Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-24T23:30:16.048Z Has data issue: false hasContentIssue false
  • English
  • Français

Quality of life in chronically mentally ill patients in day treatment

Published online by Cambridge University Press:  09 July 2009

Anthony J. Levitt ,
T. P. Hogan  and
Catherine M. Bucosky
Anthony J. Levitt*
Affiliation:
Department of Psychiatry, University of Toronto, Queen Street Mental Health Center, Toronto, Ontario, Canada
T. P. Hogan
Affiliation:
Department of Psychiatry, University of Toronto, Queen Street Mental Health Center, Toronto, Ontario, Canada
Catherine M. Bucosky
Affiliation:
Department of Psychiatry, University of Toronto, Queen Street Mental Health Center, Toronto, Ontario, Canada
*
1Address for correspondence: Dr Anthony J. Levitt, Department of Psychiatry, Toronto General Hospital, 8EN-212, 200 Elizabeth St., Toronto, Ontario, M5G 2C4, Canada.
Get access Rights & Permissions [Opens in a new window]

Synopsis

A structured assessment instrument, the Quality of Life Interview, was used to explain the quality of life of seventy patients with chronic psychiatric illness attending a day treatment programme. The interview was found to have acceptable psychometric properties. Factors that best predicted the quality of life of these patients included the number of re-admissions in the last year, frequency of family contacts, satisfaction with social life, psychiatric health and adult education. The theoretical implications and potential clinical benefits of these findings for chronic psychiatric patients are discussed.

