OBJECTIVE: This study was an investigation of judgments regarding
quality of life of individuals with severe mental disorders from two
different perspectives: patient self-report versus provider. METHOD:
Judgments on several dimensions of quality of life were collected from a
convenience sample of 37 schizophrenic patients and their primary
clinicians by using the well-known Quality of Life Index of Spitzer et al.
and the more recently developed Quality of Life Index-Mental Health. Both
indexes capture judgments on a number of dimensions. Patterns of
concordance for the patient-provider pairs were tested by using Cohen's
kappa and Pearson correlation coefficients. RESULTS: The results suggest
that patients' and providers' judgments are more likely to coincide on
clinical aspects, such as symptoms and function, than on social aspects.
Specifically, there was moderate agreement on symptoms and function, less
agreement on physical health, and little to no agreement on social
relations and occupational aspects of quality of life. CONCLUSIONS: Such
differences support the notion that treatment strategies and mental health
services should address a wide range of needs reflecting different aspects
of quality of life perceived as important by different patients.