Abstract:
OBJECTIVE:Patients with obsessive compulsive disorder (OCD) have high disease burden. It is important to restore quality of life (QoL) in treatment, so that patients become able to live a fulfilling life. Little is known about the longitudinal course of QoL in patients with OCD, its association with remission from OCD, and about factors that contribute to an unfavourable course of QoL in remitting patients. METHODS:Study on the 4-year course of QoL of patients with chronic (n = 144), intermittent (n = 22), and remitting OCD (n = 73) using longitudinal data of the Netherlands Obsessive Compulsive Disorder Association (NOCDA; complete data: n = 239; imputed data n = 382). The EuroQol five-dimensional questionnaire (EQ-5D) utility score was used to assess QoL. In patients with remitting OCD, we examined patient characteristics that contributed to an unfavourable course of QoL, including sociodemographics, OCD characteristics, psychiatric comorbidity, and personality traits. RESULTS:Course of QoL was associated with course of OCD. QoL improved in those who remitted from OCD; however, even in these patients, QoL remained significantly below the population norms. The correlation between QoL and severity of OCD was only moderate: r = - 0.40 indicating that other factors besides OCD severity contribute to QoL. In remitters, more severe anxiety and depression symptoms were related to a lower QoL. Results were similar in complete and imputed data sets. CONCLUSIONS:Remission from OCD is associated with improvement of QoL, but comorbid anxiety and depression symptoms hamper the improvement of QoL. QoL could be improved by reducing OCD symptoms in patients with OCD and by treating comorbid anxiety and depression symptoms in remitting patients.
journal_name
Soc Psychiatry Psychiatr Epidemioljournal_title
Social psychiatry and psychiatric epidemiologyauthors
Remmerswaal KCP,Batelaan NM,Hoogendoorn AW,van der Wee NJA,van Oppen P,van Balkom AJLMdoi
10.1007/s00127-019-01779-7subject
Has Abstractpub_date
2020-08-01 00:00:00pages
989-1000issue
8eissn
0933-7954issn
1433-9285pii
10.1007/s00127-019-01779-7journal_volume
55pub_type
杂志文章abstract:BACKGROUND:The only randomised trial of assertive community treatment (ACT) carried out in England (the "REACT" study: randomised evaluation of assertive community treatment in North London) found no clinically significant advantage over usual care from community mental health teams (CMHTs). However, ACT clients were m...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-008-0472-4
更新日期:2009-07-01 00:00:00
abstract::Despite much effort to positively affect long-term outcome in psychosis and schizophrenia many patients are still facing a poor outcome with persistent psychotic symptoms and decline in social functioning. The aim of this study was to examine the relationship between financial strain and social network and five-year o...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-008-0392-3
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVE:This study investigated the frequency of episodes and subsyndromal symptoms based on employment status in patients with bipolar disorder. METHODS:Patients with bipolar disorder (n = 281) provided daily self-reported mood ratings for 5 months, returning 46,292 days of data. Data were analyzed using three empl...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-008-0464-4
更新日期:2009-07-01 00:00:00
abstract:INTRODUCTION:The concept 'quality of life' (QoL) has become increasingly important as an outcome measure in the evaluation of services and in clinical trials of people with schizophrenia. This study examines the mediating role of health related quality of life (HRQoL) in the prediction of general quality of life (GQoL)...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-008-0448-4
更新日期:2009-05-01 00:00:00
abstract:PURPOSE:Goldberg's General Health Questionnaire (GHQ) items are frequently used to assess psychological distress but no study to date has investigated the GHQ-30's potential for adaptive administration. In computerized adaptive testing (CAT) items are matched optimally to the targeted distress level of respondents inst...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-015-1157-4
更新日期:2016-06-01 00:00:00
abstract:INTRODUCTION:Gender differences in suicide completion rates have been attributed to the differences in lethality of suicide methods chosen by men and women, but few empirical studies have investigated factors other than demographic characteristics that might explain this differential. METHODS:Data from the 621 suicide...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-011-0393-5
更新日期:2012-06-01 00:00:00
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 ...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-003-0604-9
更新日期:2003-02-01 00:00:00
abstract:OBJECTIVE:To estimate the excess costs associated with bipolar disorders in Australia, based on prevalence (using the Mood Disorder Questionnaire (MDQ)) and associated excess burden-of-illness costs. METHODS:Using data from the 2004 South Australian Health Omnibus Survey (HOS), a weighted cross-sectional survey of 3,0...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-006-0133-4
更新日期:2007-02-01 00:00:00
abstract:BACKGROUND:Structured diagnostic inter- views include items that evaluate physical etiologies for mood and anxiety disorders. The objective of this article was to assess the impact of such items. METHOD:A mental health survey in Canada collected data from n = 36,984 household residents. The lifetime prevalence of mood...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-007-0195-y
更新日期:2007-06-01 00:00:00
abstract:PURPOSE:An estimated 9 million elderly people accompanied their adult children to urban areas in China, raising concerns about their social capital and mental health following re-location. The aim of this study was to examine the effect of migration on social capital and depression among this population. METHODS:Multi...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-017-1439-0
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVE:Adolescent children of parents with schizophrenia are generally overlooked in studies of family burden. Few published data exist about this younger cohort compared to adult family members such as parents, spouses, and siblings. This pilot study aims to examine the types of burden described by adolescent child...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-004-0778-9
更新日期:2004-07-01 00:00:00
abstract:PURPOSE:Comorbid depression is common in adolescents with attention-deficit/hyperactivity disorder (ADHD). As yet, however, little is known about the factors associated with co-occurring depression in this population. To address this research gap, the current study examined the role of community violence exposure in th...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-019-01662-5
