Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2015

Open Access 01-12-2015 | Research

Predictive typology of subjective quality of life among participants with severe mental disorders after a five-year follow-up: a longitudinal two-step cluster analysis

Authors: Marie-Josée Fleury, Guy Grenier, Jean-Marie Bamvita

Published in: Health and Quality of Life Outcomes | Issue 1/2015

Login to get access

Abstract

Background

This study aims to create a predictive typology of quality of life at five-year follow-up of 204 individuals with severe mental disorders, according to clinical, socio-demographic, and health service use variables.

Methods

Participant typology was carried out by means of two-step cluster analysis. Independent variables were measured at T0 and subjective quality of life (SQOL) at T2.

Results

Analysis yielded four classes. SQOL at T2 was higher than the mean in Class 4 (“Older, poorly educated single men living in supervised housing, with psychotic disorders but with few serious needs, receiving substantial help from services”) and lower than the mean in Class 2 (“Young females with serious needs and co-occurring mental and addiction disorders living in independent apartments”).

Conclusion

Given that predictive SQOL varies in relation to combinations of associated variables, it would be useful for treatments or service programs to target specific predictors to the different profiles.
Literature
1.
Caron J, Mercier C, Diaz P, Martin A. Socio-demographic and clinical predictors of quality of life in patients with schizophrenia or schizo-affective disorder. Psychiatry Res. 2005;137:203–13.CrossRefPubMed
2.
Ritsner M, Gibel A, Ratner Y. Determinants of changes in perceived quality of life in the course of schizophrenia. Qual Life Res. 2006;15:515–26.CrossRefPubMed
3.
4.
Baker F, Intaglia J. Quality of life in the evaluation of Community support systems. Eval Program Planning. 1982;5:69–79.CrossRef
5.
Lehman AF, Ward NC, Linn LS. Chronic mental patients: the quality of life issue. Am J Psychiatry. 1982;139:1271–6.CrossRefPubMed
6.
Ruggeri M, Bisoffi G, Fontecedro L, Warner R. Subjective and objective dimensions of quality of life in psychiatric patients: a factor analytical approach. The South Verona Outcome Project 4. Br J Psychiatry 2001;178:268–75.
7.
Huxley P, Evans S, Burns T, Fahy T, Green J. Quality of Life outcome in a randomized controlled trial of case management. Soc Psychiatry Psychiatr Epidemiol. 2001;36:249–55.CrossRefPubMed
8.
Picci RL, Oliva F, Zuffranieri M, Vizzuso P, Ostacoli L, Sodano AJ, et al. Quality of life, alcohol detoxification and relapse: is quality of life a predictor of relapse or only a secondary outcome measure? Qual Life Res. 2014;23:2757–67.CrossRefPubMed
9.
Foster JH, Powell JE, Marshall EJ, Peters TJ. Quality of life in alcohol-dependent subjects--a review. Qual Life Res. 1999;8:255–61.CrossRefPubMed
10.
Awad AG, Voruganti LN. Measuring quality of life in patients with schizophrenia: an update. PharmacoEconomics. 2012;30:183–95.CrossRefPubMed
11.
12.
Awad AG, Voruganti LN, Heslegrave RJ. A conceptual model of quality of life in schizophrenia: description and preliminary clinical validation. Qual Life Res. 1997;6:21–6.CrossRefPubMed
13.
Ritsner M. The Distress/Protection vulnerability model of quality of life impairmemt syndrome. In: Ritsner M, Awad AG, editors. Quality of life impairment in schizophrenia. Dordrecht: Springer; 2007. p. 3–20.CrossRef
14.
