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International Journal of Social Psychiatry, Vol. 45, No. 4, 247-258 (1999)
DOI: 10.1177/002076409904500403

Predictors of Subjective Quality of Life in Schizophrenic Patients Living in the Community. a Nordic Multicentre Study

Lars Hansson

Department of Clinical Neuroscience, Division of Psychiatry, Lund University, Sweden

Thomas Middelboe

Community Mental Health Center, Møntmestervej, Copenhagen, Denmark

Lars Merinder

Department of Psychiatric Demography, Institute for Basic Psychiatric Research, University of Aarhus, Denmark

Olafur Bjarnason

Department of Psychiatry, Landspitallin, Reykjavik, Iceland

Anita Bengtsson-Tops

Department of Psychiatry, Sector West, Malmö, Sweden

Liselott Nilsson

Department of Psychiatry, Sector North-East, Malmö, Sweden

Mikael Sandlund

Department of Clinical Science, Division of Psychiatry, UmeÅ University, Sweden

Andre Sourander

Department of Child Psychiatry, Turku University, Finland

Knut Wollo Sørgaard

Nordland Psychiatric Hospital, Bodø, Norway

Hanne Vinding

Roskilde County Hospital, Fjorden, Roskilde, Denmark

As part of a Nordic multi-centre study investigating the life and care situation of community samples of schizophrenic patients the aim of the present part of the study was to examine the relationship between global subjective quality of life and objective life conditions, clinical characteristics including psychopathology and number of needs for care, subjective factors such as satisfaction with different life domains, social network, and self-esteem. A sample of 418 persons with schizophrenia from 10 sites was used. The results of a final multiple regression analysis, explaining 52.3% of the variance, showed that five subjective factors were significantly associated with global subjective quality of life, together with one objective indicator, to have a close friend. No clinical characteristics were associated with global subjective quality of life. The largest part of the variance was explained by satisfaction with health, 36.3% of the variance, and self-esteem, 7.3% of the variance. It is concluded that the actual relationship between objective life conditions and subjectively experienced quality of life still remains unclear. Furthermore, it seems obvious that personality related factors such as self-esteem, mastery and sense of autonomy also play a role in the appraisal of subjective quality of life, which implies that factors like these are important to consider in clinical and social interventions for patients with schizophrenia in order to improve quality of life for these persons.


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