Quality Of Life, Enjoyment And Satisfaction Among Clients Attending Day Care At Psychiatric Rehabilitation Services, NIMHANS, Bangalore: A Pilot Study Dr Chethan B MBBS, DNB Fellow In Psychiatric Rehabilitation, NIMHANS (Representing Psychiatric Rehabilitation Services, NIMHANS)

Background Persons with psychiatric disability are referred for various reasons to daycare at Psychiatric Rehabilitation Services, NIMHANS Rehabilitation targets role functioning of the individual Quality of life is an important aspect of rehabilitation This is a part of a longitudinal study

Quality of Life Quality of life (QOL) is the general well-being of individuals and societies Quality of life should not be confused with the concept of standard of living, which is based primarily on income Clinically useful QOL instruments need to be feasible, reliable, valid and sensitive to change

Objective To study Quality of life, enjoyment and satisfaction among clients attending daycare at psychiatric rehabilitation services, NIMHANS

The Questionnaire The Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) is among the most frequently used outcome measures in psychiatry research The Quality of Life Enjoyment and Satisfaction Questionnaire – Short form (Q-LES-Q – SF) was developed from the original, long form, fully representing its concept The Q-LES-Q – SF produced psychometrically sound QOL assessments in different groups of people with psychiatric illnesses, in terms of good reliability, validity and sensitivity to change Endicott J., Nee J., Harrison W., et al. (1993) Quality of Life Enjoyment and Satisfaction Questionnaire: a new measure. Psychopharmacology Bulletin 29, 321–326.

Q-LES-Q Domains: Physical health Mood Work Household activities Social relationships Family relationships Leisure time activities Ability to function in daily life Sexual drive, interest and/or performance Economic status Living/housing situation Ability to get around physically without feeling dizzy or unsteady or falling Vision in terms of ability to do work or hobbies Overall sense of well being Medication Overall life satisfaction and contentment

Methodology Purposive sample was taken from the day boarders attending PRS. Q-LES-Q-SF questionnaire was applied to new clients attending daycare at intake. The data was compared quantitatively and qualitatively with Q-LES-Q-SF scores of clients attending daycare at psychiatric rehabilitation services for at least 7 years.

Results Here we are presenting the data of baseline assessment of the clients Socio-demographics Gender Male 5 Female 3 Marital status Single Married 2 Separated 1 Socioeconomic status LSES MSES 4 HSES n=8 Chronic 5 New 3

Results Mean (SD) Range Age (years) 43.62 (14.192) 24-69 Education (years) 12.25 (3.454) 9-17 Diagnosis Schizophrenia spectrum 50% Affective disorders 37.5% Intellectual disability 12.5%

Results Average scores: Chronic New Physical health 4 Ability to function in daily life 4.6 Mood 4.2 3.33 Sexual drive 2.33 Work 4.4 Economic status 2.4 Household activities 3.6 3.67 Living/housing situation 4.33 Social relationships Ability to get around physically Family relationships 3.8 Vision Leisure time activities 4.8 Overall sense of well being

Results Mean scores (SD) Chronic 56.8 (6.68) p=0.38629 New 52.66 (5.51) Least score 2.866667 Economic status Highest score 4.266667 Living/housing situation The reason for low scores for Economic status was “the need for having a job and earning more”

Future We intend to follow up the participants of the study for a year The assessments will be done after 1 month, 3 months, 6 months and 1 year The data will be compared quantitatively and qualitatively and the trajectory of scores will be analyzed We hypothesize that quality of life of new day boarders will improve in initial period and then will plateau We intend to find the period at which it plateaus