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:De-institutionalization of psychiatric patients has led to a greater emphasis on family management in the community, and family members are often overwhelmed by the demands that caring for a patient with schizophrenia involves. Most studies of family burden in schizophrenia have taken place in developed coun...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-005-0963-5
更新日期:2005-11-01 00:00:00
abstract:PURPOSE:A substantial body of research indicates that self-stigma is associated with poorer outcomes related to recovery among people with severe mental illnesses. Narrative Enhancement and Cognitive Therapy (NECT) is a structured, group-based approach which targets the effects of self-stigma. A randomized-controlled t...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00127-019-01702-0
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:This study aims at providing qualitative and quantitative evidence on the relevance of two broadly used mental health self-report measures--Impact of Event Scale Revised (IES-R) and Hopkins Symptom Checklist 37 for Adolescents (HSCL-37A)--for use in Eastern Democratic of Congo, as no psychological assessment...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-009-0128-z
更新日期:2010-09-01 00:00:00
abstract:PURPOSE:A number of studies have found an ethnic density effect in psychotic disorders, where the incidence for ethnic minorities increases as the neighbourhood proportional ethnic composition decreases [Morgan and Hutchinson, Psychol Med 40:705-709, (2010); Singh, Psychol Med 39:1402-1403, (2009); Schofield et al., Ps...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00127-013-0773-0
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:The paper investigates social and lifestyle determinants of depression, anxiety, sleeping disorders and self-evaluated low quality of life in a population sample from the northwest of Russia. METHODS:Altogether 1968 men and 1737 women aged 18-90 years participated in a population-based study in Arkhangelsk,...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-005-0918-x
更新日期:2005-07-01 00:00:00
abstract:PURPOSE:Studies that assess the role of mental health for the risk of divorce are scarce and mostly rely on individual-level data, although divorce is a couple-level phenomenon. Using data on couples, we examine the effects of both spouses' psychiatric morbidity on the risk of divorce, and whether socio-demographic fac...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-018-1521-2
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:To determine the prevalence and characteristics of psychosexual problems in people with schizophrenia, and to compare the subjects' and researcher's perceptions of the presence of these problems. METHODS:Cross-sectional survey of 137 people with established schizophrenia or schizoaffective disorder, aged 18-...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-009-0119-0
更新日期:2010-07-01 00:00:00
abstract::A nationwide random sample of psychiatric patients (n = 832) admitted for hospitalization in Israel in 1980 was followed up until the end of 1984. A multivariate analysis was performed, where the dependent variables were: the cumulative length of all hospitalizations, the mean duration of hospitalization and the mean ...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/BF00782743
更新日期:1990-05-01 00:00:00
abstract::Parental care was analyzed separately with the PBI for both father and mother or their surrogate to assess its association with suicidal behavior (attempt or serious ideation). The study was conducted on two French-speaking samples from Montreal: the first included 2,327 high school students and the second 701 young a...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/BF00788746
更新日期:1993-10-01 00:00:00
abstract::This study employed semi-structured interviews and questionnaires to describe the help-seeking processes and examine the determinants of help-seeking behaviours in 100 consecutive referrals to a child psychiatric clinic in Hong Kong. The help-seeking processes were characterized by (1) a sequential pattern of lay cons...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/BF00787923
更新日期:1996-09-01 00:00:00
abstract:PURPOSE:Previous findings in Turkish samples of children have suggested higher prevalence of ADHD than those detected in Western cultures. Methodological problems might explain these findings. Here, we aimed to re-check the prevalence rate of Attention-Deficit/Hyperactivity Disorder (ADHD) along with other childhood ps...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-015-1071-9
更新日期:2015-07-01 00:00:00
abstract:PURPOSE:Higher maternal parity and younger maternal age have each been observed to be associated with subsequent offspring suicidal behaviour. This study aimed to establish if these, and other variables from the perinatal period, together with family size, are also associated with other psychiatric morbidity. METHODS:...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-011-0405-5
更新日期:2012-06-01 00:00:00
abstract::Expressed Emotion was measured in the staff of two similar hostels for the long term mentally ill in an Inner London Borough (Hostel A and Hostel B). Patients in the two hostels showed similar levels of disturbance as measured by the PSE and symptom and behaviour profile scores. Staff from Hostel B displayed higher le...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/BF00788954
更新日期:1992-01-01 00:00:00
abstract:BACKGROUND:This study investigated whether problem behaviour in 5- to 6-year-old children is related to parental education and occupation. It also analysed the contribution of correlating factors to explain this association. METHOD:The Child Behaviour Checklist was administered to a large community sample of 1317 chil...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s001270170036
更新日期:2001-07-01 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
abstract:OBJECTIVE:Previous research has suggested that psychosis is better described as a continuum rather than a dichotomous entity. This study aimed to describe the distribution of positive psychosis-like symptoms in two large community samples using an item response mixture model. METHOD:An item response mixture model was ...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-007-0244-6
更新日期:2007-10-01 00:00:00
abstract:BACKGROUND:Evaluation of symptom presentation and antipsychotic response based on ethnicity in children and adolescents with schizophrenia is limited. The purpose of this naturalistic, retrospective database study was to compare symptom presentation of children and adolescents of different ethnicities with schizophreni...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-006-0036-4
更新日期:2006-05-01 00:00:00
abstract:PURPOSE:Studies of factors affecting length of stay during psychiatric hospitalization in sub-Saharan Africa are sparse. A better understanding of such factors may lead to interventions resulting in quicker patient stabilization and discharge, freeing up needed psychiatric beds and reducing health care system expenditu...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-018-1611-1
更新日期:2019-02-01 00:00:00