Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 May 25:12:622973.
doi: 10.3389/fpsyg.2021.622973. eCollection 2021.

Quality of Life and Functioning of People With Mental Disorders Who Underwent Deinstitutionalization Using Assisted Living Facilities: A Cross-Sectional Study

Rejane Coan Ferretti Mayer  1 , Maíra Ramos Alves  1 , Sueli Miyuki Yamauti  1 , Marcus Tolentino Silva  1 , Luciane Cruz Lopes  1
Affiliations

Quality of Life and Functioning of People With Mental Disorders Who Underwent Deinstitutionalization Using Assisted Living Facilities: A Cross-Sectional Study

Rejane Coan Ferretti Mayer et al. Front Psychol. .

Abstract

Context: People with mental disorders can acquire long-term disabilities, which could impair their functioning and quality of life (QoL), requiring permanent care and social support. Systematic data on QoL and functioning, which could support a better management of these people, were not available.

Objective: To analyze the QoL, level of functioning and their association with sociodemographic and clinical factors of people with mental disorders who underwent deinstitutionalization using assisted living facilities.

Methods: A Cross-sectional study was conducted between July 2018 and July 2019, through interviews using the World Health Organization Quality of Life (WHOQOL-BREF) to determine the QoL scores, and the World Health Organization Disability Assessment Schedule (WHODAS 2.0) to determine the level of functioning. All adults (≥18 years old) with mental disorders, who underwent deinstitutionalization, users of assisted living facilities and assisted by the Psychosocial Assistance Centers III, in a city in the state of São Paulo, Brazil, were selected. For statistical analysis of the associated factors, Student's t-test was used for dichotomous variables and ANOVA for polynomial variables. Pearson correlation coefficient was used to measure the association between QoL and functioning scores.

Results: Out of 359 people who underwent deinstitutionalization with mental disorders, 147 met the eligibility criteria. The mean total score for the WHOQOL-BREF was 66.5 ± 13.4 and the mean score for WHODAS 2.0 was 10.4 ± 7.6. An association was found between people who were studying (n = 65.8; 95%CI, 63.5-68.1 vs. n = 73.9; 95%CI, 67.5-80.3; p = 0.04) and better WHOQOL-BREF QoL scores or WHODAS 2.0 levels of functioning (n = 10.9; 95%CI, 9.6-12.2 vs. n = 5.1; 95%CI, 2.5-7.7; p = 0.01). A weak negative correlation (r = 0.41) emerged between higher QoL scores and functioning improvement.

Conclusion: This study indicates that the QoL of the sample is associated by their functioning levels, which, in turn, may reflect on their social interactions. Public policies that favor interventions increasing socialization of this population can result in better health outcomes. The QoL and functioning scores provide valuable insights to develop public policies more suited to this population profile.

Keywords: assisted living facilities; deinstitutionalization; disability evaluation; mental health; quality of life.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
Flowchart of Sample Composition. WHOQOL-BREF, World Health Organization Quality of Life. WHODAS 2.0, World Health Organization Disability Assessment Schedule.
FIGURE 2
FIGURE 2
Correlation of quality of life (WHOQOL-BREF) to levels of functioning (WHODAS). Pearson correlation analysis shows a weak negative correlation of WHODAS versus WHOQOL-BREF (Pearson r = 0.41; n = 135). Line represents linear regression of data (y = –0.74x + 73.94; r2 = 0.1651).
See this image and copyright information in PMC

References

    1. Almeida-Brasil C. C., Silveira M. R., Silva K. R., Lima M. G., Faria C., Cardoso C. L., et al. (2017). Quality of life and associated characteristics: application of WHOQOL-BREF in the context of primary health care. Cien. Saúde Colet. 22 1705–1716. 10.1590/1413-81232017225.20362015 - DOI - PubMed
    1. Alves C., Coutinho I., Reis T., Mello R. (2010). Perfil dos pacientes de três residências terapêuticas de um hospital psiquiátrico municipalizado do estado do Rio de Janeiro. Revista de Pesquisa: Cuidado é Fundamental Online. 2 149–152. 10.9789/2175-5361.rpcfo.v0.848 - DOI
    1. Amarante P., Nunes M. O. (2018). A reforma psiquiátrica no SUS e a luta por uma sociedade sem manicômios. Cien. Saúde Colet. 23 2067–2074. 10.1590/1413-81232018236.07082018 - DOI - PubMed
    1. American Psychiatric Association (2014). DSM5: Manual diagnóstico e estatístico de transtornos mentais. Nascimento M.I.C., Machado P.H., Garcez R.M., Pizzato R., Rosa S.M.M. translators. Porto Alegre: Artmed.
    1. Angelim R. C. M., Figueiredo T. R., Correia P. P., Bezerra S. M. M. S., Baptista R. S., Abrão F. M. S. (2015). Avaliação da qualidade de vida por meio do WHOQOL: Análise bibliométrica da produção de enfermagem. Rev. Baiana Enferm. 29 400–410. 10.18471/rbe.v29i4.11857 - DOI