Ware Jr JE. The SF-36 health survey in quality of life and pharmacoeconomics in clinical trials. In: Spilker B, editor. Quality of Life and pharmacoecomics in clinical trials. Philadelphia (PA): Lippincott-Raven; 1996. p. 337–45.
15.
Zissi A, Barry MM, Cochrane R. A mediational model of quality of life for individuals with severe mental health problems. Psychol Med. 1998;28:1221–30.CrossRefPubMed
16.
Boyer L, Baumstrarck K, Boucekine M, Blanc J, Lancon C, Auquier P. Measuring quality of life in patients with schizophrenia: an overview. Expert Rev Pharmacoecon Outcomes Res. 2013;13:343–9.CrossRefPubMed
17.
Skantze K. Subjective quality of life and standard of living: a 10-year follow-up of out-patients with schizophrenia. Acta Psychiatr Scand. 1998;98:390–9.CrossRefPubMed
18.
Barry MM, Zissi A. Quality of life as an outcome measure in evaluating mental health services: a review of the empirical evidence. Soc Psychiatry Psychiatr Epidemiol. 1997;32:38–47.CrossRefPubMed
19.
Heider D, Angermeyer MC, Winkler I, Schomerus G, Bebbington PE, Brugha T, et al. A prospective study of Quality of life in schizophrenia in three European countries. Schizophr Res. 2007;93:194–202.CrossRefPubMed
20.
Caron J, Lecomte Y, Stip E, Renaud S. Predictors of Quality of Life in Schizophrenia. Community Ment Health J. 2005;41:399–417.CrossRefPubMed
21.
Lam JA, Rosenheck RA. Correlates of improvement in quality of life among homeless persons with serious mental illness. Psychiatr Serv. 2000;51:116–8.CrossRefPubMed
22.
Evans S, Huxley P, Priebe S. A comparison of the quality of life of severely mentally ill people in UK & German samples. Int J Soc Psychiatry. 1999;46:47–56.CrossRef
23.
Cramer V, Torgersen S, Kringlen E. Mood disorders and quality of life. A community study. Nord J Psychiatry. 2010;64:58–62.CrossRefPubMed
24.
Huppert JD, Weiss KA, Lim R, Pratt S, Smith TE. Quality of life in schizophrenia; contributions of anxiety and depression. Schizophr Res. 2001;51:171–80.CrossRefPubMed
25.
Narvaez JM, Twamley EW, McKibbin CL, Heaton RK, Patterson TL. Subjective and objective quality of life in schizophrenia. Schizophr Res. 2008;98:201–8.PubMedCentralCrossRefPubMed
26.
Lasalvia A, Bonetto C, Malchiodi F, Salvi G, Parabiaghi A, Tansella M, et al. Listening to patients’ needs to improve their subjective quality of life. Psychol Med. 2005;35:1655–65.CrossRefPubMed
27.
Slade M, Leese M, Cahill S, Thornicroft G, Kuipers E. Patient-rated mental health needs and quality of life improvement. Br J Psychiatry. 2005;187:256–61.CrossRefPubMed
28.
Slade M, Leese M, Ruggeri M, Kuipers E, Tansella M, Thornicroft G. Does meeting needs improve quality of life? Psychother Psychosom Med Psychol. 2004;73:183–9.CrossRef
29.
Röder-Wanner UU, Oliver JP, Priebe S. Does quality of life differ in schizophrenic women and men? An empirical study. Int J Soc Psychiatry. 1997;43:129–43.CrossRefPubMed
30.
Mercier C, Péladeau N, Tempier R. Age, gender and quality of life. Community Ment Health J. 1998;34:487–500.CrossRefPubMed
31.
Caron J, Tempier R, Mercier C, Leouffre P. Components of social support and quality of life in severely mentally ill, low income individuals and a general population group. Community Ment Health J. 1998;34:459–75.CrossRefPubMed
32.
Eklund M, Bäckström M. A model of subjective quality of life for outpatients with schizophrenia and other psychoses. Qual Life Res. 2005;14:1157–68.CrossRefPubMed
33.
Ruggeri M, Nosè M, Bonetto C, Cristofalo D, Lasalvia A, Salvi G, et al. Changes and predictors of change in objective and subjective quality of life: multiwave follow-up study in community psychiatric practice. Br J Psychiatry. 2005;187:121–30.CrossRefPubMed
