The effect of service satisfaction and spiritual well-being on the quality of life of patients with schizophrenia

Mariangela Lanfredi, Valentina Candini, Chiara Buizza, Clarissa Ferrari, Maria E. Boero, Gian M. Giobbio, Nicoletta Goldschmidt, Stefania Greppo, Laura Iozzino, Paolo Maggi, Anna Melegari, Patrizio Pasqualetti, Giuseppe Rossi, Giovanni De Girolamo, S. Andreose, P. Basso, R. Beneduce, F. Bongiorno, V. Braida, E. CortinicJ. Dagani, F. De Dominicis, A. DiGiovanni, A. Ghilardi, A. JarettiSodano, L. Magni, D. Milazzo, E. Lo Presti, L. Paulon, R. Pioli, C. Ricci, L. Rillosi, G. Savio, L. Scaratti, R. Scioli, L. Veneroni, S. Zamburlini, L. Zorzella

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish
Pages (from-to)185-191
Number of pages7
JournalPsychiatry Research
Issue number2
Publication statusPublished - May 15 2014


  • Determinants
  • Quality of life
  • Residential facilities
  • Satisfaction
  • Schizophrenia
  • Spirituality

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry


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