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Well-being in patients with schizophrenia, mood and personality disorders attending psychiatric services in the community. A controlled study.

Abstract：

BACKGROUND:Poor attention is paid by recent research to the prevalence of mental well-being in psychiatric patients and the comparison between groups with different diagnoses. Data suggest that the presence of mental illness does not necessarily mean the absence of well-being, particularly in stable outpatients. METHODS:A consecutive series of 375 patients attending two community mental health centers was given the Mental Health Continuum Short Form (MHC-SF) and the Clinical Global Impression - Severity scale. Diagnoses were made after the MINI Neuropsychiatric Interview and a chart review of all relevant clinical information. The flourishing category and the three components of MHC-SF were used to rate well-being. A total of 274 controls were taken from the employees at a local firm. RESULTS:The rates of flourishing mental health were: 33.1% schizophrenia, 36.6% bipolar disorder, 23.3% unipolar depression, 24.4% cluster B personality disorder, and 53.3% controls (p < 0.001). The comparison of the three MHC components across diagnostic groups found that unipolar depression and cluster B personality patients had significantly lower scores compared to bipolar and schizophrenia patients. Flourishing mental health was detected more often in males than females (34.9% vs. 24.1% - p < 0.05). For schizophrenia patients indices of well-being were better in those on depot medications. CONCLUSIONS:Psychiatric outpatients with major mental illness have lower rates of well-being compared to controls, although about one-third is flourishing. Patients with unipolar depression and cluster B personality disorder may deserve special attention when planning intervention for fostering well-being.

journal_name

Compr Psychiatry

journal_title

Comprehensive psychiatry

authors

Stanga V,Turrina C,Valsecchi P,Sacchetti E,Vita A

doi

10.1016/j.comppsych.2019.02.001

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

1-5

eissn

0010-440X

issn

1532-8384

pii

S0010-440X(19)30009-4

journal_volume

91

pub_type

杂志文章

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