Abstract:
BACKGROUND:The aim of this study was to investigate predictors of Quality of Life in a group of severely mentally ill substance abusers. These patients took part in a multi-centre study aimed at improving co-operation between psychiatric and social services in Sweden during the years 1995 to 1998. METHODS:Two hundred and eighty-eight patients, 62.4 % men, were included in the study. The criteria to enter the study were to have a diagnosis of severe mental illness and a diagnosis of substance dependence according to the DSM-III-R criteria. Quality of Life (QoL) was measured by a global assessment, Cantril's ladder (1965). Initially and after 18 months the following measurements were also used: Addiction Severity Index (ASI), Symptom Check List 90 (SCL-90) and The Clinical Rating Scale (CRS) for Alcohol Use (AUS) and Drug Use (DUS). RESULTS:Initially those who were older and those who had an apartment of their own or who lived in sheltered living had a higher QoL than the others. Those belonging to the borderline personality disorder subgroup had a lower QoL than those belonging to other psychiatric diagnostic subgroups. At follow-up QoL had improved significantly. Improvement in QoL was related to improvements in physical health, legal and family problems, psychiatric symptoms and a reduction of alcohol and drug problems (ASI), global functioning (GAF) and psychological problems (SCL-90). A multiple stepwise regression analysis showed that improvement in QoL primarily was predicted by improvements in psychiatric symptoms. Number of months without alcohol and drugs were positively associated with improvement in QoL. As a whole, at follow-up the QoL is still not high. CONCLUSIONS:In this group of severely mentally ill substance abusers, improvement in QoL was primarily predicted by improvements in psychiatric symptoms. Further, less alcohol and drug abuse seems to augment the subjective feeling of QoL.
journal_name
Soc Psychiatry Psychiatr Epidemioljournal_title
Social psychiatry and psychiatric epidemiologyauthors
Schaar I,Ojehagen Adoi
10.1007/s00127-003-0604-9subject
Has Abstractpub_date
2003-02-01 00:00:00pages
83-7issue
2eissn
0933-7954issn
1433-9285journal_volume
38pub_type
杂志文章abstract:PURPOSE:Caring for someone with an eating disorder is associated with a high level of burden and psychological distress. While models for the prediction of carer burden have previously been investigated, these have typically neglected the role of coping strategies and social support. Thus, the current study will examin...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-011-0384-6
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVE:To examine associations between childhood psychopathology and family factors at age 8, and sense of coherence (SOC) at age 18. METHODS:The sample includes 2,314 Finnish boys born 1981 with information about psychopathology from parents and teachers using Rutter scales, and self-reports of depressive symptoms...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-009-0032-6
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:Associations were examined between neighbourhood income inequality and neighbourhood socioeconomic deprivation on the one hand and (mental) health related quality of life (QoL) on the other, in Maastricht, the Netherlands. METHODS:Three different data sources were used: 1) neighbourhood socioeconomic indicat...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-004-0768-y
更新日期:2004-06-01 00:00:00
abstract:BACKGROUND:Integration of patient views in mental health service planning is in its infancy despite service provision being clearly dominated by narratives from professional consultations and medical records. We wished to clarify perceptions of uncertainty about mental health conditions from a range of provider and use...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-009-0072-y
更新日期:2010-03-01 00:00:00
abstract:PURPOSE:Ethnic inequalities in health in Western societies are well-documented but poorly understood. We examined associations between health locus of control (HLC) and depressive symptoms among native and non-native Dutch people in the Netherlands. METHODS:We used hierarchical multiple linear regression analyses on a...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-013-0678-y
更新日期:2013-12-01 00:00:00
abstract:PURPOSE:This study aimed to measure the income-related inequality of depressive symptoms and its trends among middle-aged and elderly people in China. METHODS:Data were extracted from the 2011 baseline and 2015 follow-up of the China Health and Retirement Longitudinal Study (CHARLS), a nationally representative survey...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-019-01710-0
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:In Britain and elsewhere there is ethnic variation in mental health in adulthood but less is known about adolescence. Few studies examining the role of family life in adolescent mental well-being have been based on a multi-ethnic UK sample. We explored whether family activities explain ethnic differences in ...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-009-0047-z
更新日期:2010-01-01 00:00:00
abstract:PURPOSE:To estimate the effect of selective sampling on first contact (FC) studies of the relation between migration and schizophrenia. METHODS:We compared the FC method directly with a more inclusive longitudinal psychiatric register (LPR) method, by letting both methods estimate age and sex adjusted incidence rate r...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-016-1310-8
更新日期:2017-02-01 00:00:00
abstract:PURPOSE:Despite the quantity of research on child and adolescent mental health being done in schools, little output has focused on the practical aspects of recruiting schools and students into a study. Furthermore, there is limited knowledge on how to develop and sustain productive and mutually beneficial partnerships ...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-016-1224-5
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:The aim of the present study was to examine the impact of the Rehabilitation Law 2000 in Israel (which provides a basket of rehabilitation services for every mentally disabled patient) on the survival in the community of a population of long-stay psychiatric patients released from psychiatric hospitals. MET...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-005-0008-0
更新日期:2006-02-01 00:00:00
abstract:PURPOSE:The interaction between physical and mental health is complex. In this paper we aim to provide an overview of the main components of this relationship and to identify how care could be improved for people with co-morbidities. METHODS:We performed a literature search of MedLine, Ovid and Psycinfo and identified...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章,评审
doi:10.1007/s00127-014-0847-7
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:Empirical studies in psychiatric research and other fields often show substantially high refusal and drop-out rates. Non-participation and drop-out may introduce a bias whose magnitude depends on how strongly its determinants are related to the respective parameter of interest. METHODS:When most information...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-005-0882-5
更新日期:2005-04-01 00:00:00
