Integration of intrapersonal, interpersonal and environmental factors has been proposed to enhance understanding of psychological quality of life (QOL) in adults with severe and enduring mental illness (SMI). This study examined the contribution of factors such as self-stigma, coping style and personal recovery orientation to psychological QOL in SMI; compared QOL outcomes to norms from the general population; and examined the association between personal recovery orientation and overall QOL. 70 participants with SMI completed measures of QOL (including psychological QOL), personal recovery orientation, coping, perceived stigma, psychological distress and demographic variables. Regression analysis found that only adaptive coping and psychological distress contributed significantly to psychological QOL. Personal recovery orientation was significantly associated with overall subjective QOL. Participants had lower QOL in the psychological and social relationships domains compared to the general population. Findings support the positive contribution of adaptive coping to psychological QOL, and the positive association between personal recovery orientation and overall QOL.

已经提出整合个人、人际关系和环境因素，以增强对患有严重和持久性精神疾病 (SMI) 的成年人的心理生活质量 (QOL) 的理解。本研究考察了自我污名、应对方式和个人康复取向等因素对 SMI 心理 QOL 的影响；将生活质量结果与普通人群的标准进行比较；并检查了个人康复方向与整体 QOL 之间的关联。70 名 SMI 参与者完成了生活质量（包括心理生活质量）、个人康复方向、应对、感知污名、心理困扰和人口统计变量的测量。回归分析发现，只有适应性应对和心理困扰对心理 QOL 有显着贡献。个人康复取向与整体主观生活质量显着相关。与一般人群相比，参与者在心理和社会关系领域的生活质量较低。研究结果支持适应性应对对心理 QOL 的积极贡献，以及个人康复导向与整体 QOL 之间的正相关。