Well-being in patients with schizophrenia, mood and personality disorders attending psychiatric services in the community. A controlled study
Background: Poor attention is paid by recent research to the prevalence of mental well-being in psychiatric patients and the comparison between groups with different diagnoses. Data suggest that the presence of mental illness does not necessarily mean the absence of well-being, particularly in stabl...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-05-01
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| Series: | Comprehensive Psychiatry |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0010440X19300094 |
| _version_ | 1818017806860419072 |
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| author | Valentina Stanga Cesare Turrina Paolo Valsecchi Emilio Sacchetti Antonio Vita |
| author_facet | Valentina Stanga Cesare Turrina Paolo Valsecchi Emilio Sacchetti Antonio Vita |
| author_sort | Valentina Stanga |
| collection | DOAJ |
| description | Background: Poor attention is paid by recent research to the prevalence of mental well-being in psychiatric patients and the comparison between groups with different diagnoses. Data suggest that the presence of mental illness does not necessarily mean the absence of well-being, particularly in stable outpatients. Methods: A consecutive series of 375 patients attending two community mental health centers was given the Mental Health Continuum Short Form (MHC-SF) and the Clinical Global Impression – Severity scale. Diagnoses were made after the MINI Neuropsychiatric Interview and a chart review of all relevant clinical information. The flourishing category and the three components of MHC-SF were used to rate well-being. A total of 274 controls were taken from the employees at a local firm. Results: The rates of flourishing mental health were: 33.1% schizophrenia, 36.6% bipolar disorder, 23.3% unipolar depression, 24.4% cluster B personality disorder, and 53.3% controls (p < 0.001). The comparison of the three MHC components across diagnostic groups found that unipolar depression and cluster B personality patients had significantly lower scores compared to bipolar and schizophrenia patients. Flourishing mental health was detected more often in males than females (34.9% vs. 24.1% - p < 0.05). For schizophrenia patients indices of well-being were better in those on depot medications. Conclusions: Psychiatric outpatients with major mental illness have lower rates of well-being compared to controls, although about one-third is flourishing. Patients with unipolar depression and cluster B personality disorder may deserve special attention when planning intervention for fostering well-being. Keywords: Well-being, Flourishing, Mental health, Schizophrenia, MHC-SF, Depression |
| first_indexed | 2024-04-14T07:31:38Z |
| format | Article |
| id | doaj.art-0917d76ed5ac4a22a535a2b14abfa390 |
| institution | Directory Open Access Journal |
| issn | 0010-440X |
| language | English |
| last_indexed | 2024-04-14T07:31:38Z |
| publishDate | 2019-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Comprehensive Psychiatry |
| spelling | doaj.art-0917d76ed5ac4a22a535a2b14abfa3902022-12-22T02:05:50ZengElsevierComprehensive Psychiatry0010-440X2019-05-019115Well-being in patients with schizophrenia, mood and personality disorders attending psychiatric services in the community. A controlled studyValentina Stanga0Cesare Turrina1Paolo Valsecchi2Emilio Sacchetti3Antonio Vita4Department of Clinical and Experimental Sciences, University of Brescia, Brescia, ItalyDepartment of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy; Department of Mental Health, ASST Spedali Civili, Brescia, Italy; Corresponding author at: Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy; Department of Mental Health, ASST Spedali Civili, Brescia, ItalyDepartment of Clinical and Experimental Sciences, University of Brescia, Brescia, ItalyDepartment of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy; Department of Mental Health, ASST Spedali Civili, Brescia, ItalyBackground: Poor attention is paid by recent research to the prevalence of mental well-being in psychiatric patients and the comparison between groups with different diagnoses. Data suggest that the presence of mental illness does not necessarily mean the absence of well-being, particularly in stable outpatients. Methods: A consecutive series of 375 patients attending two community mental health centers was given the Mental Health Continuum Short Form (MHC-SF) and the Clinical Global Impression – Severity scale. Diagnoses were made after the MINI Neuropsychiatric Interview and a chart review of all relevant clinical information. The flourishing category and the three components of MHC-SF were used to rate well-being. A total of 274 controls were taken from the employees at a local firm. Results: The rates of flourishing mental health were: 33.1% schizophrenia, 36.6% bipolar disorder, 23.3% unipolar depression, 24.4% cluster B personality disorder, and 53.3% controls (p < 0.001). The comparison of the three MHC components across diagnostic groups found that unipolar depression and cluster B personality patients had significantly lower scores compared to bipolar and schizophrenia patients. Flourishing mental health was detected more often in males than females (34.9% vs. 24.1% - p < 0.05). For schizophrenia patients indices of well-being were better in those on depot medications. Conclusions: Psychiatric outpatients with major mental illness have lower rates of well-being compared to controls, although about one-third is flourishing. Patients with unipolar depression and cluster B personality disorder may deserve special attention when planning intervention for fostering well-being. Keywords: Well-being, Flourishing, Mental health, Schizophrenia, MHC-SF, Depressionhttp://www.sciencedirect.com/science/article/pii/S0010440X19300094 |
| spellingShingle | Valentina Stanga Cesare Turrina Paolo Valsecchi Emilio Sacchetti Antonio Vita Well-being in patients with schizophrenia, mood and personality disorders attending psychiatric services in the community. A controlled study Comprehensive Psychiatry |
| title | Well-being in patients with schizophrenia, mood and personality disorders attending psychiatric services in the community. A controlled study |
| title_full | Well-being in patients with schizophrenia, mood and personality disorders attending psychiatric services in the community. A controlled study |
| title_fullStr | Well-being in patients with schizophrenia, mood and personality disorders attending psychiatric services in the community. A controlled study |
| title_full_unstemmed | Well-being in patients with schizophrenia, mood and personality disorders attending psychiatric services in the community. A controlled study |
| title_short | Well-being in patients with schizophrenia, mood and personality disorders attending psychiatric services in the community. A controlled study |
| title_sort | well being in patients with schizophrenia mood and personality disorders attending psychiatric services in the community a controlled study |
| url | http://www.sciencedirect.com/science/article/pii/S0010440X19300094 |
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