1999 - The Impact Of The Interviewer-interviewee Relationship In Subjective Quality Of Life Ratings In Schizophrenia Patients
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tht?mdtohut Joumot ol So.et psr.hiat4 1t999) Vo!. 45 No I 292- -t0t.
THE IMPACT OF THE INTERVIEWER.INTERVIEWEE RELA-TIONSHIP ON SUBJECTIVEQUALITY OF LIFE MTINGS IN SCHZOPHRENIAPATIENIS WOLFCANC KAISER & STEFAN PRIEBE
SUMUARY
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(N = 52) whrch had also been inleftrew€d usinS the Berliner tf,bensqualirarsprofil On rhe questronnarre,satislacrjonwith life as a wholc and wrrh life domains are ra(ed on 7 poinr Liken typ€ scaleswith I lhe negalive,and 7 rhe posrtrveexlreme. All parienB in the laller sample had b€en rddomiy s€lectedftom an ou(parientcLnic in(egraredin a compreh€nsrve communuy cue system run by rhe Depanmenrot Scial Psychiarryar the Free Uruversiry of Berlin (Pnebe & Gruyters. 1995). The care sysrem serves severely menBlly ilt p€ople between lll and 65 yeffs of age in an inner city carchmen( uea of t80.0O0 poputation (Charlonenburg). As 'n $e sludy .eponed by Karser.r al. ( 1998),paoenrswe.e rmdomly alldaled rn rwo int€ryiew condirions: one Sroup was inlervrewed by their clinical cas€ manager (2 sGral wo.k€rs and 3 psychiamsrs).lhe other group by resedch assrsm.ls(psychologisls)not krown lo lhe paoenls and nol involved rn reatmenl. l n a l l p a d e n t s ,t h e d i a S n o s , so f s c h i z o p h r e n iw a a s m a d e b y t h e c l i n i c i a np s y c h i a r . i s r a c c o r d i n gt o I C D 1 0 . I n t e d i e w s r n r h e s h e l t e r e dl i v r n g r r e a r m e nsr r u a r i o n w e . e c d - r . i e do u t r n t h e p a r i e n r s homesS , r o u ph o m e so r h o s r e h T h e o u t p a r i e nctl i n i c p a l r e n t sw e r ei n r e r u i e w e idn r h e c t r n r c bu'lding. Statistics Diffe.ences berwee. rhe lwo samples jn sc'odemogEphic and cti.rcat characrerisrics were analysed usjng t lesls and ch,-rqlrre surisrics. Differences rn SQOL vrdables tor the p@led dara set from the rwo treatmenr sirullions were analysed using rwo,facroriat analysesoi vlnance (ANOVA) SatrsfacUonwrrh life as ! wholc and wrth diifercnt life domaros as well as SQOL meln valucs were dep€.denl vanables Since the two samptcs differed in age and yeus sirce firsr admissionthesevanrbles were ,ncludedas cov&'ares in all ANOVA5 Addrtionally monthly rncome was added a! a covariale for the domain of T h e f i r i l A N O V A i a c t o r * a s r h c d i f f c r c n rr n r e r y , e w e r , i n r e r v r e wreeel a t i o n s h r p (inlerr r c w e r s :A : e x r e m a l. e s e a r c h e .u\ n k n o * h r o p l r i e n t s .I = c l s c m a n a g e G, n c h a r g eo f r h c p a t r e n st . r r e ) ' f h c s c c o n d l ! c k r w r s t h c r w o d r l i e r c n r t e a r n r e n r s i l u a t i o n s( s a m p l c l : o u r p a l r c n t c l , n , ! r n d s r m p l c l l = \ h c l r c r e d l r v r n 8 l W e w e r c r n r e r e n e di n f i e t i A r A N O V A m a i n c l i e . r . o r c e m r n g r h c r n r c r y r c wc o n d i r , o n \a n d h y p o t h e s r s erdh a rl c o r e r ' ' S r o u p !a w o u l d b e m o r c l a v o u r l b l cr h J n I n g ( , u p t A l h e s c c o n dm a i . e f f e c r( d i l f e r e n c e \ b c l { e e D p a t i e n r so t t h c o u r p i c n