# Exploring the alignment between clinician-reported assessment of social autonomy and patient-reported assessment of quality of life in mood disorders: a cross-sectional study

## TL;DR

This study examines how clinicians' views on patients' social autonomy align with patients' own quality of life in mood disorders.

## Contribution

The study identifies factors influencing alignment or discordance between clinician and patient assessments in mood disorders.

## Key findings

- Individuals with good social autonomy and quality of life had lower self-stigma scores.
- Those with low social autonomy and quality of life were less likely to be employed.
- Discordant score groups did not differ significantly from concordant groups in sociodemographic or clinical variables.

## Abstract

Patient-reported quality of life reflects subjective factors such as well-being and autonomy, while clinicians may focus on functional capabilities. Understanding the factors behind the alignment or discordance between these assessments can help comprehend patients’ values and social contexts.

This study explored the agreement between clinician-reported assessment of social autonomy and patient-reported assessment of quality of life in 92 adult participants with a mood disorder. Validated scales were used to measure the severity of depression, hypomania, quality of life, social autonomy, and internalized stigma.

Sociodemographic and clinical variables were compared between different groups using ANOVAs and chi-square tests. The results indicated that individuals with good social autonomy and quality of life had lower self-stigma scores. Those with low social autonomy and quality of life were less likely to be employed. The group with discordant scores between social autonomy and quality of life did not significantly differ from the other concordant groups in terms of sociodemographic and clinical variables.

The study suggests that mental health professionals should consider the association between clinician-reported and patient-reported assessments and their correlates before tailoring specific interventions.