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- Title
Associated and mediating variables related to quality of life among service users with mental disorders.
- Authors
Fleury, Marie-Josée; Grenier, Guy; Bamvita, Jean-Marie
- Abstract
<bold>Purpose: </bold>This study aimed to identify variables associated with quality of life (QoL) and mediating variables among 338 service users with mental disorders in Quebec (Canada). Data were collected using nine standardized questionnaires and participant medical records.<bold>Methods: </bold>Quality of life was assessed with the Satisfaction with Life Domains Scale. Independent variables were organized into a six-block conceptual framework. Using structural equation modeling, associated and mediating variables related to QoL were identified.<bold>Results: </bold>Lower seriousness of needs was the strongest variable associated with QoL, followed by recovery, greater service continuity, gender (male), adequacy of help received, not living alone, absence of substance use or mood disorders, and higher functional status, in that order. Recovery was the single mediating variable linking lower seriousness of needs, higher service continuity, and reduced alcohol use with QoL. Findings suggest that greater service continuity creates favorable conditions for recovery, reducing seriousness of needs and increasing QoL among service users. Lack of recovery-oriented services may affect QoL among alcohol users, as substance use disorders were associated directly and negatively with QoL.<bold>Conclusions: </bold>Decision makers and mental health professionals should promote service continuity, and closer collaboration between primary care and specialized services, while supporting recovery-oriented services that encourage service user involvement in their treatment and follow-up. Community-based organizations should aim to reduce the seriousness of needs particularly for female service users and those living alone.
- Subjects
CANADA; QUEBEC (Province); UTILIZATION of human services; QUALITY of life; MEDICAL records; MENTAL illness; ALCOHOL drinking; MENTAL health services; NEEDS assessment; PSYCHOTHERAPY patients; QUALITY assurance; QUESTIONNAIRES; RESEARCH funding; STRUCTURAL equation modeling; DESCRIPTIVE statistics; PSYCHOLOGY
- Publication
Quality of Life Research, 2018, Vol 27, Issue 2, p491
- ISSN
0962-9343
- Publication type
journal article
- DOI
10.1007/s11136-017-1717-z