Zissi A, Barry M M, Cochrane R
School of Psychology, University of Birmingham.
Psychol Med. 1998 Sep;28(5):1221-30. doi: 10.1017/s0033291798007338.
Despite the increasing importance of quality of life in the mental health field, the theoretical conceptualization of the construct remains poorly developed. A proposed mediational model of quality of life, which links subjective quality of life with self-related constructs, is examined with a group of long-term psychiatric hostel residents. The present study aims to develop a measure of quality of life based on the proposed model, to explore the data and their implications for service development and finally to conduct a preliminary analysis of the model's predictions.
A cross-sectional research design was employed. Quality of life interviews, using a modified version of Lehman's Quality of Life Interview, were carried out with 54 psychiatric residents in Greece. The model's predictions were examined by using a series of regression analyses.
The results indicate that perceived improvements in lifestyle, greater autonomy and positive self-concept are significantly and directly associated with better quality of life. In contrast, a direct relationship between objective indicators and subjective quality of life was not found.
The traditional two-part quality of life model that includes objective indicators of life circumstances and subjective indicators is extended to included the constructs of self-concept and perceived autonomy. The present extended mediational model of quality of life for individuals with long-term mental health problems appears to have important implications for the planning and delivery of mental health programmes.
尽管生活质量在心理健康领域的重要性日益凸显，但该概念的理论建构仍不完善。本文以一组长期居住在精神病院宿舍的患者为研究对象，检验了一个将主观生活质量与自我相关建构联系起来的生活质量中介模型。本研究旨在基于该模型开发一种生活质量测量方法，探索相关数据及其对服务发展的启示，并最终对该模型的预测进行初步分析。
采用横断面研究设计。对希腊的54名精神科住院患者进行了生活质量访谈，采用的是经修改的雷曼生活质量访谈版本。通过一系列回归分析检验该模型的预测。
结果表明，生活方式的感知改善、更大的自主性和积极的自我概念与更好的生活质量显著且直接相关。相比之下，未发现客观指标与主观生活质量之间存在直接关系。
传统的包括生活状况客观指标和主观指标的两部分生活质量模型扩展为纳入自我概念和感知自主性的建构。目前针对长期心理健康问题个体的扩展生活质量中介模型似乎对心理健康项目的规划和实施具有重要意义。
