• Corpus ID: 16575532

Quality-Of-Life Issues in Mental Health Care : Past , Present , and Future

  title={Quality-Of-Life Issues in Mental Health Care : Past , Present , and Future},
  author={Debasish Basu},
  • D. Basu
  • Published 2006
  • Medicine, Psychology
With progress in medicine, it gradually became apparent that the ultimate purpose of health interventions is to enhance the quality of life (QoL) rather than to simply prolong life. Over the last two decades, this concept has been applied to almost all aspects of health care. Despite debates on definition and components, it is now widely agreed that QoL issues are central to health care, including mental health care. Quality definition in mental health and its measurement poses special problems… 

Health-Related Quality of Life and Health Management

The nature of quality of life (QOL) in general and its application in the area of health and illness is discussed and some of the contemporary issues relevant in the Area of HRQoL are critically evaluated.

Determinants of Health-Related Quality of Life in Schizophrenia: Beyond the Medical Model

Depressive and positive symptoms are key clinical determinants of HRQoL in people with schizophrenia, however, the medical model—looking solely at clinical determinant—could not account for a large proportion of variance in HRZoL.

The Value of Adding Quality of Life Measures to Assessments of Outcomes in Mental Health

The Q-LES-Q was correlated with existing symptom measures, and regression analyses revealed predictive relationships between length of stay and quality of life even after symptoms of depression and anxiety were taken into account.

Service users’ perceptions of quality of life measurement in psychiatry

The concept of quality of life (QoL) as applied to mental health is described and relevant tools for measuring QoL are outlined, both generic and health-specific, and their approaches and purposes are explained.

Assessing quality of life in the eating disorders: the HeRQoLED-S

  • B. Bamford
  • Psychology, Medicine
    Expert review of pharmacoeconomics & outcomes research
  • 2010
The authors confirm their hypothesized internal structure of the scales and present evidence for the reliability of the short scale, but the short measure should be subject to more rigorous analysis of its reliability and construct validity in order to provide evidence as to its relationship to quality of life as perceived by eating disorder individuals.

Gender difference in quality of life (QoL) among outpatients with schizophrenia in a tertiary care setting

The findings show the importance of treatments targeting QoL to attend to both the clinical features of the illness as well patient’s sociodemographic characteristics.

The Mental Health Quality of Life Questionnaire (MHQoL): development and first psychometric evaluation of a new measure to assess quality of life in people with mental health problems

The Mental Health Quality of Life questionnaire demonstrated favourable psychometric properties and showed promise as a simple and effective measure to assess quality of life in people with mental health problems.

The value of adding the Quality of Life Enjoyment and Satisfaction Questionnaire to outcome assessments of psychiatric inpatients with mood and affective disorders

Although the Q-LES-Q was correlated with symptom measures already in use, it added to the ability to predict patient length of stay, and showed some divergence from measures of clinical outcomes.

Health-Related Quality of Life and Utility Scores in People with Mental Disorders: A Comparison with the Non-Mentally Ill General Population

The findings underscore the negative impact of mental disorders on HRQoL in France and provide a baseline to assess the global impact of current and future organizational changes in the mental health care system.

The biopsychosocial model and quality of life in persons with active epilepsy




Predictors of quality of life in people with severe mental illness

Subjective quality of life in severely mentally ill patients is predicted by clinical variables and unmet needs, and priority areas for the attention of case managers who seek to improve quality oflife in these patients are identified.

Routine administration of Health Related Quality of Life (HRQoL) and needs assessment instruments to improve psychological outcome – a systematic review

Routine HRQoL measurement is a costly exercise and there is no robust evidence to suggest that it is of benefit in improving psychosocial outcomes of patients managed in non-psychiatric settings.

Measures of quality of life among persons with severe and persistent mental disorders

  • A. Lehman
  • Medicine, Psychology
    Social Psychiatry and Psychiatric Epidemiology
  • 2004
The literature on QOL assessment procedures up to the end of October 1992 for persons with SPMI is reviewed, covering QOL measures that at a minimum assess subjective well-being.

Convergent validation of quality of life assessments for persons with severe mental illnesses

This study examines the convergent validity of two commonly used QOL measures for persons with SPMI, computing the correlations between comparable constructs from the two measures administered at the same time and 2 months apart.

Quality of life as an outcome measure in evaluating mental health services: a review of the empirical evidence

The extent to which existing studies provide evidence of the ability of quality of life measures to discriminate the impact of service interventions on the well-being of psychiatric clients is examined is examined.

Routine outcome assessment in mental health services

  • M. Slade
  • Medicine, Psychology
    Psychological Medicine
  • 2002
Three levels of mental health service can be differentiated: treatment (specific interventions); programme (combination of different treatment components); and system (all programmes for a defined target group in a given area) (Burns & Priebe, 1996).

A mediational model of quality of life for individuals with severe mental health problems

The results indicate that perceived improvements in lifestyle, greater autonomy and positive self-concept are significantly and directly associated with better quality of life and may have important implications for the planning and delivery of mental health programmes.

Quality of life outcome in a randomized controlled trial of case management

Depression should be assessed when subjective QOL measures are used and better means for describing service organisations and the context/place in which they operate should be developed in order to explain more of the variance in QOL outcomes.

Quality of life measurement in schizophrenia: reconciling the quest for subjectivity with the question of reliability

It is concluded that clinically compliant and stable patients with schizophrenia can evaluate and report their quality of life with a high degree of reliability and concurrent validity, implying that self-report measures are potentially useful tools in clinical trials and outcome studies.

A Study of the Quality of Life of the Severely Mentally Ill

The Lehman Quality of Life Interview was conducted a total of 85 times with 55 clients with serious mental illness, and subjective quality of life was relatively stable over intervals of several months.