Peer-Reviewed Journal Details
Mandatory Fields
Zissi, A Barry, MM; Cochrane, R
Psychological Medicine
A mediational model of quality of life for individuals with severe mental health problems
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 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.
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