Type
Original Articles
Information
Psychological Medicine , Volume 20 , Issue 3 , August 1990 , pp. 703 - 710
Copyright
Copyright © Cambridge University Press 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1980). Diagnostic and Statistical Manual of Mental Disorders, 3rd edn, APA: Washington, DC.Google Scholar
Andrews, F. M. & Withey, S. B. (1976). Social Indicators of Well- Being. Plenum Press: New York.CrossRefGoogle Scholar
Arora, R., Sager, J. & Butler, R. N. (1986). Therapeutic goals: quality or quantity of life. Cardiology Clinics 4, 305–312.CrossRefGoogle ScholarPubMed
Avison, W. R. & Speechley, K. N. (1987). The discharged psychiatric patient: a review of social, social-psychological and psychiatric correlates of outcome. American Journal of Psychiatry 144, 10–18.Google Scholar
Bachrach, L. L. (1986). Dimensions of disability in the chronic mentally ill. Hospital and Community Psychiatry 37, 981–982.Google ScholarPubMed
Baker, F. & Intagliata, J. (1982). Quality of life in the evaluation of community support systems. Evaluation and Program Planning 5, 69–79.CrossRefGoogle ScholarPubMed
Baldessarinni, R. J. (1985). Chemotherapy in Psychiatry: Principles and Practice. Harvard University Press: Cambridge, Mass.Google Scholar
Bigelow, P. A., Brodsky, G., Steward, L. & Olson, M. (1982). The concept and measurement of quality oflife as a dependent variable in evaluation of mental health services. In Innovative Approaches to Mental Health Evaluation (ed. Stahler, G. J. and Tarsh, W. R.), pp. 345–366. Academic Press: New York.CrossRefGoogle Scholar
Cagle, L. T. & Banks, S. M. (1986). The validity of assessing mental health needs with social indicators. Evaluation and Program Planning 9, 127–142.CrossRefGoogle ScholarPubMed
Campbell, A., Converse, P. E. & Rodgers, W. L. (1976). The Quality of American Life. Russell Sage Foundation: New York.Google Scholar
Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika 16, 297–334.CrossRefGoogle Scholar
Diamond, R. (1985). Drugs and the quality of life: the patients' point of view. Journal of Clinical Psychiatry 46, 29–35.Google Scholar
Gibbons, J. S. & Butler, J. P. (1987). Quality of life for ‘new’ long-stay psychiatric inpatients: the effects of moving to a hostel. British Journal of Psychiatry 151, 347–354.CrossRefGoogle ScholarPubMed
Heinrichs, D. W., Hanlon, T. E. & Carpenter, W. T. (1984). The quality of life scale: an instrument for rating the schizophrenic deficit syndrome. Schizophrenia Bulletin 10, 388–398.CrossRefGoogle ScholarPubMed
Herz, M. I., Ferman, J. & Cohen, M. (1985). Increasing utilization of Day Hospitals. Psychiatric Quarterly 57, 187–192.CrossRefGoogle ScholarPubMed
Hogan, T. P., Awad, A. G. & Eastwood, R. (1983). A self-report scale predictive of drug compliance in schizophrenics: reliability and discriminative validity. Psychological Medicine 13, 177–183.CrossRefGoogle ScholarPubMed
Jones, K., Robinson, M. & Golightley, M. (1986). Long-term psychiatric patients in the community. British Journal of Psychiatry 149, 537–540.CrossRefGoogle ScholarPubMed
Katz, S. (1987). The science of quality of life. Journal of Chronic Disease 40, 459–463.CrossRefGoogle ScholarPubMed
Koenigsberg, H. W. & Handley, R. H. (1986). Expressed emotion: from predictive index to clinical construct. American Journal of Psychiatry 143, 1361–1373.Google ScholarPubMed
Krupinski, J. (1980). Health and quality of life. Social Sciences and Medicine 14A, 203–211.Google ScholarPubMed
Lehman, A. F. (1983 a). The well-being of chronic mental patients: assessing their quality of life. Archives of General Psychiatry 40, 369–373.CrossRefGoogle Scholar
Lehman, A. F. (1983 b). The effects of psychiatric symptoms on quality of life assessments among the chronic menially ill. Evaluation and Program Planning 6, 143–151.CrossRefGoogle ScholarPubMed
Lehman, A. F. & Linn, L. S. (1984). Crimes against discharged mental patients in board-and-care homes. American Journal of Psychiatry 141, 271–274.Google ScholarPubMed
Lehman, A. F., Ward, N. C. & Linn, L. S. (1982). Chronic mental patients: the quality of life issue. American Journal of Psychiatry 139, 1271–1276.Google ScholarPubMed
Lehman, A. F., Possidente, S. & Hawker, F. (1986). The well-being of chronic mental patients in a state hospital and community residences. Hospital and Community Psychiatry 39, 901–907.Google Scholar
Malm, U., May, P. & Dencker, S. (1981). Evaluation of the quality of life of the schizophrenic outpatient: a checklist. Schizophrenia Bulletin 7, 477–487.CrossRefGoogle ScholarPubMed
Najman, J. M. & Levine, S. (1981). Evaluating the impact of medical care and technologies on the quality of life: a critique and review. Social Science and Medicine 15, 107–115.Google ScholarPubMed
Okin, R. L., Dolnick, J. A. & Pearzall, D. T. (1983). Patient's perspectives on community alternatives to hospitalization: a follow-up study. American Journal of Psychiatry 140, 1460–1464.Google ScholarPubMed
Overall, J. E. & Gorham, D. R. (1962). The brief psychiatric rating scale. Psychological Reports 10, 799–812.CrossRefGoogle Scholar
Rosie, J. S. (1987). Partial hospitalization: a review of the literature. Hospital and Community Psychiatry 38, 1291–1299.Google Scholar
Simpson, C. J., Hyde, C. E. & Faragher, E. B. (1989). The chronically mentally ill in community facilities: a study of Quality of Life. British Journal of Psychiatry 154, 77–82.CrossRefGoogle ScholarPubMed
Spitzer, W. O. (1987). State of science 1986: quality of life and functional status as target variables for research. Journal of Chronic Disease 40, 465–471.CrossRefGoogle ScholarPubMed
Wing, J. K. & Morris, B. (1981). Clinical basis of rehabilitation. In Handbook of Psychiatric Rehabilitation (ed. Wing, J. K. and Morris, B.). Oxford University Press: Oxford.Google Scholar