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Elgendy H, Shalaby R, Owusu E, Nkire N, Agyapong VIO, Wei Y. A Scoping Review of Adult Inpatient Satisfaction with Mental Health Services. Healthcare (Basel) 2023; 11:3130. [PMID: 38132021 PMCID: PMC10743343 DOI: 10.3390/healthcare11243130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2023] [Revised: 11/28/2023] [Accepted: 12/06/2023] [Indexed: 12/23/2023] Open
Abstract
Patient satisfaction with hospital services has been increasingly discussed as an important indicator of healthcare quality. It has been demonstrated that improving patient satisfaction is associated with better compliance with treatment plans and a decrease in patient complaints regarding doctors' and nurses' misconduct. This scoping review's objective is to investigate the pertinent literature on the experiences and satisfaction of patients with mental disorders receiving inpatient psychiatric care. Our goals are to highlight important ideas and explore the data that might serve as a guide to enhance the standard of treatment and patient satisfaction in acute mental health environments. This study is a scoping review that was designed in adherence with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) statement. A systematic search was conducted in the following databases: PubMed, MEDLINE, PsycINFO, CINAHL, and EMBASE. A comprehensive review was completed, including articles from January 2012 to June 2022. Qualitative and quantitative studies were included in this review based on our eligibility criteria, such as patient satisfaction as a primary outcome, adult psychiatric inpatients, and non-review studies published in the English language. Studies were considered ineligible if they included nonpsychiatric patients or patients with neurocognitive disorders, review studies, or study measure outcomes other than inpatient satisfaction. For the eligible studies, data extraction was conducted, information was summarized, and the findings were reported. A total of 31 studies representing almost all the world's continents were eligible for inclusion in this scoping review. Different assessment tools and instruments were used in the included studies to measure the level of patients' satisfaction. The majority of the studies either utilized a pre-existing or newly created inpatient satisfaction questionnaire that appeared to be reliable and of acceptable quality. This review has identified a variety of possible factors that affect patients' satisfaction and can be used as a guide for service improvement. More than half of the included studies revealed that the following factors were strongly recommended to enhance inpatient satisfaction with care: a clear discharge plan, less coercive treatment during the hospital stay, more individualized, higher quality information and teaching about the mental disorder to patients by staff, better therapeutic relationships with staff, and specific treatment components that patients enjoy, such as physical exercise sessions and music therapy. Patients also value staff who spend more time with them. The scope of patient satisfaction with inpatient mental health services is a growing source of concern. Patient satisfaction is associated with better adherence to treatment regimens and fewer complaints against health care professionals. This scoping review has identified several patient satisfaction research gaps as well as important determinants of satisfaction and how to measure and utilize patient satisfaction as a guide for service quality improvement. It would be useful for future research and reviews to consider broadening their scope to include the satisfaction of psychiatric patients with innovative services, like peer support groups and other technologically based interventions like text for support. Future research also could benefit from utilizing additional technological tools, such as electronic questionnaires.
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Affiliation(s)
- Hossam Elgendy
- Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R3, Canada; (R.S.); (E.O.); (N.N.); (V.I.O.A.); (Y.W.)
| | - Reham Shalaby
- Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R3, Canada; (R.S.); (E.O.); (N.N.); (V.I.O.A.); (Y.W.)
| | - Ernest Owusu
- Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R3, Canada; (R.S.); (E.O.); (N.N.); (V.I.O.A.); (Y.W.)
| | - Nnamdi Nkire
- Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R3, Canada; (R.S.); (E.O.); (N.N.); (V.I.O.A.); (Y.W.)
- Addiction and Mental Health, Alberta Health Services, Edmonton, AB T5J E34, Canada
| | - Vincent I. O. Agyapong
- Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R3, Canada; (R.S.); (E.O.); (N.N.); (V.I.O.A.); (Y.W.)
- Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 4R2, Canada
| | - Yifeng Wei
- Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R3, Canada; (R.S.); (E.O.); (N.N.); (V.I.O.A.); (Y.W.)
