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Quality of Life and Other Characteristics of Viennese Mental Health Care Users

Author

Listed:
  • Andrea Lang

    (Kuratorium für Psychosoziale Dienste Wien, Mariannengasse 1/15, A-1090 Vienna, Austria. psd-quasi@netway.at)

  • Egbert Steiner
  • Gerlinde Berghofer
  • Helga Henkel
  • Margot Schmitz

    (Kuratorium für Psychosoziale Dienste Wien, Gonzagasse 15, 1013 Vienna)

  • Friedrich Schmidi
  • Stephan Rudas

    (Kuratorium für Psychosoziale Dienste Wien, Gonzagasse 15, A-1013 Vienna Medical Director: Dr Stephan Rudas, Kuratorium für Psychosoziale Dienste Wien, Gonzagasse 15, A-1013 Vienna)

Abstract

Background: The purposes of this study are (1) to characterise patients with different treatment experiences, (2) to evaluate differences in quality of life (QoL) among patients with different treatment experiences, (3) to evaluate changes in QoL following community resettlement, and (4) to find predictors of overall life satisfaction (OLS). Methods: Treatment experiences are defined according to service use as follows: (a) user of inand outpatient services (overall users), (b) user of inpatient (inpatients) or (c) outpatient facilities only (outpatients). Demographic and clinical data of 425 psychiatric patients are analysed cross-sectionally in relation to their treatment experiences. QoL of former inpatients is followed up after hospital discharge. Results: Long-term `overall users' have a significantly higher QoL than long-term `outpatients' or `inpatients'. QoL of former inpatients increases after discharge. Predictors of higher OLS are high income, high subjective social functioning (SFQ), good self-rated health, satisfactory QoL domains as well as being single or cohabiting, diagnosis of schizophrenia, `outpatients', and `overall users'. Together they explain 63% of the variance in patients' subjective OLS. Conclusion: QoL is independent of illness severity. Deinstitutionalisation improves QoL and OLS is mainly predicted by subjective variables.

Suggested Citation

  • Andrea Lang & Egbert Steiner & Gerlinde Berghofer & Helga Henkel & Margot Schmitz & Friedrich Schmidi & Stephan Rudas, 2002. "Quality of Life and Other Characteristics of Viennese Mental Health Care Users," International Journal of Social Psychiatry, , vol. 48(1), pages 59-69, March.
    • Handle: RePEc:sae:socpsy:v:48:y:2002:i:1:p:59-69
    DOI: 10.1177/002076402128783091
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    References listed on IDEAS

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    1. Tom Trauer & Robert A. Duckmanton & Edmond Chiu, 1998. "A Study of the Quality of Life of the Severely Mentally Ill," International Journal of Social Psychiatry, , vol. 44(2), pages 79-91, June.
    2. Lehman, Anthony F., 1983. "The effects of psychiatric symptoms on quality of life assessments among the chronic mentally ill," Evaluation and Program Planning, Elsevier, vol. 6(2), pages 143-151, January.
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    Cited by:

    1. Peter Tyrer & Ula Nur & Mike Crawford & Saffron Karlsen & Claire MacLean & Bharti Rao & Tony Johnson, 2005. "The Social Functioning Questionnaire: A Rapid and Robust Measure of Perceived Functioning," International Journal of Social Psychiatry, , vol. 51(3), pages 265-275, September.
    2. Kai Schmidt & Anika Staupendahl & Wolfgang Vollmoeller, 2004. "Quality of Life of Schizophrenic Psychiatric Outpatients as a Criterion for Treatment Planning in Psychiatric Institutions," International Journal of Social Psychiatry, , vol. 50(3), pages 262-273, September.
    3. Rummery, Kirstein, 2009. "Healthy partnerships, healthy citizens? An international review of partnerships in health and social care and patient/user outcomes," Social Science & Medicine, Elsevier, vol. 69(12), pages 1797-1804, December.

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