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Health-Related Quality of Life and Overall Life Satisfaction in People with Serious Mental Illness

机译：严重精神疾病患者的与健康相关的生活质量和总体生活满意度

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摘要

Quality of life (QoL) in people with schizophrenia and other serious mental illnesses (SMI) is an important outcome goal, yet there is no consistent definition of the construct. We examined three aspects of QoL in persons with SMI: overall life satisfaction, physical health-related QoL (HRQoL), and mental HRQoL. This study had two primary aims: first, to examine whether there are differences in physical and mental HRQoL in persons with SMI, and, second, to investigate the cognitive, clinical, and functional correlates of the three QoL indicators. Participants were 48 persons with SMI who completed assessments of QoL, cognition, functional capacity, psychiatric symptomatology, and medical comorbidity. Results indicate that participants experience similar levels of physical and mental HRQoL, and these two constructs are not related to one another. Physical HRQoL is associated with less medical comorbidity, while mental HRQoL is associated with negative and depressive symptoms. Overall life satisfaction was associated with fewer psychiatric symptoms and less medical comorbidity. This study adds to the important literature defining distinct domains of QoL and supports the necessity of addressing both physical and mental health factors as they relate to recovery and well-being among persons with SMI.
机译：精神分裂症和其他严重精神疾病（SMI）患者的生活质量（QoL）是重要的结局目标，但尚无一致的定义。我们检查了SMI患者的QoL的三个方面：总体生活满意度，与身体健康相关的QoL（HRQoL）和精神HRQoL。这项研究有两个主要目的：首先，检查SMI患者的身体和心理HRQoL是否存在差异;其次，调查这三个QoL指标的认知，临床和功能相关性。参与者为48位SMI患者，他们完成了QoL，认知，功能能力，精神症状和医学合并症的评估。结果表明，参与者体验到相似的身体和心理HRQoL水平，并且这两种结构彼此无关。身体HRQoL与较少的合并症相关，而精神HRQoL与阴性和抑郁症状相关。总体生活满意度与较少的精神症状和较少的合并症相关。这项研究增加了重要的文献，这些文献定义了QoL的不同领域，并支持解决与SMI患者的康复和福祉相关的身心健康因素的必要性。

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