TY - JOUR
T1 - The effect of service satisfaction and spiritual well-being on the quality of life of patients with schizophrenia
AU - Lanfredi, Mariangela
AU - Candini, Valentina
AU - Buizza, Chiara
AU - Ferrari, Clarissa
AU - Boero, Maria E.
AU - Giobbio, Gian M.
AU - Goldschmidt, Nicoletta
AU - Greppo, Stefania
AU - Iozzino, Laura
AU - Maggi, Paolo
AU - Melegari, Anna
AU - Pasqualetti, Patrizio
AU - Rossi, Giuseppe
AU - De Girolamo, Giovanni
AU - Andreose, S.
AU - Basso, P.
AU - Beneduce, R.
AU - Bongiorno, F.
AU - Braida, V.
AU - Cortinic, E.
AU - Dagani, J.
AU - De Dominicis, F.
AU - DiGiovanni, A.
AU - Ghilardi, A.
AU - JarettiSodano, A.
AU - Magni, L.
AU - Milazzo, D.
AU - Presti, E. Lo
AU - Paulon, L.
AU - Pioli, R.
AU - Ricci, C.
AU - Rillosi, L.
AU - Savio, G.
AU - Scaratti, L.
AU - Scioli, R.
AU - Veneroni, L.
AU - Zamburlini, S.
AU - Zorzella, L.
PY - 2014/5/15
Y1 - 2014/5/15
N2 - Quality of life (QOL) has been considered an important outcome measure in psychiatric research and determinants of QOL have been widely investigated. We aimed at detecting predictors of QOL at baseline and at testing the longitudinal interrelations of the baseline predictors with QOL scores at a 1-year follow-up in a sample of patients living in Residential Facilities (RFs). Logistic regression models were adopted to evaluate the association between WHOQoL-Bref scores and potential determinants of QOL. In addition, all variables significantly associated with QOL domains in the final logistic regression model were included by using the Structural Equation Modeling (SEM). We included 139 patients with a diagnosis of schizophrenia spectrum. In the final logistic regression model level of activity, social support, age, service satisfaction, spiritual well-being and symptoms[U+05F3] severity were identified as predictors of QOL scores at baseline. Longitudinal analyses carried out by SEM showed that 40% of QOL follow-up variability was explained by QOL at baseline, and significant indirect effects toward QOL at follow-up were found for satisfaction with services and for social support. Rehabilitation plans for people with schizophrenia living in RFs should also consider mediators of change in subjective QOL such as satisfaction with mental health services.
AB - Quality of life (QOL) has been considered an important outcome measure in psychiatric research and determinants of QOL have been widely investigated. We aimed at detecting predictors of QOL at baseline and at testing the longitudinal interrelations of the baseline predictors with QOL scores at a 1-year follow-up in a sample of patients living in Residential Facilities (RFs). Logistic regression models were adopted to evaluate the association between WHOQoL-Bref scores and potential determinants of QOL. In addition, all variables significantly associated with QOL domains in the final logistic regression model were included by using the Structural Equation Modeling (SEM). We included 139 patients with a diagnosis of schizophrenia spectrum. In the final logistic regression model level of activity, social support, age, service satisfaction, spiritual well-being and symptoms[U+05F3] severity were identified as predictors of QOL scores at baseline. Longitudinal analyses carried out by SEM showed that 40% of QOL follow-up variability was explained by QOL at baseline, and significant indirect effects toward QOL at follow-up were found for satisfaction with services and for social support. Rehabilitation plans for people with schizophrenia living in RFs should also consider mediators of change in subjective QOL such as satisfaction with mental health services.
KW - Determinants
KW - Quality of life
KW - Residential facilities
KW - Satisfaction
KW - Schizophrenia
KW - Spirituality
UR - http://www.scopus.com/inward/record.url?scp=84896983294&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84896983294&partnerID=8YFLogxK
U2 - 10.1016/j.psychres.2014.01.045
DO - 10.1016/j.psychres.2014.01.045
M3 - Article
C2 - 24582503
AN - SCOPUS:84896983294
VL - 216
SP - 185
EP - 191
JO - Psychiatry Research
JF - Psychiatry Research
SN - 0165-1781
IS - 2
ER -