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Social support and quality of life in adults with severe and persistent mental illness

The current study investigated the relationship between social support and quality of life
(QoL) as well as social support and community functioning among persons with severe
and persistent mental illness (SPMI). Empirical data from Phase II of the Continuity of
Mental Health Services (COMHS) Study of Alberta (Adair, Wild, Joyce, McDougall,
Gordon, et al., 2003) were used to comprehensively examine these variables among a
broad-based sample of 301 people with SPMI receiving a mix of inpatient, outpatient,
and community services. Multiple measures administered in Phase II of the COMHS
research program provided comprehensive data on QoL (i.e., disease-specific and generic
QoL), functioning (i.e., community ability), and objective (OSS) and subjective (SSS)
measures of social support. Higher ratings of both OSS and SSS were associated with
better QoL and functioning at outcome. Participant ratings of objective dimensions of
their own social support were shown to be most important in determining life quality and
functioning at outcome. Of the two SSS variables, the one most predictive of life quality
was the participants’ sense of the provision and receipt of social support. Clinician-rated
OSS was a significant predictor of QoL only for participants who rated social support
availability as poor. The results of this study may inform policy development, planning,
and resource allocation for community treatment programs in Alberta and elsewhere, as
there is widespread support both provincially and nationally for increasing community
support services and decreasing the number and length of inpatient admissions (Kirby &
Keon, 2006). A better understanding of the relative impact of social support variables is
essential for further development of effective psychosocial rehabilitation programming. / xvii, 217 leaves ; 29 cm.

Identiferoai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:ALU.w.uleth.ca/dspace#10133/780
Date January 2008
CreatorsPasmeny, Gloria A, University of Lethbridge. Faculty of Education
ContributorsBernes, Kerry
PublisherLethbridge, Alta. : University of Lethbridge, Faculty of Education, 2008, Education
Source SetsLibrary and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada
Languageen_US
Detected LanguageEnglish
TypeThesis
RelationThesis (University of Lethbridge. Faculty of Education)

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