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A model of subjective quality of life for outpatients with schizophrenia and other psychoses

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Abstract

This study investigated predictors of quality of life among persons with schizophrenia and other psychoses. On the basis of previous research, it was hypothesised that objective life circumstances, self-variables, psychopathology, activity level, satisfaction with daily activities, and satisfaction with medical care would be determinants of quality of life. 134 persons were investigated, and the analysis was based on Structural Equation Modelling (SEM). A model with two quality of life variables, General quality of life and Security, fitted the data best. A self-variable, Sense of self, and Satisfaction with daily activities, Psychopathology, and Satisfaction with medical care served as mediators and explained the variation in the quality of life variables. External to the mediators, and related to these, were Activity level, Educational level, and Independent living. In conclusion, a self-variable showed the strongest association with quality of life, but two aspects that should be feasible to influence in mental health care, daily activity and medical care, contributed to the subjects’ self-rated quality of life. These results render a somewhat optimistic view on how to accomplish a better self-perceived quality of life among people with severe mental illness.

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Authors and Affiliations

  1. Department of Clinical Neuroscience, Division of Occupational Therapy, Lund University, PO Box 157, SE-221, Lund, Sweden

    Mona Eklund

  2. Department of Psychology, Lund University, Lund, Sweden

    Martin Bäckström

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  1. Mona Eklund
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  2. Martin Bäckström
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Correspondence to Mona Eklund.

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Eklund, M., Bäckström, M. A model of subjective quality of life for outpatients with schizophrenia and other psychoses. Qual Life Res 14, 1157–1168 (2005). https://doi.org/10.1007/s11136-004-2960-7

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  • DOI: https://doi.org/10.1007/s11136-004-2960-7

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