The question addressed in this paper is whether different coping styles mediate the relationship between psychopathology and related distress and the quality of life qol among patients with schizophrenia. Quality of life and coping with schizophrenia symptoms. Show pdf in full window abstractfree full text pdffree. Development and validation of a patientbased healthrelated quality of lifequestionnaire in schizophrenia. Salyers1,2,3,4 1indiana university purdue university indianapolis iupui psychology department 2act center of indiana 3richard l. Nov 21, 2007 to assess the psychometric properties of the schizophrenia quality of life scale sqls in asians with schizophrenia in singapore. However, the scales designed to measure qol have the following deficiencies wilkinson et al. Quality of life scale and symptomatology of schizophrenic patients. Of life scale sqls 20, which is based on albeit only. It is intended to be administered by a trained clinician and requires about 45 minutes to complete. The total score ranges from 0 to 30, the higher the score, the poorer the quality of life.
Schizophrenia quality of life scale listed as sqls. The positive and negative syndrome scale panss quantifies the current state of a. 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. The quality of life scale qls 1 the qls was developed to assess symptoms in the course and treatment of schizophrenia. Quality of life, selfstigma, and hope in schizophrenia spectrum disorders. Development of the readiness for work questionnaire in. Comparison and utility of two brief community functioning measures gagan fervahaa,b.
The test can be scored at the web site where you downloaded this screening test from. Selfreport quality of life measure for people with. The scale consisted of 21 questions dealing with memory, attention, executive functions, language and praxia. The schizophrenia quality of life scale revision 4 sqlsr4 is a diseasespecific subjective quality of life ql questionnaire for patients with schizophrenia. The name refers to the two types of symptoms in schizophrenia, as defined by the. Schizophrenia quality of life scale how is schizophrenia. In this guide are nursing care plans for schizophrenia including six nursing diagnosis. For the past two decades, healthrelated quality of life hrqol has increasingly become an important outcome measure in clinical trials, health services research, patient management, and resource allocation.
The authors constructed the selfassessment scale of cognitive complaints in schizophrenia sasccs based on a questionnaire covering five cognitive domains which are the most frequently reported in the literature to be impaired in schizophrenia 6, 26. Quality of life in schizophrenia and bipolar affective. Qlis development of a schizophreniaspecific qualityoflife scale. Ford2 1dean and professor of social work, university of illinois school of social work, oregon street, urbana, il email. Its primary use is intended to be in clinical trials and related forms of evaluation of. Symptoms typically come on gradually, begin in young adulthood, and in many. Personal and social performance psp scale for patients. The most frequently affected area was occurecebido em 19122010 aprovado em 1432011. Mar 15, 2016 in conclusion, quality of life is a major area of concern for patients with chronic schizophrenia. In fact, as a result of mental health reforms, the effects of the shift of care from asylum to community health centres became a necessity for clinicians, researchers and health policy makers.
Although quality of life scales are being used to evaluate such programs, few instruments have been validated for people with schizophrenia and none for people with schizophrenia who experience major. Seventy nine patients were included, of whom 74 r 93. The positive and negative syndrome scale for schizophrenia. Calgary depression scale for schizophrenia cdss interviewer. The questionnaire was found to be acceptable total patients and feasible for use in a routine clinical setting. One such measure is the schizophrenia quality of life scale by wilkinson 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. In fact, as a result of mental health reforms, the effects of the shift of care from asylum to community health centres became a necessity for clinicians, researchers and health. Several schizophreniaspecific qol measures have been developed, and the schizophrenia quality of life scale revision 4 sqlsr4 has been suggested to be one of the most useful ones 567. Beyond assessment of quality of life in schizophrenia. In recent years, there has been a growing interest in the study and evaluation of the quality of life for people with schizophrenia. However, existing clinical assessment instruments focus. Pdf selfreport quality of life measure for people with.
The beck scale faces the same problem as any personal scale that such symptoms can be doubled or underestimated by the patient. A specific interest regarding quality of life of patients with schizophrenia dates back to the deinstitutionalisation process which took place in the 1960 s and 1970 s in several western countries 1,2. Quality of life in schizophrenia and bipolar affective disorder. Design the key product and interaction features of a digital platform to address the symptoms that profoundly affect quality of life for young adults with schizophrenia. An instrument for rating the schizophrenic deficit syndrome by douglas w. As outlined by dohrenwend and patients with schizophrenia and related psychoses. Nursing care plan goals for schizophrenia involves recognizing schizophrenia, establishing trust and rapport, maximizing the level of functioning, assessing positive and negative symptoms, assessing medical history and evaluating support system. Predictors of quality of life among individuals with schizophrenia sirijit suttajit, sutrak pilakanta department of psychiatry, faculty of medicine, chiang mai university, chiang mai, thailand purpose. It is relevant for researchers evaluating treatment efficacy in terms of quality of life changes and clinicians who need to look beyond symptom reduction and how treatment affects the life of these individuals. Abbreviated quality of life scales for schizophrenia. The present study seeks to address the dearth of qualitative research by conducting a small scale qualitative exploration of the impact of schizophrenia on hrqol. For the chronically mentally ill with schizophrenia, the concept of life quality differs from that used to describe physical and lessdebilitating psychiatric. Pdf validation of the schizophrenia quality of life scale revision.
