An Existential-Humanistic View of Personality Change: Co-Occurring Changes with Psychological Well-Being in a 10 Year Cohort Study

180 Background: The number of individuals living after a diagnosis of gastrointestinal (GI) cancer is increasing. Emerging data suggest modifiable lifestyle factors impact survival after colorectal cancer (CRC), however very little is known about survivorship in other GI cancers. Given the common thread of multimodality therapy among many GI cancer survivors, there is a paucity of data on sexual function, fertility, anxiety/depression, changes in comorbidities, and quality of life after cancer treatment. Additionally, existing cohort studies of GI survivors are primarily European, and further data are needed from survivor populations in the US . Methods: Patients of the University of California, San Francisco GI Oncology Survivorship Clinic who are designated disease-free are recruited by mail or in clinic. We send secure online questionnaires to participants every six months for five years and annually thereafter. At varying intervals, questionnaires solicit sociodemographics, diet, physical activity, fertility, medical and smoking history, fear of cancer recurrence, sexual health, quality of life, psychological well-being, and sleep quality. Pathoclinical disease characteristics, treatment, and recurrence status are abstracted from the medical record at baseline and updated annually. Results: Between February and August 2017, 111 patients were enrolled; 68% of participants completed ≥1 and 57% completed all baseline questionnaires. Most patients had a history of colon cancer (52%, n = 58) or rectal cancer (31%, n = 34). Other diseases include: anal cancer (12%, n = 13), gastrointestinal stromal tumor (3%, n = 3), and other GI cancers (3%, n = 3). Fifty-eight percent of patients were female, 76% identified as white and median age at diagnosis was 55 (range 20-81). Median time from initial GI cancer diagnosis to study entry was 27 months. Following the initial recruitment wave of established patients, the average rate of enrollment is ~3 patients/week. Conclusions: Results from this ongoing cohort study will improve our understanding of modifiable risk factors for GI cancer recurrence and key survivorship issues related to psychological well-being, sexual function, fertility management, and quality of life.

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Changes in psychological well-being among older Lithuanian city dwellers: Results from a cohort study

International Journal of Clinical and Health Psychology ◽

10.1016/j.ijchp.2018.05.002 ◽

2018 ◽

Vol 18 (3) ◽

pp. 218-226 ◽

Cited By ~ 5

Author(s):

Laura Sapranaviciute-Zabazlajeva ◽

Dalia Luksiene ◽

Dalia Virviciute ◽

Daina Kranciukaite-Butylkiniene ◽

Martin Bobak ◽

...

Keyword(s):

Cohort Study ◽

Well Being ◽

Psychological Well Being

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Identity integration in people with acquired disabilities: A qualitative study

10.31234/osf.io/afgv4 ◽

2020 ◽

Author(s):

Jonathan Adler

Keyword(s):

Life Story ◽

Well Being ◽

Two Dimensions ◽

Personality Change ◽

The Other ◽

Narrative Strategies ◽

Identity Integration ◽

Psychological Well Being ◽

Life Story Interview ◽

Study Participants

Objective: This qualitative investigation focused on identity integration in a sample of individuals who acquired physical disabilities in adulthood. It also argues for the imporance and ethics of these methods in the broader field of scholarship on personality change following adversity.Method: 13 adults participated in the study. Participants engaged in an expanded Life Story Interview (McAdams, 2008) wherein they narrated the story of their life, including a section devoted to their story of acquiring a physical disability. In addition, participants completed questionnaires concerning their psychological well-being and maturity.Results: We identified two dimensions of narrative themes participants used in grappling with identity integration: one represented active processing of one’s life experiences and the other represented the extent to which participants described their identity as wholly transformed by the experience of acquiring a disability. When overlaid, these dimensions yielded four narrative strategies titled: Adapters, Wanderers, Drifters, and Resisters. We also observed that Adapters seemed to have better psychological well-being and maturity than the other groups.Conclusions: This study offers a foundation for future scholarship on identity among people with disabilities. It also describes the contexts in which retrospective, qualitative methods are especially appropriate for research on personality change following adversity.

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Psychological Predictors of Self-reported COVID-19 Outcomes: Results From a Prospective Cohort Study

Annals of Behavioral Medicine ◽

10.1093/abm/kaab106 ◽

2022 ◽

Author(s):

Kieran Ayling ◽

Ru Jia ◽

Carol Coupland ◽

Trudie Chalder ◽

Adam Massey ◽

...

Keyword(s):

Cohort Study ◽

Psychological Distress ◽

Psychological Factors ◽

Well Being ◽

Symptom Experience ◽

Psychological Well Being ◽

Respiratory Illnesses ◽

Observational Cohort ◽

As Stress ◽

The Relationship

Abstract Background Previous research has shown that psychological factors, such as stress and social support, are associated with greater susceptibility to viral respiratory illnesses and more severe symptoms. During the COVID-19 pandemic there has been a well-documented deterioration in psychological well-being and increased social isolation. This raises questions as to whether those experiencing psychological adversity during the pandemic are more at risk of contracting and/or experiencing COVID-19 symptoms. Purpose To examine the relationship between psychological factors and the risk of COVID-19 self-reported infection and the symptomatic experience of SARS-CoV-2 (indicated by the number and severity of symptoms). Methods As part of a longitudinal prospective observational cohort study, 1,087 adults completed validated measures of psychological well-being during April 2020 and self-reported incidence of COVID-19 infection and symptom experience across the pandemic through to December 2020. Regression models were used to explore these relationships controlling for demographic and occupational factors. Results Greater psychological distress during the early phase of the pandemic was significantly associated with subsequent self-reported SARS-CoV-2 infection as well as the experience of a greater number and more severe symptoms. Conclusions COVID-19 infection and symptoms may be more common among those experiencing elevated psychological distress. Further research to elucidate the mechanisms underlying these associations is needed.

