Hansson L
Department of Health Sciences, Division of Nursing Lund University, Lund, Sweden.
Acta Psychiatr Scand Suppl. 2006(429):46-50. doi: 10.1111/j.1600-0447.2005.00717.x.
The objective of this article was to review some methodological issues in this field and give an overview of empirical research findings with a special focus on factors associated with or affecting subjective quality of life in people with a severe mental illness.
A selective review of relevant scientific literature on quality of life in severe mental illness was conducted.
Subjective quality of life in people with a severe mental illness is only to a lesser extent related to external life conditions. Major determinants are psychopathology, especially symptoms of depression and anxiety, and aspects of the social network. Personality related factors such as self-esteem are also influential. Comparative studies have further shown that patients in community care settings have a better subjective quality of life than patients in hospital settings.
Efforts to improve subjective quality of life in people with severe mental illness should include a careful monitoring of depressive and anxiety symptoms, and pay particular attention to assessment of and interventions against unmet needs. Further, such interventions should stress a strengthening of the social support of the clients. It is also important to pay attention to mediators of changes in subjective quality of life such as self-esteem, mastery, autonomy, and self-efficacy.
本文的目的是回顾该领域的一些方法学问题，并概述实证研究结果，特别关注与重度精神疾病患者主观生活质量相关或影响其主观生活质量的因素。
对有关重度精神疾病患者生活质量的相关科学文献进行了选择性综述。
重度精神疾病患者的主观生活质量在较小程度上与外部生活条件相关。主要决定因素是精神病理学，尤其是抑郁和焦虑症状，以及社会网络的各个方面。诸如自尊等与人格相关的因素也有影响。比较研究进一步表明，社区护理环境中的患者比医院环境中的患者主观生活质量更好。
改善重度精神疾病患者主观生活质量的努力应包括仔细监测抑郁和焦虑症状，并特别关注对未满足需求的评估和干预。此外，此类干预应强调加强对患者的社会支持。关注诸如自尊、掌控感、自主性和自我效能感等主观生活质量变化的调节因素也很重要。