34.
Wiersma D, van Busschbach J. Are needs and satisfaction of care associated with quality of life? An epidemiological survey among the severely mentally ill in the Netherlands. Eur Arch Psychiatry Clin Neurosci. 2001;251:239–46.CrossRefPubMed
35.
Margolese HC, Carlos Negrete J, Tempier R, Gill K. A 12-month prospective follow-up study of patients with schizophrenia-spectrum disorders and substance abuse: Changes in psychiatric symptoms and substance use. Schizophr Res. 2006;83:65–75.CrossRefPubMed
36.
Björkman T, Hansson L. Predictors of improvement in quality of life of long-term mentally ill individuals receiving case management. Eur Psychiatry. 2002;17:33–40.CrossRefPubMed
37.
Lasalvia A, Bonetto C, Salvi G, Bissoli S, Tansella M, Ruggeri M. Predictors of changes in needs for care in patients receiving community psychiatric treatment: a 4-year follow-up study. Acta Psychiatr Scand Suppl. 2007;116:31–41.CrossRef
38.
Huppert JD, Smith TE. Longitudinal analysis of subjective quality of life in schizophrenia: anxiety as the best symptom predictor. J Nerv Ment Dis. 2001;189:669–75.CrossRefPubMed
39.
Priebe S, Roeder-Wanner UU, Kaiser W. Quality of life in first-admitted schizophrenia patients: a follow-up study. Psychol Med. 2000;30:225–30.CrossRefPubMed
40.
Hansson L, Björkman T. Are factors associated with subjective quality of life in people with severe mental illness consistent over time--A 6-year follow-up study. Qual Life Res. 2007;16:9–16.CrossRefPubMed
41.
Ritsner MS, Lisker A, Arbitman M. Ten-year quality of life outcomes among patients with schizophrenia and schizoaffective disorders: I. Predictive value of disorder-related factors. Qual Life Res. 2012;21:837–47.CrossRefPubMed
42.
Ritsner MS, Arbitman M, Lisker A, Ponizovsky AM. Ten-year quality of life outcomes among patients with schizophrenia and schizoaffective disorder II. Predictive value of psychosocial factors. Qual Life Res. 2012;21:1075–84.CrossRefPubMed
43.
Fitzgerald PB, de Castella AR, Filia K, Collins J, Brewer K, Williams CL, et al. A longitudinal study of patient- and observer-rated quality of life in schizophrenia. Psychiatry Res. 2003;119:55–62.CrossRefPubMed
44.
Fleury MJ, Grenier G, Bamvita JM, Tremblay J. Factors associated with needs of users with severe mental disorders. Psychiatr Q. 2013;84:363–79.CrossRefPubMed
45.
Fleury MJ, Grenier G, Bamvita JM, Tremblay J, Schmitz N, Caron J. Predictors of quality of life in a longitudinal study of users with severe mental disorders. Health Qual Life Outcomes. 2013;11:92.PubMedCentralCrossRefPubMed
46.
Herman SE, Mowbray CT. Client typology based on functioning level assessments: utility for service planning and monitoring. J Ment Health Adm. 1991;18:101–15.CrossRefPubMed
47.
Fleury MJ, Grenier G, Bamvita JM, Perreault M, Caron J. Typology of adults diagnosed with mental disorders based on socio-demographics and clinical and service use characteristics. BMC Psychiatry. 2011;11:67.PubMedCentralCrossRefPubMed
48.
Guzzetta F, Miglio R, Santone G, Picardi A, Norcio B, Bracco R, et al. First-ever admitted psychiatric inpatients in Italy: clinical characteristics and reasons contributing to admission: findings from a national survey. Psychiatric Res. 2010;176:62–8.CrossRef
49.
Luke DA, Mowbray CT, Klump K, Herman SE, BootsMiller B. Exploring the diversity of dual diagnosis: utility of cluster analysis for program planning. J Ment Health Adm. 1996;23:298–316.CrossRefPubMed
50.
Casper ES, Donaldson B. Subgroups in the population of frequent users of inpatient services. Hosp Community Psychiatry. 1990;41:189–91.PubMed
