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Cited by 39Schizophrenia research and treatmentPsychiatric care and mental health servicesMental Health and Patient Involvement

Associations of quality of life with service satisfaction in psychotic patients: a meta-analysis.

Open access
Petkari, Eleni, Pietschnig, Jakob·2015·PLoS ONE
DOI 10.1371/journal.pone.0135267PMC PMC4537198
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Abstract

BACKGROUND: 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. AIM: 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. RESULTS: 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. CONCLUSION: 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.

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  • Our social assessment revealed a tremendous negative impact of severity of positive symptoms and crisis-associated hospitalization on patients' QoL.

    “Our social assessment in turn revealed a tremendous negative impact of the severity of positive symptoms and crisis-associated hospitalization on patients’ QoL (27, 80–82).”

    From Developing a mechanism-based therapy for acute psychiatric inpatients with psychotic symptoms: an Intervention Mapping approach (2023) · cites this paper as [82]

    The Discussion (§4.4, page unavailable) says symptom exacerbation can play a crucial role in quality-of-life perception among acutely hospitalized patients. It does not isolate positive symptoms or establish that crisis-associated hospitalization itself has a tremendous negative impact; its discussion of these factors is partly tentative. (LLM, conf=0.86)

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1 of the 95 references couldn’t be matched to a known paper.

Research works printed but not linked: 2

  1. [37]Petkari E. Determinantes longitudinales de calidad de vida en esquizofrenia Unpublished doctoral dissertation, University of Granada, Spain; 2010. Retrieved from: hera.ugr.es.adrastea.ugr.es. Spanish.
  2. [82]Prot K, Anczewska M, Indulska A, Raduj J, Pałyska M. Satysfakcja pacjentów i rodzin z opieki środowiskowej—badanie pilotażowe. Psychiatr Polska, 2011; 45: 799– 809. Polish. 22335124

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Authors
Petkari, E., & Pietschnig, J.
Affiliations
  • Middlesex University Dubai (AE)
  • University of Vienna (AT)
Corresponding author
Pietschnig, Jakob
ORCID
Venue
PLoS ONE
Publisher
Public Library of Science (PLoS)
Published
2015-08-14
Volume
10
Issue
8
Pages
e0135267
ISSN
1932-6203 (ISSN-L)
DOI
10.1371/journal.pone.0135267
PMC
PMC4537198
OpenAlex
W1758262733
Cited by
35
References
95
Citations by year
2026: 3 · 2025: 3 · 2024: 2 · 2023: 6 · 2022: 2 · 2021: 1 · 2020: 6 · 2019: 3 · 2018: 4 · 2017: 3 · 2016: 1 · 2013: 1
FWCI
0.37
Type
journal article
Language
en
Open access
Licence
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Phaidra (Universität Wien) (submittedVersion, cc-by-nc-nd)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Figshare (submittedVersion, cc-by)
Funders
Universität Wien
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
Keywords
quality of life, service satisfaction, psychosis, schizophrenia, subjective quality of life, health-related quality of life, psychosocial interventions, inpatient vs outpatient treatment, patient satisfaction
MeSH terms
Female, Humans, Male, Psychotic Disorders, Quality of Life, Patient Satisfaction

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