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Relationship between satisfaction with mental health services, personal recovery and quality of life among service users with psychosis: a cross-sectional study. BMC Health Serv Res 2021; 21:439. [PMID: 33964917 PMCID: PMC8105980 DOI: 10.1186/s12913-021-06409-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Accepted: 04/15/2021] [Indexed: 11/25/2022] Open
Abstract
Background Mental health policy internationally emphasizes patient centredness and personal recovery. This study investigated the relationship between satisfaction with mental health services among service users with psychosis in Norway, and personal recovery, perceived support for personal recovery, and quality of life. Methods Cross-sectional data were collected from 292 service users diagnosed with psychosis from 39 clinical sites across Norway. Satisfaction with services was assessed using the Client Satisfaction Questionnaire-8. A linear mixed model was estimated to explore the relationship between satisfaction with services and preselected covariates, and to control for confounding factors. Results A large majority of participants (89%) reported moderate-to-high levels of satisfaction. Satisfaction with services was positively associated with perceived support for personal recovery, but not with personal recovery or quality of life. In addition, service users under a Community Treatment Order (CTO) were significantly less satisfied than those who were not. Conclusions Satisfaction levels among service users were higher compared with similar, international studies. Those who feel supported in their personal recovery were more satisfied with the care they receive, which support the need for implementation of recovery-oriented practices for service users with psychosis. However, satisfaction with services was not related to service user-rated quality of life or level of personal recovery; thus, more follow-up studies are needed. The lower satisfaction of service users placed under CTOs shows the importance of targeted interventions to improve satisfaction with services among this group. Trial registration NCT03271242, date of registration: 5 sept. 2017.
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Berzina N, Petrošina E, Taube M. The assessment of factors associated with patient satisfaction in evaluation of mental health care center. Nord J Psychiatry 2021; 75:79-86. [PMID: 32707004 DOI: 10.1080/08039488.2020.1795715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
AIMS The study was conducted to explore patient satisfaction and to identify factors associated with patient satisfaction with the care in psychiatric wards using Psychiatric Inpatient Patient Experience Questionnaire On-Site (PIPEQ-OS) self-assessment tool. Such studies to detect factors associated with patient satisfaction in mental health care have not yet been conducted in Latvia. METHODS Cross-sectional study was conducted over 6-month period in 2018. Total amount of 773 mental health care patients were offered to fill in the questionnaire in subacute and acute wards. From them, 419 (54.2%) filled and returned the questionnaire and 354 (45.8%) refused to fill it. Descriptive statistical analysis and factor correlation was done. RESULTS Response rate was found to be 54.2%. Patients generally showed high satisfaction with received care. However, lower satisfaction rates were found in items related to engagement of relatives and patients in the treatment process, as well as patients were less satisfied with information provided. Statistically significant higher satisfaction was associated with organic mental disorders compared to schizophrenia spectrum disorders, as well as with female gender, older age, being employed or pensioner, being married or divorced. Patient education level did not show significant association with self-assessment scores. CONCLUSION The study revealed possible directions for improvement in the future in terms of providing information to patients, involvement of relatives and patients in the process of treatment. Further studies with more patients and involvement of other hospitals are required to assess factors associated with the satisfaction to organize care and to plan treatment according to the needs of the patients.
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Affiliation(s)
- Natalija Berzina
- Department of Psychiatry and Narcology, Riga Stradiņš University, Riga, Latvia
| | - Eva Petrošina
- Statistics Unit, Riga Stradiņš University, Riga, Latvia
| | - Maris Taube
- Department of Psychiatry and Narcology, Riga Stradiņš University, Riga, Latvia
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Fleury MJ, Grenier G, Farand L. Satisfaction with Emergency Departments and Other Mental Health Services among Patients with Mental Disorders. ACTA ACUST UNITED AC 2019; 14:43-54. [PMID: 31017865 PMCID: PMC7008685 DOI: 10.12927/hcpol.2019.25793] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Background Few studies have investigated satisfaction with emergency departments (EDs) among patients with mental health (MH) issues. This study evaluated the use of and satisfaction with EDs and other MH services among 328 patients with MH disorders, as well as specific characteristics of patient satisfaction and dissatisfaction. Methods A mixed-methods study was conducted in four EDs located in different administrative healthcare regions of Quebec (Canada). Results Patients were highly satisfied with staff attitudes in EDs and other MH services (i.e., hospital in-patient services, outpatient services, community organizations). Major sources of dissatisfaction were the information received in EDs concerning community services and the physical environment or climate in EDs and other MH services. Conclusion Dissatisfaction with services may be reduced by extending hours of operation in MH services; promoting collaboration between psychiatrists, family physicians and other primary care providers; further integrating EDs with other healthcare services; and improving the characteristically austere and restrictive atmosphere in EDs.
