Evidence map›Paper›PMID 30244361›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2019

Personal and environmental contextual factors as mediators between functional disability and quality of life in adults with serious mental illness: a cross-sectional analysis.

Jennifer Sánchez, Veronica Muller, Fong Chan, Jessica M Brooks, Kanako Iwanaga, Wei-Mo Tu, Emre Umucu, Mileidy Crespo-Jones

Abstract read
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Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jennifer SánchezDepartment of Rehabilitation and Counselor Education, The University of Iowa, N346 Lindquist Center, Iowa City, IA, 52242, USA. jennifer-sanchez-1@uiowa.edu.ORCID http://orcid.org/0000-0001-8448-0678
Veronica MullerDepartment of Educational Foundations and Counseling, Hunter College, City University of New York, 695 Park Avenue, Room W1123, New York, NY, 10065, USA.
Fong ChanDepartment of Rehabilitation Psychology and Special Education, University of Wisconsin-Madison, 431 Education Building, 1000 Bascom Mall, Madison, WI, 53706, USA.
Jessica M BrooksDepartment of Rehabilitation and Health Services, University of North Texas, 218 Chilton Hall, 410 Avenue C, Denton, TX, 76203, USA.
Kanako IwanagaDepartment of Rehabilitation Psychology and Special Education, University of Wisconsin-Madison, 431 Education Building, 1000 Bascom Mall, Madison, WI, 53706, USA.
Wei-Mo TuDepartment of Rehabilitation and Health Services, University of North Texas, 218 Chilton Hall, 410 Avenue C, Denton, TX, 76203, USA.
Emre UmucuDepartment of Rehabilitation Sciences, The University of Texas at El Paso, 101 Campbell Building, 500 West University Avenue, El Paso, TX, 79968, USA.
Mileidy Crespo-JonesDepartment of Rehabilitation and Counselor Education, The University of Iowa, N346 Lindquist Center, Iowa City, IA, 52242, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo examine personal and environmental contextual factors as mediators of functional disability on quality of life (QOL) in a sample of individuals with serious mental illness (SMI).

methodsA cross-sectional analysis of 194 individuals with SMI (major depressive disorder = 38.1%; bipolar disorder = 35.6%; schizophrenia spectrum disorder = 25.8%) recruited from four psychosocial rehabilitation clubhouses was undertaken to test a multiple regression model assuming that personal (i.e., resilience, social competence, and disability acceptance) contextual factors and environmental (i.e., family support, support from friends, and support from significant others) contextual factors would mediate the relationship of functional disability on QOL. The bootstrap test for multiple mediators was then used to test for the significance of the indirect effects functional disability on QOL through the mediators.

resultsIn the simple regression model, functional disability had a strong relationship with QOL; however, after introducing the potential mediators, its effect was significantly reduced indicating partial mediation effects. The final regression model yielded a large effect, accounting for 44% of the variance in QOL. Controlling for all other potential mediating factors, social competence, disability acceptance, family support, and support from friends were found to partially mediate the relationship between functional disability and QOL. Bias-corrected bootstrap procedure results further supported the mediation model.

conclusionsThe findings from the study provide good support for the inclusion of person-environment contextual factors in conceptualizing the relationship between functional disability and QOL for individuals with SMI.

Indexed as

AdolescentAdultAgedCross-Sectional StudiesFemaleHumansMaleMental DisordersMiddle AgedQuality of LifeSocial SkillsSocial SupportSurveys and QuestionnairesYoung AdultDisability acceptancePerson–environment contextual factorsSerious mental illnessSocial competenceSocial support

Identifiers

PMID30244361

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.