Predictors of quality of life of people receiving intensive community-based careReportar como inadecuado

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Quality of Life Research

, Volume 25, Issue 2, pp 457–464

First Online: 30 August 2015Accepted: 29 July 2015DOI: 10.1007-s11136-015-1093-5

Cite this article as: Emmerink, P.M.J. & Roeg, D.P.K. Qual Life Res 2016 25: 457. doi:10.1007-s11136-015-1093-5


PurposeIntensive community-based care ICBC is a home-treatment approach aiming to support people ‘living in the community’ with severe psychiatric and addiction problems. Although subjective quality of life SQOL is an increasingly important outcome measure in health care, little is known on ICBC clients’ SQOL.

MethodsClients of three ICBC teams N = 523 participated in the study. Upon intake, clients filled out a SQOL measure and indicated whether they had a good friend, partner, and children, as well as their experiences with crime. Professional caregivers filled in a measure on problem severity.

ResultsRegression was used to examine to what extent the included variables contributed to explaining variance in ICBC clients’ SQOL. Determinants in the model significantly predicted client SQOL and explained 37 % of the variance. ‘Symptomatology’ depressive symptoms and ‘social problems’ living conditions negatively influenced the SQOL, while having a partner, a good friend, and an overall lower problem severity positively influenced SQOL.

ConclusionsSQOL among ICBC clients is related to psychopathology, in contrast to previous knowledge. It is dependent upon symptom specificity, living conditions, and social circumstances and therefore presumably on program characteristics. This study provides insight into well-being among ICBC clients and is therefore relevant to involved healthcare professionals.

KeywordsAssertive community treatment Cross-sectional studies Epidemiological determinants Quality of life Social determinants of health  Download fulltext PDF

Autor: P. M. J. Emmerink - D. P. K. Roeg


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