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. This study assesses the psychometric properties of the sqlsr4 when applied to a sample of spanish schizophrenia spectrum outpatients with stable disease. Quality of life is the subject of growing interest and investigation. To compare ratings of quality of life in patients with established schizophrenia in chandigarh, india, in both subjective and objective view points and between patients and relatives ratings.
Lehmans quality of life interview qoli, an instrument which evaluates both subjective and objective components of quality of life. Quality of life scale and symptomatology of schizophrenic patients. The present study seeks to address the dearth of qualitative research by conducting a smallscale qualitative exploration of the impact of schizophrenia. 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. Qlis development of a schizophreniaspecific qualityof.
Although scoring the brief version is identical to scoring the whoqol100, there are some differences that need to be addressed. Quality of life scale for schizophrenia patients qlssp. Pdf condensed version of the quality of life scale for. Time frame refers to last two weeks unless stipulated. 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. Current status of quality of life assessment in schizophrenic patients. Each item is rated on a 7point scale and, in all but two cases, requires a. 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. 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. Validation of a subjective quality of life questionnaire. Medications and quality of life with schizophrenia.
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. It is unclear which instruments may be used for assessing quality of life in patients with sns. Quality of life qol measurements have become an important way to evaluate the treatments and care provided to patients with schizophrenia 1, 2. 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. Schizophrenia can devastate the lives of people who suffer from it and the lives of their families. 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. 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. To develop and validate a short, selfreport quality of life questionnaire the schizophrenia quality of life scale, sqls. Condensed version of the quality of life scale for schizophrenia for use in outcome studies. Quality of life and depression in schizophrenia patients. In recent studies, qol has been reported to be an independent predictor for long. However it is not clear which scale should be used in different situations. This form of the quality of life scale qols has 16 items rather than the 15 found in the original flanagan version.
Objectives to explore the validity and reliability of a diseasespecific healthrelated qualityoflife questionnairethe schizophrenia quality of life scale revision 4 sqlsr4in patients. Development of an abbreviated schizophrenia quality of. It is intended to be administered by a trained clinician and requires about 45 minutes to complete. 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.
Prepared by the pacific northwest evidencebased practice center under contract no. Quality of life scale and symptomatology of schizophrenic. Participants then filled out the quality of life questionnaire, sqlsr4. Psychometric evaluation of the schizophrenia quality of life scale sqls in english and chinesespeaking asians in singapore. Quality of life scale qls a quality of life scale qls was developed in 1984 by heinrichs. Use follow up probes or qualifiers at your discretion. The assessment of quality of life in clinical practice in. 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 sqls to measure quality of life in patients diagnosed with schizophrenia in colombia.
The construct of the schizophrenia quality of life scale. Factor structure of the quality of life scale for mental. Reproducibility and stationarity for the schizophrenia quality of life scale revision 4 sqlsr4 on taiwan research population taiwan version 1214. Sqls r4 schizophrenia quality of life scale revision 4.
Validation of the schizophrenia quality of life scale revision 4 sqlsr4 among patients with schizophrenia. This study was designed to determine the reliability and validity of the quality of life scale revision 4 sqlsr4 for schizophrenic patients. Validation of the schizophrenia quality of life scale revision 4. Quality of life scale a measure of function for people with pain ain is a highly personal experience. 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. The influence of thought disorders on quality of life is also much debated corrigan and buican, 1995, orsel et al. 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. The testretest reliability of the chinese version was 0. Calgary depression scale for schizophrenia cdss interviewer. Healthrelated quality of life in schizophrenia is a more heterogeneous concept than previously appreciated. Validity and reliability of the turkish version were confirmed by soygur et al. In conclusion, quality of life is a major area of concern for patients with chronic schizophrenia.
Henrichs et al, 1984, a 21item scale commonly used as a measure of functioning in schizophrenia, to illustrate the. Pdf validation of the schizophrenia quality of life scale revision. 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. The aim of this study had been to define clusters of qol levels from a. 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. People with schizophrenia have an impaired quality of life qol, and various qol assessment scales are available. Psychosocial factors do not influence quality of life corrigan and buican, 1995, barry and crosby, 1996. 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. Caregivers quality of life and its positive impact on. Comparing quality of life using the world health organization quality of life measure whoqol100 in a clinical and nonclinical sample. Intervention, psychiatric nursing, patient education, quality of life, schizophrenia. 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. Quality of life is predictive of relapse in schizophrenia. 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.
For the chronically mentally ill with schizophrenia, the concept of life quality differs from that used to describe physical and lessdebilitating psychiatric. 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. One hundred and twenty eight patients who met dsmiv criteria for schizophrenia were evaluated with the brief qoli in its french version. Reproducibility and stationarity for the schizophrenia. Validation of the brief quality of life interview qoli.
Medications and quality of life use of antipsychotic medications remains the cornerstone of the management of schizophrenia. The degree to which pain interferes with the quality of a persons life is also highly personal. The qolmd contains 45 items, which are divided into eight domains. Mindfulness, quality of life, and severity of depressive.
The who quality of life scalebrief whoqolbrief, still in field trials, is a subset of 26 items taken from the whoqol100. Selfreport quality of life measure for people with schizophrenia. The use of self administered questionnaire in schizophrenia is debated. Quality of life in schizophrenia oxford academic journals. The american chronic pain association quality of life scale looks at ability to function, rather than at pain alone. Quality of life measures in schizophrenia request pdf. However, existing clinical assessment instruments focus primarily on productive symptoms. Validation of the schizophrenia quality of life scale. Schizophrenia negative symptoms sns contribute substantially to poor functional outcomes, loss in productivity and poor quality of life. Validation of the schizophrenia quality of life scale revision 4 ncbi. Selfreport quality of life measure for people with. The quality of life scale qls 1 the qls was developed to assess symptoms in the course and treatment of schizophrenia. There are several issues to consider when moving from definitions of life quality to its measurement. Quality of life measures in schizophrenia sciencedirect.
Pdf selfreport quality of life measure for people with. 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. 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. However, the factor structure of the qolmd has not been evaluated, which restricts the interpretations of the results of this scale. Each patient completed the who qol instrument brief and was administered the brief psychiatric rating scale24 to assess psychiatric symptoms and the vado. The first is whether to use objective or subjective ratings. Pdf how to interpret multidimensional quality of life. 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. The schizophrenia quality of life scale revision 4 sqlsr4 is a diseasespecific subjective quality of life ql questionnaire for patients with schizophrenia.
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. 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. Measurement of quality of life in schizophrenic patients. 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. Qol provides important information concerning the emotional and social experience of individuals which is not available for traditional assessments 3, 4.