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Affiliation(s)
- Marie-Josée Fleury
- Professor, Department of Psychiatry, McGill UniversityResearcher, Douglas Mental Health University Institute Research CentreMontreal, QC
| | - Guy Grenier
- Research AssociateDouglas Mental Health University Institute Research CentreMontreal, QC
| | - Lambert Farand
- Associate ProfessorDepartment of Health Administration, Policy and EvaluationSchool of Public Health, University of MontrealMontreal, QC
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Ratner Y, Zendjidjian XY, Mendyk N, Timinsky I, Ritsner MS. Patients' satisfaction with hospital health care: Identifying indicators for people with severe mental disorder. Psychiatry Res 2018; 270:503-509. [PMID: 30347377 DOI: 10.1016/j.psychres.2018.10.027] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/28/2018] [Revised: 09/14/2018] [Accepted: 10/08/2018] [Indexed: 10/28/2022]
Abstract
BACKGROUND Patients' perception of psychiatric healthcare is a critical indicator in measuring service quality. The aim of the study was to determine patient's level of satisfaction with the quality of health care delivered at the inpatient departments, and to identify the service quality factors that were important to patients. METHOD The Satisfaction with Psychiatry Care Questionnaire-22 was administered to 125 consecutive inpatients with schizophrenia or schizoaffective disorder in a stable condition. Sociodemographic and background variables, illness and symptom severity, insight, social anhedonia, self-esteem, perceived social support, and satisfaction with quality of life were collected. RESULTS Although the participants generally expressed satisfaction with the inpatient services, they indicated that the weakest aspects of the service were in the domains of 'personal experience', 'information' and 'activity'. Women were significantly more dissatisfied than men with 'staff', 'care', and by general satisfaction. Multiple regression analysis revealed that satisfaction with hospital health care was associated with five indicators: insight, satisfaction with physical health, self-efficacy, family support, and social anhedonia. CONCLUSION Personality related factors rather than psychopathological symptoms were associated with a satisfaction with care of admitted patients with severe mental illness. These factors could be targets for interventions aimed to improve treatment and hospital services.
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Affiliation(s)
- Yael Ratner
- Shaar Menashe Mental Health Center, Hadera, Israel
| | - Xavier Y Zendjidjian
- Aix-Marseille Univ, EA 3279 - Public Health, Chronic Diseases and Quality of Life - Research Unit, Marseille, France.
| | - Nina Mendyk
- Shaar Menashe Mental Health Center, Hadera, Israel.
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Fortin M, Cao Z, Fleury MJ. A typology of satisfaction with mental health services based on Andersen's behavioral model. Soc Psychiatry Psychiatr Epidemiol 2018; 53:587-595. [PMID: 29450599 DOI: 10.1007/s00127-018-1498-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2017] [Accepted: 02/02/2018] [Indexed: 12/14/2022]
Abstract
OBJECTIVE Patients with mental disorders (MDs) form a highly heterogeneous group, whose satisfaction with mental health services (MHS) may vary according to different variables. Identifying patient subgroups with similar levels of satisfaction may help identify variables that contribute to satisfaction or dissatisfaction with services. This study established a typology of patient satisfaction with MHS that revealed variables specific to each group. METHODS The study included 325 patients with MDs across four health service networks offering integrated and diversified services. Data were collected using five standardized instruments, and participant medical records. A conceptual framework was developed, based on Andersen's Behavioral Model, which integrates socio-demographic, clinical, needs-related and service use variables. Using cluster analysis, a typology of patient satisfaction was created. RESULTS Analyses yielded four patient clusters: two where levels of satisfaction were relatively high and two with lower levels of satisfaction (range 3.74-4.37). Greater care continuity and higher income related to greater patient satisfaction; whereas co-occurring MDs and substance use disorders (SUD), as well as more numerous and severe needs, characterized dissatisfied patients who were frequent users of MHS. CONCLUSIONS Results highlight the need for continuity of care and adequate socio-economic conditions for increasing patient satisfaction with MHS. Lower levels of satisfaction among patients with common MDs and SUDs suggest the importance of addressing their specific needs to enhance satisfaction and MH recovery.
