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International Journal of Social Psychiatry
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Subjective Quality of Life, Psychopathology, Satisfaction With Care and Insight: an Exploratory Study

Frank Holloway

Bethlem Royal Hospital, Monks Orchard Road, Beckenham, Kent BR3 3BX

Jerome Carson

Clinical Psychology, Institute of Psychiatry, London SE5 8AF

We have investigated the determinants of global subjective quality of life (GSQOL) using data from a controlled trial of intensive case management for the severely mentally ill. In a multiple regression analysis depression, age, objective quality of life and domain-specific quality of life together explained 59% of the variance in GSQOL. GSQOL was not significantly correlated with measures of positive psychotic symptomatology, insight or attitudes to treatment but was correlated with satisfaction with care (r= .21, p = .011 ). Change in GSQOL over 18 months was correlated with change in domain-specific quality of life (r=-.45, p=.002) and depression (r=-.43, p=.01): multiple regression analysis confirmed that both variables had an independent effect on change in GSQOL.

International Journal of Social Psychiatry, Vol. 45, No. 4, 259-267 (1999)
DOI: 10.1177/002076409904500404
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F. Holloway
Special Edition: Quality of Life and Mental Health Services
International Journal of Social Psychiatry, December 1, 1999; 45(4): 235 - 237.
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