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To examine personal and environmental contextual factors as mediators of functional disability on quality of life (QOL) in a sample of individuals with serious mental illness (SMI).
A cross-sectional analysis of 194 individuals with SMI (major depressive disorder = 38.1%; bipolar disorder = 35.6%; schizophrenia spectrum disorder = 25.8%) recruited from four psychosocial rehabilitation clubhouses was undertaken to test a multiple regression model assuming that personal (i.e., resilience, social competence, and disability acceptance) contextual factors and environmental (i.e., family support, support from friends, and support from significant others) contextual factors would mediate the relationship of functional disability on QOL. The bootstrap test for multiple mediators was then used to test for the significance of the indirect effects functional disability on QOL through the mediators.
In the simple regression model, functional disability had a strong relationship with QOL; however, after introducing the potential mediators, its effect was significantly reduced indicating partial mediation effects. The final regression model yielded a large effect, accounting for 44% of the variance in QOL. Controlling for all other potential mediating factors, social competence, disability acceptance, family support, and support from friends were found to partially mediate the relationship between functional disability and QOL. Bias-corrected bootstrap procedure results further supported the mediation model.
The findings from the study provide good support for the inclusion of person–environment contextual factors in conceptualizing the relationship between functional disability and QOL for individuals with SMI.
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Barton, R. (1998). The rehabilitation-recovery paradigm: A statement of philosophy for a public mental health system. Psychiatric Rehabilitation Skills, 2, 171–187. CrossRef
World Health Organization. (2001). International classification of functioning, disability and health: ICF. Geneva: Author.
Substance Abuse and Mental Health Services Administration. (2016). Behind the term: Serious mental illness. Retrieved from https://nrepp-learning.samhsa.gov/sites/default/files/documents/behind_the_term/pdf_07_26_2017/Behind_the_Term_SMI_7.2017.pdf.
Barnes, A. L., Murphy, M. E., Fowler, C. A., & Rempfer, M. V. (2012). Health-related quality of life and overall life satisfaction in people with serious mental illness. Schizophrenia Research and Treatment, 245103, 1–6. CrossRef
Mas-Expósito, L., Amador-Campos, J. A., Gómez-Benito, J., & Lalucat-Jo, L. (2011). The World Health Organization Quality of Life Scale Brief Version: A validation study in patients with schizophrenia. Quality of Life Research, 20, 1079–1089. CrossRef
Sánchez, J., Rosenthal, D. A., Tansey, T. N., Frain, M. P., & Bezyak, J. L. (2016). Predicting quality of life in adults with severe mental illness: Extending the International Classification of Functioning. Disability, and Health. Rehabilitation Psychology, 61, 19–31. CrossRef
Anderson, R. L., & Lewis, D. A. (2000). Quality of life of persons with severe mental illness living in an intermediate care facility. Journal of Clinical Psychology, 56, 575–581. CrossRef
Norman, R. M. G., Malla, A. K., McLean, T., Voruganti, L. P. N., Cortese, L., McIntosh, E., et al. (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. CrossRef
Calsyn, R. J., Morse, G. A., Tempelhoff, B., Smith, R., & Allen, G. (1995). Homeless mentally ill clients and the quality of life. Evaluation and Program Planning, 18, 219–225. CrossRef
Yu, N. X., Liu, C., & Yue, Z. (2017). Resilience mediated the association between acculturation and psychological growth in college students from Hong Kong to Guangzhou, China. Journal of Mental Health, 26, 326–333. CrossRef
Ferrin, J., Chan, F., Chronister, J., & Chiu, C.-Y. (2011). Psychometric validation of the Multidimensional Acceptance of Loss Scale. Clinical Rehabilitation, 25, 166–174. CrossRef
Trompenaars, F. J., Masthoff, E. D., van Heck, G. L., de Vries, J., & Hodiamont, P. P. (2007). Relationships between social functioning and quality of life in a population of Dutch adult psychiatric patients. International Journal of Social Psychiatry, 53, 36–47. CrossRef
World Health Organization. (2002). Towards a common language for functioning, disability, and health: ICF. Geneva: Author.
Anthony, W. A., Cohen, M., & Farkas, M. (1990). Psychiatric rehabilitation. Boston: Boston University Centre for Psychiatric Rehabilitation.
