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Subjective and objective dimensions of quality of life in psychiatric patients: a factor analytical approach: The South Verona Outcome Project 4
- Authors:
- RUGGERI Mirella, et al
- Journal article citation:
- British Journal of Psychiatry, 178, March 2001, pp.268-275.
- Publisher:
- Cambridge University Press
Explores the role of subjective and objective Quality Of Life dimensions and their cross-sectional and longitudinal predictors. The relationship between QQL, as measured by the Lancashire Quality Of Life Profile (LQL), and demographic variables, diagnosis, psychopathology, disability, functioning, affect balance, self-esteem, service use and service satisfaction was investigated at two points in time, using factor analysis and multiple regression techniques. Concludes that subjective and objective data are distinct types of information. Objective measures may be more suitable in detecting treatment effects. Subjective information is necessary to complete the QQL picture and to enhance the interpretation of objective data.
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.