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Changes and predictors of change in objective and subjective quality of life: Multiwave follow-up study in community psychiatric practice

  • Mirella Ruggeri (a1), Michela Nosè (a1), Chiara Bonetto (a1), Doriana Cristofalo (a1), Antonio Lasalvia (a1), Giovanni Salvi (a1), Benedetta Stefani (a1), Francesca Malchiodi (a1) and Michele Tansella (a1)...

Abstract

Background

There is little knowledge of the predictors of objective and subjective quality of life.

Aims

To describe changes at 2 and 6 years in objective and subjective quality of life in 261 individuals attending a community mental health service and to identify predictors of change in each life domain.

Method

Prospective study of demographic, diagnostic and service utilisation characteristics, psychopathology, functioning, disability, self-esteem, affect balance and service satisfaction.

Results

Female gender, unmarried status, older age, less education and greater disability predicted a worsening of objective quality of life over time, but explain a small amount of variance. The variance in subjective quality of life was higher (>40%). Greater clinician-rated anxiety and depressive symptoms had a negative effect on satisfaction with health and general well-being. Psychological status, self-esteem and satisfaction with service were the most important predictors in almost all subjective domains; these variables should be important targets for treatment.

Conclusions

This study is the first to provide information to enable clinicians to make prognostic judgements about quality of life and plan effective therapeutic strategies to improve quality of life.

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Copyright

Corresponding author

Professor Mirella Ruggeri, Dipartimento di Medicina e Sanità Pubblica, Sezione di Psichiatria e di Psicologia Clinica, Universita’ di Verona, Policlinico G.B. Rossi, 37134 Verona, Italy. Tel: +39 (045) 8074441; fax: +39 (045) 585871; e-mail: mirella.ruggeri@univr.it

Footnotes

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Declaration of interest

None. Funding detailed in Acknowledgements.

Footnotes

References

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Changes and predictors of change in objective and subjective quality of life: Multiwave follow-up study in community psychiatric practice

  • Mirella Ruggeri (a1), Michela Nosè (a1), Chiara Bonetto (a1), Doriana Cristofalo (a1), Antonio Lasalvia (a1), Giovanni Salvi (a1), Benedetta Stefani (a1), Francesca Malchiodi (a1) and Michele Tansella (a1)...
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