Lam, J. A., & Rosenheck, R. (1999). Social support and service use among homeless persons with serious mental illness. International Journal of Social Psychiatry, 45, 13–28. CrossRef
Burns, D. D., Sayers, S. L., & Moras, K. (1994). Intimate relationships and depression: Is there a causal connection? Journal of Consulting and Clinical Psychology, 62, 1033–1043. CrossRef
Baker, F., Jodrey, D., & Intagliata, J. (1992). Social support and quality of life of community support clients. Community Mental Health Journal, 28, 397–411. CrossRef
Brunt, D., & Hansson, L. (2009). The social networks of persons with severe mental illness in in-patient settings and supported community settings. Journal of Mental Health, 11, 611–621. CrossRef
Caron, J., Tempier, R., Mercier, C., & Leouffre, P. (1998). Components of social support and quality of life in severely mentally ill, low income individuals and a general population group. Community Mental Health Journal, 34, 459–475. CrossRef
Eack, S. M., Newhill, C. 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. CrossRef
Greenberg, J. S., Knudsen, K. J., & Aschbrenner, K. A. (2006). Prosocial family processes and the quality of life of persons with schizophrenia. Psychiatric Services, 57, 1771–1777. CrossRef
Hansson, L., Middelboe, T., Merinder, L., Bjarnason, O., Bengtsson-Tops, A., Nilsson, L., et al. (1999). Predictors of subjective quality of life in schizophrenic patients living in the community. A Nordic multicentre study. International Journal of Social Psychiatry, 45, 247–258. CrossRef
Helgeson, V. S. (2003). Social support and quality of life. Quality of Life Research, 12(Suppl 1), 25–31. CrossRef
Prince, P. N., & Gerber, G. J. (2005). Subjective well-being and community integration among clients of assertive community treatment. Quality of Life Research, 14, 161–169. CrossRef
Üstün, T. B., Kostanjsek, N., Chatterji, S., & Rehm, J. (2010). Measuring health and disability: Manual for WHO Disability Assessment Schedule (WHODAS 2.0). Geneva: World Health Organization.
Sánchez, J. (2014). Using the World Health Organization’s international classification of functioning, disability, and health (ICF) model as a framework to predict participation and quality of life (QOL) in adults with severe mental illness (Doctoral dissertation). Available from ProQuest Dissertations and Theses database (UMI No. 3636073).
Smith, B. W., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., & Bernard, J. (2008). The Brief Resilience Scale: Assessing the ability to bounce back. International Journal of Behavioral Medicine, 15, 194–200. CrossRef
Di Giunta, L., Eisenberg, N., Kupfer, A., Steca, P., Tramontano, C., & Caprara, G. V. (2010). Assessing perceived empathic and social self-efficacy across countries. European Journal of Psychological Assessment, 26(2), 77–86. CrossRef
Sánchez, J., Umucu, E., Schoen, B., Barnes, E. F., Chan, F., & Bezyak, J. L. (2016). Measurement structure of an abbreviated and modified version of the Adaptation to Disability Scale-Revised for individuals with severe mental illness. Journal of Applied Rehabilitation Counseling, 47(3), 41–49.
Tansey, T. N., Kaya, C., Moser, E., Eagle, D., Dutta, A., & Chan, F. (2016). Psychometric validation of the Brief Resilience Scale in a sample of vocational rehabilitation consumers. Rehabilitation Counseling Bulletin, 59, 108–111. CrossRef
Sánchez, J., Pfaller, J. S., Sung, C., Bezyak, J. L., Iwanaga, K., Chen, S.-M., et al. (2016). Factorial validity of the Perceived Empathic and Social Self-Efficacy Scale for adults with serious mental illness: A brief report. Australian Journal of Rehabilitation Counselling, 22, 135–146. CrossRef
Sánchez, J., Pfaller, J. S., Sung, C., Bezyak, J. L., Iwanaga, K., Chen, S.-M., et al. (2017). Factorial validity of the Perceived Empathic and Social Self-Efficacy Scale for adults with serious mental illness: A brief report - ERRATUM. Australian Journal of Rehabilitation Counselling, 23, 112.
Linkowski, D. C. (1971). A scale to measure acceptance of disability. Rehabilitation Counseling Bulletin, 14, 236–244.
Groomes, D. A. G., & Linkowski, D. C. (2007). Examining the structure of the Revised Acceptance Disability Scale. Journal of Rehabilitation, 73(3), 3–9.
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52, 30–41. CrossRef
Cecil, H., Stanley, M. A., Carrion, P. G., & Swann, A. (1995). Psychometric properties of the MSPSS and NOS in psychiatric outpatients. Journal of Clinical Psychology, 51, 593–602. CrossRef
Baker, F., & Intagliata, J. (1982). Quality of life in the evaluation of community support systems. Evaluation and Program Planning, 5, 69–79. CrossRef
Sharir, D., Tanasescu, M., Turbow, D., & Maman, Y. (2007). Social support and quality of life among psychiatric patients in residential homes. International Journal of Psychosocial Rehabilitation, 11(1), 81–91.
Yasien, S., Alvi, T., & Moghal, F. (2013). Does perceived social support predict quality of life in psychiatric patients? Asian Journal of Social Sciences and Humanities, 2, 32–41.
Young, K. M. (2004). Factors predicting overall life satisfaction for people with long-term mental illness factors. International Journal of Psychosocial Rehabilitation, 9, 23–35.
Barbato, A., Monzani, E., & Schiavi, T. (2004). Life satisfaction in a sample of outpatients with severe mental disorders: A survey in Northern Italy. Quality of Life Research, 13, 969–973. CrossRef
Middelboe, T., Mackeprang, T., Thalsgaard, A., & Christiansen, P. B. (1998). A housing support programme for the mentally ill: Need profile and satisfaction among users. Acta Psychiatrica Scandinavica, 98, 321–327. CrossRef
Fox-Wasylyshyn, S. M., & El-Masri, M. M. (2005). Focus on research methods: Handling missing data in self-report measures. Research in Nursing and Health, 28, 488–495. CrossRef
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891. CrossRef
Faul, F., Erdfelder, E., Buchner, A. G., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 1149–1160. CrossRef
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191. CrossRef
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Erlbaum.