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THU0594 Improved Psychological Well-Being and Physical Functioning in Rheumatoid Arthritis: A Cohort Study Covering Two Decades

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2013-eular.1122 ◽

2013 ◽

Vol 72 (Suppl 3) ◽

pp. A365.3-A366

Author(s):

C. L. Overman ◽

M. S. Verhoef-Jurgens ◽

P. M. Welsing ◽

E. R. Bossema ◽

J. W. Jacobs ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Cohort Study ◽

Physical Functioning ◽

Well Being ◽

Psychological Well Being

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The relationship between early personality and midlife psychological well-being: evidence from a UK birth cohort study

Social Psychiatry and Psychiatric Epidemiology ◽

10.1007/s00127-008-0355-8 ◽

2008 ◽

Vol 43 (9) ◽

pp. 679-687 ◽

Cited By ~ 32

Author(s):

Rosemary A. Abbott ◽

Tim J. Croudace ◽

George B. Ploubidis ◽

Diana Kuh ◽

Marcus Richards ◽

...

Keyword(s):

Cohort Study ◽

Birth Cohort ◽

Well Being ◽

Birth Cohort Study ◽

Psychological Well Being ◽

The Relationship

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Assessment of Patient Satisfaction With Appearance, Psychological Well-Being, and Aging Appraisal After Upper Blepharoplasty: A Multicenter Prospective Cohort Study

Aesthetic Surgery Journal ◽

10.1093/asj/sjab389 ◽

2021 ◽

Author(s):

Ileen Domela Nieuwenhuis ◽

Kim Phi Luong ◽

Lieke C M Vissers ◽

Stefan Hummelink ◽

Harm P Slijper ◽

...

Keyword(s):

Cohort Study ◽

Patient Satisfaction ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Well Being ◽

Facial Appearance ◽

Psychological Well Being ◽

Cosmetic Procedure ◽

Patient Reported ◽

Upper Blepharoplasty

Abstract Background To determine the success of an upper blepharoplasty, a popular cosmetic procedure, it is essential to measure outcomes from the patient perspective, these often outweigh objective outcomes. Objectives This study aimed to assess patient-reported satisfaction with facial appearance, psychological well-being, and aging appraisal after upper blepharoplasty with validated questionnaires. Methods This prospective cohort study included upper blepharoplasty patients from eight outpatient clinics. Patient-reported satisfaction was assessed using the FACE-Q at intake, six and twelve months postoperative. Results 2134 patients were included. High satisfaction with outcome and decision to undergo treatment were measured six months postoperative. Large improvements in FACE-Q scores (range, 0 - 100) between intake and six months postoperative were seen for satisfaction with appearance (mean, effect size; eyes +48, 2.6; upper eyelids +48, 3.1; facial appearance overall +26, 1.4), psychological well-being (+11, 0.56) and aging appraisal (+22, 1.0). Patients reported to appear 3.3 years younger (SD, ±5.2) postblepharoplasty. No clinically relevant changes were seen between six and twelve months. Additionally, improvements in appearance were not dependent on their intake scores, whereas improvements in psychological well-being and aging appraisal were smaller in patients with higher intake scores. Satisfaction with treatment outcome was strongly correlated with appearance satisfaction but not with aging appraisal. Conclusions Significant improvements in patient satisfaction regarding appearance, psychological well-being, and aging appraisal can be seen 6 months after blepharoplasty, and outcomes remain stable up to 12 months postoperative. These data may be used to inform patients and clinicians and improve the overall quality of care.

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Symptom Occurrence and Distress after Heart Transplantation—A Nationwide Cross-Sectional Cohort Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17218052 ◽

2020 ◽

Vol 17 (21) ◽

pp. 8052

Author(s):

Marita Dalvindt ◽

Shahab Nozohoor ◽

Annika Kisch ◽

Annette Lennerling ◽

Anna Forsberg

Keyword(s):

Cohort Study ◽

Heart Transplantation ◽

Well Being ◽

Sociodemographic Factors ◽

Self Management ◽

Management Support ◽

University Hospitals ◽

Cross Sectional ◽

Psychological Well Being

Experiencing symptoms after heart transplantation may hamper the heart recipient’s self-management which can lead to negative effects. We know little about symptom occurrence and distress after heart transplantation, especially in relation to sociodemographic variables. The aim of the study was to explore self-reported symptom occurrence and distress after heart transplantation and their relationship with self-reported psychological well-being and sociodemographic factors. This multicenter, cross-sectional, cohort study is associated with the Swedish national Self-Management After Thoracic Transplantation study (SMATT). Two questionnaires were distributed at the heart recipients’ yearly follow-up, one to five years post-transplant at three Swedish university hospitals from 2014–2017. In a total 79 heart recipients, 54 men and 25 women, with a mean age 53 years returned the questionnaires. Symptoms occurred differently depending on type and duration of follow-up. The most common symptoms, trembling hands, and decreased libido were also the most distressing. Heart recipients most burdened by symptoms were those younger than 50 years, not working, with poor psychological well-being or living alone. Fatigue explained more than 60% of the variation in transplant specific well-being. In conclusion this study points at the target groups within the heart transplant population that needs person centered symptom management support where the focus should be on side-effects of the medication i.e., trembling hands as well as the patients’ sexual health.

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