Subjective quality of life (QOL) has often been assessed through questionnaires or structured interviews focusing on the person's satisfaction with various life domains.
In particular, most QOL intrusments for psychiatric patients are based on this concept.
We report on a study casting some doubts on the rationale of this approach.
We investigated the QOL of 48 chronic schizophrenic outpatients with a long-term disease history (at least 20 years) using a German version of the Lancashire QOL Profile.
The interrelations between general life satisfaction, satisfaction with specific life domains, psychological well-being and psychopathology were studied using correlation analysis and multiple linear regression.
Of the life domains assessed, only two, namely social relations and health, contributed significantly to the patients'general life satisfaction, while the others (including work, leisure, family relations and housing) did not.
The subscales on psychological well-being (self-esteem, affective state) as well as psychopathology were found to be more closely associated with general life satisfation than almost all life domains considered.
The findings are discussed with regard to the specific situation of the group of patients investigated.
They give indications that the life domain approach to measuring QOL has its limitations, in particular when applied to patients having adapted to a very restricted everyday life.
Mots-clés Pascal : Equilibre, Société, Sociologie, Schizophrénie, Santé mentale, Qualité vie, Mode de vie
Mots-clés Pascal anglais : Equilibrium, Society, Sociology, Schizophrenia, Mental health, Quality of life, Life habit
Notice produite par :
ORS Auvergne - Observatoire Régional de la Santé d'Auvergne
Code Inist : 002B30A11. Création : 16/10/1997.