Determinants of Poor Quality of Life Among Patients Following Discharge from Acute Psychiatric Units in Alberta
E. Owusu, W. Mao, R. Shalaby, H. E. Elgendy, B. Agyapong, E. Eboreime, M. A. Lawal, N. Nnamdi, P. Chue, A. J. Greenshaw, V. I. AgyapongIntroduction
Quality of life (QoL) is a multidimensional construct encompassing physical, mental, and social well-being. Understanding the factors that influence QoL is essential for improving post-discharge outcomes among individuals with psychiatric conditions.
Objectives
This study aimed to determine the prevalence and predictors of poor QoL outcomes across the five dimensions of the EQ-5D-5L—mobility, self-care, usual activities, pain/discomfort, and anxiety/depression—among individuals discharged from acute psychiatric care in Alberta.
Methods
Multiple binary logistic regression analyses were conducted to examine associations between sociodemographic characteristics and problems reported in each EQ-5D-5L dimension.
Results
Among 1106 participants, most were Caucasian (61.6%), female (54.8%), aged 25 years or younger (36.4%), and held a high school diploma (51.4%). The prevalence of anxiety/depression was 89.2%. Caucasian participants were twice as likely to report pain/discomfort (OR = 2.14; 95% CI: 1.39–3.27) compared to Black participants. Retired individuals were over three times more likely to experience pain/discomfort (OR = 3.18; 95% CI: 1.45–6.96) than those who were employed. Participants with likely anxiety were nearly twice as likely to report self-care problems (OR = 1.99; 95% CI: 1.41–2.81) compared to those with unlikely anxiety.
Conclusions
The findings reveal a complex interaction between demographic, socioeconomic, and mental health factors influencing QoL among psychiatric patients post-discharge. Tailored, holistic interventions addressing both physical and psychological health are essential to improve recovery and overall well-being in this population.
Disclosure of Interest
None Declared