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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2012

Open Access 01-12-2012 | Review

Quality of life of people with mental health problems: a synthesis of qualitative research

Authors: Janice Connell, John Brazier, Alicia O’Cathain, Myfanwy Lloyd-Jones, Suzy Paisley

Published in: Health and Quality of Life Outcomes | Issue 1/2012

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Abstract

Purpose

To identify the domains of quality of life important to people with mental health problems.

Method

A systematic review of qualitative research undertaken with people with mental health problems using a framework synthesis.

Results

We identified six domains: well-being and ill-being; control, autonomy and choice; self-perception; belonging; activity; and hope and hopelessness. Firstly, symptoms or ‘ill-being’ were an intrinsic aspect of quality of life for people with severe mental health problems. Additionally, a good quality of life was characterised by the feeling of being in control (particularly of distressing symptoms), autonomy and choice; a positive self-image; a sense of belonging; engagement in meaningful and enjoyable activities; and feelings of hope and optimism. Conversely, a poor quality life, often experienced by those with severe mental health difficulties, was characterized by feelings of distress; lack of control, choice and autonomy; low self-esteem and confidence; a sense of not being part of society; diminished activity; and a sense of hopelessness and demoralization.

Conclusions

Generic measures fail to address the complexity of quality of life measurement and the broad range of domains important to people with mental health problems.
Appendix
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Metadata
Title
Quality of life of people with mental health problems: a synthesis of qualitative research
Authors
Janice Connell
John Brazier
Alicia O’Cathain
Myfanwy Lloyd-Jones
Suzy Paisley
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2012
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-10-138

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