scholarly journals Psychological well-being and illness perceptions in patients with hypopituitarism

Pituitary ◽  
2021 ◽  
Author(s):  
Tessa N. A. Slagboom ◽  
Jan Berend Deijen ◽  
Christa C. Van Bunderen ◽  
Hans A. Knoop ◽  
Madeleine L. Drent

Abstract Objective The primary aim of the current study was to objectify a spectrum of persisting subjective psychological complaints in patients with hypopituitarism, at least six months after normalizing of the hormonal disturbances. Also, gender differences on these outcomes were investigated. The secondary aim was to identify illness perceptions and causal attributions within this patient group. Methods A total of 42 adult participants (60% females) with treated hypopituitarism once filled out a number of psychological questionnaires. The Profile of Mood States (POMS) and the Hospital Anxiety and Depression Scale (HADS) assessed mood and the Symptom Checklist-90 (SCL-90) and the Work and Social Adjustment Scale (WSAS) assessed well-being. Illness perceptions were identified using the Illness Perceptions Questionnaire-Brief Dutch Language Version (IPQ-B DLV) and causal attributions by using the Causal Attribution List (CAL). Patient outcomes were compared to reference values of healthy norm groups. Results Participants scored significantly worse on the POMS depression, anger, fatigue and tension subscales, the SCL-90 psychoneuroticism, depression, inadequacy of thinking and acting and sleeping problems subscales and all subscales of the WSAS when compared to reference data. Women also scored worse on depression (HADS) and somatic symptoms (SCL-90). Compared to other illnesses, patients with hypopituitarism have more negative and realistic illness perceptions on consequences, timeline, identity and emotions. Participants attributed their complaints more to physical causes than psychological causes. Conclusion Despite normalization of hormonal disturbances, patients with hypopituitarism in general can still experience problems during daily living, such as negative mood states and a decreased psychological well-being.

2009 ◽  
Vol 46 (4) ◽  
pp. 425-434 ◽  
Author(s):  
Jonathan Nelson ◽  
Catherine O'Leary ◽  
John Weinman

Objective: This study aimed to assess causal attributions of parents of babies with a cleft lip and/or palate. Evidence from causal attribution theory and attribution studies in other medical conditions led to the hypothesis that parents who make internal attributions (self-blame) will have poorer psychological well-being. Design: A cross-sectional survey. Setting: Postal questionnaires were sent to parents of children under the care of the South Thames Cleft Service at Guy's Hospital. Participants: Participants were recruited if they had a baby between 12 and 24 months old with a cleft lip and/or palate. Of 204 parents, 42 responded. Main Outcome Measures: A semistructured questionnaire about causal beliefs was completed alongside validated questionnaires measuring anxiety, depression (Hospital Anxiety and Depression Scale), and perceived stress (Perceived Stress Scale). Results: Causal attributions were grouped according to type (environmental, chance, self-blame, and no belief) and loci (external or internal). The most common attribution made was to external factors (54.4%), followed by no causal attribution (38.1%). Parents making an internal (self-blaming) attribution (16.7%) had significantly (p < .05) higher scores on the Hospital Anxiety and Depression Scale anxiety measure (r  =  .32) and Perceived Stress Scale (r  =  .33), but not on the Hospital Anxiety and Depression Scale depression measure (p  =  .283). Conclusions: The high number of parents making an external attribution can be explained by causal attribution theory. However, the percentage of parents making no causal attribution was higher than seen in previous research. Surprisingly, no parents blamed others. The main hypothesis was tentatively accepted because there were significantly higher anxiety and stress scores in parents who self-blamed; although, depression scores were not significantly higher.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 498-498
Author(s):  
Yooumi Lee ◽  
Janet Wilmoth

Abstract This study investigates whether intergenerational relationships and social support improve the psychological well-being of Korean older adults. We examine whether intergenerational relationships and social support directly influence psychological well-being and the extent to which they mediate the distressing consequences of life events such as declining health and recent widowhood. Using longitudinal data from the 2006 to 2016 Korean Longitudinal Study of Aging, we explore depression trajectories among individuals who are 60 or older with at least one living adult child at baseline. Specifically, we converted data from 5,383 older adults into a person-period file with 24,726 observations over a ten-year period. Then we estimated linear growth curve models of depression trajectories separately for men and women using the Center for Epidemiologic Studies Depression Scale (CES-D). Results from the hierarchical linear models indicate that declining health and recent widowhood are positively related to depressive symptoms. Satisfactory intergenerational relationships and social support in the form of personal interactions and proximate living arrangements with adult children decrease depressive symptoms of older parents, especially among women. We conclude that the psychological benefits of intergenerational relationships and social support are contingent upon the vulnerability of older adults and discuss the implications for public policy.


