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Influence of mental health service provision on the perceived quality of life among psychiatric outpatients: associations and mediating factors
Örebro University, School of Health Sciences. University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID iD: 0000-0002-6703-7575
Division of Nursing Sciences and Reproductive Health, Department of Health, Medicine and Caring Sciences, Linköping University, Norrköping, Sweden.
School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
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2023 (English)In: Frontiers in Psychiatry, E-ISSN 1664-0640, Vol. 14, article id 1282466Article in journal (Refereed) Published
Abstract [en]

Objective: To investigate the relationship between perceived mental health service provision and quality of life (QoL) as perceived by patients in psychiatric outpatient care.

Methods: A total of 373 adult patients registered at 15 psychiatric outpatient clinics in three regions in central and southern Sweden were included in the study. Survey data were collected using a questionnaire on mental health service provision, symptom severity, recovery, clinical diagnosis, sociodemographics (serving as independent variables) and QoL (serving as the dependent variable). Three aspects of mental health service provision were used: patients’ perceived quality of care, perceived staff-patient interaction, and patient reported psychiatric treatments. Structural equation modelling was used to model the relationship among the variables.

Results: Variables in mental health service provision showed few direct associations with patients’ perceived QoL. Instead, the associations of mental health service provision on QoL were mainly mediated through symptom severity and recovery. These relationships were retained after adjusting for sociodemographic variables and clinical diagnoses. The final model achieved excellent goodness of fit (χ2 = 49.502, p = 0.230, RMSEA = 0.020, CFI = 0.997 and a SRMR = 0.024).

Conclusion: This study shows that mental health service provision is associated with patients’ perceived QoL; however, this association is mostly indirect and mediated by reduced symptom severity and increased recovery. This finding can help inform the design of future interventions to enhance service provision to improve patients’ QoL.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2023. Vol. 14, article id 1282466
Keywords [en]
Mediator model, mental health, outpatient psychiatric care, quality of life, service provision, structural equation modelling
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:oru:diva-111281DOI: 10.3389/fpsyt.2023.1282466ISI: 001150731800001PubMedID: 38293591Scopus ID: 2-s2.0-85183631978OAI: oai:DiVA.org:oru-111281DiVA, id: diva2:1833710
Funder
Region Örebro County
Note

This work was supported by the Fund for Rehabilitation and Medical Research (Fonden för Rehabilitering och Medicin) and the Region Örebro County Research Committee (Forskningskommittén i Region Örebro län).

Available from: 2024-02-01 Created: 2024-02-01 Last updated: 2024-02-09Bibliographically approved

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Lundqvist, Lars-OlovSellin Jönsson, TabitaSchröder, Agneta

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