1. 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)

2. 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

3. 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

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

5. 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.

6. 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

7. 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.

8. 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

9. 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%

10. 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

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

12. 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