Phsd past history and sociodemographic description schedule. Aug 16, 2003 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. Sqls schizophrenia quality of life scale acronymfinder. Lqolpeu lancashire quality of life profileeuropea n version. How is schizophrenia quality of life scale abbreviated. Sqls stands for schizophrenia quality of life scale. Relevance of a subjective quality of life questionnaire. A consecutive sample of outpatients with schizophrenia completed the english or chinese version of the sqls and the shortform 36 health survey sf36 twice during two different clinic visits. Studies conducted to assess the reliability, validity and ability to detect clinical changes compared the psp with the clinical global impression severity cgi, the positive and negative syndrome scale panss or the quality of life scale qls and showed that it is an adequate measure of social functioning in schizophrenia 35. 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.
Psychometric evaluation of the schizophrenia quality of. The japanese version of the schizophrenia quality of life. Psychometric evaluation of the schizophrenia quality of life scale sqls in english and chinesespeaking asians in singapore. Translation and validation of quality of life scale, the brief version article pdf available in journal of the college of physicians and surgeonspakistan. Schizophrenia quality of life scale revision 4 sqlsr4 among patients with schizophrenia. The positive and negative syndrome scale panss for schizophrenia. Personal and social performance psp scale for patients with. The construct of the schizophrenia quality of life scale. Sqls is defined as schizophrenia quality of life scale frequently. Scors item generation the scors is an 18item interviewbased assessment of cognitive deficits and the degree to which they affect daytoday functioning. The sqls volume 177 issue 1 greg wilkinson, bernadette hesdon, diane wild, ron cookson, carole farina, vimal sharma, ray fitzpatrick, crispin jenkinson. Several schizophrenia specific qol measures have been developed, and the schizophrenia quality of life scale revision 4 sqlsr4 has been suggested to be one of the most useful ones 567. Other studies have found that cbt improves overall psychotic symptoms when in use with medication but has no effect on social function, relapse, or quality of life. Research on quality of life qol in psychiatry is still growing in the first decade of this century.
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. Intervention, psychiatric nursing, patient education, quality of life, schizophrenia. Ninetyfive stable szsa patients were evaluated using the quality of life enjoyment and life satisfaction questionnaire qlesq, the positive and negative syndrome scale panss, the multidimensional scale of perceived social support mspss, and the. Validation of the schizophrenia quality of life scale revision 4. The patient is rated from 1 to 7 on 30 different symptoms based on the. Similarly, the development of new antipsychotic medications has resulted in hrqol being an essential measure of treatment success in schizophrenia.
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 study reported here aimed to evaluate both biological and psychosocial factors as predictors for quality of life as well as to examine the associations between the factors and quality of. Quality of life scale and symptomatology of schizophrenic. Negative syndrome scale is a medical scale used for. This definition appears frequently and is found in the following acronym finder categories. However, existing clinical assessment instruments focus primarily on productive symptoms. Quality of life in schizophrenia oxford academic journals. To assess the psychometric properties of the schizophrenia quality of life scale sqls in asians with schizophrenia in singapore. Validation of the schizophrenia quality of life scale. Quality of life is the subject of growing interest and investigation. Major symptoms include hallucinations often hearing voices, delusions having beliefs not shared by others, and disorganized thinking. Validation of the schizophrenia quality of life scale revision 4 sqlsr4 among patients with 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.
Pdf translation and validation of quality of life scale. Quality of life, selfstigma, and hope in schizophrenia. It consists of a semistructured 21item interview with 7 points for each item. The selfassessment scale of cognitive complaints in. Psychometric evaluation of the schizophrenia quality of life. Health related quality of life in patients having schizophrenia. Each item is rated on a 7point scale and, in all but two cases, requires a. The structured interview for prodromal symptoms and the scale of. Each item is rated on a 7point scale and, in all but two cases, requires a judgment. Correlation between quality of life and positive and. Oregon healthrelated quality of life questionnaire oqlq.
