Psychiatric symptoms and quality of life in older adults with schizophrenia spectrum disorder: results from a multicenter study

The severity of psychopathology has a strong negative impact on quality of life (QoL) among older adults with schizophrenia spectrum disorder. However, because these subjects generally experience multiple psychiatric symptoms, it remains unclear whether decreased QoL in this population is due to spe...

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Published inEuropean archives of psychiatry and clinical neuroscience Vol. 270; no. 6; pp. 673 - 688
Main Authors Hoertel, Nicolas, Rotenberg, Léa, Blanco, Carlos, Pascal de Raykeer, Rachel, Hanon, Cécile, Kaladjian, Arthur, Limosin, Frédéric
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.09.2020
Springer Nature B.V
Springer Verlag
Subjects
Cognitive ability
Emotional behavior
Geriatric psychiatry
Hallucinations
Human health and pathology
Life Sciences
Medicine
Medicine & Public Health
Mental disorders
Neurosciences
Older people
Original Paper
Psychiatry
Psychopathology
Quality of life
Schizophrenia
Structural equation modeling
Therapeutic applications
Schizophrenia
Schizoaffective disorder
Psychopathology
Structural equation modeling
Older adults
Quality of life
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Abstract The severity of psychopathology has a strong negative impact on quality of life (QoL) among older adults with schizophrenia spectrum disorder. However, because these subjects generally experience multiple psychiatric symptoms, it remains unclear whether decreased QoL in this population is due to specific symptoms (e.g., hallucinations), specific dimensions of psychopathology (e.g., negative symptoms), a general psychopathology dimension representing the shared effect across all psychiatric symptoms, or a combination of these explanations. Data were derived from the Cohort of individuals with Schizophrenia Aged 55 years or more (CSA) study, a large ( N  = 353) multicenter sample of older adults with schizophrenia spectrum disorder recruited from French public-sector psychiatric departments. We used structural equation modeling to examine the shared and specific effects of psychiatric symptoms on QoL, while adjusting for sociodemographic characteristics, general medical conditions, global cognitive functioning and psychotropic medications. Psychiatric symptoms and QoL were assessed face-to-face by psychiatrists using the Brief Psychiatric Rating Scale (BPRS) and the Quality of Life Scale (QLS). Among older adults with schizophrenia spectrum disorder, effects of psychiatric symptoms on QoL were exerted mostly through a general psychopathology dimension ( β  = − 0.43, p  < 0.01). Negative symptom dimension had an additional negative effect on QoL beyond the effect of that factor ( β  = − 0.28, p  < 0.01). Because psychiatric symptoms affect QoL mainly through two dimensions of psychopathology, i.e., a general psychopathology dimension and a negative symptom dimension, mechanisms underlying those dimensions should be considered as promising targets for therapeutic interventions to substantially improve quality of life of this vulnerable population.
AbstractList The severity of psychopathology has a strong negative impact on quality of life (QoL) among older adults with schizophrenia spectrum disorder. However, because these subjects generally experience multiple psychiatric symptoms, it remains unclear whether decreased QoL in this population is due to specific symptoms (e.g., hallucinations), specific dimensions of psychopathology (e.g., negative symptoms), a general psychopathology dimension representing the shared effect across all psychiatric symptoms, or a combination of these explanations. Data were derived from the Cohort of individuals with Schizophrenia Aged 55 years or more (CSA) study, a large (N = 353) multicenter sample of older adults with schizophrenia spectrum disorder recruited from French public-sector psychiatric departments. We used structural equation modeling to examine the shared and specific effects of psychiatric symptoms on QoL, while adjusting for sociodemographic characteristics, general medical conditions, global cognitive functioning and psychotropic medications. Psychiatric symptoms and QoL were assessed face-to-face by psychiatrists using the Brief Psychiatric Rating Scale (BPRS) and the Quality of Life Scale (QLS). Among older adults with schizophrenia spectrum disorder, effects of psychiatric symptoms on QoL were exerted mostly through a general psychopathology dimension (β = − 0.43, p < 0.01). Negative symptom dimension had an additional negative effect on QoL beyond the effect of that factor (β = − 0.28, p < 0.01). Because psychiatric symptoms affect QoL mainly through two dimensions of psychopathology, i.e., a general psychopathology dimension and a negative symptom dimension, mechanisms underlying those dimensions should be considered as promising targets for therapeutic interventions to substantially improve quality of life of this vulnerable population.
The severity of psychopathology has a strong negative impact on quality of life (QoL) among older adults with schizophrenia spectrum disorder. However, because these subjects generally experience multiple psychiatric symptoms, it remains unclear whether decreased QoL in this population is due to specific symptoms (e.g., hallucinations), specific dimensions of psychopathology (e.g., negative symptoms), a general psychopathology dimension representing the shared effect across all psychiatric symptoms, or a combination of these explanations. Data were derived from the Cohort of individuals with Schizophrenia Aged 55 years or more (CSA) study, a large ( N  = 353) multicenter sample of older adults with schizophrenia spectrum disorder recruited from French public-sector psychiatric departments. We used structural equation modeling to examine the shared and specific effects of psychiatric symptoms on QoL, while adjusting for sociodemographic characteristics, general medical conditions, global cognitive functioning and psychotropic medications. Psychiatric symptoms and QoL were assessed face-to-face by psychiatrists using the Brief Psychiatric Rating Scale (BPRS) and the Quality of Life Scale (QLS). Among older adults with schizophrenia spectrum disorder, effects of psychiatric symptoms on QoL were exerted mostly through a general psychopathology dimension ( β  = − 0.43, p  < 0.01). Negative symptom dimension had an additional negative effect on QoL beyond the effect of that factor ( β  = − 0.28, p  < 0.01). Because psychiatric symptoms affect QoL mainly through two dimensions of psychopathology, i.e., a general psychopathology dimension and a negative symptom dimension, mechanisms underlying those dimensions should be considered as promising targets for therapeutic interventions to substantially improve quality of life of this vulnerable population.
