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Impact of psychiatric disorders on health-related quality of life: general population survey
- Authors:
- SAARNI Samuli I., et al
- Journal article citation:
- British Journal of Psychiatry, 190(4), April 2007, pp.326-332.
- Publisher:
- Cambridge University Press
Measurement of health-related quality of life (HRQoL) with generic preference-based instruments enables comparisons of severity across different conditions and treatments. This is necessary for rational public health policy. The aim was to measure HRQoL decrement and loss of quality-adjusted life-years (QALYs) associated with pure and comorbid forms of depressive and anxiety disorders and alcohol dependence. A general population survey was conducted of Finns aged 30 years and over. Psychiatric disorders were diagnosed with the Composite International Diagnostic Interview and HRQoL was measured with the 15D and EQ–5D questionnaires. Dysthymia, generalised anxiety disorder and social phobia were associated with the largest loss of HRQoL on the individual level before and after adjusting for somatic and psychiatric comorbidity. On the population level, depressive disorders accounted for 55%, anxiety disorders 30%, and alcohol dependence for 15% of QALY loss identified in this study. Chronic anxiety disorders and dysthymia are associated with poorer HRQoL than previously thought.
How are you? Further development of a generic quality of life outcome measure
- Authors:
- CLIFFORD Paul I., et al
- Journal article citation:
- Journal of Mental Health, 11(4), August 2002, pp.389-404.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The methods described in the 'How Are You?' measures are designed to meet the need for a broad-based self-report tool that integrates the recording of health and social problems and the measurement of quality of life outcomes within routine practice. This article describes the process of revising the original How Are You? Utilizing a series of factor analyses, we hoped to confirm that items that were theoretically coherent aggregated empirically, with the goal of refining the measure for outcome analyses and comparisons with other outcomes measures. Based upon data from both the USA and the UK, the factor analyses confirmed the How Are You? theoretical structure and identified a new factor, referred to as 'Risk' that measures emotional dyscontrol and symptoms that can be associated with psychosis. The advantages of the refined scale include shorter length, a broad set of quality of life domains and the instruction to the respondent to identify key problems that are of most concern. The revisions will allow for a more valid assessment of outcome.
Mental health and ethnicity: an Irish dimension
- Authors:
- BRACKEN Patrick J., et al
- Journal article citation:
- British Journal of Psychiatry, 172, February 1998, pp.103-105.
- Publisher:
- Cambridge University Press
The importance of issues such as ethnicity, culture and racism in relation to mental health is now well established and generally accepted in psychiatry. Looks at how there is now considerable evidence that of all the ethnic minorities in Britain, the Irish have the poorest record of both physical and mental health. Discusses the need for research within this community.
Health gain through screening - mental health: developing primary health care services for people with an intellectual disability
- Authors:
- ROY A., MARTIN D. M., WELLS M. B.
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 22(4), December 1997, pp.227-239.
- Publisher:
- Taylor and Francis
Referrals to mental health services are highly variable and depend on local factors such as availability of psychiatric and community nursing services, general practitioners' awareness of mental health problems in people with an intellectual disability, and knowledge and attitudes of professional and family carers. This article describes a study which aims to identify individuals with significant mental health problems who were not receiving services. Difficulties encountered in targeting services.
Health gain through screening - users' and carers' perspectives of health care: developing primary health care services for people with an intellectual disability
- Authors:
- MARTIN D.M., et al
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 22(4), December 1997, pp.241-249.
- Publisher:
- Taylor and Francis
Describes Primary Health Care Project for People with an Intellectual Disability which began early in 1995 in Northern Birmingham to facilitate equal access to health care services for adults with an intellectual disability, and to establish a health screening protocol. The aim of the study was to identify the experiences, expectations and opinions of the people using these services. The implications of this methodology and its findings are discussed.
Quality in later life: rights, rhetoric and reality: British Society of Gerontology Annual Conference, (30th:Stirling; 2002, 31 August-2 September)
- Editors:
- TESTER S, ARCHIBALD C, ROWLINGS C, TURNER S
- Publisher:
- Department of Applied Social Science, University of Stirling
- Publication year:
- 2001
- Pagination:
- 294p.,bibliogs.
- Place of publication:
- Stirling
These conference papers explore the issue of quality in later life, the factors that affect older people's experience and their understanding of what matters to them. Gerontologists have much to contribute both to analysis and the promotion of quality in old age. This contribution continues to develop the means by which older people, including those with significant mental or physical disabilities can make themselves participate in the debates by defining their own experiences and what makes a difference to them.