Its initial purpose to measure the deficit syndrome in patients with schizophrenia within the last four weeks. Mansa manchester short assessment of quality of life. 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 preceding four weeks. Schizophrenia bulletin, volume 10, issue 3, 1984, pages 388398. A specific interest regarding quality of life of patients with schizophrenia dates back to the deinstitutionalisation process which took place in the 1960 s and 1970 s in several western countries 1, 2. Yale university prime screening test for accurate results, you must be entirely honest in your response to all twelve questions in this test. The sqls was developed to be a valid and feasible questionnaire for selfcompletion that addresses the perceptions and concerns of people. Some of the items for the scale were developed based upon the. However, qol is still an equivocal term with substantially different. Quality of life measures in schizophrenia sciencedirect. Sqol 18 schizophrenia quality of life questionnaire. In a crosssectional design, 161 schizophrenia inpatients were comprehensively evaluated with standardized measures of qol, psychopathology, psychological distress and coping styles. Schizophrenia is a mental illness characterized by relapsing episodes of psychosis. 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.
Correlation between quality of life and positive and negative symptoms of schizophrenia 368 p j m h s vol. Several schizophreniaspecific qol measures have been developed, and the schizophrenia quality of life scale revision 4 sqlsr4 has. Correlation between quality of life and positive and negative. Pdf validation of the schizophrenia quality of life scale. Increasing numbers of programs are addressing the specific needs of homeless people with schizophrenia in terms of access to housing, healthcare, basic human rights and other domains. Jan 16, 2015 predictors of quality of life among individuals with schizophrenia sirijit suttajit, sutrak pilakanta department of psychiatry, faculty of medicine, chiang mai university, chiang mai, thailand purpose.
While several conceptions of schizophrenia exist and are still under discussion, at least a provisional consensus regarding a valid measure of schizophrenia seems to have been reached. Other symptoms include social withdrawal, decreased emotional expression, and lack of motivation. In the uk it is recommended as an addon therapy in the treatment of schizophrenia, but is not supported for use in treatment resistant schizophrenia. Broadly, quality of life is a persons sense of wellbeing and satisfaction with his or her life circumstances as well as a persons health status and access to resources and opportunities.
The patients were also assessed for presence or absence of 22. Each patient completed the who qol instrument brief and was administered the brief psychiatric rating scale 24 to assess psychiatric symptoms and the vado. Quality of life qol in people with schizophrenia is an area of major concern to both researchers and clinicians. An instrument for rating the schizophrenic deficit syndrome.
Abstract there is growing interest in deficit symptoms in studies of the course and treatment response of schizophrenia. Selfreport quality of life measure for people with schizophrenia. The aim of the project was to develop an instrument for the assessment of subjective quality of life specific to schizophrenic persons on the. Pdf how to interpret multidimensional quality of life. Schizophrenia quality of life scale how is schizophrenia quality of life scale abbreviated. Roudebush va medical center 4regenstrief institute, inc. To complete the test, circle using a pen or pencil the response listed below the statement that best. Psychometric properties of the beck scale for depression. While the deficit syndrome of schizophrenia guided the development of the instrument, and it has only been used with schizophrenic patients thus far, the. This study was designed to determine the reliability and validity of the quality of life scale revision 4 sqlsr4 for schizophrenic patients, and to compare sqlsr4 with shortterm change in sf36 scores for patients. The whoqol group, study protocol for the world health organization project to develop a quality of life assessment instrument whoqol, quality of life research, vol.
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. Schizophrenia quality of life questionnaire clinical research form sqol 41. To develop and validate a short, selfreport quality of life questionnaire the schizophrenia quality of life scale, sqls. The purpose is to advocate for refining conceptually the idea of quality of life in schizophrenia, bridging the present gaps and going beyond measurements to its significant applications in impacting clinical care and health economics. Current status of quality of life assessment in schizophrenic patients. In a crosssectional design, 161 schizophrenia inpatients were comprehensively evaluated with standardized measures of qol, psychopathology, psychological distress and coping. The aim of this study had been to define clusters of qol levels from a. Use follow up probes or qualifiers at your discretion.
Schizophrenia quality of life questionnaire short form. Quality of life scale qls a quality of life scale qls was developed in 1984 by heinrichs, hanlon and carpenter. Full text predictors of quality of life among individuals. Sqol 41 schizophrenia quality of life questionnaire. Unfortunately, the factors that influence quality of life in schizophrenia and affective disorder are. Coping with schizophrenia 1 coping with positive and negative symptoms of schizophrenia angela l. Improving quality of life for young adults with schizophrenia. The present study seeks to address the dearth of qualitative research by conducting a smallscale qualitative exploration of the impact of schizophrenia. Measuring quality of life in the mentally ill wynnes. Time frame refers to last two weeks unless stipulated. Yale university prime screening test 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. Measurement of quality of life in schizophrenic patients. 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.
7 991 1024 900 555 862 352 1431 821 717 978 1449 1491 54 588 879 171 1224 1170 1167 1592 942 243 203 393 965 519 1134 127 1315 774 428 1135 396 396 1201 101 728