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. CrossRef
MacKinnon, D. P., Lockwood, C. M., Hoffman, J. M., West, S. G., & Sheets, V. (2002). A comparison of methods to test mediation and other intervening variable effects. Psychological Methods, 7, 83–104. CrossRef
Hoyt, W. T., Imel, Z. E., & Chan, F. (2008). Multiple regression and correlation techniques: Recent controversies and best practices. Rehabilitation Psychology, 53, 321–339. CrossRef
Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis. New York: Guilford Press.
Smith, M. J., & Greenberg, J. S. (2007). The influence of sibling relationships on the quality of life of adults with schizophrenia. Paper presented at the 11th annual meeting of the Society for Social Work and Research (SSWR), San Francisco.
Panadero Herrero, S. (2011). Quality of life and psychosocial functioning in people with severe and chronic mental diseases. Anuario de Psicología Clínica y de la Salud, 7, 51–59.
Hawkins, R., & Abrams, C. (2007). Disappearing acts: The social networks of formerly homeless individuals with co-occurring disorders. Social Science & Medicine, 65, 2031–2042. CrossRef
Padgett, D. K., Henwood, B., Abrams, C., & Drake, R. E. (2008). Social relationships among persons who have experienced serious mental illness, substance abuse, and homelessness: Implications for recovery. American Journal of Orthopsychiatry, 78, 333–339. CrossRef
Butler, J., & Kern, M. L. (2016). The PERMA-Profiler: A brief multidimensional measure of flourishing. International Journal of Wellbeing, 6(3), 1–48. CrossRef
Diener, E., Oishi, S., & Lucas, R. (2009). Subjective well-being: The science of happiness and life satisfaction. In S. J. Lopez & C. R. Snyder (Eds.), The Oxford handbook of positive psychology (2nd ed.). Oxford: Oxford University Press.
Seligman, M. E. P. (2011). Flourish. New York: Free Press.
Hasson-Ohayon, I., Kravetz, S., Levy, I., & Roe, D. (2009). Metacognitive and interpersonal interventions for persons with severe mental illness: Theory and practice. The Israel Journal of Psychiatry and Related Sciences, 46, 141–148. PubMed
Lin, C.-P., Wang, C.-C., Fujikawa, M., Brooks, J., Eastvold-Walton, L., Maxwell, K., & Chan, F. (2013). Psychometric validation of the Brief Adaptation to Disability Scale-Revised for persons with spinal cord injury in Taiwan. Rehabilitation Research, Policy, and Education, 27, 223–231. CrossRef
Sánchez, J., Sung, C., Phillips, B. N., Tschopp, M. K., Muller, V., Lee, H.-L., & Chan, F. (in press). Predictors of perceived social effectiveness of individuals with serious mental illness. Psychiatric Rehabilitation Journal. https://doi.org/10.1037/prj0000321.
Bach, P., & Hayes, S. C. (2002). The use of Acceptance and Commitment Therapy to prevent rehospitalization of psychotic patients: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 70, 1129–1139. CrossRef
Corrigan, P. W., Rao, D., & Lam, C. S. (2005). Psychiatric rehabilitation. In F. Chan, M. Leahy, & J. Saunders (Eds.), Case management for rehabilitation health professionals (Vol. 2, pp. 132–163). Osage Beach: Aspen Professional Services.
Tschopp, M. K., & Frain, M. (2009). Psychiatric rehabilitation. In F. Chan, E. D. Cardoso, & J. A. Chronister (Eds.), Understanding psychosocial adjustment to chronic illness and disability: A handbook for evidence-based practitioners in rehabilitation (pp. 371–398). New York: Springer.
Hayes, A. F., Preacher, K. J., & Myers, T. A. (2011). Mediation and the estimation of indirect effects in political communication research. In E. P. Bucy & R. L. Holbert (Eds.), The sourcebook for political communication research: Methods, measures, and analytical techniques (pp. 434–465). New York: Routledge.
Krumpal, I. (2013). Determinants of social desirability bias in sensitive surveys: A literature review. Quality & Quantity, 47, 2025–2047. CrossRef
Eisen, S. V., Bottonari, K. A., Glickman, M. E., Spiro, A. III, Schultz, M. R., Herz, L., et al. (2011). The incremental value of self-reported mental health measures in predicting functional outcomes of veterans. The Journal of Behavioral Health Services and Research, 38, 170–190. CrossRef
- Personal and environmental contextual factors as mediators between functional disability and quality of life in adults with serious mental illness: a cross-sectional analysis
Jessica M. Brooks
- Springer International Publishing
Quality of Life Research
An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation - Official Journal of the International Society of Quality of Life Research
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649