The Distress/Protection Vulnerability Model of Quality of Life Impairment Syndrome

  • Michael S. Ritsner


In this chapter the author describes the conceptual basis of the health related quality of life (HRQL) impairment syndrome in severe mental disorders (SMD) such as schizophrenia, schizoaffective, mood and anxiety disorders. He presents the evidence for its validity, and identifies some likely directions for future research and development. Based on the author’s and his team research contributions and complementary theoretical considerations, the author explores four issues in this chapter: the quality of life concept, interpreting HRQL findings, conceptualizing HRQL impairment in the framework of the Distress/Protection Vulnerability Model (DPV), and implications for future research. Evidence for the concept’s validity is assessed, followed by a discussion of the possible evolvement of the concept, to encompass biologic domains. Finally, there is a review of the research implications of the HRQL impairment concept and the DPV model followed by a discussion of some major areas of unresolved questions for future research

Key words

Health related quality of life Schizophrenia Schizoaffective Mood disorders Distress/Protection Vulnerability model 


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Copyright information

© springer 2007

Authors and Affiliations

  • Michael S. Ritsner
    • 1
  1. 1.Department of Psychiatry, The Rappaport Faculty of Medicine, Technion - Israel Institute of Technology and Acute DepartmentSha’ar Menashe Mental Health CenterIsrael

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