51.
Fisher S, Stevens RF. Subgroups of frequent users of an inpatient mental health program at a community hospital in Canada. Psychiatr Serv. 1999;50:244–7.CrossRefPubMed
52.
Lora A, Cosentino U, Rossin M, Lanzara D. A cluster analysis of patients with schizophrenia in community care. Psychiatr Serv. 2001;52:682–4.CrossRefPubMed
53.
Bonin JP, Fournier L, Blais R. A typology of mentally disordered users of resources for homeless people: towards better planning of mental health services. Adm Policy Ment Health. 2009;36:223–35.CrossRefPubMed
54.
Goldstein G, Luther JF, Haas GL, Gordon AJ, Appelt C. Comorbidity between psychiatric and general medical disorders in homeless veterans. Psychiatr Q. 2009;80:199–212.PubMedCentralCrossRefPubMed
55.
Fleury MJ, Grenier G, Bamvita JM. Help received from relatives and services to satisfy needs of adults with severe mental disorders. Health. 2013;5:200–11.CrossRef
56.
MSSS. Plan d’action en santé mentale 2005–2010: La force des liens. Québec: Ministère de la Santé et des Services Sociaux; 2005.
57.
Caron J, Mercier C, Tempier R. [Validation of Satisfaction with Life Domains Scale in Quebec]. Sante Ment Que. 1997;22:195–217.CrossRefPubMed
58.
Oliver JP, Huxley PJ, Priebe S, Kaiser W. Measuring the quality of life of severely mentally ill people using the Lancashire Quality of Life Profile. Soc Psychiatry Psychiatr Epidemiol. 1997;32:76–83.CrossRefPubMed
59.
Holcomb WR, Morgan P, Adams NA, Ponder H, Farrel M. Development of a structured interview scale for measuring quality of life of the severely mentally ill. J Soc Clin Psychol. 1993;49:830–40.CrossRef
60.
Becker M, Diamond R, Sainfort F. A new patient focused index for measuring quality of life in persons with severe and persistent mental illness. Qual Life Res. 1993;2:239–51.CrossRefPubMed
61.
Baker F, Jodrey D, Intagliata J. Social support and quality of life of community support clients. Community Ment Health J. 1992;28:397–411.CrossRefPubMed
62.
Barbato A, Monzani E, Schiavi T. Life satisfaction in a sample of outpatients with severe mental disorders: a survey in northern Italy. Qual Life Res. 2004;13:969–73.CrossRefPubMed
63.
Kovess-Masféty V, Xavier M, Moreno Kustner B, Suchocka A, Sevilla-Dedieu C, Dubuis J, et al. Schizophrenia and quality of life: a one-year follow-up in four EU countries. BMC Psychiatry. 2006;6:39.PubMedCentralCrossRefPubMed
64.
Caron J, Corbière M, Mercier C, Diaz P, Ricard N. The construct validity of the client questionnaire of the Wisconsin Quality of Life index - a cross-validation study. Int J Methods Psychiatr Res. 2003;12:128–38.CrossRefPubMed
65.
Hendryx M, Dyck DG, McBride D, Whitbeck J. A test of the reliability and validity of the Multnomah Community Ability Scale. Community Ment Health J. 2001;37:157–68.CrossRefPubMed
66.
Caron J. A validation of the Social Provisons Scales: the SPS-10 items. Sante Ment Que. 1996;21:158–80.
67.
Tremblay J, Bamvita JM, Grenier G, Fleury MJ. Utility of the Montreal Assessment of Need Questionnaire for Community Mental Health Planning. J Nerv Ment Dis. 2014;202:677–87.PubMedCentralCrossRefPubMed
68.
Accietto C: La validation d’une version française du questionnaire A.U.D.I.T. “Alcohol Use Identification Test”. Geneva: University of Geneva" 2003.
69.
Carey KB, Carey MP, Chandra PS. Psychometric evaluation of the Alcohol Use Disorders Identification Test and Short Drug Abuse Screening Test with psychiatric patients in India. J Clin Psychiatry. 2003;64:767–74.PubMedCentralCrossRefPubMed
70.
