The effects of indwelling voice prosthesis on the quality of life, depressive symptoms, and self-esteem in patients with total laryngectomy

Abstract Background Quality of life and self-esteem are functional domains that may suffer when having mental problems. In this study, we examined the change in quality of life and self-esteem when targeting anxious and depressive symptoms in school children (8–12 years) using a CBT-based transdiagnostic intervention called EMOTION, Kids Coping with anxiety and depression. The aim of this study was to investigate quality of life and self-esteem in children with elevated levels of anxious and depressive symptoms, and further if the EMOTION intervention could influence these important functional domains. Methods The study had a clustered randomized design (cRCT), where N = 795 children recruited from 36 schools participated. The children were included based on self-reports of anxious and depressive symptoms. Schools were the unit of randomization and were assigned to intervention or control condition. Children in the intervention condition received the 10-week EMOTION intervention. Mixed effects models were used to take account of the possible clustering of data. Separate models were estimated for the dependent variables. Results Children with elevated levels of anxious and depressive symptoms reported lower levels of quality of life and self-esteem compared to normative samples, with girls and older children reporting the lowest levels. For both genders and older children, a large and significant increase in quality of life and self-esteem was found among the children who received the intervention compared to the children in the control condition. Children in the intervention group reporting both anxious and depressive symptoms showed a significantly larger increase in both quality of life and self-esteem compared to the controls. Reductions in quality of life and self-esteem were partially mediated by reductions in symptoms of anxiety and depression. Conclusions Participating in an intervention targeting emotional symptoms may have a positive effect on quality of life and self-esteem in addition to reducing anxious and depressive symptoms. Improved quality of life may increase the child’s satisfaction and subjective perception of wellbeing. As low self-esteem may lead to anxious and depressive symptoms, improving this functional domain in children may make them more robust dealing with future emotional challenges. Trial registration NCT02340637, retrospectively registered

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Psychotherapeutic Interventions for Dementia: a Systematic Review

Canadian Geriatrics Journal ◽

10.5770/cgj.24.447 ◽

2021 ◽

Vol 24 (3) ◽

pp. 222-236

Author(s):

Paweena Sukhawathanakul ◽

Alexander Crizzle ◽

Holly Tuokko ◽

Gary Naglie ◽

Mark J. Rapoport

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Cognitive Impairment ◽

Depressive Symptoms ◽

Well Being ◽

Self Esteem ◽

Psychotherapeutic Interventions ◽

Compassion Focused Therapy ◽

The Impact

Background and Objectives While a range of psychotherapeutic interventions is available to support individuals with dementia, comprehensive reviews of interventions are limited, particularly with regard to outcomes related to adjustment and acceptance. The current review assesses studies that evaluated the impact of various forms of psychotherapeutic interventions on acceptance and adjustment to changing life circumstances for older adults with cognitive impairment. Research Design and Methods A systematic search of PubMed, PsycINFO, and CINAHL databases was conducted, restricted to articles published in English within the last 16 years (from 2003 to 2019). Twenty-four articles were identified that examined the effects of psychotherapeutic interventions on outcomes related to acceptance and adjustment which included internalizing symptoms, quality of life, self-esteem, and well-being. Fifteen studies examined interventions targeted towards individuals with cognitive impairment, while nine studies also targeted their caregivers. Results Interventions that impacted outcomes related to acceptance and adjustment (e.g., adaptation, depressive symptoms, helplessness, self-esteem, and quality of life) varied in their theoretical approach, which incorporated elements of cognitive behavioural therapy (CBT), problem-solving therapy, psychotherapy, reminiscence therapy, interpersonal therapy, mindfulness-based therapy, and meaning-based, compassion-focused therapy. Among all interventions, reductions in depression were the most commonly reported treatment outcome particularly among interventions that incorporated problem-focused and meaning-based therapies. Mixed findings were reported with regard to outcomes related to helplessness, quality of life, self-esteem, and life satisfaction indices for individuals with cognitive impairment. Discussion and Implications There is some support for the effectiveness of psychotherapeutic interventions on improving acceptance and adjustment in older adults with cognitive impairment, particularly with regard to reducing depressive symptoms.

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P14.20 Anxiety level in a prospective cohort of newly diagnosed glioblastoma patients: preliminary results from the IMAGE study

Neuro-Oncology ◽

10.1093/neuonc/noz126.255 ◽

2019 ◽

Vol 21 (Supplement_3) ◽

pp. iii70-iii71

Author(s):

D Maillet ◽

P Narme ◽

V Menard ◽

M Larrieu ◽

K Sahel ◽

...

