Listening to patients' needs to improve their subjective quality of life
| Autor: | Giovanni Salvi, Albiirto Parabiaghi, Francesca Malchiodi, Mirella Ruggeri, Chiara Bonetto, Antonio Lasalvia, Michele Tansella |
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| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty Community Mental Health Services Longitudinal Studies Mental Disorders Needs Assessment Quality of Life Quality of life Health care medicine Humans Longitudinal Studies Psychiatry Applied Psychology Psychiatric Status Rating Scales business.industry Public health Mental Disorders Social environment Middle Aged medicine.disease Mental health Community Mental Health Services Psychiatry and Mental health Italy Schizophrenia Needs assessment Quality of Life Female Basic needs Psychology business Needs Assessment |
| Zdroj: | Psychological medicine. 35(11) |
| ISSN: | 0033-2917 |
| Popis: | Background. Subjective quality of life has gained a crucial role as a global measure of outcome inmental health care. This study aimed to investigate the impact of meeting needs for care, as assessedby both patients and mental health professionals, to improve the subjective quality of life in asample of patients receiving community-based psychiatric care.Method. The study was conducted using a 4-year prospective longitudinal design. A cohort ofpatients from the South-Verona Community-based Mental Health Service (CMHS) was assessed atbaseline and follow-up using, among other social and clinical measures, the CamberwellAssessment of Need (both staff and patient versions) and the Lancashire Quality of Life Profile.Predictors of changes of subjective quality of life were explored using block-stratified multipleregression procedures.Results. Improvementin patients’clinicalconditionsaswellasthe reductionin patient-rated unmetneeds in the social domain predicted an increase in subjective quality of life over 4 years; changes instaff-rated needs did not show any association with changes in subjective quality of life.Conclusions. Meeting self-perceived social needs, beyond symptoms reduction, seems to be ofparticular importance for ensuring a better quality of life for people with mental disorders. If themain goal of mental health care is to improve the quality of life of users, a policy of activelyaddressing patient-rated needs should be implemented.INTRODUCTIONOver the last decade there has been a growingconsensus that mental health care should beprovidedonthebasisofpatients’needs,withtheintended goal of improving their quality of life(QoL) (Thornicroft & Tansella, 1999; Priebeet al. 1999; Slade, 2002).The relationship between needs and QoL forpeople with mental disorders has been inves-tigated in a number of studies. The UK700(1999)hasshownthatsubjectiveQoLinpatientswith psychosis is more clearly associated withstaff-rated unmet needs in basic, social andfunctioning domains than with any otherclinical or social variable. Bengtsson-Tops &Hansson (1999) reported that higher levels ofpatient-rated social and basic needs were asso-ciated with a worse subjective QoL in patientswith schizophrenia. Similarly, Wiersma & vanBusschbach (2001) found that the most import-ant predictors of QoL in a sample of severelymentally ill patients were patient-rated unmetneeds, particularly in the area of health andsocial relations. More recently, a Nordic multi-site study on patients with schizophrenia(Hansson et al. 2003) showed that higher unmet |
| Databáze: | OpenAIRE |
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