Department of Clinical Neurosciences, Villa San Benedetto Menni, Hermanas Hospitalarias, FoRiPsi, Albese con Cassano, Como, Italy.
Department of Clinical Neurosciences, Villa San Benedetto Menni, Hermanas Hospitalarias, FoRiPsi, Albese con Cassano, Como, Italy.
Compr Psychiatry. 2014 May;55(4):979-88. doi: 10.1016/j.comppsych.2013.12.007. Epub 2013 Dec 17.
This study aimed to investigate 1) the relationship between subjective perception of quality of life (QoL) and clinician-rated levels of psychosocial functioning and 2) the relationship of these indicators with neuropsychological performances, in a sample of 117 subjects with mood and anxiety disorders hospitalized for a 4-week psychiatric rehabilitation program. At the beginning of the hospitalization, QoL and clinician-rated functioning were respectively measured by the World Health Organization Quality of Life Assessment-Brief Form (WHOQOL-BREF) and the Global Assessment of Functioning (GAF) scale, and subjects were administered a neuropsychological battery evaluating verbal and visual memory, working memory, attention, visual-constructive ability, language fluency and comprehension. We did not find any association between WHOQOL-BREF and GAF scores and between cognitive impairment and lower QoL or clinician-rated functioning. Our results suggest that 1) the individuals' condition encompasses different dimensions that are not fully captured by using only clinician-rated or self-administered evaluations; 2) the GAF scale seems unable to indicate the cognitive impairments of our subjects and the WHOQOL-BREF does not appear to be influenced by these deficits. Overall, our findings suggest the need of simultaneously use of multiple assessment tools, including objective evaluations of functioning and different measures of QoL, in order to obtain a more complete clinical picture of the patients. This may allow to identify more specific targets of therapeutic interventions and more reliable measures of outcome.
1)主观生活质量(QoL)感知与临床医生评定的心理社会功能水平之间的关系;2)这些指标与神经心理学表现之间的关系,研究对象为 117 名患有心境和焦虑障碍的患者,他们在为期 4 周的精神康复计划中住院。在住院初期,使用世界卫生组织生活质量评估-简明量表(WHOQOL-BREF)和总体功能评估(GAF)量表分别测量 QoL 和临床医生评定的功能,同时对患者进行了神经心理学测试,以评估言语和视觉记忆、工作记忆、注意力、视觉建构能力、语言流畅性和理解能力。我们发现,WHOQOL-BREF 和 GAF 评分之间、认知障碍与较低的 QoL 或临床医生评定功能之间均无关联。我们的研究结果表明:1)个体的状况包含不同的维度,仅使用临床医生评定或自我评估无法全面捕捉这些维度;2)GAF 量表似乎无法反映我们研究对象的认知障碍,而 WHOQOL-BREF 似乎不受这些缺陷的影响。总的来说,我们的研究结果表明需要同时使用多种评估工具,包括对功能的客观评估和不同的 QoL 测量,以获得患者更完整的临床情况。这可能有助于确定更具体的治疗干预目标和更可靠的结果测量。