abstract:OBJECTIVES:This study aimed to examine the prevalence and correlates of lifetime suicide attempts and current suicidal ideation in community-dwelling schizophrenia patients in China. METHOD:A sample of 540 schizophrenia patients was randomly selected in Beijing, China. All subjects were interviewed using standardized ...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-012-0555-0
更新日期:2013-03-01 00:00:00
abstract:INTRODUCTION:The aim was to examine the prevalence of mental health difficulties and prejudices toward mental illness among adolescents, and to analyze possible school and school class effects on these issues. METHODS:The sample comprised 4,046 pupils (16-19 years) in 257 school classes from 45 Norwegian upper seconda...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-009-0099-0
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND:Rates of deliberate self-poisoning have increased in recent years. While over-the-counter availability and prescribing patterns may influence trends in substances used in overdose, these may also be related to clinical characteristics of patients. We investigate trends in substances used for self-poisoning a...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s001270170053
更新日期:2001-05-01 00:00:00
abstract:BACKGROUND:Rehabilitation services have received little attention in the literature compared with other types of mental health service provision over the past 15 years. However, they are an important component of whole-system functioning in mental health services. Lack of provision has a particular impact on acute in-p...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-016-1213-8
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Heterotypic psychopathological continuity (i.e. one disorder predicting another at a later time point) contradicts the conventional view that psychiatric disorders are discrete, static entities. Studying this phenomenon may help to tease out the complex mechanisms that underpin psychiatric comorbidity. To da...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-017-1396-7
更新日期:2017-09-01 00:00:00
abstract:PURPOSE:Serious psychological distress (SPD) is an understudied health topic. When studied, estimates for minority groups are compared to that of non-Hispanic whites. Non-Hispanic whites are heterogeneous, and comprise individuals from Europe, North Africa or the Middle East. The objectives of this study are to estimat...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-013-0703-1
更新日期:2013-12-01 00:00:00
abstract:PURPOSE:Childhood trauma may increase vulnerability to numerous specific psychiatric disorders, or a generalised liability to experience dimensions of internalising or externalising psychopathology. We use a nationally representative sample (N = 34,653) to examine the long-term consequences of childhood trauma and thei...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-018-1525-y
更新日期:2018-11-01 00:00:00
abstract:PURPOSE:This study identified depressive symptom trajectories in the years after diabetes diagnosis, examined factors that predict the probability for people following a specific trajectory, and investigated how the trajectories are associated with subsequent disability. METHODS:We drew data from a nationally represen...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-016-1314-4
更新日期:2017-07-01 00:00:00
abstract::This paper presents the results of a study carried on an urban population in Belgrade investigating the connections between relapse in schizophrenia and the expressed emotion (EE) status of families where at least one of the patient's parents was a member of the household. The overall rate of high EE was just under 50...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/BF00805622
更新日期:1994-04-01 00:00:00
abstract:BACKGROUND:The aim of this study was to determine public attitudes towards patients with depression and the influence of perception and causal attributions on social distance towards individuals suffering from depression in urban areas. METHODS:This study was carried out with a representative sample in Istanbul which ...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-004-0843-4
更新日期:2004-12-01 00:00:00
abstract:BACKGROUND:We examined the association of area deprivation with the occurrence of psychosocial problems among children aged 4-16 in a representative national sample of children based on standardised measures of parent-reported problems and diagnoses made by doctors and nurses working in child healthcare (child health p...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-005-0850-0
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:The relationship between employment and improved mental health is well documented. However, no research has examined whether this relationship applies to poor single mothers. Given recent changes in the labor market where poor women are disproportionately employed in unstable jobs, the competing demands of w...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-009-0044-2
更新日期:2010-01-01 00:00:00
abstract:PURPOSE:Mental illness represents a major public health burden among Canada's large immigrant population. A burgeoning cross-sectional, longitudinal, and experimental evidence base implicates nutrition in mental health. Healthier diets (e.g., those rich in certain micro-nutrients) may benefit cognitive, social, and emo...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-018-1616-9
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:The mortality of people suffering from psychiatric illnesses is far higher than that of the general population, all categories of diagnosis combined; mortality statistics can be used as an index of quality of care. The aim of this study was to assess the all-cause mortality in psychiatric patients covering a...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-014-0913-1
更新日期:2015-02-01 00:00:00
abstract:PURPOSE:This study examined the associations of insomnia symptoms with subsequent psychotropic medication, reflecting mental health. METHODS:Postal baseline surveys among 40- to 60-year-old employees of the city of Helsinki, Finland, were collected in 2000-2002 (N = 6,227, response rate 67%, 78% women) and longitudina...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-014-0862-8
更新日期:2014-12-01 00:00:00
abstract::The effectiveness of short-term interventions to reduce caregiver 'burden' has not been clearly demonstrated. This study assessed the value of six weekly sessions of counselling for key relatives of patients with schizophrenia. The counselling had educational and problem-solving components and was conducted in the fam...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/BF00785761
更新日期:1996-06-01 00:00:00
abstract:BACKGROUND:Our aim was to examine whether variations in the prevalence of neurosis and psychosis between ethnic minorities throughout Great Britain are explained by social disadvantage. METHOD:A total of 10,108 adult householders throughout Great Britain were assessed in a two-stage survey with the Revised Clinical In...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-004-0830-9
更新日期:2004-12-01 00:00:00
abstract:PURPOSE:Social isolation and low levels of social support are associated with depression. The purpose of the current study was to investigate the relationship between depression and social connectivity factors (frequency of contact and quality of social connections) in the 2007 Australian National Survey of Mental Heal...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-017-1440-7
更新日期:2017-12-01 00:00:00