Fraichot Alexandre, Favre Sophie, Jermann Françoise, Richard-Lepouriel Hélène
Department of Psychiatry, University Hospitals of Geneva, Geneva, Switzerland.
Front Psychiatry. 2025 Jul 4;15:1466856. doi: 10.3389/fpsyt.2024.1466856. eCollection 2024.
Patient-reported quality of life reflects subjective factors such as well-being and autonomy, while clinicians may focus on functional capabilities. Understanding the factors behind the alignment or discordance between these assessments can help comprehend patients' values and social contexts.
This study explored the agreement between clinician-reported assessment of social autonomy and patient-reported assessment of quality of life in 92 adult participants with a mood disorder. Validated scales were used to measure the severity of depression, hypomania, quality of life, social autonomy, and internalized stigma.
Sociodemographic and clinical variables were compared between different groups using ANOVAs and chi-square tests. The results indicated that individuals with good social autonomy and quality of life had lower self-stigma scores. Those with low social autonomy and quality of life were less likely to be employed. The group with discordant scores between social autonomy and quality of life did not significantly differ from the other concordant groups in terms of sociodemographic and clinical variables.
The study suggests that mental health professionals should consider the association between clinician-reported and patient-reported assessments and their correlates before tailoring specific interventions.
患者报告的生活质量反映了幸福感和自主性等主观因素，而临床医生可能更关注功能能力。了解这些评估之间一致或不一致背后的因素有助于理解患者的价值观和社会背景。
本研究探讨了92名患有情绪障碍的成年参与者中，临床医生报告的社会自主性评估与患者报告的生活质量评估之间的一致性。使用经过验证的量表来测量抑郁、轻躁狂的严重程度、生活质量、社会自主性和内化耻辱感。
使用方差分析和卡方检验比较了不同组之间的社会人口统计学和临床变量。结果表明，具有良好社会自主性和生活质量的个体自我耻辱感得分较低。社会自主性和生活质量较低的人就业可能性较小。社会自主性和生活质量得分不一致的组在社会人口统计学和临床变量方面与其他一致的组没有显著差异。
该研究表明，心理健康专业人员在制定具体干预措施之前，应考虑临床医生报告和患者报告的评估之间的关联及其相关因素。