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Affiliation(s)
- Marilyn Fortin
- Department of Psychiatry, McGill University, Montreal, QC, Canada
- Douglas Hospital Research Centre, 6875 LaSalle Blvd., Montreal, QC, H4H 1R3, Canada
| | - Zhirong Cao
- Douglas Hospital Research Centre, 6875 LaSalle Blvd., Montreal, QC, H4H 1R3, Canada
| | - Marie-Josée Fleury
- Department of Psychiatry, McGill University, Montreal, QC, Canada.
- Douglas Hospital Research Centre, 6875 LaSalle Blvd., Montreal, QC, H4H 1R3, Canada.
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Fortin M, Zhirong C, Fleury MJ. Satisfaction with primary and specialized mental health care among patients with mental disorders. INTERNATIONAL JOURNAL OF MENTAL HEALTH 2018. [DOI: 10.1080/00207411.2018.1448661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Marilyn Fortin
- Department of Psychiatry, McGill University, Montreal, Quebec, Canada
- Douglas Hospital Research Centre, Montreal, Quebec, Canada
| | - Cao Zhirong
- Douglas Hospital Research Centre, Montreal, Quebec, Canada
| | - Marie-Josée Fleury
- Department of Psychiatry, McGill University, Montreal, Quebec, Canada
- Douglas Hospital Research Centre, Montreal, Quebec, Canada
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Fortin M, Bamvita JM, Fleury MJ. Patient satisfaction with mental health services based on Andersen's Behavioral Model. CANADIAN JOURNAL OF PSYCHIATRY. REVUE CANADIENNE DE PSYCHIATRIE 2018; 63:103-114. [PMID: 29056085 PMCID: PMC5788132 DOI: 10.1177/0706743717737030] [Citation(s) in RCA: 36] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
OBJECTIVE The purpose of this article was to assess the satisfaction of adult patients who received mental health services (MHS) in healthcare networks staffed by multidisciplinary professionals and offering a range of MHS, and to identify variables associated with patient satisfaction. METHODS This cross-sectional study included 325 patients with mental disorders (MDs) among 4 Quebec health service networks. Data were collected using 9 standardized instruments and participant medical records. A 3-factor conceptual framework (predisposing, enabling, and needs-related factors) based on Andersen's Behavioral Model was used, integrating sociodemographic, clinical, needs-related, service utilization, social support, and quality-of-life (QOL) variables. An adjusted multiple linear regression model was performed. RESULTS The global mean score for patient satisfaction was 4.11 (minimum: 2.0; maximum: 5.0). Among the enabling factors, continuity of care, having a case manager, and help received from services were positively associated with patient satisfaction, whereas being hospitalized was negatively associated. Among the needs-related factors, the number of needs was negatively associated with satisfaction. CONCLUSIONS Findings demonstrated higher levels of satisfaction among patients who received good continuity of care and well-managed, frequent services in relation to their needs. Dissatisfaction was higher for patients with serious unmet needs or those hospitalized, which underlines the importance of taking these particular variables into account in the interest of improving MHS delivery and patient recovery.