Durbin J, Goering P, Streiner DL, Pink G. Continuity of care: Validation of a new self-report measure for individuals using mental health services. J Behav Health Serv Res. 2004;31:279–96.PubMed
71.
Norusis MJ. Chapter 16- Cluster Analysis. In SPSS 170 Statistical Procedures Companion. Prentice Hall: Upper Saddle River, N.J; 2008.
72.
Lazarsfeld PF. The logical and mathematical foundation of latent structure analysis & The interpretation and mathematical foundation of latent structure analysis. In: Stouffer SA, Guttman L, Suchman EA, Lazarsfeld PF, Star SA, Clausen JA, editors. Measurement and Prediction. Princeton, N.J: Princeton University Press; 1950. p. 362–74.
73.
Clements FE. Use of cluster analysis with anthropological data. Am Anthropol. 1954;56:180–99.CrossRef
74.
Fleury MJ. Primary mental healthcare reform in quebec and the role and coordination strategies of general practitioners. Sante Ment Que. 2014;39:25–45.CrossRefPubMed
75.
Atkinson M, Zibin S, Chuang H. Characterizing quality of life among patients with chronic mental illness: a critical examination of the self-report methodology. Am J Psychiatry. 1997;154:99–105.CrossRefPubMed
76.
Leaf PJ, Livingston MM, Tischler GL, Weissman MM, Holzer CE, Myers JK. Contact with health professionals for the treatment of psychiatric and emotional problems. Med Care. 1985;23:1322–37.CrossRefPubMed
77.
Junghan UM, Leese M, Priebe S, Slade M. Staff and patient perspectives on unmet need and therapeutic alliance in community mental health services. BR J Psychiatry. 2007;191:543–7.CrossRefPubMed
78.
79.
Ruggeri M, Gater R, Bisoffi G, Barbui C, Tansella M. Determinants of subjective quality of life in patients attending community-based mental health services. The South-Verona Outcome Project 5. Acta Psychiatr Scand. 2002;105:131–40.CrossRefPubMed
80.
Feenstra DJ, Hutsebaut J, Laurenssen EM, Verheul R, Busschbach JJ, Soeteman DI. The burden of disease among adolescents with personality pathology: quality of life and costs. J Pers Disord. 2012;26:593–604.CrossRefPubMed
81.
Hayward M, Slade M, Moran PA. Personnality disorders and unmet needs among psychiatric inpatients. Psy Serv. 2006;57:538–43.CrossRef
82.
83.
Castel S, Rush BR, Urbanoski K, Toneatto T. Overlap of clusters of psychiatric symptoms among clients of a comprehensive addiction treatment service. Psychol Addict Behav. 2006;20:28–35.CrossRefPubMed
84.
Metadata
Title
Predictive typology of subjective quality of life among participants with severe mental disorders after a five-year follow-up: a longitudinal two-step cluster analysis
Authors
Marie-Josée Fleury
Guy Grenier
Jean-Marie Bamvita
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2015
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-015-0346-x

Other articles of this Issue 1/2015

Health and Quality of Life Outcomes 1/2015 Go to the issue

Research

A study of suicidal ideation in acute ischemic stroke patients

Research

Chinese cross-cultural adaptation and validation of the Oxford shoulder score

Research

Validation of the Dutch Aging Perceptions Questionnaire and development of a short version

Research

Validation of the French translation-adaptation of the impact of cancer questionnaire version 2 (IOCv2) in a breast cancer survivor population

Research

Mode of allocation and social demographic factors correlate with impaired quality of life after liver transplantation

Research Article

Health related quality of life in patients with actinic keratosis – an observational study of patients treated in dermatology specialist care in Denmark