AAOHN Journal ◽  
1998 ◽  
Vol 46 (8) ◽  
pp. 371-378 ◽  
Author(s):  
Arlene Michaels Miller ◽  
JoEllen Wilbur ◽  
Andrew C. Montgomery ◽  
Peggy Chandler

This study examined relationships among job, partner, and parent role quality and psychological well being in midlife black (n = 51) and white (n = 56) women employed in occupations varying by socioeconomic status (SES). Oversampling for black women ensured balanced occupational representation, allowing investigation uncontaminated by SES. Instruments included Baruch and Barnett's Rewards and Concerns Scales, Bradburn Affect Balance Scale, and Center for Epidemiological Studies Depression Scale (CES-D). Better well being scores were reported by black women than whites, and by professionals than non-professionals. However, when race, occupational group, and menopausal status were held constant in a multiple regression analysis, partner role quality was significantly related to both well being scores, parent role quality was related to life satisfaction only, and job role quality was not related to either. Nurses in the workplace can help women identify problematic aspects of their multiple social roles, and facilitate resolution of problems to improve worker health.


Heart & Lung ◽  
2014 ◽  
Vol 43 (2) ◽  
pp. 127-132 ◽  
Author(s):  
Kathleen T. Hickey ◽  
Robert R. Sciacca ◽  
Angelo B. Biviano ◽  
William Whang ◽  
Jose M. Dizon ◽  
...  

2017 ◽  
Vol 13 (3) ◽  
pp. 441-454 ◽  
Author(s):  
Paul Kenneth Hitchcott ◽  
Maria Chiara Fastame ◽  
Jessica Ferrai ◽  
Maria Pietronilla Penna

Self-reported measures of psychological well-being and depressive symptoms were examined across differently aged family members, while controlling for the impact of marital status and personal satisfaction about family and non-family relations. Twenty-one grandchildren (i.e., ages 21-36 years) were recruited with their parents (i.e., 48-66 years old) and grandparents (i.e., 75-101 years of age) in the ‘blue zone’ of Ogliastra, an Italian area known for the longevity of its inhabitants. Each participant was individually presented a battery of questionnaires assessing their lifestyle and several perceived mental health indices, including the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS, Tennant et al., 2007), and the Center for Epidemiologic Studies Depression Scale (i.e., CES-D, Radloff, 1977). After assessing the level of concordance among adults sharing the same context, the Hierarchical Linear Modeling (HLM) approach was used to assess the nested dataset. It was found that family membership (i.e., grandchildren versus parents and grandparents) predicted the WEMWBS score but not the CES-D when the impact of marital status and personal satisfaction about social (i.e., family and non-family) ties was controlled for. Moreover, two separate repeated-measure Analyses of Variance (ANOVAs) documented similar level of personal satisfaction about social relationships across the three family groups. In conclusions, satisfying social ties with friends and family members together with an active socially oriented life style seems to contribute to the promotion of mental health in adult span.


2016 ◽  
Vol 28 (10) ◽  
pp. 1671-1679 ◽  
Author(s):  
Xiaoping Lin ◽  
Christina Bryant ◽  
Jennifer Boldero ◽  
Briony Dow