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Trait Anxiety ◽

State Anxiety ◽

Self Esteem ◽

Education Level ◽

Anxiety Level ◽

Preliminary Results ◽

Current State

Abstract BACKGROUND Quality of life (QoL) is an important area of clinical neuro-oncology, especially in glioblastoma patients. Although previous studies showed an association between QoL and anxiety, few studies have focused on the anxiety level throughout the disease progression (Bunevicius et al., 2017; Kilbride et al., 2007). Underestimating anxiety may have several consequences: a low treatment compliance, exacerbation of somatic symptoms or side effects of treatment, difficulties with understanding medical information and lower cooperation with the medical staff (Spencer, 2010). In the present study, we aimed assessing the current state of anxiety in a prospective cohort of patients treated for glioblastoma. We also investigated potential correlations with other clinical and psychological variables to better understand determinants of anxiety in this population. MATERIAL AND METHODS At the beginning of their cycle of temozolomide cure and after radio-chemotherapy, 30 patients with glioblastoma were included. Inclusion criteria were: Karnofsky index (IK) ≥ 70% and absence of cognitive disorder that could interfere with the completion of questionnaires. The characteristics of patients were as follows: mean age of 56.6 years ± 12.5 (70% were more than 50 years old); 20% were women; 50% had a university degree and IK of 87% ± 5. Anxiety level was assessed using the State-Trait Anxiety Inventory. This scale consists of 40 items on a self-report basis measuring how patients feel right now (“state”) and how they generally feel (“trait”). We also assessed (i) QoL using the Cancer Quality of Life Questionnaire 30 and the Brain Cancer Module-20; (ii) the presence of depressive symptoms using the Hospital Anxiety and Depression Scale; (iii) the self-esteem using the Rosenberg self-esteem scale and (iv) memory complains using the Prospective and Retrospective Memory Questionnaire. RESULTS The preliminary results showed that - at baseline - 21% of our sample reported high levels of anxiety. Correlation analyses showed that state anxiety was correlated with trait anxiety (rho=0.799, p< .001), QoL (rho=0.678, p< .001), level of self-esteem (rho=-0.514, p=0.004) and memory complains (rho=0.618, p< .001). Any correlation was found with age, education level, lesional lateralization or depressive symptoms. Women had higher state anxiety scores than men (t(27)=-2.4, p=0.02). CONCLUSION These preliminary results suggest that higher current state of anxiety is associated with lower QoL and lower self-esteem, regardless the presence of depressive symptoms, age, education level or lesional lateralization. Anxiety level at the follow-up (4 and 6 months after the baseline) and determinants of its progression will also be presented and might help health professionals to understand patients’ experience and better meet their needs.

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Effects of exercise programs on depressive symptoms, quality of life, and self-esteem in older people: A systematic review of randomized controlled trials

Applied Nursing Research ◽

10.1016/j.apnr.2014.01.004 ◽

2014 ◽

Vol 27 (4) ◽

pp. 219-226 ◽

Cited By ~ 38

Author(s):

Seong-Hi Park ◽

Kuem Sun Han ◽

Chang-Bum Kang

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Depressive Symptoms ◽

Older People ◽

Randomized Controlled Trials ◽

Self Esteem ◽

Controlled Trials ◽

Exercise Programs ◽

Randomized Controlled

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A Randomized Controlled Trial Exploring the Effect of Music on Quality of Life and Depression in Older People with Dementia

Journal of Health Psychology ◽

10.1177/1359105310368188 ◽

2010 ◽

Vol 15 (5) ◽

pp. 765-776 ◽

Cited By ~ 73

Author(s):

Marie Cooke ◽

Wendy Moyle ◽

David Shum ◽

Scott Harrison ◽

Jenny Murfield

Keyword(s):

Quality Of Life ◽

Randomized Controlled Trial ◽

Depressive Symptoms ◽

Older People ◽

Controlled Trial ◽

Self Esteem ◽

Randomized Controlled ◽

People With Dementia ◽

Over Time

This randomized controlled trial investigated the effect of live music on quality of life and depression in 47 older people with dementia using the Dementia Quality of Life and Geriatric Depression Scale. The control/reading group reported higher mid-point feelings of belonging than the music group ( F(1, 45) = 6.672, p < .05). Sub-analyses of ≥ 50 per cent music session attendance found improvements in self-esteem over time ( F(2, 46) = 4.471, p < .05). Participants with scores that were suggestive of increased depressive symptoms had fewer depressive symptoms over time ( F(2, 22) = 8.129, p < .01). Findings suggest music and reading activities can improve self-esteem, belonging and depression in some older people with dementia.

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Relationships among resilience, depressive symptoms, self‐esteem, and quality of life in children with cancer

Psycho-Oncology ◽

10.1002/pon.5548 ◽

2020 ◽

Author(s):

Joyce Oi Kwan Chung ◽

William Ho Cheung Li ◽

Ankie Tan Cheung ◽

Laurie Long Kwan Ho ◽

Wei Xia ◽

...

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Self Esteem ◽

Children With Cancer

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Voice prosthesis rehabilitation after total laryngectomy: are satisfaction and quality of life maintained over time?

Acta Otorhinolaryngologica Italica ◽

10.14639/0392-100x-2227 ◽

2019 ◽

Vol 39 (3) ◽

pp. 162-168 ◽

Cited By ~ 4

Author(s):

A. Galli ◽

L. Giordano ◽

M. Biafora ◽

M. Tulli ◽

D. Di Santo ◽

...

Keyword(s):

Quality Of Life ◽

Total Laryngectomy ◽

Voice Prosthesis ◽

Over Time

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Relationships among hope, psychological well-being and health-related quality of life in childhood cancer survivors

Journal of Health Psychology ◽

10.1177/1359105319882742 ◽

2019 ◽

pp. 135910531988274 ◽

Cited By ~ 1

Author(s):

LLK Ho ◽

WHC Li ◽

AT Cheung ◽

EKY Ho ◽

KKW Lam ◽

...

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Cancer Survivors ◽

Childhood Cancer ◽

Childhood Cancer Survivors ◽

Self Esteem ◽

Health Related Quality ◽

Related Quality ◽

Health Related

This cross-sectional study examined the level of hope among Hong Kong childhood cancer survivors and investigated the relationships among hope, depressive symptoms, self-esteem and health-related quality of life. We recruited 176 survivors aged 10–16 years who underwent medical follow-ups at the outpatient clinic. This study revealed that lower levels of hope were associated with an increase in depressive symptoms and reductions in self-esteem and health-related quality of life. Our results contribute to novel findings by demonstrating that hope may be a significant factor associated with health-related quality of life. This understanding could increase healthcare professionals’ awareness about the psychological needs of childhood cancer survivors.

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