Associations of Quality of Life with Service Satisfaction in Psychotic Patients: A Meta-AnalysisReportar como inadecuado

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Quality of life QoL has gained increasing attention as a desired outcome of psychosocial treatments targeting psychotic patients. Yet, the relationship between the patients’ satisfaction with services and QoL has not been clearly established, perhaps due to the multidimensionality of the QoL concept and the variability in its assessment.


This is the first systematic meta-analysis of all available evidence assessing the relationship between QoL and service satisfaction. Methods: In all, 19 studies reporting data of 21 independent samples N = 5,337 were included in the present meta-analysis. In moderator analyses, effects of age, sex, diagnoses schizophrenia vs. other psychoses, treatment context inpatients vs. outpatients, study design cross-sectional vs. longitudinal, and QoL domain subjective vs. health-related were examined.


Analyses revealed a highly significant medium-sized effect r = .30, p < .001 for the associations of QoL and service satisfaction. Effect sizes were significantly stronger for subjective than health-related quality of life r = .35 vs. r = .14, respectively. Moreover, associations with subjective QoL remained largely robust when accounting for moderating variables, although there was a trend of stronger associations for outpatients compared to inpatients. In contrast, effect sizes for health-related QoL were small and only observable for samples with longitudinal designs.


Associations between QoL and service satisfaction appear to be robust but are differentiated in regard to QoL domain. Our findings suggest that agents responsible for service design and implementation need to take the patients’ perception of the service adequacy for achieving QoL enhancement into account.

Autor: Eleni Petkari, Jakob Pietschnig



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