scholarly journals A follow-up study on subjective quality of life for elderly persons with dementia using the Japanese version of Dementia Quality of Life Instrument (JDQoL)

2006 ◽  
Vol 43 (4) ◽  
pp. 485-491 ◽  
Author(s):  
Mizue Suzuki ◽  
Masao Kanamori ◽  
Chieko Greiner ◽  
Kaoru Ito ◽  
Hajime Ooshiro
2016 ◽  
Vol 172 (1-3) ◽  
pp. 23-28 ◽  
Author(s):  
Erlend Strand Gardsjord ◽  
Kristin Lie Romm ◽  
Svein Friis ◽  
Helene Eidsmo Barder ◽  
Julie Evensen ◽  
...  

2006 ◽  
Vol 188 (3) ◽  
pp. 243-249 ◽  
Author(s):  
Stefan Priebe ◽  
Gemma Jones ◽  
Rosemarie McCabe ◽  
Jane Briscoe ◽  
Donna Wright ◽  
...  

BackgroundData on effectiveness of acute day hospital treatment for psychiatric illness are inconsistent.AimsTo establish the effectiveness and costs of care in a day hospital providing acute treatment exclusively.MethodIn a randomised controlled trial, 206 voluntarily admitted patients were allocated to either day hospital treatment or conventional wards. Psychopathology, treatment satisfaction and subjective quality of life at discharge, 3 months and 12 months after discharge, readmissions to acute psychiatric treatment within 3 and 12 months, and costs in the index treatment period were taken as outcome criteria.ResultsDay hospital patients showed significantly more favourable changes in psychopathology at discharge but not at follow-up. They also reported higher treatment satisfaction at discharge and after 3 months, but not after 12 months. There were no significant differences in subjective quality of life or in readmissions during follow-up. Mean total support costs were higher for the day hospital group.ConclusionsDay hospital treatment for voluntary psychiatric patients in an inner-city area appears more effective in terms of reducing psychopathology in the short term and generates greater patient satisfaction than conventional in-patient care, but may be more costly.


2002 ◽  
Vol 17 (1) ◽  
pp. 33-40 ◽  
Author(s):  
T. Björkman ◽  
L. Hansson

SummaryOne hundred and thirteen long-term mentally ill clients receiving case management were investigated with regard to psychosocial and clinical predictors of changes in subjective quality of life during an 18-month follow-up. Better psychosocial functioning and fewer psychiatric symptoms at baseline predicted a greater improvement in quality of life. A larger decrease in symptom severity and a greater improvement in the social network during the follow-up were identified as the most important predictors of a greater improvement in subjective quality of life. The results of the study suggest that an emphasis should be put on effective symptom management, a reduction of needs for care and social support in order to fulfill the aims of improving subjective quality of life in patients receiving case management.


2021 ◽  
pp. 000486742110096
Author(s):  
Candice Tze Kwan Kam ◽  
Wing Chung Chang ◽  
Vivian Wing Yan Kwong ◽  
Emily Sin Ki Lau ◽  
Gloria Hoi Kei Chan ◽  
...  

Objective: Subjective quality of life is an important outcome of psychotic disorders. However, longitudinal course of subjective quality of life in the early illness stage is under-studied. We aimed to investigate the patterns and baseline predictors of subjective quality of life trajectories over 3 years in early psychosis patients, utilizing growth mixing modeling analysis, in the context of a 3-year follow-up of a randomized controlled trial comparing 1-year extension of early intervention with step-down psychiatric care for first-episode psychosis. Method: One hundred sixty Chinese patients were recruited from specialized early intervention program for first-episode psychosis in Hong Kong after they had completed this 2-year early intervention service, and underwent 1-year randomized controlled trial as well as 2-year post–randomized controlled trial follow-up (i.e. 3-year follow-up). Assessments on premorbid adjustment, onset profile, psychopathology, functioning and treatment characteristics were conducted. Individual class membership of subjective quality of life trajectory derived from growth mixing modeling was based on the 36-Item Short Form Health Survey mental component summary scores measured at four different time-points (baseline, 1, 2 and 3 years) among 142 participants across 3-year follow-up. Results: Three distinct subjective quality of life trajectories were identified including higher-improving (68.3%, n = 97), lower-stable (24.6%, n = 35) and deteriorating (7%, n = 10) trajectories. Age of onset; duration of untreated psychosis; depressive, positive and negative symptoms; and intervention condition were significantly different between good (higher-improving trajectory) and poor (combined lower-stable and deteriorating trajectories) trajectory groups. Multiple regression analysis revealed that younger age of onset, more severe depression and receipt of step-down care independently predicted poor subjective quality of life trajectory. Conclusion: Approximately one-third of patients displayed poor subjective quality of life trajectory in the early phase of psychotic illness. Our results affirm depression as a critical determinant of prospective subjective quality of life and underscores positive effect of extended early intervention on sustained subjective quality of life improvement. Further longitudinal research is warranted to facilitate better characterization of subjective quality of life course patterns and development of targeted intervention to optimize subjective quality of life in patients with early psychosis.


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