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Affiliation(s)
- Marilyn Fortin
- 1 Department of Psychiatry, McGill University, Montreal, Quebec, Canada.,2 Douglas Hospital Research Centre, Montreal, Quebec, Canada
| | | | - Marie-Josée Fleury
- 1 Department of Psychiatry, McGill University, Montreal, Quebec, Canada.,2 Douglas Hospital Research Centre, Montreal, Quebec, Canada
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Woodward S, Berry K, Bucci S. A systematic review of factors associated with service user satisfaction with psychiatric inpatient services. J Psychiatr Res 2017; 92:81-93. [PMID: 28412601 DOI: 10.1016/j.jpsychires.2017.03.020] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2016] [Revised: 03/29/2017] [Accepted: 03/30/2017] [Indexed: 01/17/2023]
Abstract
BACKGROUND Satisfaction is seen as an indicator of the quality of mental health services and has been related to outcomes and compliance with treatment. The current review seeks to examine the factors relating to satisfaction with inpatient services. METHOD A search was conducted of PsycInfo, Web of Science, Cinahl, Embase and Medline databases. Screening resulted in 32 papers being included in the review. Papers were subject to quality assessment using the Mixed Methods Appraisal Tool (MMAT). RESULTS Review of the included papers suggested factors relating to satisfaction could be broadly classified as either service user or service/ward related. Service user related factors included findings that satisfaction was higher when service users were admitted voluntarily. Service related factors included findings that satisfaction was negatively associated with experiences of coercion and positively associated with being on an open ward. CONCLUSION It appears that coercion has a key role in ratings of satisfaction. Additionally, service users reported an impact of staff relationships, and the ward environment. Satisfaction is associated with a range of factors, an awareness of which will allow for the development of quality services that meet the needs of service users.
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Affiliation(s)
- Sarah Woodward
- Division of Psychology and Mental Health, School of Health Sciences, The University of Manchester, United Kingdom
| | - Katherine Berry
- Division of Psychology and Mental Health, School of Health Sciences, The University of Manchester, United Kingdom
| | - Sandra Bucci
- Division of Psychology and Mental Health, School of Health Sciences, The University of Manchester, United Kingdom.
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Krupchanka D, Khalifeh H, Abdulmalik J, Ardila-Gómez S, Armiya'u AY, Banjac V, Baranov A, Bezborodovs N, Brecic P, Čavajda Z, de Girolamo G, Denisenko M, Dickens HA, Dujmovic J, Ergovic Novotny D, Fedotov I, Fernández MA, Frankova I, Gasparovic M, Giurgi-Oncu C, Grahovac T, James BO, Jomli R, Kekin I, Knez R, Lanfredi M, Lassman F, Mehta N, Nacef F, Nawka A, Nemirovsky M, Ola BA, Oshodi YO, Ouali U, Peharda T, Razic Pavicic A, Rojnic Kuzman M, Roventa C, Shamenov R, Smirnova D, Smoljanic D, Spikina A, Thornicroft A, Tomicevic M, Vidovic D, Williams P, Yakovleva Y, Zhabenko O, Zhilyaeva T, Zivkovic M, Thornicroft G, Sartorius N. Satisfaction with psychiatric in-patient care as rated by patients at discharge from hospitals in 11 countries. Soc Psychiatry Psychiatr Epidemiol 2017; 52:989-1003. [PMID: 28285452 DOI: 10.1007/s00127-017-1366-0] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2016] [Accepted: 02/16/2017] [Indexed: 02/07/2023]
Abstract
PURPOSE There is disregard in the scientific literature for the evaluation of psychiatric in-patient care as rated directly by patients. In this context, we aimed to explore satisfaction of people treated in mental health in-patient facilities. The project was a part of the Young Psychiatrist Program by the Association for the Improvement of Mental Health Programmes. METHODS This is an international multicentre cross-sectional study conducted in 25 hospitals across 11 countries. The research team at each study site approached a consecutive target sample of 30 discharged patients to measure their satisfaction using the five-item study-specific questionnaire. Individual and institution level correlates of 'low satisfaction' were examined by comparisons of binary and multivariate associations in multilevel regression models. RESULTS A final study sample consisted of 673 participants. Total satisfaction scores were highly skewed towards the upper end of the scale, with a median total score of 44 (interquartile range 38-48) out of 50. After taking clustering into account, the only independent correlates of low satisfaction were schizophrenia diagnosis and low psychiatrist to patient ratio. CONCLUSION Further studies on patients' satisfaction should additionally pay attention to treatment expectations formed by the previous experience of treatment, service-related knowledge, stigma and patients' disempowerment, and power imbalance.
