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Participation in leisure activities and quality of life of people with psychosis in England : a multi-site cross-sectional study
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Ngamaba, Kayonda Hubert, Webber, Martin, Xanthopoulou, Penny, Chevalier, Agnes and Giacco, Domenico (2023) Participation in leisure activities and quality of life of people with psychosis in England : a multi-site cross-sectional study. Annals of General Psychiatry, 22 (1). 8. doi:10.1186/s12991-023-00438-1 ISSN 1744-859X.
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Official URL: https://doi.org/10.1186/s12991-023-00438-1
Abstract
Background
Leisure activities can improve quality of life in the general population. For people with psychosis, negative symptoms (e.g. being unmotivated, difficulty in sticking with activities) are often a barrier to engaging in social leisure activities. However, we do not know if participation in leisure activities is associated with quality of life in this group and, whether psychosocial interventions should aim to increase leisure activities.
Aim
This study investigates participation in social leisure activities of people with psychosis and whether their participation is associated with better quality of life.
Methods
A cross-sectional survey was conducted in 6 NHS mental health trusts. Adults aged 18–65 (N = 533) with a diagnosis of a psychosis-related condition (ICD-10 F20-29) were recruited from outpatient secondary mental health services. Several measures were used including an adapted version of the Time Use Survey (TUS), the Social contacts assessment (SCA) and Manchester Short Assessment of Quality of Life (MANSA). A Structural Equation Model (SEM) was used to explore the relationships between participation in leisure activities and quality of life, and whether social contacts mediated the link.
Results
Participants attended an average of 2.42 (SD = 1.47) leisure activities in the last 7 days. Their quality of life increased with the number of leisure activities they attended. Participation in leisure activities was positively associated with quality of life in people with psychosis (B = 0.104, SE = 0.051, p = 0.042, 95% CI [0.003 to 0.204]). Leisure activities predicted social contacts, but the link between social contacts and the quality of life was not significant. After controlling for sociodemographic factors, being female and unemployed were negatively linked with quality of life (B = − 0.101, SE = 0.048, p = 0.036, 95% CI [− 0.196 to − 0.006; B = − 0.207, SE = 0.050, p = 0.001, 95% CI [− 0.305 to − 0.108, respectively].
Conclusion
People with psychosis who attend more leisure activities have a higher quality of life. Quality of life was lower amongst female and unemployed participants who attended leisure activities. Intervention which helps improve participation in leisure activities may be beneficial for people with psychosis.
Trial registration number ISRCTN15815862.
Item Type: | Journal Article | ||||||
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Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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SWORD Depositor: | Library Publications Router | ||||||
Library of Congress Subject Headings (LCSH): | Psychoses -- Diagnosis -- Great Britain, Schizophrenia -- Treatment -- Great Britain, Leisure, Quality of life -- Great Britain, Mental health | ||||||
Journal or Publication Title: | Annals of General Psychiatry | ||||||
Publisher: | BioMed Central | ||||||
ISSN: | 1744-859X | ||||||
Official Date: | 13 March 2023 | ||||||
Dates: |
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Volume: | 22 | ||||||
Number: | 1 | ||||||
Number of Pages: | 12 | ||||||
Article Number: | 8 | ||||||
DOI: | 10.1186/s12991-023-00438-1 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||
Date of first compliant deposit: | 3 April 2023 | ||||||
Date of first compliant Open Access: | 3 April 2023 | ||||||
RIOXX Funder/Project Grant: |
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