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Minerva Psichiatrica 2001 December;42(4):257-84

language: Italian

Quality of life and environmental conditions. A study of psychiatric patients in semi-residential and residential care

Viarengo E., Maio F.


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Background. The aim of this study was to evaluate the quality of life and health care perceived by patients monitored by the Department of Mental Health in residential structures or living at home and attending semi-residential centres.
Methods. Experimental design: Survey carried out from February to May 1999. Follow-up at 3-6-12-24 months. Environment of patients included in study: private care centres. Semi-residential structures run by Department of Mental Health (CD-DH). Patients: all Italian, white. A total of 89 patients were observed: 38 (17 males and 21 females, aged between 20-62 years old) attending day centres at Day Hospitals and 51 (24 males and 27 females, aged between 20-75 years old) in residential care. Intervention: the patients were examined using self-evaluation questionnaires: DISS, SASS, BPRS, CGI, VGF. Parameters measured: the perceived quality of life and care were measured.
Results. Patients living in residential centres were reasonably satisfied with the level of care received and showed good compliance with pharmacological treatment. The patients using day centres - Day Hospitals have greater autonomy and ability to manage their finances, with a greater number of significant external relationships.
Conclusions. 1) There is no influence between psychopathology, psychiatric diagnosis and quality of life. There is significant correlation with the scales of anxiety, depression and negative symptoms. 2) Patients living outside institutions show greater satisfaction. 3) The self-evaluation questionnaire is easy to understand and prompted introspective capacity, indicating management guidelines.

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