nach oben

Quality of Life Research

Erschienen in:

01.09.2011

Cognitive motivational systems and life satisfaction in serious and persistent mental illness

verfasst von: Iruma Bello, John J. Steffen, Kentaro Hayashi

Erschienen in: Quality of Life Research | Ausgabe 7/2011

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Levels of life satisfaction are commonly used to measure attainment of recovery in serious and persistent mental illness (SPMI). There is some controversy about what constitutes life satisfaction and its measurement. This study explored the influence of cognitive motivational systems upon estimations of life satisfaction using structural equation modeling (SEM).

Methods

One hundred and ninety participants diagnosed with SPMI from Hawai’i’s public mental health system completed instruments measuring cognitive motivational systems (e.g., behavioral activation and inhibition), psychological distress, and life satisfaction (e.g., quality of life and subjective well-being).

Results

Exploratory models indicated that higher behavioral inhibition or psychological distress predicts lower levels of life satisfaction. However, higher levels of behavioral activation predict higher levels of life satisfaction. There was no support for psychological distress as a mediator between cognitive motivational systems and life satisfaction.

Conclusions

Overall, cognitive motivational systems accounted for 15% of the variance in life satisfaction while psychological distress accounted for 29%. This suggests the importance of considering cognitive schemas and motivation beyond symptomatology when examining life satisfaction.

Jans, L., Stoddard, S., & Kraus, L. (2004). Chartbook on mental health and disability in the United States. An info use report. Washington, DC.: U.S. Department of Education, National Institute on Disability and Rehabilitation Research.

Atkinson, M., Zibin, S., & Chuang, H. (1997). Characterizing quality of life among patients with chronic mental illness: A critical examination of the self-report methodology. American Journal of Psychiatry, 154, 99–105.PubMed

Jacobson, N., & Greenley, D. (2001). What is recovery? A conceptual model and explication. Psychiatric Services, 52(4), 482–485.PubMedCrossRef

Anthony, W. A. (2000). A recovery-oriented service system: Setting some system level standards. Psychiatric Rehabilitation Journal, 24(2), 159–168.

Bow-Thomas, C., Velligan, D. I., Miller, A. L., & Olsen, J. (1999). Predicting quality of life from symptomatology in schizophrenia at exacerbation and stabilization. Psychiatric Research, 86, 131–142.CrossRef

Auquier, P., Simeoni, M. C., Sapin, C., Reine, G., Aghababian, V., Cramer, J., et al. (2003). Development and validation of a patient-based health-related quality of life questionnaire in schizophrenia: The S-QoL. Schizophrenia Research, 63(1–2), 137–149.PubMedCrossRef

Schmidt, K., Staupendahl, A., & Vollmoeller, W. (2004). Quality of life of schizophrenic psychiatric outpatients as a criterion for treatment planning in psychiatric institutions. International Journal of Social Psychiatry, 50(3), 262–273.PubMedCrossRef

Kentros, M. K., Terkelsen, K., Hull, J., Smith, T. E., & Goodman, M. (1997). The relationship between personality and quality of life in persons with schizoaffective disorder and schizophrenia. Quality of Life Research, 6, 118–122.PubMedCrossRef

Hansson, L., Eklund, M., & Bengtsson-Tops, A. (2001). The relationship of personality dimensions as measured by the temperament and character inventory and quality of life in individuals with schizophrenia or schizoaffective disorder living in the community. Quality of Life Research, 10, 133–139.PubMedCrossRef

10.

Diener, E., Suh, E., Lucas, R. E., & Smith, H. L. (1999). Subjective well-being: Three decades of progress. Psychological Bulletin, 125(2), 276–302.CrossRef

11.

Myers, D. G., & Diener, E. (1995). Who is happy? Psychological Science, 6(1), 10–19.CrossRef

12.

Oishi, S., & Diener, E. (2001). Re-examining the general positivity model of subjective well-being: The discrepancy between specific and global domain satisfaction. Journal of Personality, 69(4), 641–666.PubMedCrossRef

13.

Young, J. E., Kloskso, J. S., & Weishaar, M. E. (2003). Schema therapy. New York, NY: Guilford.

14.

Carver, C. S., & White, T. L. (1994). Behavioral inhibition, behavioral activation, and affect responses to impending reward and punishment: The BIS/BAS scales. Journal of Personality and Social Psychology, 67(2), 319–333.CrossRef

15.

Heubeck, B. G., Wilkinson, R. B., & Cologon, J. (1998). A second look at Carver and White’s (1994) BIS/BAS scales. Personality and Individual Differences, 25, 785–800.CrossRef

16.

Campbell-Sills, L., Liverant, G. I., & Brown, T. A. (2004). Psychometric evaluations of the behavioral inhibition/behavioral activation scales in a large sample of outpatients with anxiety and mood disorder. Psychological Assessment, 16(3), 244–254.PubMedCrossRef

17.

Gable, S. L., Reis, H. T., & Elliot, A. J. (2000). Behavioral activation and inhibition in everyday life. Journal of Personality and Social Psychology, 78(6), 1135–1149.PubMedCrossRef

18.

Hansson, L. (2006). Determinants of quality of life in people with severe mental illness. Acta Psychiatrica Scandinavica, 113, 46–50.CrossRef

19.

Huppert, J. D., Weiss, K. A., Lim, R., Pratt, S., & Smith, T. E. (2001). Quality of life in schizophrenia: contributions of anxiety and depression. Schizophrenia Research, 51, 171–180.PubMedCrossRef

20.

Veit, C. T., & Ware, J. E. (1983). The structure of psychological distress and well-being in general populations. Journal of Consulting and Clinical Psychology, 51(5), 730–742.PubMedCrossRef

21.

Jorm, A. F., Christensen, H., Henderson, A. S., Jacomb, P. A., Korten, A. E., & Rodgers, B. (1999). Using the BIS/BAS scale to measure behavioural inhibition and behavioural activation: Factor structure, validity and norms in a large community sample. Personality and Individual Differences, 26, 49–58.CrossRef

22.

Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75.PubMedCrossRef

23.

Greenley, J. R., Greenberg, J. S., & Brown, R. (1997). Measuring quality of life: A new and practical survey instrument. Social Work, 42(3), 244–254.PubMed

24.

Bollen, K. A., & Long, J. S. (1993). Testing structural equation models. London: Sage.

25.

Hu, L. T., & Bentler, P. N. (1999). Cutoff criteria for fit indexes in covariance structural analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRef

26.

Vitters, J., & Nilsen, F. (2002). The conceptual and relational structure of subjective well-being, neuroticism, and extraversion: Once again, neuroticism is the important predictor of happiness. Social Indicators Research, 57, 89–118.CrossRef

Titel: Cognitive motivational systems and life satisfaction in serious and persistent mental illness
verfasst von: Iruma Bello
John J. Steffen
Kentaro Hayashi
Publikationsdatum: 01.09.2011
Verlag: Springer Netherlands
Erschienen in: Quality of Life Research / Ausgabe 7/2011
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-010-9842-y

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 7/2011

Fatigue in children: reliability and validity of the Dutch PedsQLTM Multidimensional Fatigue Scale

Erratum to: Fatigue in children: reliability and validity of the Dutch PedsQL™ Multidimensional Fatigue Scale

How useful are the SF-36 sub-scales in older people? Mokken scaling of data from the HALCyon programme

A knowledge translation challenge: clinical use of quality of life data from cancer clinical trials

Intergenerational volunteering and quality of life: mixed methods evaluation of a randomized control trial involving persons with mild to moderate dementia

The World Health Organization Quality of Life Scale Brief Version: a validation study in patients with schizophrenia