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DISAPPOINTMENT DOMAINS, QUALITY OF LIFE, AND THE IMPACT OF MENTAL ILLNESS: AN EV ALUA nON OF DEMOGRAPHIC DIFFERENCES Christina L. Adkins April 20, 2007 The concept of quality of life (QOL) has been the topic of many research projects, yet several clinically relevant aspects of this concept have been overlooked. Specifically, few studies have addressed the impact of such demographic variables as race and sex on the life domains that have been particularly disappointing to patients with mental illnesses. The current research project aims to contribute to the understanding of the impact these variables have on quality of life, specifically addressing the following hypotheses: I.) Domains of disappointment will vary according to race and sex; 2.) Race and sex will interact to predict which life domain is most disappointing; and 3.) Demographic differences will be detected in the level of disappointment with most disappointing domain. Patients diagnosed with psychotic and affective disorders (n=125) were administered an open-ended, semi-structured interview designed to assess disappointments they have experienced as a result of their mental illness. They were asked to list the goals they have been prevented from accomplishing, which "loss" was

Disappointment domains, quality of life, and the impact of mental illness : an evaluation of demographic differences.