Quality of life as an outcome of psychosis: implications for recovery

Cotton, Sue M., Gleeson, J., Alvarez-Jimenez, M., Henry, L., Harris, M., Farrelly, S., Harrigan, S and McGorry, P. (2011). Quality of life as an outcome of psychosis: implications for recovery. In: Supplement to Schizophrenia Bulletin: Abstracts of the 13th International Congress on Schizophrenia Research (ICOSR). 13th International Congress on Schizophrenia Research (ICOSR), Colorado Springs CO, United States, (14-14). 2-6 April 2011. doi:10.1093/schbul/sbq173


Author Cotton, Sue M.
Gleeson, J.
Alvarez-Jimenez, M.
Henry, L.
Harris, M.
Farrelly, S.
Harrigan, S
McGorry, P.
Title of paper Quality of life as an outcome of psychosis: implications for recovery
Conference name 13th International Congress on Schizophrenia Research (ICOSR)
Conference location Colorado Springs CO, United States
Conference dates 2-6 April 2011
Proceedings title Supplement to Schizophrenia Bulletin: Abstracts of the 13th International Congress on Schizophrenia Research (ICOSR)   Check publisher's open access policy
Journal name Schizophrenia Bulletin   Check publisher's open access policy
Place of Publication Oxford, United Kingdom
Publisher Oxford University Press
Publication Year 2011
Sub-type Poster
DOI 10.1093/schbul/sbq173
ISSN 1745-1701
0586-7614
Volume 37
Issue Supp. 1
Start page 14
End page 14
Total pages 1
Language eng
Formatted Abstract/Summary
Background: Quality of life (QoL) is an important outcome from a patient’s perspective, but remains poorly understood in first episode psychosis (FEP) research. The overall aim of this paper is to describe methodological and conceptual issues associated with QoL as an outcome measure.

Methods:
QoL data from two studies conducted at the Early Psychosis Prevention
and Intervention Centre Melbourne, Australia will be presented. The two studies include: (1) the Episode II relapse prevention RCT; and (2) the EPPIC800 medium term follow-up study of patients with FEP. Heinrich’s Quality of Life Scale and the World Health Organization’s Quality of Life Scale - Brief Version (WHOQoL-Bref) were used as measures of objective and subjective QoL, respectively.

Results: In the Episode II study, reduced QoL in FEP patients currently meeting remission criteria was associated with increased likelihood of personality disorder and depression, more severe positive symptoms and impaired functioning. In the medium term follow-up study, a median of 7.4 years after incipient psychotic episode,
there was a moderate correlation (r = .53, P <.01) between the total scores of the objective and subjective QoL measures. Both objective and subjective QoL were related to severity of psychopathology.

Conclusion:
Families and patients are keen to understand illness trajectory and the impact on QoL. Thus, QoL is a key constituent of any definitional model of recovery. In the context of recovery, it is important to consider that QoL not only depends on severity of psychopathology but level of functioning. Further, subjective and objective measures of QoL do not necessarily assess the same construct.
Q-Index Code EX
Q-Index Status Provisional Code
Institutional Status UQ
Additional Notes Published under 2. Phenomenology: Abstracts of the 13th International Congress on Schizophrenia Research (ICOSR).

Document type: Conference Paper
Collection: School of Medicine Publications
 
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Created: Sun, 27 Mar 2011, 10:02:01 EST