Mental Health And Quality Of Life Pdf

mental health and quality of life pdf

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Metrics details. A systematic review of qualitative research undertaken with people with mental health problems using a framework synthesis. We identified six domains: well-being and ill-being; control, autonomy and choice; self-perception; belonging; activity; and hope and hopelessness.

This current issue has been envisaged to be a special issue on Quality of life QOL in mental health. It has been successful to a certain extent, with a thought provoking Guest editorial by a well-known expert in this area, Professor A. George Awad.

Quality of life

This current issue has been envisaged to be a special issue on Quality of life QOL in mental health. It has been successful to a certain extent, with a thought provoking Guest editorial by a well-known expert in this area, Professor A. George Awad. Incidentally, this issue also includes a book review on a book edited by Professor Awad and Lakshmi Voruganti, entitled, Beyond Assessment of Quality of Life in Schizophrenia, a very useful collection, indeed, published by Springers International Publishing.

The Guest editorial is followed by a review article by Professor Mary V. Seeman on Hierarchy and quality of life among psychiatric users.

Other interesting articles on quality of life include a Comparative study of quality of life, social support and dysfunction in alcohol dependent men attending a de-addiction clinic in India, and Wellness as a means for better quality of life in schizophrenia. The issue also has contributions from Canada from north America and Brazil in south America on Addressing workplace accommodations for people with mental illness, University of Toronto, Canada and the Brazilian community mental health care services: social inclusion and psychosocial rehabilitation, Sao Paulo, Brazil.

There is also a study on patient satisfaction and another on caregiver burden, in this issue. It is a good collection of significant contributions towards quality of life as well as mental health rehabilitation.

Till date, in medical practice, objective clinical examination and investigations are used as indicators of the outcome of a disease and efficacy of therapeutic interventions. Quality of life in medicine assesses such perspectives. With enhanced life expectancy, the medical focus has shifted from merely prolonging life to improving quality of life. Over the last few decades, the concept quality of life has given complete image makeover to clinical medicine including mental health.

As a broad, general concept, quality of life has included several domains related to health, but the concept also originally included many other non-health-related issues such as work, family, prosperity, spirituality, and environment.

Quality of life in mental health began to gain momentum with increasing concerns about the unsatisfactory life conditions of patients suffering from chronic mental illnesses in the community. Greater emphasis is given on quality of life as an outcome measure for comparison of therapies and programmes as well as for equitable distribution of resources. Historically, the concept of QOL has its beginnings with cancer treatments. The price of longer survival was paid through poor quality of life.

Ever since, the search is on for effective and less toxic cancer treatment methods, drugs, and surgical procedures. Later, the concept of burden of the family members or caregivers emerged. Burden was measured in both subjective and objective domains. Burden also had some relation with quality of life. There is no consensus regarding what is quality of life. Similarities between satisfaction and quality of life are apparent. Nevertheless they are not the same. Quality of life and standard of living are also related concepts.

Lastly, in many societies, quality of life is considered at par with the functional status. Quality of life is not a unitary concept. QOL is a complex, multifaceted concept which continues to defy consensual definition and has multiple interpretations. There are widely valued aspects of life that are not generally regarded as health, including income, freedom, and social support.

Although low income, lack of freedom and poor social support may be relevant to health, these are excluded when dealing with quality of life and health problems and there is focus on disease related aspects of functional capacity e. Thus, QOL is a much broader concept which consists of both medical and psychosocial aspects, including activities of daily living, instrumental activities, psychological well-being, social functioning, and perception of health status, pain, and overall satisfaction with life.

In the end, it seems, QOL is something which everyone understands what it is, but finds it difficult to describe or define accurately! Several studies have shown that there is often disagreement between physicians and patients on the severity of symptoms and on the success of medical treatment. Clinicians generally base their assessment of the results of their treatment on the basis of symptomatic improvement. In contrast, patients are more likely to evaluate the outcome of treatment according to their personal sense of well being.

By definition, quality of life is a subjective construct comprising of self reporting by patients and their subjective judgment which requires a degree of cognitive ability. However, subjective reports by patients suffering from chronic mental illnesses are largely ignored by the clinicians because of their impaired judgment, insight and neurocognitive deficits.

Several research publications have supported the idea that subjective self-reports can be both measured and reliably quantified.

In the field of mental health, quality of life assessment must be carried out not only by the patient but also by professional helpers and key informants, as a rule family members and friends of the patients. Whose life is it, anyway? Among other closely related concepts, functional status refers to entire domain of functioning to provide for the necessities of life. Conversely, life satisfaction is a purely subjective measure. Satisfaction with life fails to consider objective indicators which are critical attributes of QOL.

Well-being and QOL cannot be synonymous because wellbeing is purely subjective and QOL has both subjective and objective attributes. The time of assessment of quality of life is also important. In cancer, it should be done at the time of diagnosis and at multiple points during diagnosis, investigations, pre- and post-treatment, and later during follow-up irrespective of whether the treatment has been successful or not.

In advanced disease, QOL assessment needs to be done regularly to check that the palliative measures make life as comfortable for the patient as possible. Likewise in persons with chronic mental health problems, QOL needs to be assessed at multiple intervals. When we assess the usefulness of any therapeutic intervention in advanced diseases, it is not enough to go by the physical factors. In developing countries, besides the distressing symptoms of the illness, a majority of patients experience financial, domestic, social and occupational difficulties.

