dc.contributor.author |
Cotton, Sue M |
|
dc.contributor.author |
Hamilton, Matthew P |
|
dc.contributor.author |
Filia, Kate |
|
dc.contributor.author |
Menssink, Jana M |
|
dc.contributor.author |
Engel, Lidia |
|
dc.contributor.author |
Mihalopoulos, Cathrine |
|
dc.contributor.author |
Rickwood, Debra |
|
dc.contributor.author |
Hetrick, Sarah E |
|
dc.contributor.author |
Parker, Alexandra G |
|
dc.contributor.author |
Herrman, Helen |
|
dc.contributor.author |
Telford, Nic |
|
dc.contributor.author |
Hickie, Ian |
|
dc.contributor.author |
McGorry, Patrick D |
|
dc.contributor.author |
Gao, Caroline X |
|
dc.coverage.spatial |
England |
|
dc.date.accessioned |
2024-01-08T22:04:59Z |
|
dc.date.available |
2024-01-08T22:04:59Z |
|
dc.date.issued |
2022-07 |
|
dc.identifier.citation |
(2022). Epidemiology and Psychiatric Sciences, 31, e55-. |
|
dc.identifier.issn |
2045-7960 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/67045 |
|
dc.description.abstract |
Aims:
The utility of quality of life (QoL) as an outcome measure in youth-specific primary mental health care settings has yet to be determined. We aimed to determine: (i) whether heterogeneity on individual items of a QoL measure could be used to identify distinct groups of help-seeking young people; and (ii) the validity of these groups based on having clinically meaningful differences in demographic and clinical characteristics.
Methods:
Young people, at their first presentation to one of five primary mental health services, completed a range of questionnaires, including the Assessment of Quality of Life–6 dimensions adolescent version (AQoL-6D). Latent class analysis (LCA) and multivariate multinomial logistic regression were used to define classes based on AQoL-6D and determine demographic and clinical characteristics associated with class membership.
Results:
1107 young people (12–25 years) participated. Four groups were identified: (i) no-to-mild impairment in QoL; (ii) moderate impairment across dimensions but especially mental health and coping; (iii) moderate impairment across dimensions but especially on the pain dimension; and (iv) poor QoL across all dimensions along with a greater likelihood of complex and severe clinical presentations. Differences between groups were observed with respect to demographic and clinical features.
Conclusions:
Adding multi-attribute utility instruments such as the AQoL-6D to routine data collection in mental health services might generate insights into the care needs of young people beyond reducing psychological distress and promoting symptom recovery. In young people with impairments across all QoL dimensions, the need for a holistic and personalised approach to treatment and recovery is heightened. |
|
dc.format.medium |
Electronic |
|
dc.language |
eng |
|
dc.publisher |
Cambridge University Press (CUP) |
|
dc.relation.ispartofseries |
Epidemiology and psychiatric sciences |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by/4.0/ |
|
dc.subject |
Humans |
|
dc.subject |
Adaptation, Psychological |
|
dc.subject |
Mental Health |
|
dc.subject |
Mental Health Services |
|
dc.subject |
Quality of Life |
|
dc.subject |
Adolescent |
|
dc.subject |
Surveys and Questionnaires |
|
dc.subject |
Adolescence |
|
dc.subject |
latent class analysis |
|
dc.subject |
4203 Health Services and Systems |
|
dc.subject |
42 Health Sciences |
|
dc.subject |
Behavioral and Social Science |
|
dc.subject |
Health Services |
|
dc.subject |
Clinical Research |
|
dc.subject |
Pediatric |
|
dc.subject |
7 Management of diseases and conditions |
|
dc.subject |
7.1 Individual care needs |
|
dc.subject |
3 Good Health and Well Being |
|
dc.subject |
Science & Technology |
|
dc.subject |
Life Sciences & Biomedicine |
|
dc.subject |
Psychiatry |
|
dc.subject |
GENERALIZED ANXIETY DISORDER |
|
dc.subject |
CHRONIC PAIN |
|
dc.subject |
ADOLESCENTS |
|
dc.subject |
DEPRESSION |
|
dc.subject |
CHILDREN |
|
dc.subject |
AQOL-6D |
|
dc.subject |
CONSTRUCTION |
|
dc.subject |
INDIVIDUALS |
|
dc.subject |
INSTRUMENT |
|
dc.subject |
4202 Epidemiology |
|
dc.subject |
5205 Social and personality psychology |
|
dc.title |
Heterogeneity of quality of life in young people attending primary mental health services |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1017/s2045796022000427 |
|
pubs.begin-page |
e55 |
|
pubs.volume |
31 |
|
dc.date.updated |
2023-12-28T20:50:25Z |
|
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
35856272 (pubmed) |
|
pubs.author-url |
https://www.cambridge.org/core/journals/epidemiology-and-psychiatric-sciences/article/heterogeneity-of-quality-of-life-in-young-people-attending-primary-mental-health-services/3B15210B159D059B419C9EFDB78D7C60 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
research-article |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
914273 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
School of Medicine |
|
pubs.org-id |
Psychological Medicine Dept |
|
dc.identifier.eissn |
2045-7979 |
|
dc.identifier.pii |
S2045796022000427 |
|
pubs.number |
e55 |
|
pubs.record-created-at-source-date |
2023-12-29 |
|
pubs.online-publication-date |
2022-07-20 |
|