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Affiliation(s)
- Dzmitry Krupchanka
- Department of Social Psychiatry, National Institute of Mental Health, Topolová 748, 250 67, Klecany, Czech Republic. .,Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
| | - Hind Khalifeh
- Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
| | | | - Sara Ardila-Gómez
- Research Institute, School of Psychology, University of Buenos Aires, Buenos Aires, Argentina
| | | | - Visnja Banjac
- Clinic of Psychiatry, University Clinical Center of the Republic of Srpska, Banjaluka, Bosnia and Herzegovina
| | | | | | | | - Zoran Čavajda
- Department of Acute and Biological Psychiatry, Clinical Hospital Centre Osijek, Osijek, Croatia
| | - Giovanni de Girolamo
- Unit of Psychiatric Epidemiology and Evaluation, Saint John of God Clinical Research Centre, Brescia, Italy
| | - Maria Denisenko
- Mental Health Clinic No1, Nizhny Novgorod, Russian Federation
| | | | | | | | - Ilya Fedotov
- Ryazan State Medical University, Ryazan, Russian Federation
| | - Marina A Fernández
- Research Institute, School of Psychology, University of Buenos Aires, Buenos Aires, Argentina
| | | | | | - Catalina Giurgi-Oncu
- ″Victor Babes" University of Medicine and Pharmacy of Timisoara, Timisoara, Romania
| | | | - Bawo O James
- Federal Neuro-Psychiatric Hospital, Benin City, Nigeria
| | - Rabaa Jomli
- Department of Psychiatry "A" at Razi Hospital, Manouba, Tunisia.,Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia
| | - Ivana Kekin
- University Hospital Centre Zagreb, Zagreb, Croatia
| | - Rajna Knez
- University Hospital Center Rijeka, Rijeka, Croatia
| | - Mariangela Lanfredi
- Unit of Psychiatry, Saint John of God Clinical Research Centre, Brescia, Italy
| | | | | | - Fethi Nacef
- Department of Psychiatry "A" at Razi Hospital, Manouba, Tunisia.,Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia
| | - Alexander Nawka
- Institute of Neuropsychiatric Care (INEP), Prague, Czech Republic
| | | | | | - Yewande O Oshodi
- Department of Psychiatry, College of Medicine, University of Lagos, Lagos, Nigeria
| | - Uta Ouali
- Department of Psychiatry "A" at Razi Hospital, Manouba, Tunisia.,Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia
| | | | | | - Martina Rojnic Kuzman
- University Hospital Centre Zagreb, Zagreb, Croatia.,Zagreb School of Medicine, Zagreb, Croatia
| | | | | | - Daria Smirnova
- Department of Psychiatry, Samara State Medical University, Samara, Russian Federation
| | | | - Anna Spikina
- Medical University Named After I.I. Mechnikov, Saint Petersburg, Russian Federation
| | - Amalia Thornicroft
- Occupational Therapy Department, St George's University Hospitals NHS Foundation Trust, London, UK
| | - Marko Tomicevic
- Neuropsychiatric Hospital "Dr. Ivan Barbot", Popovaca, Croatia
| | | | - Paul Williams
- Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
| | - Yulia Yakovleva
- Saint Petersburg Bekhterev Psychoneurological Research Institute, Saint Petersburg, Russian Federation
| | - Olena Zhabenko
- Railway Clinical Hospital #1 Station Kyiv, Kyiv, Ukraine
| | - Tatiana Zhilyaeva
- Department of Psychiatry and Medical Psychology, Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russian Federation
| | - Maja Zivkovic
- University Psychiatric Hospital Vrapce, Zagreb, Croatia
| | - Graham Thornicroft
- Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
| | - Norman Sartorius
- Association for the Improvement of Mental Health Programmes, Geneve, Switzerland
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Hickey JE, Pryjmachuk S, Waterman H. Mental illness research in the Gulf Cooperation Council: a scoping review. Health Res Policy Syst 2016; 14:59. [PMID: 27492156 PMCID: PMC4972953 DOI: 10.1186/s12961-016-0123-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2015] [Accepted: 06/24/2016] [Indexed: 11/26/2022] Open
Abstract