It also must be acknowledged that often the cost of treatment could possibly have a greater negative effect on the quality of subsequent life than any positive effect of the offered treatment. A way of routine clinical assessment of QOL in day to day clinical practice would improve patient satisfaction.

It is observed that QOL assessment improves quality of life, somehow. Meaning seems to have more value in quality of life. A day long Symposium and national conference was held earlier this year at Bangalore, and the proceedings were also printed. Future issues of the journal would share the presentations and proceedings, to keep alive the discussion on quality of life in chronic mental illness.

Santosh K. Correspondence to Santosh K. Reprints and Permissions. Chaturvedi, S. The Meaning in Quality of Life. Health 3, 47—49 Download citation. Published : 10 November Issue Date : December Search SpringerLink Search. Download PDF. Chaturvedi View author publications. View author publications. Rights and permissions Reprints and Permissions.

About this article. Cite this article Chaturvedi, S.

The Meaning in Quality of Life

Quality of life QOL , according to Britannica , is the degree to which an individual is healthy, comfortable, and able to participate in or enjoy life events. One approach, called engaged theory , outlined in the journal of Applied Research in the Quality of Life , posits four domains in assessing quality of life: ecology, economics, politics and culture. Also frequently related are concepts such as freedom, human rights , and happiness. However, since happiness is subjective and difficult to measure, other measures are generally given priority. It has also been shown that happiness, as much as it can be measured, does not necessarily increase correspondingly with the comfort that results from increasing income. As a result, standard of living should not be taken to be a measure of happiness. Unlike per capita GDP or standard of living , both of which can be measured in financial terms, it is harder to make objective or long-term measurements of the quality of life experienced by nations or other groups of people.

International Journal of Clinical and Health Psychology publishes manuscripts with a basic and applied emphasis, involving both theoretical and experimental areas contributing to the advancement of Clinical and Health Psychology. Papers including psychopathology, psychotherapy, behaviour therapy, cognitive therapies, behavioural medicine, health psychology, community mental health, sexual health, child development, psychological assessment, psychophysiology, neuropsychology, etc. On exception the Journal publishes articles on science evaluation. The manuscripts with samples of university students whose use is not clearly justified in the objectives of the study will not be considered. The manuscripts submitted to International Journal of Clinical and Health Psychology should not have been previously published, and should not be under consideration for publication elsewhere. All signing authors must agree on the submitted version of the manuscript.

Quality of life

Mental health and quality of life in pre- and early adolescents: a school-based study in two contrasting urban areas. OBJECTIVE: To estimate the prevalence of mental health problems and to assess the quality of life in pre- and early adolescents living in two contrasting urban areas in Brazil, as well as to identify the impact of demographic factors on mental health, quality of life and school performance. There were no significant differences in the overall prevalence of behavior problems or global quality of life between central and outer-city areas. In general, factors associated with poorer mental health were: having no religion, divorced parents, and being male. This is in contrast with the findings of some other studies, and possible protective factors such as female gender and religion are discussed.

Quality of life of people with mental health problems: a synthesis of qualitative research

A history of health-related quality of life outcomes in psychiatry

Thank you for visiting nature. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser or turn off compatibility mode in Internet Explorer. In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript. Despite the importance of quality of life QoL in primary care patients with emotional disorders, the specific influence of the symptoms of these disorders and the sociodemographic characteristics of patients on the various QoL domains has received scant attention. The aim of the present study of primary care patients with emotional disorders was to analyse the associations between four different QoL domains and the most prevalent clinical symptoms i. The associations between the symptoms and QoL domains were examined using hierarchical regression analyses.

To identify sociodemographic and illness-related factors associated with quality of life among people with Schizophrenia. A hospital-based cross-sectional study design was employed among people with schizophrenia and attending the followup service at Jimma University Medical Center, psychiatric clinic during the study period. Participants were recruited using a systematic random sampling method and a sample fraction of two was used after the first person was identified by a lottery method. Data entry was done using EpiData version 3. Multiple regression analysis was used to determine the statistically significant association between quality of life and independent variables.

Language: English Spanish French. Health-related quality of life HRQoL is a multidimensional concept that includes subjective reports of symptoms, side effects, functioning in multiple life domains, and general perceptions of life satisfaction and quality. Rather than estimating it from external observations, interview, or clinical assessment, it is best measured by direct query.

Через десять минут Беккер уже сидел в буфете АНБ, жуя сдобную булку и запивая ее клюквенным соком, в обществе очаровательной руководительницы Отделения криптографии АНБ. Ему сразу же стало ясно, что высокое положение в тридцать восемь лет в АНБ нельзя получить за красивые глаза: Сьюзан Флетчер оказалась одной из умнейших женщин, каких ему только доводилось встречать. Обсуждая шифры и ключи к ним, он поймал себя на мысли, что изо всех сил пытается соответствовать ее уровню, - для него это ощущение было новым и оттого волнующим. Час спустя, когда Беккер уже окончательно опоздал на свой матч, а Сьюзан откровенно проигнорировала трехстраничное послание на интеркоме, оба вдруг расхохотались.

Над ними, опираясь на перила площадки перед своим кабинетом, стоял Стратмор. Какое-то время в здании слышался только неровный гул расположенных далеко внизу генераторов.

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