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Patient-rated mental health needs and quality of life improvement

Health Services Research Department, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London

Elizabeth Kuipers, PhD

Psychology Department, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London

Correspondence: Dr Mike Slade, Health Services Research Department (Box PO29), Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF. Tel: +44 (0) 207 848 0795; fax: +44 (0) 207 277 1462; e-mail: m.slade{at}iop.kcl.ac.uk

Declaration of interest None.

Background Patient-rated unmet need is cross-sectionally associated with quality of life. Its longitudinal relationship has not been established.

Aims To test the hypotheses that: (a) higher patient-rated unmet need is associated with lower individual quality of life assessments by a patient over time; and (b) reduction in patient-rated unmet need precedes improvement in quality of life.

Method One hundred and one individuals using adult mental health services were asked to complete 6-monthly questionnaires, comprising quality of life (Manchester Short Assessment of Quality of Life, MANSA) and unmet need (Camberwell Assessment of Need Short Appraisal Schedule, CANSAS) assessments.

Results Seventy-three participants provided 240 separate pairs of consecutive assessments. Random effects regression models indicated an impact on current quality of life for both average level of unmet need (B= –0.23, 95% CI –0.29 to –0.17) and change in unmet need over the past month (B= –0.04, 95% CI –0.02).

Conclusions Changes in patient-rated unmet needs may cause changes in quality of life.

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