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Changes and predictors of change in objective and subjective quality of life: multiwave follow-up study in community psychiatric practice
- Authors:
- RUGGERI Mirella, et al
- Journal article citation:
- British Journal of Psychiatry, 187(2), August 2005, pp.121-130.
- Publisher:
- Cambridge University Press
This Italian study 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. The research used a prospective study of demographic, diagnostic and service utilisation characteristics, psychopathology, functioning, disability, self-esteem, affect balance and service satisfaction. 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 (greater than 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.