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Subjective and objective dimensions of quality of life in psychiatric patients: A factor analytical approach: The South Verona Outcome Project 4

  • Mirella Ruggeri (a1), Richard Warner (a2), Giulia Bisoffi (a1) and Laura Fontecedro (a1)
Abstract
Background

Both subjective and objective information is necessary to assess quality of life (QOL).

Aims

To explore the role of subjective and objective QOL dimensions and their cross-sectional and longitudinal predictors.

Method

The relationship between QOL, as measured by the Lancashire Quality of Life Profile (LQL), and demographic variables, diagnosis, psychopathology, disability, functioning, affect balance, self-esteem, service use and service satisfaction was investigated at two points in time, using factor analysis and multiple regression techniques.

Results

One subjective and two objective LQL factors with strong face validity were identified. Cross-sectional predictors of the subjective factor were primarily subjective measures; longitudinally, few predictors of this factor were identified. The cross-sectional and longitudinal predictors of the objective factors were primarily demographic and observer-rated measures.

Conclusions

Subjective and objective data are distinct types of information. Objective measures may be more suitable in detecting treatment effects. Subjective information is necessary to complete the QOL picture and to enhance the interpretation of objective data.

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Copyright
Corresponding author
Professor Mirella Ruggeri, Dipartimento di Medicina e Sanità Pubblica, Sezione di Psichiatria, Università di Verona, Ospedale Policlinico, 37134 Verona, Italy. Tel: +39 045 807 4441; Fax: +39 045 58 5871; E-mail: mruggeri@borgoroma.univr.it
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Declaration of interest

This study was supported by the Istituto Superiore di Sanità (ISS), Roma, Progetto Nazionale Salute Mentale, with a grant (no.96/QT/50) to M.R.

