ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2019
Quality of life and service satisfaction in outpatients with severe or non-severe mental illness diagnoses.
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 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Relational continuity may give better clinical outcomes in patients with serious mental illness - a systematic review.BMC psychiatry · 2023Pooled it
- Organization of Community Mental Health Services for Persons with a Severe Mental Illness and Comorbid Somatic Conditions: A Systematic Review on Somatic Outcomes and Health Related Quality of Life.International journal of environmental research and public health · 2021Pooled it
- Service satisfaction and perceived social support mediate the effect of internalised stigma on quality of life of people with mental illness: mediation analysis.Scientific reports · 2026Article
- Psychometric properties of the Chinese version of the SF-36v2 in patients with severe mental illnesses in China: factor structure, reliability, and validity.Health and quality of life outcomes · 2025Article
- Quality of life dimensions in people living with mental disorders: moving beyond global scores.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Mental health service satisfaction among adults with mental illness attending a psychiatric outpatient clinic: a cross-sectional study.Frontiers in public health · 2025Article
- Long-Term Impact of Community Psychiatric Care on Quality of Life amongst People Living with Schizophrenia: A Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- Perceived feasibility, acceptability and impact of the family involvement intervention for severe mental illness: a qualitative study in Masaka - Uganda.International journal of mental health systems · 2024Article
- Subjective quality of life factorial structure across mental disorders: should we switch to assessing dimensions?European archives of psychiatry and clinical neuroscience · 2023Article
- Needs for care of residents with schizophrenia spectrum disorders and association with daily activities and mood monitored with experience sampling method: the DIAPASON study.Epidemiology and psychiatric sciences · 2023Article
- The mediation role of self-esteem and hope on the relationship of quality of life and unmet needs of elderly with psychiatric disorders.Journal of education and health promotion · 2023Article
- The Impact of the Community Psychiatric Treatment Program on the User's Quality of Life - experience of the Study Participants.Materia socio-medica · 2022Article
- [Therapeutic alliance between sectorial psychiatry inpatients and nurses and aides: A prospective, observational and cross-sectional study].Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022Observational
- Routine measurement of satisfaction with life and treatment aspects in mental health patients - the DIALOG scale in East London.BMC health services research · 2020Article
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Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
purposeOur study investigated quality of life (QoL) in patients with severe or non-severe mental illness diagnoses (SMI and non-SMI) and the association between QoL and service satisfaction measured as patients' perception of continuity of care (CoC), therapeutic relationship, and unmet service needs.
methodsWe conducted a national cross-sectional survey among 3836 mental health outpatients, of whom 1327 (34.6%) responded. We assessed QoL with the Manchester Short Assessment of Quality of Life (MANSA), CoC with the CONTINUUM, the therapeutic relationship with the Therapeutic Relationship in Community Mental Health Care (STAR-P) and developed a simple scale to measure unmet service needs.
resultsOutpatients with SMI (n = 155) reported significantly better QoL than those with non-SMI (n = 835) (p = 0.003). In both groups, QoL was positively associated with cohabitation (p = 0.007 for non-SMI and p = 0.022 for SMI), good contact with family and friends (p < 0.001 for both) and positive ratings of CoC (p < 0.001 for non-SMI and p = 0.008 for SMI). A positive association between QoL and therapeutic relationship (p = 0.001) and a negative association between QoL and unmet needs for treatment (p = 0.009) and activity (p = 0.005) was only found in the non-SMI group.
conclusionOur study highlights the important differences between those with SMI and those with non-SMI in their reported QoL and in the relationship between QoL and service satisfaction, with only non-SMI patients' QoL influenced by the therapeutic relationship and unmet needs for treatment and activity. It also shows the importance of continuity of care and social factors for good QoL for both groups.
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