Peer-Reviewed Journal Details
Mandatory Fields
Zissi, A Barry, MM; Cochrane, R
1998
Unknown
Psychological Medicine
A mediational model of quality of life for individuals with severe mental health problems
Published
()
Optional Fields
28
1221
1230
 Background. Despite the increasing importance of quality of life in the mental health Želd, the theoretical conceptualization of the construct remains poorly developed. A proposed mediational model of quality of life, which links subjective quality of life with self-related constructs, is examined with a group of long-term psychiatric hostel residents. The present study aims to develop a measure of quality of life based on the proposed model, to explore the data and their implications for service development and Žnally to conduct a preliminary analysis of the model's predictions.  Method. A cross-sectional research design was employed. Quality of life interviews, using a modiŽed version of Lehman's Quality of Life Interview, were carried out with 54 psychiatric residents in Greece. The model's predictions were examined by using a series of regression analyses.  Results. The results indicate that perceived improvements in lifestyle, greater autonomy and positive self-concept are signiŽcantly and directly associated with better quality of life. In contrast, a direct relationship between objective indicators and subjective quality of life was not found.  Conclusions. The traditional two-part quality of life model that includes objective indicators of life circumstances and subjective indicators is extended to included the constructs of self-concept and perceived autonomy. The present extended mediational model of quality of life for individuals with long-term mental health problems appears to have important implications for the planning and delivery of mental health programmes.
http://www.nuigalway.ie/health_promotion/documents/M_Barry/1998_ja_meditational_model_psyc_med_28.pdf
10.1017/S0033291798007338
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