r . l , n i c r n d r h o s eI n s h e l r e r e dl , l i n g ) w r s n o t o t s p e c i r l I n t c r $ r a \ b o t hc o n d r t ( ) n sf d t r e ! r r n e nar n dc a r eo v e r h p p e dI n b o r he r o u p s r, . e s o m ep a r , e n r \ n r h eo u r , p r l , e n cr l , r , . l g r o u p l r s , e r c a t $ i n s h c i r e r e d l , v i n g a r a n g e m e D rasn d s . , m eo f r h c p t r r , e n rI\n \ h c l r c r e { l L y r n E( t r o u p I I t r l s o r u c n d e dr n o u l p a t ; c n rc t r n i . i n l h e i r d i \ r r i c rr r n r h t | l r r e r g n ) o f . h , ) s c v c r .r h c r cq e r e d i i t u r e n rp r o v i d c r sl i n s h e t r e r e tdr v i n ga n d o u r p a u e n r .l nr.) Thu\ ! drllcfunriae l r l e c t( n l h c t r c a r m e nsr r r l l t L o no n s Q o L r a r r n g sc o u t d n { r b . , ! ) l ! r c d H , ) w e \ c r . l h e L n r e . r c r r c ne i f t c r b e r w e c n r n r e r y , e wc o n d i t i o n sr n d r r e a r m e n r \ r u r r L . n \w a \ 0 1I n r . r c v T h e , n r e . a . r , ( )cnf f c c rI n d r c a r ew \ h e r h c rm a i ne f f e c r sd , f f e .b e r w e e n \.rr nf\ (r .rn b. Ecncrllrlcd \ e t r r n e s A d d r o n a t t yw e a n l t y \ e d S Q O I d i l l e r e n . e \ \ . f r r ! ( c l y 1 r t rc x c h l r c J t n r e . l\ r t u u l r o n( u ! r n 8 o r e l r r l e d t - r e s l s ) r f t h e r cw ! \ \ , ! n n . r n r A N O v , A n r t r r . t f i e r r a \ r e n r l i c ! n rI n r e r t r c r ( r no. . b { n h t n r e r a c r r o ndsr a 8 . ! m \ . ' r . L ) r d r n !r t ) L c ! h & K r n n e r rI 1 9 8 ( J ar r e p r c s e . r c d
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REFERENCES AWAD..A {j 4 VOCURANTI. L N p 1t999) N.urotepu, ro quJrr' or Ll. ,n rhaoph..n e tn euah.- al Ln aitJ V.ntot H"orx | ,.. ,.d. \ pneb. ipJ Ot,.. t\ rX w1..". n._-.a,,, CORRICAN. Pw & BU|CAT'.I.B 995) m. co hd_tJrdny of sbJ.drve quatryoftr| ror th. sv.rcty ned6tt, nt Jautut ol N.tuou" ont U,nt"t Oo,o,,,ls6.Zti ltS LE ie57) fA. so.nt D.!.obt1 p.B.rchd vdnrbt. tn R'.aRh. N.e york Drld.n ?l111osr F E S T T N C E PL & C A R L S M I T H . I M l i q j o r c o . n l ! v' con $qu'nc's or rordedc ompnan" r"m't 5 o[ A bnttur ""a s",-t p,t,t",,"'. st. )in-)i HOLLOWAY.F&CARSON.J0993)lnrenjve.aseh,n3gehcnrtorrhcs.v.r.tymenk|yiIBnrthJ.umdt.l P'\thzt4. r12. t9 12 KAISER w . AUROW. S . OAHMS,M . LUND. U NAST.I & Z l N D E l . K l t g x l 8 )r n r . n L . * e r . a r e k r b( . , J c Erh.bme sbrck,v{ r.tEnsquar(.r und d.r zu.n.denh.n -u,r", a.,.uung,; s",;;i.;.;;;;:; Pr\. htoil rh. Ptu6, 25, | 47 _ Aa pRlEaE. KA rSEJt. w, & S ( | 993) Zur MDSunB von ! eranetuiscn d. r ,ubrckr !.n rxb.nsqtratrd bt, .hron Kh sch'zoph..n.. P!x.nr.n N?a.Mat, 69. 2t9 211 XAISTP w lsi M.rnod\ | n .t tttr..4r h eu-ti Htr],-, .dl \ pnrb. rpr p.,..,""r,r ,K "";\,."lhut 8.,;;";.: LEHMAN, A F lt98l)The *. b.,n8 ofchroh,. menhtpao.nb as.$riB (h.rr qud{y of t,fe ,1 nh\.,4a?nlr j69 Jll r'r.hnt4.44 lFHVqi\ at-, sn,V."\ure\ nqLJ,r\urtreimorgd..\-.iq,.h.\.r-nJn iw.,cnrncn,JJ,l,{.d..\ J.,.,J pn,h-r^ rd pr, ^,ann t p,*^_,-", tt..t-i,. I F H M A ) J -a | . m 5 s t D t N T L . S a X r * i l n . r to3oilncJurrlo,t,+o,rro,npr,rn,.,fr,,rr.ho.o,r.l ,i,dn..\ Ho\rtu, td , .,44u4,. p.,, a,d/a 17 ..r oo_ .l r.i a . ^11o. :r.!,tiTfl.! fr,H&Ktfr\FART' joRn,01jnhtu.nvn.ti..t,i""r"",-,-."t--,tc..,\rt,.qtatM.!:utt4?rl vt\5/'|'\|'|qb-'ftcp'.tU't3!o|JqU'.\(n'-