Rapid growth and development in recent decades has seen mental health and mental illness emerge as priority health concerns for the Gulf Cooperation Council (Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates). As a result, mental health services in the region are being redefined and expanded. However, there is a paucity of local research to guide ongoing service development. Local research is important because service users’ experience of mental illness and mental health services are linked to their sociocultural context. In order for service development to be most effective, there is a need for increased understanding of the people who use these services. This article aims to review and synthesize mental health research from the Gulf Cooperation Council. It also seeks to identify gaps in the literature and suggest directions for future research. A scoping framework was used to conduct this review. To identify studies, database searches were undertaken, regional journals were hand-searched, and reference lists of included articles were examined. Empirical studies undertaken in the Gulf Cooperation Council that reported mental health service users’ experience of mental illness were included. Framework analysis was used to synthesize results. Fifty-five studies met inclusion criteria and the following themes were identified: service preferences, illness (symptomology, perceived cause, impact), and recovery (traditional healing, family support, religion). Gaps included contradictory findings related to the supportive role of the Arabic extended family and religion, under-representation of women in study samples, and limited attention on illness management outside of the hospital setting. From this review, it is clear that the sociocultural context in the region is linked to service users’ experience of mental illness. Future research that aims to fill the identified gaps and develop and test culturally appropriate interventions will aid practice and policy development in the region.
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Affiliation(s)
- Jason E Hickey
- University of Calgary Qatar, P.O. Box 23133, Doha, Qatar. .,University of Manchester, Oxford Rd, Manchester, M13 9PL, United Kingdom.
| | - Steven Pryjmachuk
- University of Manchester, Oxford Rd, Manchester, M13 9PL, United Kingdom
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Petkari E, Pietschnig J. Associations of Quality of Life with Service Satisfaction in Psychotic Patients: A Meta-Analysis. PLoS One 2015; 10:e0135267. [PMID: 26275139 PMCID: PMC4537198 DOI: 10.1371/journal.pone.0135267] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2015] [Accepted: 07/20/2015] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Quality of life (QoL) has gained increasing attention as a desired outcome of psychosocial treatments targeting psychotic patients. Yet, the relationship between the patients' satisfaction with services and QoL has not been clearly established, perhaps due to the multidimensionality of the QoL concept and the variability in its assessment. AIM This is the first systematic meta-analysis of all available evidence assessing the relationship between QoL and service satisfaction. METHODS In all, 19 studies reporting data of 21 independent samples (N = 5,337) were included in the present meta-analysis. In moderator analyses, effects of age, sex, diagnoses (schizophrenia vs. other psychoses), treatment context (inpatients vs. outpatients), study design (cross-sectional vs. longitudinal), and QoL domain (subjective vs. health-related) were examined. RESULTS Analyses revealed a highly significant medium-sized effect (r = .30, p < .001) for the associations of QoL and service satisfaction. Effect sizes were significantly stronger for subjective than health-related quality of life (r = .35 vs. r = .14, respectively). Moreover, associations with subjective QoL remained largely robust when accounting for moderating variables, although there was a trend of stronger associations for outpatients compared to inpatients. In contrast, effect sizes for health-related QoL were small and only observable for samples with longitudinal designs. CONCLUSION Associations between QoL and service satisfaction appear to be robust but are differentiated in regard to QoL domain. Our findings suggest that agents responsible for service design and implementation need to take the patients' perception of the service adequacy for achieving QoL enhancement into account.
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Affiliation(s)
- Eleni Petkari
- Department of Psychology, Middlesex University Dubai, Dubai, United Arab Emirates
| | - Jakob Pietschnig
- Department of Psychology, Middlesex University Dubai, Dubai, United Arab Emirates
- Department of Applied Psychology: Health, Development, Enhancement and Intervention, Faculty of Psychology, University of Vienna, Vienna, Austria
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