The interrelation of needs and quality of life in first-episode schizophrenia.
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The interrelation of needs and quality of life in first-episode schizophrenia. / Landolt, Karin; Rössler, Wulf; Burns, Tom; Ajdacic-Gross, Vladeta; Galderisi, Silvana; Libiger, Jan; Naber, Dieter; Derks, Eske M; Kahn, René S; Fleischhacker, W Wolfgang.
in: EUR ARCH PSY CLIN N, Jahrgang 262, Nr. 3, 3, 2012, S. 207-216.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - The interrelation of needs and quality of life in first-episode schizophrenia.
AU - Landolt, Karin
AU - Rössler, Wulf
AU - Burns, Tom
AU - Ajdacic-Gross, Vladeta
AU - Galderisi, Silvana
AU - Libiger, Jan
AU - Naber, Dieter
AU - Derks, Eske M
AU - Kahn, René S
AU - Fleischhacker, W Wolfgang
PY - 2012
Y1 - 2012
N2 - The interrelation between needs for care and quality of life has been described and replicated by several studies. The present work aims to add to the understanding of longitudinal interrelations between needs for care, quality of life, and other outcome measures by analyzing a sample of patients at the onset of schizophrenia. This study relied on data from the EUFEST trial, designed to compare first- and second-generation antipsychotics during 1 year. At baseline, 498 patients have been included. The first (baseline) and the last assessment (12 months after baseline) were used for the analyses. Predictors of quality of life were determined using regression analyses. We tested the complex longitudinal interrelations between baseline and outcome measures with structural equation models. Unmet needs were not definitively confirmed as a predictor of subsequent quality of life, unless unmet needs changing to no needs were separated from unmet needs changing to met needs. Each unmet need that changed to no need enhanced the quality of life (mean score 1-7) by 0.136 scale points. This study suggests that when studying quality of life and needs for treatment, it is crucial to differentiate whether unmet needs disappeared or whether they were met, as the former has a stronger impact on quality of life.
AB - The interrelation between needs for care and quality of life has been described and replicated by several studies. The present work aims to add to the understanding of longitudinal interrelations between needs for care, quality of life, and other outcome measures by analyzing a sample of patients at the onset of schizophrenia. This study relied on data from the EUFEST trial, designed to compare first- and second-generation antipsychotics during 1 year. At baseline, 498 patients have been included. The first (baseline) and the last assessment (12 months after baseline) were used for the analyses. Predictors of quality of life were determined using regression analyses. We tested the complex longitudinal interrelations between baseline and outcome measures with structural equation models. Unmet needs were not definitively confirmed as a predictor of subsequent quality of life, unless unmet needs changing to no needs were separated from unmet needs changing to met needs. Each unmet need that changed to no need enhanced the quality of life (mean score 1-7) by 0.136 scale points. This study suggests that when studying quality of life and needs for treatment, it is crucial to differentiate whether unmet needs disappeared or whether they were met, as the former has a stronger impact on quality of life.
KW - Adult
KW - Humans
KW - Male
KW - Female
KW - Psychiatric Status Rating Scales
KW - Adolescent
KW - Young Adult
KW - Europe
KW - Regression Analysis
KW - Longitudinal Studies
KW - Retrospective Studies
KW - Schizophrenic Psychology
KW - Quality of Life/psychology
KW - Health Services Needs and Demand
KW - Schizophrenia/diagnosis/physiopathology/therapy
KW - Adult
KW - Humans
KW - Male
KW - Female
KW - Psychiatric Status Rating Scales
KW - Adolescent
KW - Young Adult
KW - Europe
KW - Regression Analysis
KW - Longitudinal Studies
KW - Retrospective Studies
KW - Schizophrenic Psychology
KW - Quality of Life/psychology
KW - Health Services Needs and Demand
KW - Schizophrenia/diagnosis/physiopathology/therapy
M3 - SCORING: Journal article
VL - 262
SP - 207
EP - 216
JO - EUR ARCH PSY CLIN N
JF - EUR ARCH PSY CLIN N
SN - 0940-1334
IS - 3
M1 - 3
ER -
