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Psychopathological Symptoms and Satisfaction with Mental Health in Patients with Schizophrenia

McGranahan, Rose ; Hansson, Lars LU and Priebe, Stefan (2018) In Psychopathology 51(3). p.192-197
Abstract

Background: The patient’s view of their mental health is a central aspect in research and practice. Yet, little is known about which psychopathological symptoms are linked with patients’ satisfaction with their mental health. We aimed to identify these symptoms in patients with schizophrenia. Methods: An individual patient data meta-analysis was conducted with data from 2,488 patients from 8 independent studies. Satisfaction with mental health was rated on a 7-point scale, and symptoms were observer-rated using identical items from the Brief Psychiatric Rating Scale and the Positive and Negative Symptom Scale. Mixed multilevel univariate followed by multivariate regression models were used to identify symptoms associated with... (More)

Background: The patient’s view of their mental health is a central aspect in research and practice. Yet, little is known about which psychopathological symptoms are linked with patients’ satisfaction with their mental health. We aimed to identify these symptoms in patients with schizophrenia. Methods: An individual patient data meta-analysis was conducted with data from 2,488 patients from 8 independent studies. Satisfaction with mental health was rated on a 7-point scale, and symptoms were observer-rated using identical items from the Brief Psychiatric Rating Scale and the Positive and Negative Symptom Scale. Mixed multilevel univariate followed by multivariate regression models were used to identify symptoms associated with satisfaction with mental health. Results: In univariate regressions, all subscales – not age and gender – were associated with mental health satisfaction. In the multivariate regression, only affective and negative symptoms were significantly associated with a lower satisfaction with mental health, explaining 22.5% of the variance. Conclusions: Observer-rated psychopathological symptoms are linked to patients’ mental health satisfaction. In addition to affective symptoms – which are commonly negatively linked with satisfaction ratings – a higher level of negative symptoms makes patients less satisfied with their mental health, whilst positive and other symptoms do not influence mental health satisfaction.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Affective symptoms, Life satisfaction, Mental health, Negative symptoms, Satisfaction, Schizophrenia
in
Psychopathology
volume
51
issue
3
pages
192 - 197
publisher
Karger
external identifiers
  • pmid:29566391
  • scopus:85044345965
ISSN
0254-4962
DOI
10.1159/000487399
language
English
LU publication?
yes
id
e124b339-4e3a-46aa-a083-2be6972fac13
date added to LUP
2018-04-04 13:33:32
date last changed
2021-09-29 03:20:55
@article{e124b339-4e3a-46aa-a083-2be6972fac13,
  abstract     = {<p>Background: The patient’s view of their mental health is a central aspect in research and practice. Yet, little is known about which psychopathological symptoms are linked with patients’ satisfaction with their mental health. We aimed to identify these symptoms in patients with schizophrenia. Methods: An individual patient data meta-analysis was conducted with data from 2,488 patients from 8 independent studies. Satisfaction with mental health was rated on a 7-point scale, and symptoms were observer-rated using identical items from the Brief Psychiatric Rating Scale and the Positive and Negative Symptom Scale. Mixed multilevel univariate followed by multivariate regression models were used to identify symptoms associated with satisfaction with mental health. Results: In univariate regressions, all subscales – not age and gender – were associated with mental health satisfaction. In the multivariate regression, only affective and negative symptoms were significantly associated with a lower satisfaction with mental health, explaining 22.5% of the variance. Conclusions: Observer-rated psychopathological symptoms are linked to patients’ mental health satisfaction. In addition to affective symptoms – which are commonly negatively linked with satisfaction ratings – a higher level of negative symptoms makes patients less satisfied with their mental health, whilst positive and other symptoms do not influence mental health satisfaction.</p>},
  author       = {McGranahan, Rose and Hansson, Lars and Priebe, Stefan},
  issn         = {0254-4962},
  language     = {eng},
  month        = {03},
  number       = {3},
  pages        = {192--197},
  publisher    = {Karger},
  series       = {Psychopathology},
  title        = {Psychopathological Symptoms and Satisfaction with Mental Health in Patients with Schizophrenia},
  url          = {http://dx.doi.org/10.1159/000487399},
  doi          = {10.1159/000487399},
  volume       = {51},
  year         = {2018},
}