Quality of life in mentally ill, physically ill and healthy individuals. We aimed to compare a patientrated subjective qol scale with an observerrated qol scale by measuring their degree of correlation and their respective associative profiles with outcome. The present study seeks to address the dearth of qualitative research by conducting a smallscale qualitative exploration of the impact of schizophrenia. The assessment of quality of life in clinical practice in. Reproducibility and stationarity for the schizophrenia quality of life scale revision 4 sqlsr4 on taiwan research population taiwan version 1214. Lehmans quality of life interview qoli, an instrument which evaluates both subjective and objective components of quality of life. Quality of life measures in schizophrenia request pdf. The schizophrenia quality of life scale is a selfrating scale compiled by british psychiatrists greg wilkinson and diane wild and colleagues, and translated and revised by luo hong and colleagues9 from zhejiang university. Validation of the schizophrenia quality of life scale. Selfreport quality of life measure for people with.
The first is whether to use objective or subjective ratings. Selfreport quality of life measure for people with schizophrenia. Qualityoflife scale introduction when we decide to have a pet we take on a complex responsibility and covenant to protect and be there for it in every way. Quality of life qol measurements have become an important way to evaluate the treatments and care provided to patients with schizophrenia 1, 2. Psychosocial factors do not influence quality of life corrigan and buican, 1995, barry and crosby, 1996. Although scoring the brief version is identical to scoring the whoqol100, there are some differences that need to be addressed.
The same steps for scoring whoqol100 should be followed to achieve score for this version. Pdf validation of the schizophrenia quality of life scale revision. Sqls r4 schizophrenia quality of life scale revision 4. The schizophrenia quality of life scale revision 4 sqolsr4 appears to offer excellent potential as an easily administered and patient acceptable assessment and monitoring measure of. Medications and quality of life with schizophrenia. The testretest reliability of the chinese version was 0.
The manual provides an overview of qol assessment for three distinct groups including families, older adults and adults with serious mental illness. Factor structure of the quality of life scale for mental. Quality of life is the subject of growing interest and investigation. The aim of this study had been to define clusters of qol levels from a. The schizophrenia quality of life scale revision 4 sqlsr4 is a diseasespecific subjective quality of life ql questionnaire for patients with schizophrenia. The authors describe the quality of life scale qls, a 21item scale based on a semistructured interview designed to assess deficit symptoms and thereby fill an important gap in the range of instruments now available. The classification of patients into distinct categories of quality of life qol levels may be useful for clinicians to interpret qol scores from multidimensional questionnaires. Quality of life for people with schizophrenia in saudi arabia amira al showkan university of wollongong research online is the open access institutional repository for the.
Measurement of quality of life in schizophrenic patients. Development of an abbreviated schizophrenia quality of. Schizophrenia negative symptoms sns contribute substantially to poor functional outcomes, loss in productivity and poor quality of life. The time may come when he or she grows sick or infirm, and it is our unavoidable duty to do what is best for the pet, despite the heartbreak that may bring to us, personally. In recent studies, qol has been reported to be an independent predictor for long. Condensed version of the quality of life scale for schizophrenia for use in outcome studies. People with schizophrenia suffer distress, disability, reduced productivity and lowered quality of life qol sartorius, 1997. The objective of this study was to evaluate whether quality of life qol, as measured by the sf36 and the quality of life interview qoli, is predictive of relapse for patients with schizophrenia. However it is not clear which scale should be used in different situations. Pdf how to interpret multidimensional quality of life. This study examines the factor structure of the schizophrenia quality of life scale revision 4 sqlsr4 for inpatients with schizophrenia in a psychiatric hospital in southern taiwan. Schizophrenia can devastate the lives of people who suffer from it and the lives of their families.
Qol provides important information concerning the emotional and social experience of individuals which is not available for traditional assessments 3, 4. Quality of life scale and symptomatology of schizophrenic. Quality of life scale a measure of function for people with pain ain is a highly personal experience. It is intended to be administered by a trained clinician and requires about 45 minutes to complete. Mindfulness, quality of life, and severity of depressive.
Validation of the schizophrenia quality of life scale revision 4 ncbi. Despite their varied effectiveness, unpredictable response, and a range of inevitable adverse effects, the recommended strategy is to continue to give patients these medications for years if not for the rest of their. Pdf selfreport quality of life measure for people with. In conclusion, quality of life is a major area of concern for patients with chronic schizophrenia. The american chronic pain association quality of life scale looks at ability to function, rather than at pain alone. Objectives to explore the validity and reliability of a diseasespecific healthrelated qualityoflife questionnairethe schizophrenia quality of life scale revision 4 sqlsr4in patients. People with schizophrenia have an impaired quality of life qol, and various qol assessment scales are available. To develop and validate a short, selfreport quality of life questionnaire the schizophrenia quality of life scale, sqls. We studied quality of life in 211 patients with schizophrenia from 2 outpatient clinics in irbid, jordan and riyadh, saudi arabia, using the selfreporting questionnaire srq24 and the modified version of the schizophrenia quality of life scale. Healthrelated quality of life in schizophrenia is a more heterogeneous concept than previously appreciated. Sex, marital status, employment, education, nonpsychotic symptoms and psychotic symptoms were examined.