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References
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Atkinson, M., Zibin, S. & Chuang, H. (1997) Characterizing quality of life among patients with chronic mental illness: a critical examination of self-report methodology. American Journal of Psychiatry, 154, 99105.
Barry, M. M. & Crosby, C. (1996) Quality of life as an evaluative measure in assessing the impact of community care on people with long-term psychiatric disorders. British Journal of Psychiatry, 168, 210216.
Barry, M. M. & Zissi, A. (1997) Quality of life as an outcome measure in evaluating mental health services: a review of the empirical evidence. Social Psychiatry and Pyschiatric Epidemiology, 32, 3847.
Cattell, R.B. (1978) The Scientific Use of Factor Analysis in Behavior and Life Sciences. New York: Plenum Press.
Corrigan, P. W. & Buican, B. (1995) The construct validity of subjective quality of life for the severely mentally ill. Journal of Nervous and Mental Disease, 183, 281285.
Endicott, J., Spitzer, R. L., Fleiss, J. L., et al (1976) The Global Assessment Scale: a procedure for measuring overall severity of psychiatric disturbance. Archives of General Pscyhiatry, 33, 766771.
Kaiser, W., Priebe, S., Barr, W., et al (1997) Profiles of subjective quality of life in schizophrenic in- and out-patient samples. Psychiatry Research, 66, 153166.
Katschnig, H. & Angermeyer, M. C. (1997) Quality of life in depression. In Quality of Life in Mental Disorders (eds H. Katschnig, H. Freeman, & N. Sartorius), pp. 137147. Chichester: John Wiley & Sons.
Lauer, G. (1999) Concepts of quality of life in mental health care. In Quality of Life and Mental Health Care (eds S. Priebe, J. P. J. Oliver & W. Kaiser), pp. 1934. Philadelphia, PA: Wrightson Biomedical.
Lehman, A. F. (1996) Measures of quality of life among persons with severe and persistent mental disorders. In Mental Health Outcome Measures (eds G. Thornicroft & M. Tansella), pp. 7592. Berlin: Springer
Lehman, A. F. (1999) Future research in quality of life in mental health care. In Quality of Life and Mental Health Care (eds S. Priebe, J. P. J. Oliver & W. Kaiser), pp. 118. Philadelphia: Wrightson Biomedical.
Lehman, A. F., Possidente, S. & Hawker, F. (1986) The quality of life of chronic patients in a state hospital and in community life. Hospital and Community Psychiatry, 37, 901907.
Morgado, A., Smith, M., Lecrubier, Y., et al (1991) Depressed subjects unwittingly overreport poor social adjustment which they reappraise when recovered. Journal of Nervous and Mental Disease, 179, 614619.
Oliver, J. P. J., Huxley, P. J., Bridges, K., et al (1996) Quality of Life and Mental Health Services. London: Routledge.
Oliver, J. P. J., Huxley, P. J., Priebe, S., et al (1997) Measuring the quality of life of severely mentally ill people using the Lancashire Quality of Life Profile. Social Psychiatry and Psychiatric Epidemiology, 32, 7683.
Ruggeri, M., Dall'Agnola, R., Agostini, C., et al (1994) Acceptability, sensitivity and content validity of VECS and VSSS in measuring expectation and satisfaction in psychiatric patients and their relatives. Social Psychiatry and Psychiatric Epidemiology, 29, 265276.
Ruggeri, M., Biggeri, A., Rucci, P., et al (1998) Multivariate analysis of outcome of mental health care using graphical chain models. Psychological Medicine, 28, 14211431.
Ruggeri, M., Santolini, N., Stegagano, M., et al (1999) La Qualità di Vita dei Pazienti Psichiatrici. In Epidemiologia e Psichiatria Sociale, Monograph Supplement 4. Roma: II Pensiero Scientifico Editore.
Skantze, K., Wanke, M. & Bless, H. (1994) Subjective assessments and evaluations of change: some lessons from social cognition research. In European Review of Social Psychology (eds W. Stroebe & M. Hewstone), pp. 181210. New York: John Wiley & Sons.
Sytema, S., Giel, R., Ten Horn, G.H.M.M., et al (1989) The reliability of diagnostic coding in psychiatric case registers. Psychological Medicine, 9, 9991006.
Tansella, M., (ed.) (1991) Community-based psychiatry. Long-term patterns of care in South Verona. In Psychological Medicine, Monograph Supplement 19. Cambridge: Cambridge University Press.
UK700 Group (1999) Predictors of quality of life in people with severe mental illness. Study methodology with baseline analysis in the UK700 trial. British Journal of Psychiatry, 175, 426432.
Ventura, J., Green, M. F., Shaner, A., et al (1993) Training and quality assurance with the Brief Psychiatric Rating Scale: ‘The drift busters’. International Journal of Methods in Psychiatric Research, 3, 221244.
Warner, R. (1994) Recovery from Schizophrenia. London: Routledge.
Warner, R. (1999) The emics and etics of quality of life assessment. Social Psychiatry and Psychiatric Epidemiology, 34, 117121.
Warner, R. & Huxley, P. (1998) Outcome for people with schizophrenia before and after Medicaid capitation at a community mental health center in Colorado. Psychiatric Services, 49, 802807.
Warner, R., de Girolamo, G., Belelli, G., et al (1998) The quality of life of people with schizophrenia in Boulder, Colorado, and Bologna, Italy. Schizophrenia Bulletin, 24, 559568.
World Health Organization (1988) Disability Assessment Schedule (DAS–II). Geneva: WHO.
World Health Organization (1992) The ICD–10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: WHO
WHOQOL Group (1993) Measuring Quality of Life: The Development of the World Health Organization Quality of Life Instrument (WHOQOL). Geneva: WHO.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Subjective and objective dimensions of quality of life in psychiatric patients: A factor analytical approach: The South Verona Outcome Project 4

  • Mirella Ruggeri (a1), Richard Warner (a2), Giulia Bisoffi (a1) and Laura Fontecedro (a1)
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