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THE IMPACT OF THE INTERVIEWER.INTERVIEWEE RELA-TIONSHIP ON SUBJECTIVEQUALITY OF LIFE MTINGS IN SCHZOPHRENIAPATIENIS WOLFCANC KAISER & STEFAN PRIEBE
SUMUARY
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IMIERV IEWER.INIERVIEWEERELATIONSI]IP
(N = 52) whrch had also been inleftrew€d usinS the Berliner tf,bensqualirarsprofil On rhe questronnarre,satislacrjonwith life as a wholc and wrrh life domains are ra(ed on 7 poinr Liken typ€ scaleswith I lhe negalive,and 7 rhe posrtrveexlreme. All parienB in the laller sample had b€en rddomiy s€lectedftom an ou(parientcLnic in(egraredin a compreh€nsrve communuy cue system run by rhe Depanmenrot Scial Psychiarryar the Free Uruversiry of Berlin (Pnebe & Gruyters. 1995). The care sysrem serves severely menBlly ilt p€ople between lll and 65 yeffs of age in an inner city carchmen( uea of t80.0O0 poputation (Charlonenburg). As 'n $e sludy .eponed by Karser.r al. ( 1998),paoenrswe.e rmdomly alldaled rn rwo int€ryiew condirions: one Sroup was inlervrewed by their clinical cas€ manager (2 sGral wo.k€rs and 3 psychiamsrs).lhe other group by resedch assrsm.ls(psychologisls)not krown lo lhe paoenls and nol involved rn reatmenl. l n a l l p a d e n t s ,t h e d i a S n o s , so f s c h i z o p h r e n iw a a s m a d e b y t h e c l i n i c i a np s y c h i a r . i s r a c c o r d i n gt o I C D 1 0 . I n t e d i e w s r n r h e s h e l t e r e dl i v r n g r r e a r m e nsr r u a r i o n w e . e c d - r . i e do u t r n t h e p a r i e n r s homesS , r o u ph o m e so r h o s r e h T h e o u t p a r i e nctl i n i c p a l r e n t sw e r ei n r e r u i e w e idn r h e c t r n r c bu'lding. Statistics Diffe.ences berwee. rhe lwo samples jn sc'odemogEphic and cti.rcat characrerisrics were analysed usjng t lesls and ch,-rqlrre surisrics. Differences rn SQOL vrdables tor the p@led dara set from the rwo treatmenr sirullions were analysed using rwo,facroriat analysesoi vlnance (ANOVA) SatrsfacUonwrrh life as ! wholc and wrth diifercnt life domaros as well as SQOL meln valucs were dep€.denl vanables Since the two samptcs differed in age and yeus sirce firsr admissionthesevanrbles were ,ncludedas cov&'ares in all ANOVA5 Addrtionally monthly rncome was added a! a covariale for the domain of T h e f i r i l A N O V A i a c t o r * a s r h c d i f f c r c n rr n r e r y , e w e r , i n r e r v r e wreeel a t i o n s h r p (inlerr r c w e r s :A : e x r e m a l. e s e a r c h e .u\ n k n o * h r o p l r i e n t s .I = c l s c m a n a g e G, n c h a r g eo f r h c p a t r e n st . r r e ) ' f h c s c c o n d l ! c k r w r s t h c r w o d r l i e r c n r t e a r n r e n r s i l u a t i o n s( s a m p l c l : o u r p a l r c n t c l , n , ! r n d s r m p l c l l = \ h c l r c r e d l r v r n 8 l W e w e r c r n r e r e n e di n f i e t i A r A N O V A m a i n c l i e . r . o r c e m r n g r h c r n r c r y r c wc o n d i r , o n \a n d h y p o t h e s r s erdh a rl c o r e r ' ' S r o u p !a w o u l d b e m o r c l a v o u r l b l cr h J n I n g ( , u p t A l h e s c c o n dm a i . e f f e c r( d i l f e r e n c e \ b c l { e e D p a t i e n r so t t h c o u r p i c n r . l , n i c r n d r h o s eI n s h e l r e r e dl , l i n g ) w r s n o t o t s p e c i r l I n t c r $ r a \ b o t hc o n d r t ( ) n sf d t r e ! r r n e nar n dc a r eo v e r h p p e dI n b o r he r o u p s r, . e s o m ep a r , e n r \ n r h eo u r , p r l , e n cr l , r , . l g r o u p l r s , e r c a t $ i n s h c i r e r e d l , v i n g a r a n g e m e D rasn d s . , m eo f r h c p t r r , e n rI\n \ h c l r c r e { l L y r n E( t r o u p I I t r l s o r u c n d e dr n o u l p a t ; c n rc t r n i . i n l h e i r d i \ r r i c rr r n r h t | l r r e r g n ) o f . h , ) s c v c r .r h c r cq e r e d i i t u r e n rp r o v i d c r sl i n s h e t r e r e tdr v i n ga n d o u r p a u e n r .l nr.) Thu\ ! drllcfunriae l r l e c t( n l h c t r c a r m e nsr r r l l t L o no n s Q o L r a r r n g sc o u t d n { r b . , ! ) l ! r c d H , ) w e \ c r . l h e L n r e . r c r r c ne i f t c r b e r w e c n r n r e r y , e wc o n d i t i o n sr n d r r e a r m e n r \ r u r r L . n \w a \ 0 1I n r . r c v T h e , n r e . a . r , ( )cnf f c c rI n d r c a r ew \ h e r h c rm a i ne f f e c r sd , f f e .b e r w e e n \.rr nf\ (r .rn b. Ecncrllrlcd \ e t r r n e s A d d r o n a t t yw e a n l t y \ e d S Q O I d i l l e r e n . e \ \ . f r r ! ( c l y 1 r t rc x c h l r c J t n r e . l\ r t u u l r o n( u ! r n 8 o r e l r r l e d t - r e s l s ) r f t h e r cw ! \ \ , ! n n . r n r A N O v , A n r t r r . t f i e r r a \ r e n r l i c ! n rI n r e r t r c r ( r no. . b { n h t n r e r a c r r o ndsr a 8 . ! m \ . ' r . L ) r d r n !r t ) L c ! h & K r n n e r rI 1 9 8 ( J ar r e p r c s e . r c d
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REFERENCES AWAD..A {j 4 VOCURANTI. L N p 1t999) N.urotepu, ro quJrr' or Ll. ,n rhaoph..n e tn euah.- al Ln aitJ V.ntot H"orx | ,.. ,.d. \ pneb. ipJ Ot,.. t\ rX w1..". n._-.a,,, CORRICAN. Pw & BU|CAT'.I.B 995) m. co hd_tJrdny of sbJ.drve quatryoftr| ror th. sv.rcty ned6tt, nt Jautut ol N.tuou" ont U,nt"t Oo,o,,,ls6.Zti ltS LE ie57) fA. so.nt D.!.obt1 p.B.rchd vdnrbt. tn R'.aRh. N.e york Drld.n ?l111osr F E S T T N C E PL & C A R L S M I T H . I M l i q j o r c o . n l ! v' con $qu'nc's or rordedc ompnan" r"m't 5 o[ A bnttur ""a s",-t p,t,t",,"'. st. )in-)i HOLLOWAY.F&CARSON.J0993)lnrenjve.aseh,n3gehcnrtorrhcs.v.r.tymenk|yiIBnrthJ.umdt.l P'\thzt4. r12. t9 12 KAISER w . AUROW. S . OAHMS,M . LUND. U NAST.I & Z l N D E l . K l t g x l 8 )r n r . n L . * e r . a r e k r b( . , J c Erh.bme sbrck,v{ r.tEnsquar(.r und d.r zu.n.denh.n -u,r", a.,.uung,; s",;;i.;.;;;;:; Pr\. htoil rh. Ptu6, 25, | 47 _ Aa pRlEaE. KA rSEJt. w, & S ( | 993) Zur MDSunB von ! eranetuiscn d. r ,ubrckr !.n rxb.nsqtratrd bt, .hron Kh sch'zoph..n.. P!x.nr.n N?a.Mat, 69. 2t9 211 XAISTP w lsi M.rnod\ | n .t tttr..4r h eu-ti Htr],-, .dl \ pnrb. rpr p.,..,""r,r ,K "";\,."lhut 8.,;;";.: LEHMAN, A F lt98l)The *. b.,n8 ofchroh,. menhtpao.nb as.$riB (h.rr qud{y of t,fe ,1 nh\.,4a?nlr j69 Jll r'r.hnt4.44 lFHVqi\ at-, sn,V."\ure\ nqLJ,r\urtreimorgd..\-.iq,.h.\.r-nJn iw.,cnrncn,JJ,l,{.d..\ J.,.,J pn,h-r^ rd pr, ^,ann t p,*^_,-", tt..t-i,. I F H M A ) J -a | . m 5 s t D t N T L . S a X r * i l n . r to3oilncJurrlo,t,+o,rro,npr,rn,.,fr,,rr.ho.o,r.l ,i,dn..\ Ho\rtu, td , .,44u4,. p.,, a,d/a 17 ..r oo_ .l r.i a . ^11o. :r.!,tiTfl.! fr,H&Ktfr\FART' joRn,01jnhtu.nvn.ti..t,i""r"",-,-."t--,tc..,\rt,.qtatM.!:utt4?rl vt\5/'|'\|'|qb-'ftcp'.tU't3!o|JqU'.\(n'-
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