrossRef
4.
go back to reference Rapley, M. (2003). Quality of life research: A critical introduction. London: SAGE Publications. Rapley, M. (2003). Quality of life research: A critical introduction. London: SAGE Publications.
5.
go back to reference The WHOQOL Group. (1995). The World Health Organization quality of life assessment (WHOQOL): Position paper from the World Health Organization. Social Science and Medicine, 41(10), 1403–1409. doi:10.1016/0277-9536(95)00112-K.CrossRef The WHOQOL Group. (1995). The World Health Organization quality of life assessment (WHOQOL): Position paper from the World Health Organization. Social Science and Medicine, 41(10), 1403–1409. doi:10.​1016/​0277-9536(95)00112-K.CrossRef
8.
go back to reference Evans, S., et al. (2006). The impact of mental illness on quality of life: A comparison of severe mental illness, common mental disorder and healthy population samples. Quality of Life Research, 16, 17–29. doi:10.1007/s11136-006-9002-6.PubMedCrossRef Evans, S., et al. (2006). The impact of mental illness on quality of life: A comparison of severe mental illness, common mental disorder and healthy population samples. Quality of Life Research, 16, 17–29. doi:10.​1007/​s11136-006-9002-6.PubMedCrossRef
9.
go back to reference Ritsner, M., & Gibel, A. (2007). Quality of life impairment syndrome in schizophrenia. In M. S. Ritsner & A. G. Awad (Eds.), Quality of life impairment in schizophrenia, mood and anxiety disorders: New perspectives on research and treatment. Springer: Dordrecht: The Netherlands.CrossRef Ritsner, M., & Gibel, A. (2007). Quality of life impairment syndrome in schizophrenia. In M. S. Ritsner & A. G. Awad (Eds.), Quality of life impairment in schizophrenia, mood and anxiety disorders: New perspectives on research and treatment. Springer: Dordrecht: The Netherlands.CrossRef
10.
go back to reference Trompenaars, F. J., et al. (2006). Relationship between mood related disorders and quality of life in a population of Dutch adult psychiatric outpatients. Depression and Anxiety, 23, 353–363. doi:10.1002/da.20180.PubMedCrossRef Trompenaars, F. J., et al. (2006). Relationship between mood related disorders and quality of life in a population of Dutch adult psychiatric outpatients. Depression and Anxiety, 23, 353–363. doi:10.​1002/​da.​20180.PubMedCrossRef
11.
go back to reference Cramer, V., Torgersen, S., & Kringlen, E. (2007). Socio-demographic conditions, subjective somatic health, axis I disorders and personality disorders in the common population: The relationship to quality of life. Journal of Personality Disorders, 21, 552–567. doi:10.1521/pedi.2007.21.5.552.PubMedCrossRef Cramer, V., Torgersen, S., & Kringlen, E. (2007). Socio-demographic conditions, subjective somatic health, axis I disorders and personality disorders in the common population: The relationship to quality of life. Journal of Personality Disorders, 21, 552–567. doi:10.​1521/​pedi.​2007.​21.​5.​552.PubMedCrossRef
12.
go back to reference Connor, J. P., Saunders, J. B., & Feeney, G. F. X. (2006). Quality of life in substance use disorders. In H. Katschnig, H. Freeman, & N. Sartorius (Eds.), Quality of life in mental disorders (pp. 199–208). Chichester: Wiley. Connor, J. P., Saunders, J. B., & Feeney, G. F. X. (2006). Quality of life in substance use disorders. In H. Katschnig, H. Freeman, & N. Sartorius (Eds.), Quality of life in mental disorders (pp. 199–208). Chichester: Wiley.
13.
go back to reference Katschnig, H. (1997). How useful is the concept of quality of life in psychiatry? In H. Katschnig, H. Freeman, & N. Sartorius (Eds.), Quality of life in mental disorders. Chichester: Wiley. Katschnig, H. (1997). How useful is the concept of quality of life in psychiatry? In H. Katschnig, H. Freeman, & N. Sartorius (Eds.), Quality of life in mental disorders. Chichester: Wiley.
