Determinants of quality of life in first-episode psychosis

Autor: C MacDonald, Terry S. McLean, Derek J. Scholten, Ross M.G. Norman, Ashok Malla, Jill Lynch, Elizabeth M McIntosh, F Dean-Lashley, Rashid Ahmed
Rok vydání: 2004
Předmět:
Zdroj: Acta Psychiatrica Scandinavica. 109:46-54
ISSN: 1600-0447
0001-690X
DOI: 10.1046/j.0001-690x.2003.00221.x
Popis: Objective: To assess patient and/or illness characteristics associated with aspects of quality of life (QOL) in first-episode psychosis (FEP). Method: Patient characteristics, symptom ratings and Wisconsin QOL scale (client version) were assessed. Data were analysed with correlation coefficients and a hierarchical regression analysis. Results: Patients presented with varying levels of QOL on different domains. The level of ‘general satisfaction’ was related to age of onset and social premorbid adjustment; ‘weighted index of QOL’ to social premorbid adjustment and inversely to educational premorbid adjustment; ‘social relations’ inversely to duration of untreated psychosis (DUP), length of prodrome and negative symptoms; ‘psychological well-being’ inversely to depression and educational premorbid adjustment; ‘activities of daily living’ to social premorbid adjustment and inversely to negative symptoms; and ‘outlook on symptoms’ to level of depression. Conclusion: Domains of self-rated QOL in FEP patients are differentially associated with malleable and non-malleable aspects of patient and illness characteristics.
Databáze: OpenAIRE
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