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Changes and predictors of change in objective and subjective quality of life
 — multiwave follow-up study in community psychiatric practice
Author(s)Mirella Ruggeri, Michaela Nosé, Chiara Bonetto
Journal titleBritish Journal of Psychiatry, vol 187, August 2005
Pagespp 121-130
Sourcehttp://bjp.rcpsych.org
KeywordsQuality of life ; Well being ; Psychiatric treatment ; Geriatric out-patients clinics ; Longitudinal surveys ; Italy.
AnnotationQuality of life is increasingly being recognised as a key outcome measure. This study's aims were to describe changes at 2 and 6 years in objective and subjective quality of life, and to identify predictors of change in each life domain. Subjects were 261 individuals attending a community health service in Verona, Italy. Female gender, being unmarried, older age, having less education and greater disability predicted a worsening of objective quality of life over time, but explained a small amount of variance. The variance in subjective quality of life was higher (more 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. 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. (RH).
Accession NumberCPA-050824208 A
ClassmarkF:59: D:F:5HH: LP: L6G: 3J: 76V

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