Quality of Life in Patients with Chronic Psychotic Disorders: A Practical Model for Interventions in Romanian Mental Health Centers
<i>Background and Objectives</i>: Current psychiatric care is increasingly focusing on patients’ quality of life (QoL). Research is still trying to determine the main factors which influence QoL. The present study aims to assess the QoL of patients with chronic psychotic-spectrum disorde...
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| Format: | Article |
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MDPI AG
2022-04-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/58/5/615 |
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| author | Marinela Hurmuz Mirela Frandes Anca-Livia Panfil Ileana-Pepita Stoica Cristina Bredicean Catalina Giurgi-Oncu Ion Papava Aurel Nirestean |
| author_facet | Marinela Hurmuz Mirela Frandes Anca-Livia Panfil Ileana-Pepita Stoica Cristina Bredicean Catalina Giurgi-Oncu Ion Papava Aurel Nirestean |
| author_sort | Marinela Hurmuz |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: Current psychiatric care is increasingly focusing on patients’ quality of life (QoL). Research is still trying to determine the main factors which influence QoL. The present study aims to assess the QoL of patients with chronic psychotic-spectrum disorders, as well as its relation to symptomatology, functionality, adaptive behavior, and perceived level of recovery. <i>Materials and Methods</i>: The study included a sample of 78 patients with chronic psychosis. Symptomatology and illness severity were assessed with the Positive and Negative Syndrome Scale (PANSS) and the Clinical Global Impression Scale-Severity (CGI-S) scales, respectively. The Global Assessment of Functioning Scale (GAFS) and the Adaptive Behavior Assessment System II (ABAS-II)-Adult Form were used for the assessment of patients’ functionality, and the Quality-of-Life Inventory (QOLI) scale was applied for the evaluation of QoL. <i>Results</i>: According to the CGI-Severity scale, 20.5% of the patients were borderline mentally ill, and 24.4% were mildly ill. The highest number of patients (34.6%) were moderately ill, while 14.1% and 2.6% were markedly ill and severely ill, respectively. Among the moderately ill patients, more than half (63%) were patients with schizophrenia, 18.5% were patients with delusional disorder, and 18.5% were patients with schizoaffective disorder. Most of the patients (43.6%) presented moderate functioning deficiency, while 38.5% of the patients presented severe deficiency, according to the GAFS score. When assessed with the ABAS, we observed that almost half of the patients (44.9%) showed an average functioning across skill areas in the conceptual, social, and practical domains. A percent of 67.9% of the patients presented an average QoL, while 15.4% and 12.8% showed a very low and low QoL. QoL was not influenced by the patients’ symptomatology, gender, and education level. Having children, family support, better social and conceptual skills, and a higher perceived level of recovery was correlated with an increased QoL, hierarchical multiple regression R<sup>2</sup> = 0.379, <i>F</i>(9, 68) = 2.616, and <i>p</i> = 0.012. <i>Conclusions</i>: Psychiatric interventions in psychosis should focus not only on symptoms’ control, but also on improving social and family support, as well as adaptive skills to increase the patients’ QoL. |
| first_indexed | 2024-03-10T03:27:46Z |
| format | Article |
| id | doaj.art-3a398156f855476eb0d4209851b11f01 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-10T03:27:46Z |
| publishDate | 2022-04-01 |
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| series | Medicina |
| spelling | doaj.art-3a398156f855476eb0d4209851b11f012023-11-23T12:03:21ZengMDPI AGMedicina1010-660X1648-91442022-04-0158561510.3390/medicina58050615Quality of Life in Patients with Chronic Psychotic Disorders: A Practical Model for Interventions in Romanian Mental Health CentersMarinela Hurmuz0Mirela Frandes1Anca-Livia Panfil2Ileana-Pepita Stoica3Cristina Bredicean4Catalina Giurgi-Oncu5Ion Papava6Aurel Nirestean7Discipline of Psychiatry, Department of Clinical Sciences, “George Emil Palade” University of Medicine, Pharmacy, Science and Technology of Targu Mures, 38 Str. G. Marinescu, 540139 Targu Mures, RomaniaDepartment of Functional Sciences—Medical Informatics and Biostatistics, “Victor Babes” University of Medicine and Pharmacy, 2 Sq. Eftimie Murgu, 300041 Timisoara, RomaniaLiaison Psychiatry Department, “Pius Branzeu” Timis County Emergency Clinical Hospital, 156 Bd. Liviu Rebreanu, 300182 Timisoara, RomaniaMental Health Center No. 1, “Pius Branzeu” Timis County Emergency Clinical Hospital, 156 Bd. Liviu Rebreanu, 300182 Timisoara, RomaniaDepartment