The quality of life among persons with severe mental illness enrolled in an assertive community treatment program in Japan: 1-year follow-up and analyses
2006

Quality of Life in Severe Mental Illness Treatment in Japan

Sample size: 33 publication Evidence: moderate

Author Information

Author(s): Horiuchi Kentaro, Nisihio Masaaki, Oshima Iwao, Ito Junichiro, Matsuoka Hiroo, Tsukada Kazumi

Primary Institution: Kohnodai Hospital, National Center of Neurology and Psychiatry Japan

Hypothesis

With our intervention that limits clients' psychiatric admissions to only those necessary and provides alternative support sufficiently in their communities, clients' subjective QOL would not worsen.

Conclusion

The program met its primary goal of reducing hospital use, but satisfaction with family relationships declined.

Supporting Evidence

  • Hospital days significantly decreased from 105.8 to 34.9.
  • Income increased significantly during the study.
  • Satisfaction with family relationships significantly decreased.

Takeaway

This study looked at how a special program helped people with serious mental health issues live better in their communities instead of being in the hospital, but some people felt less happy with their family relationships.

Methodology

Participants were assessed using the Quality of Life Interview at baseline and after 12 months, with data analyzed for changes in quality of life.

Potential Biases

Potential bias due to the exclusion of subjects who did not consent or were deemed unsuitable by psychiatrists.

Limitations

The sample size was small and some subjects were excluded for clinical reasons, which may affect the results.

Participant Demographics

Mean age was 33.9 years, with 42.4% male and 57.6% female; most had schizophrenia or related disorders.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1745-0179-2-18

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