ABSTRACTBackground:Few current studies explore psychological well-being among older Chinese immigrants in Australia. The study addressed this gap and provided preliminary data on psychological well-being among this group. Four indicators, namely depression, anxiety, loneliness, and quality of life, were used to present a comprehensive picture of psychological well-being.Methods:Participants were two groups of community-dwelling older people, specifically 59 Chinese immigrants and 60 Australian-born people (median age=77 and 73, respectively). Data were collected through standardized interviews. The Geriatric Depression Scale, the Hospital Anxiety and Depression Scale, the de Jong Gierveld Loneliness Scale and the WHO Quality of Life questionnaire were used to measure depression, anxiety, loneliness, and quality of life, respectively.Results:Chinese participants’ median quality of life score was higher than the scale mid-point, indicating relatively high levels of quality of life. However, 10% exhibited symptoms of depression, 6% had symptoms of anxiety, and 49% felt lonely. Compared to Australian participants, Chinese participants reported poorer quality of life and higher levels of loneliness. Importantly, the difference in quality of life remained when the impact of socio-demographic factors was controlled for.Conclusions:This study was the first to use multiple indicators to explore psychological well-being among older Chinese immigrants in Australia. Its results suggest that their psychological well-being might be worse than that of Australian-born people when using loneliness and quality of life as indicators. In particular, loneliness is a common psychological problem among this group, and there is a need for public awareness of this problem.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 233-233
Author(s):  
Giulia Lorenzoni ◽  
Marco Silano ◽  
Danila Azzolina ◽  
Silvia Gallipoli ◽  
Solidea Baldas ◽  
...  

Abstract Objectives To assess dietary habits and psychological well-being during the COVID-19 lockdown in Italy, one of the European countries most severely affected by the first wave of the COVID-19 pandemic. Methods The #PRESTOinsieme project is a web-based survey open to people over 16 years of age that started on the 20th of March 2020 in Italy. Survey respondents underwent a set of validated questionnaires to assess dietary habits and psychological well-being (depression and posttraumatic stress, using the Center for Epidemiologic Studies Depression Scale and the Impact of Event Scale-Revised, respectively) during the lockdown. Results Survey respondents were 5008, with a median age of 38 years. The female gender was the most prevalent (63%). Dietary habits were found to be associated with psychological well-being. People suffering from moderate/severe depression symptoms and posttraumatic stress were found to have more frequently foods high in fat and sugars compared to people with no/mild depressive and posttraumatic stress symptoms (P-value 0.008). Furthermore, subjects with most severe depressive symptoms ate less frequently fruits (P-value &lt; 0.001), vegetables (P-value 0.013), dried fruits (P-value &lt; 0.001), and milk-based products. Conclusions Present results showed a strict relationship between dietary habits and psychological well-being during the COVID-19 lockdown in Italy. Such a relationship could be interpreted as emotional eating, which has been frequently reported during the lockdown, showing that depressed people are more prone to emotional eating habits. Present results claim the need to develop public programs of psychological support for the community during the lockdown and public health strategies targeting diet. Funding Sources N/A


2021 ◽  
Vol 71 (Suppl-1) ◽  
pp. S76-81
Author(s):  
Amina Hanif Tarar ◽  
Huma Asghar ◽  
Muhammad Mohsin Ijaz ◽  
Muhammad Ali Tarar

Objective: To explore the relationship between psychological well-being and psycho-social adjustment ofeconomically independent and dependent single parents belonging to various socio-economic classes. Study Design: Correlational study. Place and Duration of Study: This study was conducted at technical services association, Lahore, from Jun 2018 to Aug 2019. Methodology: A sample of 213 single parents with ages ranging from 25 to 50 was selected through purposivesampling. Psychological Well-Being Scale Revisited and Psychological Adjustment Scale were used. Results: Multivariate analysis showed that well-being and adjustment levels of divorced (M=114.17, SD=24.5),(M= 88.89, SD=19.45) single parents was significantly lower than those of widowed (M=136.78, SD=17.68),(M=105.86, SD=10.88) ones respectively. Also, economically independent (M=135.1, SD=20.38), (M=104.0, SD=14.5) single parents had better well-being and adjustment than those who are economically dependent (M=108.3, SD=24.5), (M=85.5, SD=17.1). Furthermore, post-hoc tests revealed significantly low psychological well-being (M=130.72, SD=23.16) and adjustment (M=81, SD=12.23) of single parents from lower social class. Conclusion: The study concludes that socio-economic status and economic independence/dependence have aprofound impact on the psychological wellbeing and adjustment of single parents. These findings will promotethe understanding of single parenting in collectiveistic cultures and may lead towards learning of coping strategies to foster psychological well-being, familial and social adjustments of single parents.


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