Subjective and objective quality of life was assessed in 38 patients with schizophrenia using the quality of life interview brief version and who quality of life bref scale. Quality of life scale for schizophrenia patients qlssp. This form of the quality of life scale qols has 16 items rather than the 15 found in the original flanagan version. The validation of the greek version of the world health organization quality of life whoqol100 questionnaire preliminary data concerning the reliability and psychometric properties of. Validation of the schizophrenia quality of life scale revision 4. Some of the predictors include shorter durations of untreated psychosis, better premorbid functioning, low levels of illness severity and better social functioning, especially at the.
Comparing quality of life using the world health organization quality of life measure whoqol100 in a clinical and nonclinical sample. This study assesses the psychometric properties of the sqlsr4 when applied to a sample of spanish schizophrenia spectrum outpatients with stable disease. Each item is rated on a 7point scale and, in all but two cases, requires a. Validation of the schizophrenia quality of life scale revision 4 among chronic schizophrenia patients in malaysia nur akmar taha, phd1, mohamed izham ibrahim, phd2, ab fatah rahman, pharmd3, asrul akmal sha. Patients with schizophrenia face a number of lifethreatening conditions, but there exist a variety of predictors that can enhance the quality of life qol as well as favorable longterm health outcomes. Validation of the schizophrenia quality of life scale sqls to measure quality of life in patients diagnosed with schizophrenia in colombia.
Quality of life measures in schizophrenia sciencedirect. Quality of life scale and symptomatology of schizophrenic patients. The who quality of life scalebrief whoqolbrief, still in field trials, is a subset of 26 items taken from the whoqol100. Participants then filled out the quality of life questionnaire, sqlsr4. Current status of quality of life assessment in schizophrenic patients. The construct of the schizophrenia quality of life scale.
Exploring the role of selfesteem, selfefficacy and social functioning. It is unclear which instruments may be used for assessing quality of life in patients with sns. The quality of life scale qls was developed by heinrichs, hanlon and carpenter, in 1984, to assess the quality of life of patients with schizophrenia. Reproducibility and stationarity for the schizophrenia. The quality of life scale qls 1 the qls was developed to assess symptoms in the course and treatment of schizophrenia. Validation of the schizophrenia quality of life scale revision 4 sqlsr4 among patients with schizophrenia. There are several issues to consider when moving from definitions of life quality to its measurement. Prepared by the pacific northwest evidencebased practice center under contract no. Time frame refers to last two weeks unless stipulated. Intervention, psychiatric nursing, patient education, quality of life, schizophrenia. Research into health related quality of life hrqol in schizophrenia has predominantly been conducted using lengthy interviewer administered questionnaires, many of which have not been validated for use with schizophrenic samples. Psychometric evaluation of the short form 36 health survey sf36 and the world health organization quality of life scale brief version whoqolbref for patients with schizophrenia. This quality of life assessment manual is an introduction to seven qol assessment measures developed by the quality of life assessment project at the university of wisconsin madison. Quality of life in schizophrenia oxford academic journals.
The influence of thought disorders on quality of life is also much debated corrigan and buican, 1995, orsel et al. The quality of life scale qls is a 21item scale rated from a semistructured interview providing information on symptoms and functioning during the preceding 4 weeks. Psychometric evaluation of the schizophrenia quality of life scale sqls in english and chinesespeaking asians in singapore. Validation of the brief quality of life interview qoli. Validation of a subjective quality of life questionnaire. Henrichs et al, 1984, a 21item scale commonly used as a measure of functioning in schizophrenia, to illustrate the. However, the factor structure of the qolmd has not been evaluated, which restricts the interpretations of the results of this scale.
Using data from a multicenter cohort study conducted in france, germany, and the unitedkingdom eurosc, we performed cox proportionalhazards models to estimate the associations between qol. This study was designed to determine the reliability and validity of the quality of life scale revision 4 sqlsr4 for schizophrenic patients. Quality of life measurement is based on the principle of applying medical care and interventions, taking into account patients right of autonomy, which necessarily includes their opinion both during diagnostic evaluation and while formulating their care plan. Pdf condensed version of the quality of life scale for.
The use of self administered questionnaire in schizophrenia is debated. The degree to which pain interferes with the quality of a persons life is also highly personal. Quality of life scale qls a quality of life scale qls was developed in 1984 by heinrichs. Quality of life is predictive of relapse in schizophrenia. The quality of life scale and the level of function scale rater assessments appeared to be substantially more sensitive to subtle change and treatment effects than the patientreported quality of life interview for clinical trials. Calgary depression scale for schizophrenia cdss interviewer. Validity and reliability of the turkish version were confirmed by soygur et al. It is a 21item clinician rating scale based on a 30 to 45minute semi structured interview providing information on symptoms and functional status during the. Qlis development of a schizophreniaspecific qualityof. The qolmd contains 45 items, which are divided into eight domains.
Use follow up probes or qualifiers at your discretion. The quality of life for mental disorders qolmd scale was designed to measure healthrelated quality of life hrqol in patients with mental illness, especially schizophrenia. Medications and quality of life use of antipsychotic medications remains the cornerstone of the management of schizophrenia. One hundred and twenty eight patients who met dsmiv criteria for schizophrenia were evaluated with the brief qoli in its french version.