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Determinants of quality of life in first‐episode psychosis
Author(s) -
Malla A. K.,
Norman R. M. G.,
McLean T. S.,
MacDonald C.,
McIntosh E.,
DeanLashley F.,
Lynch J.,
Scholten D.,
Ahmed R.
Publication year - 2004
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1046/j.0001-690x.2003.00221.x
Subject(s) - psychosis , quality of life (healthcare) , psychology , psychiatry , medicine , gerontology , clinical psychology , psychotherapist
Objective: To assess patient and/or illness characteristics associated with aspects of quality of life (QOL) in first‐episode psychosis (FEP). Method: Patient characteristics, symptom ratings and Wisconsin QOL scale (client version) were assessed. Data were analysed with correlation coefficients and a hierarchical regression analysis. Results: Patients presented with varying levels of QOL on different domains. The level of ‘general satisfaction’ was related to age of onset and social premorbid adjustment; ‘weighted index of QOL’ to social premorbid adjustment and inversely to educational premorbid adjustment; ‘social relations’ inversely to duration of untreated psychosis (DUP), length of prodrome and negative symptoms; ‘psychological well‐being’ inversely to depression and educational premorbid adjustment; ‘activities of daily living’ to social premorbid adjustment and inversely to negative symptoms; and ‘outlook on symptoms’ to level of depression. Conclusion: Domains of self‐rated QOL in FEP patients are differentially associated with malleable and non‐malleable aspects of patient and illness characteristics.