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Quality of Life of People with Severe Mental Health Problems: Testing an Interactive Model

Author

Listed:
  • Karen Geerts

    (GGZ Breburg Institute for Mental Health Care, 5000 AT Tilburg, The Netherlands)

  • Ilja Bongers

    (GGzE Institute for Mental Health Care, 5600 AX Eindhoven, The Netherlands
    Scientific Center for Care and Wellbeing (Tranzo), Tilburg University, 5000 LE Tilburg, The Netherlands)

  • David Buitenweg

    (GGzE Institute for Mental Health Care, 5600 AX Eindhoven, The Netherlands)

  • Chijs van Nieuwenhuizen

    (GGzE Institute for Mental Health Care, 5600 AX Eindhoven, The Netherlands
    Scientific Center for Care and Wellbeing (Tranzo), Tilburg University, 5000 LE Tilburg, The Netherlands)

Abstract

Improvement of subjective quality of life (QoL) is seen as an important treatment outcome in clinical practice. The aim of this study is to test the theoretical model of Cummins, which includes a homeostatic management system. According to this model, objective variables are almost irrelevant to general well-being, while the feeling of having an influence on one’s circumstances (perceived deficit) is related to subjective QoL. The variables of the Cummins model were operationalised based on the Lancashire Quality of Life Profile, a structured interview to assess the subjective QoL of people with severe mental health problems. The Cummins model was tested using structural equation modelling and a mediator model between Objective QoL, Subjective QoL and Perceived Deficit. Subjective QoL and General Well-Being were significantly related and having a meaningful perspective in life was related to General Well-Being. Contrary to the Cummins model, both Objective QoL and Perceived Deficit had a significant relation to Subjective QoL and Perceived Deficit was a partial mediator between Objective QoL and Subjective QoL. Cummins’ theoretical model was partially confirmed. The current study suggests that meaningful (treatment) evaluation of subjective QoL can only be performed if objective QoL, General Well-Being and subjective evaluation (Perceived Deficit and Framework) are taken into account.

Suggested Citation

  • Karen Geerts & Ilja Bongers & David Buitenweg & Chijs van Nieuwenhuizen, 2020. "Quality of Life of People with Severe Mental Health Problems: Testing an Interactive Model," IJERPH, MDPI, vol. 17(11), pages 1-14, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:11:p:3866-:d:364674
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    References listed on IDEAS

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    1. Wijbrandt Schuur & Martine Kruijtbosch, 1995. "Measuring subjective well-being: Unfolding the Bradburn Affect Balance Scale," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 36(1), pages 49-74, September.
    2. Robert Cummins, 2010. "Subjective Wellbeing, Homeostatically Protected Mood and Depression: A Synthesis," Journal of Happiness Studies, Springer, vol. 11(1), pages 1-17, March.
    3. I. Ponocny & Ch. Weismayer & B. Stross & S. G. Dressler, 2016. "Are Most People Happy? Exploring the Meaning of Subjective Well-Being Ratings," Journal of Happiness Studies, Springer, vol. 17(6), pages 2635-2653, December.
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