14.
go back to reference Endicott, J., et al. (1993). Quality of life enjoyment and satisfaction questionnaire: A new measure. Psychopharmacology Bulletin, 29, 321–326.PubMed Endicott, J., et al. (1993). Quality of life enjoyment and satisfaction questionnaire: A new measure. Psychopharmacology Bulletin, 29, 321–326.PubMed
16.
go back to reference Herrman, H., et al. (2002). Longitudinal investigation of depression outcomes in primary care in six countries: The LIDO study. Functional status, health service use and treatment of people with depressive symptoms. Psychological Medicine, 32, 889–902. doi:10.1017/S003329170200586X.PubMedCrossRef Herrman, H., et al. (2002). Longitudinal investigation of depression outcomes in primary care in six countries: The LIDO study. Functional status, health service use and treatment of people with depressive symptoms. Psychological Medicine, 32, 889–902. doi:10.​1017/​S003329170200586​X.PubMedCrossRef
18.
go back to reference Katschnig, H., & Angermeyer, M. C. (1997). Quality of life in depression. In H. Katschnig, H. Freeman, H. Katschnig, H. Freeman, & N. Sartorius (Eds.), Quality of life in mental disorders. Chichester: Wiley. Katschnig, H., & Angermeyer, M. C. (1997). Quality of life in depression. In H. Katschnig, H. Freeman, H. Katschnig, H. Freeman, & N. Sartorius (Eds.), Quality of life in mental disorders. Chichester: Wiley.
19.
go back to reference Fitzpatrick, R., et al. (1992). Quality of life measures in health care: I. Applications and issues in assessment. British Medical Journal, 305, 1074–1077.PubMedCrossRef Fitzpatrick, R., et al. (1992). Quality of life measures in health care: I. Applications and issues in assessment. British Medical Journal, 305, 1074–1077.PubMedCrossRef
20.
go back to reference Fletcher, A., et al. (1992). Quality of life measures in health care: II. Design, analysis and interpretation. British Medical Journal, 305, 1145–1148.PubMedCrossRef Fletcher, A., et al. (1992). Quality of life measures in health care: II. Design, analysis and interpretation. British Medical Journal, 305, 1145–1148.PubMedCrossRef
21.
go back to reference Australian Health Ministers. (1992). National mental health policy. Canberra: Commonwealth Department of Human Services and Health. Australian Health Ministers. (1992). National mental health policy. Canberra: Commonwealth Department of Human Services and Health.
22.
go back to reference National Centre for Classification in Health Publications. (2002). The international statistical classification of diseases and related health problems, tenth revision, Australian modification (ICD-10-AM) (3rd ed.). Geneva: National Centre for Classification in Health Publications. National Centre for Classification in Health Publications. (2002). The international statistical classification of diseases and related health problems, tenth revision, Australian modification (ICD-10-AM) (3rd ed.). Geneva: National Centre for Classification in Health Publications.
23.
go back to reference Ware, J. E., et al. (1993). SF-36 health survey: Manual and interpretation guide. Boston: The Health Institute, New England Medical Center. Ware, J. E., et al. (1993). SF-36 health survey: Manual and interpretation guide. Boston: The Health Institute, New England Medical Center.
24.
26.
go back to reference Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales (2nd ed.). Sydney: Psychology Foundation. Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales (2nd ed.). Sydney: Psychology Foundation.
27.
29.
go back to reference Page, A. C., Hooke, G. R., & Rutherford, E. M. (2001). Measuring mental health outcomes in a private psychiatric clinic: Health of the nation outcome scales and medical outcomes short form SF-36. The Australian and New Zealand Journal of Psychiatry, 35, 377–381. doi:10.1046/j.1440-1614.2001.00908.x.PubMedCrossRef Page, A. C., Hooke, G. R., & Rutherford, E. M. (2001). Measuring mental health outcomes in a private psychiatric clinic: Health of the nation outcome scales and medical outcomes short form SF-36. The Australian and New Zealand Journal of Psychiatry, 35, 377–381. doi:10.​1046/​j.​1440-1614.​2001.​00908.​x.PubMedCrossRef
33.
go back to reference Lyons, J., et al. (1997). Predicting readmission to the psychiatric hospital in a managed care environment: implications for quality indicators. The American Journal of Psychiatry, 154, 337–340.PubMed Lyons, J., et al. (1997). Predicting readmission to the psychiatric hospital in a managed care environment: implications for quality indicators. The American Journal of Psychiatry, 154, 337–340.PubMed
Metagegevens
Titel
The value of adding the Quality of Life Enjoyment and Satisfaction Questionnaire to outcome assessments of psychiatric inpatients with mood and affective disorders
Auteurs
Madeleine L. Hope
Andrew C. Page
Geoffrey R. Hooke
Publicatiedatum
01-06-2009
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 5/2009
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-009-9478-y

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