The severity of psychopathology has a strong negative impact on quality of life (QoL) among older adults with schizophrenia spectrum disorder. However, because these subjects generally experience multiple psychiatric symptoms, it remains unclear whether decreased QoL in this population is due to specific symptoms (e.g., hallucinations), specific dimensions of psychopathology (e.g., negative symptoms), a general psychopathology dimension representing the shared effect across all psychiatric symptoms, or a combination of these explanations. Data were derived from the Cohort of individuals with Schizophrenia Aged 55 years or more (CSA) study, a large (N = 353) multicenter sample of older adults with schizophrenia spectrum disorder recruited from French public-sector psychiatric departments. We used structural equation modeling to examine the shared and specific effects of psychiatric symptoms on QoL, while adjusting for sociodemographic characteristics, general medical conditions, global cognitive functioning and psychotropic medications. Psychiatric symptoms and QoL were assessed face-to-face by psychiatrists using the Brief Psychiatric Rating Scale (BPRS) and the Quality of Life Scale (QLS). Among older adults with schizophrenia spectrum disorder, effects of psychiatric symptoms on QoL were exerted mostly through a general psychopathology dimension (β = - 0.43, p < 0.01). Negative symptom dimension had an additional negative effect on QoL beyond the effect of that factor (β = - 0.28, p < 0.01). Because psychiatric symptoms affect QoL mainly through two dimensions of psychopathology, i.e., a general psychopathology dimension and a negative symptom dimension, mechanisms underlying those dimensions should be considered as promising targets for therapeutic interventions to substantially improve quality of life of this vulnerable population.
Author Hanon, Cécile
Limosin, Frédéric
Hoertel, Nicolas
Kaladjian, Arthur
Pascal de Raykeer, Rachel
Rotenberg, Léa
Blanco, Carlos
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  givenname: Frédéric
  surname: Limosin
  fullname: Limosin, Frédéric
  organization: Department of Psychiatry, AP-HP, Western Paris University Hospitals, Corentin Celton Hospital, Psychiatry and Neurosciences Center, INSERM UMR 894, Sorbonne Paris Cité, Paris Descartes University
BackLink https://www.ncbi.nlm.nih.gov/pubmed/31134378$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
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Sechter, Daniel
Januel, Dominique
Niro Adès, Valérie
Aurifeuille, Gilles
Raucher-Chéné, Delphine
Vanhoucke, Valérie
Bouysse, Anne-Marie
Renard, Michel
Getten, Fabien
Godart, Fabien
Mekaoui, Lila
Loeffel, Philippe
Adès, Jean
Gierski, Fabien
Bardou, Hervé
Cuche, Henry
Leroy, Evelyne
Freitas, Nelly
Reinheimer, Lionel
Vidon, Gilles
Gauillard, Jacques
Gremion, Juliette
Papin, Stéphanie
Pellerin, Jérôme
Mages, Nicolas
Martin, Pascal
Comisu, Maricela
Yon, Liova
Arbault, Denis
Rodrigues, Christelle
Leboyer, Marion
Portefaix, Christophe
Barrouillet, Claudine
Karnycheff, Jean-François
Fonfrede, Philippe
Blanc-Comiti, Julien
Andréi, Ovidiu
Schurhoff, Franck
Amar, Gilles
Vitre, Murielle
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Vacheron, Marie-Noëlle
Rauzy, Anne
Mechin, Emmanuelle
Béra-Potelle, Céline
Combes, Colette
Metton, Agnès
Segalas, Béatrice
Masson, Marc
Courcelles, Jean-Paul
Petitjean, François
Krebs, Marie-Odile
Bichet, Thérèse
Semmak, Amina
Omnes, Cécile
Miron, Maria
Rengade, Charles-Edouard
Maillet, Odile
Thefenne, Dominique
Zendjidjian, Xavier
Amado, Isa
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Thu Sep 26 16:52:22 EDT 2024
Sat Sep 28 08:35:47 EDT 2024
Sat Dec 16 12:02:50 EST 2023
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Issue 6
Keywords Schizophrenia
Schizoaffective disorder
Psychopathology
Structural equation modeling
Older adults
Quality of life
Language English
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Snippet The severity of psychopathology has a strong negative impact on quality of life (QoL) among older adults with schizophrenia spectrum disorder. However, because...
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SubjectTerms Cognitive ability
Emotional behavior
Geriatric psychiatry
Hallucinations
Human health and pathology
Life Sciences
Medicine
Medicine & Public Health
Mental disorders
Neurosciences
Older people
Original Paper
Psychiatry
Psychopathology
Quality of life
Schizophrenia
Structural equation modeling
Therapeutic applications
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Title Psychiatric symptoms and quality of life in older adults with schizophrenia spectrum disorder: results from a multicenter study
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