of Neuroscience, NEUROPSY-COG Center for Cognitive Research in Neuropsychiatric Pathology, “Victor Babes” University of Medicine and Pharmacy, 2 Sq. Eftimie Murgu, 300041 Timisoara, RomaniaDepartment of Neuroscience, NEUROPSY-COG Center for Cognitive Research in Neuropsychiatric Pathology, “Victor Babes” University of Medicine and Pharmacy, 2 Sq. Eftimie Murgu, 300041 Timisoara, RomaniaDepartment of Neuroscience, NEUROPSY-COG Center for Cognitive Research in Neuropsychiatric Pathology, “Victor Babes” University of Medicine and Pharmacy, 2 Sq. Eftimie Murgu, 300041 Timisoara, RomaniaDiscipline of Psychiatry, Department of Clinical Sciences, “George Emil Palade” University of Medicine, Pharmacy, Science and Technology of Targu Mures, 38 Str. G. Marinescu, 540139 Targu Mures, Romania<i>Background and Objectives</i>: Current psychiatric care is increasingly focusing on patients’ quality of life (QoL). Research is still trying to determine the main factors which influence QoL. The present study aims to assess the QoL of patients with chronic psychotic-spectrum disorders, as well as its relation to symptomatology, functionality, adaptive behavior, and perceived level of recovery. <i>Materials and Methods</i>: The study included a sample of 78 patients with chronic psychosis. Symptomatology and illness severity were assessed with the Positive and Negative Syndrome Scale (PANSS) and the Clinical Global Impression Scale-Severity (CGI-S) scales, respectively. The Global Assessment of Functioning Scale (GAFS) and the Adaptive Behavior Assessment System II (ABAS-II)-Adult Form were used for the assessment of patients’ functionality, and the Quality-of-Life Inventory (QOLI) scale was applied for the evaluation of QoL. <i>Results</i>: According to the CGI-Severity scale, 20.5% of the patients were borderline mentally ill, and 24.4% were mildly ill. The highest number of patients (34.6%) were moderately ill, while 14.1% and 2.6% were markedly ill and severely ill, respectively. Among the moderately ill patients, more than half (63%) were patients with schizophrenia, 18.5% were patients with delusional disorder, and 18.5% were patients with schizoaffective disorder. Most of the patients (43.6%) presented moderate functioning deficiency, while 38.5% of the patients presented severe deficiency, according to the GAFS score. When assessed with the ABAS, we observed that almost half of the patients (44.9%) showed an average functioning across skill areas in the conceptual, social, and practical domains. A percent of 67.9% of the patients presented an average QoL, while 15.4% and 12.8% showed a very low and low QoL. QoL was not influenced by the patients’ symptomatology, gender, and education level. Having children, family support, better social and conceptual skills, and a higher perceived level of recovery was correlated with an increased QoL, hierarchical multiple regression R<sup>2</sup> = 0.379, <i>F</i>(9, 68) = 2.616, and <i>p</i> = 0.012. <i>Conclusions</i>: Psychiatric interventions in psychosis should focus not only on symptoms’ control, but also on improving social and family support, as well as adaptive skills to increase the patients’ QoL.https://www.mdpi.com/1648-9144/58/5/615quality of lifepsychosisrecoverysocial skillsconceptual skillssystemic support |
| spellingShingle | Marinela Hurmuz Mirela Frandes Anca-Livia Panfil Ileana-Pepita Stoica Cristina Bredicean Catalina Giurgi-Oncu Ion Papava Aurel Nirestean Quality of Life in Patients with Chronic Psychotic Disorders: A Practical Model for Interventions in Romanian Mental Health Centers Medicina quality of life psychosis recovery social skills conceptual skills systemic support |
| title | Quality of Life in Patients with Chronic Psychotic Disorders: A Practical Model for Interventions in Romanian Mental Health Centers |
| title_full | Quality of Life in Patients with Chronic Psychotic Disorders: A Practical Model for Interventions in Romanian Mental Health Centers |
| title_fullStr | Quality of Life in Patients with Chronic Psychotic Disorders: A Practical Model for Interventions in Romanian Mental Health Centers |
| title_full_unstemmed | Quality of Life in Patients with Chronic Psychotic Disorders: A Practical Model for Interventions in Romanian Mental Health Centers |
| title_short | Quality of Life in Patients with Chronic Psychotic Disorders: A Practical Model for Interventions in Romanian Mental Health Centers |
| title_sort | quality of life in patients with chronic psychotic disorders a practical model for interventions in romanian mental health centers |
| topic | quality of life psychosis recovery social skills conceptual skills systemic support |
| url | https://www.mdpi.com/1648-9144/58/5/615 |
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