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Determinants of subjective quality of life in post acute patients with schizophrenia

  • Andreas BechdolfM. D.Email author
  • Joachim Klosterkötter
  • Martin Hambrecht
  • Bärbel Knost
  • Christina Kuntermann
  • Sabine Schiller
  • Ralf Pukrop
ORIGINAL PAPER

Abstract.

Although Quality of Life (QoL) is of growing interest in schizophrenia research, little is known about putative causal determinants of this multidimensional construct. The present study explored the utility of objective indicators, psychopathological symptoms and psychosocial concepts drawn from empirical findings in community samples and the vulnerability-stress-coping model of schizophrenia for predicting general subjective QoL in post acute patients with schizophrenia. The analyses were based on cross-sectional data from 66 post acute patients with schizophrenia. The relationships between QoL and possible determinants were investigated using correlational analysis, regression analysis and structural equation techniques.

As a result no significant relationships between objective indicators and general QoL were found. The strongest significant determinants were depressive symptoms and the psychosocial concepts of negative coping, perceived social support and self-efficacy. The empirical causal modelling results indicated that depression led to a direct negative impact upon QoL, whereas the other determinants had direct negative or positive effects on depression and affected QoL indirectly. One could conclude that to enhance patients’ QoL, improvements in depressive symptoms, negative coping style, social support and self-efficacy seem to be most effective.

Footnotes
  1. 1.

    This work was supported by grant from the Köln Fortune Program (191/1998)/Faculty of Medicine, University of Cologne, Germany.

Key words

quality of life schizophrenia model psychosocial concepts coping 

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Copyright information

© Steinkopff Verlag 2003

Authors and Affiliations

  • Andreas BechdolfM. D.
    • 1
    Email author
  • Joachim Klosterkötter
    • 1
  • Martin Hambrecht
    • 1
  • Bärbel Knost
    • 1
  • Christina Kuntermann
    • 1
  • Sabine Schiller
    • 1
  • Ralf Pukrop
    • 1
  1. 1.Department of Psychiatry and PsychotherapyUniversity of CologneCologneGermany

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