Associated and mediating variables related to quality of life among service users with mental disorders.

TitleAssociated and mediating variables related to quality of life among service users with mental disorders.
Publication TypeJournal Article
Year of Publication2018
AuthorsMJ Fleury, Grenier G, JM Bamvita
JournalQual Life Res
Volume27
Issue2
Pagination491-502
Date Published2018 02
ISSN1573-2649
KeywordsAdolescent, Adult, Aged, Female, Humans, Male, Mental Disorders, Mental Health Services, Middle Aged, Quality of Life, Surveys and Questionnaires, Young Adult
Abstract

PURPOSE: This study aimed to identify variables associated with quality of life (QoL) and mediating variables among 338 service users with mental disorders in Quebec (Canada). Data were collected using nine standardized questionnaires and participant medical records.METHODS: Quality of life was assessed with the Satisfaction with Life Domains Scale. Independent variables were organized into a six-block conceptual framework. Using structural equation modeling, associated and mediating variables related to QoL were identified.RESULTS: Lower seriousness of needs was the strongest variable associated with QoL, followed by recovery, greater service continuity, gender (male), adequacy of help received, not living alone, absence of substance use or mood disorders, and higher functional status, in that order. Recovery was the single mediating variable linking lower seriousness of needs, higher service continuity, and reduced alcohol use with QoL. Findings suggest that greater service continuity creates favorable conditions for recovery, reducing seriousness of needs and increasing QoL among service users. Lack of recovery-oriented services may affect QoL among alcohol users, as substance use disorders were associated directly and negatively with QoL.CONCLUSIONS: Decision makers and mental health professionals should promote service continuity, and closer collaboration between primary care and specialized services, while supporting recovery-oriented services that encourage service user involvement in their treatment and follow-up. Community-based organizations should aim to reduce the seriousness of needs particularly for female service users and those living alone.

DOI10.1007/s11136-017-1717-z
Alternate JournalQual Life Res
PubMed ID29022138
Grant List22367 / / Fonds de la recherche en santé du Québec (FRSQ) / International

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