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Titolo:
The impact of health status on work, symptoms, and functional outcomes in severe mental illness
Autore:
Dixon, L; Goldberg, R; Lehman, A; McNary, S;
Indirizzi:
Univ Maryland, Ctr Mental Hlth Serv Res, Baltimore, MD 21201 USA Univ Maryland Baltimore MD USA 21201 th Serv Res, Baltimore, MD 21201 USA
Titolo Testata:
JOURNAL OF NERVOUS AND MENTAL DISEASE
fascicolo: 1, volume: 189, anno: 2001,
pagine: 17 - 23
SICI:
0022-3018(200101)189:1<17:TIOHSO>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
MEDICAL COMORBIDITY; SURVEY SF-36; SCHIZOPHRENIA; MORTALITY; RELIABILITY; VALIDITY; QUALITY; TESTS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Life Sciences
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Dixon, L Univ Maryland, Ctr Mental Hlth Serv Res, 701 W Pratt St,Room 476,Baltimore, MD 21201 USA Univ Maryland 701 W Pratt St,Room 476 Baltimore MDUSA 21201 USA
Citazione:
L. Dixon et al., "The impact of health status on work, symptoms, and functional outcomes in severe mental illness", J NERV MENT, 189(1), 2001, pp. 17-23

Abstract

This study evaluated the relationships between self-ratings of physical role functioning and general health, two components of the MOS SF-36, and a variety of demographic, quality of life, clinical, functional, and attitudinal variables in a cohort of adults living with severe and persistent mentalillness (SPMI). We hypothesized that poorer self-perceptions of physical functioning and general health would be significantly related to more severesymptoms and poorer functioning and quality of life. Study subjects were 218 adults with SPMI enrolled in a randomized controlled trial comparing twovocational interventions for persons who were unemployed. Hierarchical regression analysis was used to determine whether psychiatric symptoms, poorerself-perceptions of role limitations due to physical health problems and overall general health independently contributed to more severe symptoms andpoorer functioning and quality of life. Psychiatric symptoms were inversely related to size of social network and satisfaction with safety. Increasedrole limitations were associated with reduced medication compliance, general life satisfaction, and satisfaction with health, daily activities, and safety. Reduced general health was significantly associated with reduced work motivation, self-esteem, current inability to work, self-report of functioning, and almost all subjective life satisfaction domains. Within this group of people with severe mental illness, psychiatric symptoms were minimally associated with outcomes. Physical role limitations contributed more, andan integrated global measure of overall health perception was most important. If we are to help persons with severe mental illness maximize their quality of life and functioning, our clinical interventions should employ an approach that appreciates and recognizes the importance of the patients' experience of a holistic and integrated experience of health.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/07/20 alle ore 07:02:15