Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-18T00:48:15.394Z Has data issue: false hasContentIssue false
  • English
  • Français

Predictores de la mejoría en la calidad de vida de individuos enfermos mentales a largo plazo que recibieron gestión de casos

Published online by Cambridge University Press:  12 May 2020

T. Björkman  and
L. Hansson
T. Björkman
Affiliation:
Departamento de Neurociencia Clínica, División de Psiquiatría, Hospital Universitario, SE-22185Lund, Suecia
L. Hansson
Affiliation:
Departamento de Neurociencia Clínica, División de Psiquiatría, Hospital Universitario, SE-22185Lund, Suecia
Get access

Resumen

Se investigó a 113 clientes enfermos mentales a largo plazo que recibían gestión de casos con respecto a los predictores psicosociales y clínicos de los cambios en la calidad subjetiva de vida durante un seguimiento de 18 meses. Un funcionamiento psicosocial mejor y un número menor de síntomas psiquiátricos en la línea de base predecían una mejoría más grande en la calidad de vida. Se identificó una disminución mayor en la gravedad de los síntomas y una mejora más grande en la red social durante el seguimiento como los predictores más importantes de una mejoría mayor en la calidad subjetiva de vida. Los resultados del estudio indican que se debería poner énfasis en el tratamiento eficaz de los síntomas, una reducción de las necesidades de asistencia y el apoyo social para cumplir los propósitos de mejorar la calidad subjetiva de vida en los pacientes que reciben gestión de casos.

Keywords

gestión de casospredictores de la evolucióncalidad de vidaenfermo mental grave
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 9 , Issue 5 , June 2002 , pp. 283 - 290
Copyright
Copyright © European Psychiatric Association 2002

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bibliografía

American Psychiatric Association. Diagnostic and statistical manual for mental disorders, 3rd ed., rev. Washington, D.C.: APA; 1987.Google Scholar
Barry, MMZizzi, A.Quality of life as an outcome measure in evaluating mental health services: a review of the empirical evidence. Soc Psychiatry Psychiatr Epidemiol 1997;32:38–47.CrossRefGoogle ScholarPubMed
Browne, SRoe, MLane, AGervin, MMorris, MKinsella, A, et al.Quality of life in schizophrenia: relationship to sociodemographic factors, symptornatology and tardive dyskinesia. Acta Psychiatr Scand 1996;94:118–24.CrossRefGoogle ScholarPubMed
Bobes, JGonzáles, MP.Quality of life in schizophrenia. In: Katchnig, HFreeman, HSartorius, N, Eds. Quality of life in mental disorders. Chichester, England: Wiley & Sons; 1997.Google Scholar
Corrigan, PWBuican, B.The construct validity of subjective quality of life for the severely mentally ill. J Nerv Ment Dis 1995;183:281–5.CrossRefGoogle ScholarPubMed
Derogatis, LRFasth, BG.Confirmation of the dimensional structure of the SCL-90: a study in construct validation. J Clin Psychol 1977;33:981–9.3.0.CO;2-0>CrossRefGoogle Scholar
Dickerson, FBRingel, NBParente, F.Subjective quality of life in outpatients with schizophrenia: clinical and utilization correlates. Acta Psychiatr Scand 1998;98:124–7.CrossRefGoogle Scholar
Fahy, TKent, ATattan, TVan Horn, EWhite, I.Predictors of quality of life in people with severe mental illness. Study methodology with baseline in the UK700 trial. Br J Psychiatry 1999;175:424–32.CrossRefGoogle Scholar
Hansson, LMiddelboe, TMerinder, LBjarnasson, OBengtsson-Tops, ANilsson, L, et al.Predictors of subjective quality of life in schizophrenic patients living in the community. A Nordic multicentre study. Int J Soc Psychiatry 1999;45:4.CrossRefGoogle ScholarPubMed
Hansson, LBjörkman, TSvensson, B.The assessment of needs in psychiatric patients. Interrater reliability of the Swedish version of the Camberwell Assessment of Needs instrument and results from a cross-sectional study. Acta Psychiatr Scand 1995;92:285–93.CrossRefGoogle ScholarPubMed
Hansson, LSvensson, BBjörkman, T.Quality of life of the mentally ill. Reliability of the Swedish version of the Lancashire Quality of Life Profile. Eur Psychiatry 1998;13:231–4.CrossRefGoogle ScholarPubMed
Henderson, SDuncan-Jones, PByme, DGScott, R.Measuring social relationships: the Interview Schedule for Social Interaction. Psychol Med 1980;10:723–34.CrossRefGoogle ScholarPubMed
Huxley, PWarner, R.Case management, quality of life, and satisfaction with services of long-term psychiatric patients. Hosp Community Psychiatry 1992;43:799–802.Google ScholarPubMed
Lam, JARosenheck, RA.Correlates of improvements in quality of life among homeless persons with serious mental illness. Psychiatr Serv 2000;51:116–8.CrossRefGoogle Scholar
Mueser, KTBond, GRDrake, REResnick, SG.Models of community care for severe mental illness: a review of research on case management. Schizophr Bull 1998;24:37–74.CrossRefGoogle ScholarPubMed
Nieuwenhuizen, CScene, ABoevink, WWolf, J.The Lancashire Quality of Life Profile. First experiences in the Netherlands. Community Ment Health J 1998;34:513–24.CrossRefGoogle ScholarPubMed
Norusis, MJ.Statistical package for the social sciences, SPSSPC+7.0. Chicago: Spss Inc; 1995.Google Scholar
Oliver, JHuxley, PBridges, KMohammed, H.Quality of life and mental health services. London: Routledge; 1996.Google Scholar
Oliver, JPHuxley, PPriebe, SKaiser, W.Measuring the quality of life of severely mentally ill people using the Lancashire Quality of Life Profile. Soc Psychiatr Epidemiol 1997;32:76–83.CrossRefGoogle ScholarPubMed
Phelan, MSlade, MDunn, GHolloway, GStrathdee, GThornicroft, G, et al.Camberwell Assessment of Need. London: London Institute of Psychiatry; 1993.Google Scholar
Phelan, MSlade, MThornicroft, GDunn, GHolloway, FWykes, T, et al.The Camberwell Assessment of Need: the validity and reliability of an instrument to assess the needs of people with severe mental illness. Br J Psychiatry 1995;167:589–95.CrossRefGoogle ScholarPubMed
Strauss, JSCarpenter, WT.The prediction of outcome in Schizophrenia. I. Characteristics of outcome. Arch Gen Psychiatry 1972;27:739–46.CrossRefGoogle Scholar
Strauss, JSCarpenter, WT.The prediction of outcome in Schizophrenia. II. Relationships between predictor and outcome variables: a report from the WHO international pilot study of schizophrenia. Arch Gen Psychiatry 1974;31:37–42.CrossRefGoogle ScholarPubMed
Sullivan, GWells, KBLeake, B.Clinical factors associated with better quality of life in seriously mentally ill population. Hosp Community Psychiatry 1992;43:794–8.Google ScholarPubMed
Unden, A-LOrth-Gomer, K.Development of a survey method to measure social support in population studies. Soc Sci Med 1989;29:1387–93.CrossRefGoogle Scholar