Abstract The purpose of this paper is to report Health Utility Index Mark 3
(HUI3) scores, at baseline and at one year, for patients with psychotic disorders.
Eighty two randomly selected outpatients from a Montreal teaching hospital com-
pleted the HUI3 and other measures of symptoms and side-effects. At baseline, the
average Global Utility score was 0.64, which is rated in the ‘‘dysfunctional’’ health
status range. Improvements were seen at one year follow-up in the Global, Dex-
terity, Cognition, and Pain Utility scores. The proportion of individuals rated in the
‘‘healthy’’ health status range improved by 32% from baseline to one year. HUI3
scores were negatively related to measures of psychotic symptoms and side-effects.
We propose that the HUI3 should be used to assess health-related quality of life
(HRQOL) in patients with psychotic disorders. Scores could be compared with other
populations affected with chronic conditions (e.g., Alzheimer dementia, cancer,
Keywords Health-related quality of life Æ Health utility index Æ Schizophrenia
Quality of life is a major outcome measure in the treatment of schizophrenia [1, 2]
and is related to the severity of psychopathology and medication side-effects [3, 4].
Previous studies [4, 5] have investigated the impact of illness on schizophrenia
patients but they have not concentrated on the physical and cognitive aspects of
health-related quality of life (HRQOL). However, HRQOL is not commonly
R. Tempier, M.D. (&)
Department of Psychiatry, University of Saskatchewan, 103 Hospital Drive, Saskatoon, SK,
Canada, S7N 0W8
N. Pawliuk, M.A.
Department of Psychiatry, McGill University Health Centre, Montreal General Hospital Site,
Montreal, QC, Canada,
Psychiatr Q (2007) 78:53–62
Measuring Patient Quality of Life: Is the Health Utility
Raymond Tempier, M.D. Æ Nicole Pawliuk, M.A.
Published online: 5 December 2006
Springer Science+Business Media, LLC 2006