scholarly journals An Interaction Effect of Life-Threatening Experience, Self-Efficacy, and Financial Resources on Quality of Life Among Chinese Middle-Aged and Older Women

Author(s):  
Sik Yee Dion Leung ◽  
Chi Pun Ben Liu

AbstractThe current study explores the interaction effect of adversities and self-efficacy at baseline on quality of life (QoL) at follow-up among middle-aged and older Chinese women. 531 women were interviewed in 2008 and 226 of them were re-interviewed a year later using Quality of Life Ladder (QoLL), General Self-Efficacy Scale (GSE), List of Threatening Experiences (LTE), Somatic Complaint Scale, and self-rated health. Respondents’ mean age at baseline was 55.7 (SD = 4.7, range: 50–78). Over a year’s time, respondents had a decline in quality of life and self-rated health (p < .001), experienced more life-threatening events (p < .05) and somatic complaints. The hierarchical multiple regression model, employed in the study, identifies three predictors of future quality of life after adding the interaction term ‘Previous LTE × Previous GSE × Previous household income’ — previous quality of life (β = .492, p < .001), previous LTE (β = -.292, p < .001), and the interaction term (β = .221, p < .05). This model explains 34.1% of the variance of future quality of life (Adjusted R2 = .341, p < .001). The findings suggests that respondents’ good self-appraisal of coping resources could moderate the impact of adversities on their future quality of life. Interventions for promoting positive psychological growth among middle-aged and older adults should cover four domains, i.e. event-related factors, environmental factors, personal factors, and cognitive and coping responses. Traditional Chinese wisdom emphasizes the importance of understanding the bad (‘Yin’—the shady side) and the good (‘Yang’—the sunny side) aspect of life events. Future research may explore the Yin Yang perspective on life-threatening experiences and its applications in cross-cultural quality of life studies in the era of globalization.

2020 ◽  
Vol 2 (3) ◽  
pp. 14
Author(s):  
Fatima I. AlNashri ◽  
Hayfa H. Almutary ◽  
Elham A. Al Nagshabandi

Context: Chronic kidney disease (CKD) is a life-threatening problem of global concern. Living with CKD is associated with many psychological problems, including depression and anxiety, which can directly or indirectly affect the quality of life. Only one review in the existing literature has assessed these associations among CKD patients using different dialysis modalities. However, the experience of these symptoms could be higher among patients on hemodialysis therapy. In this purview, there is a need to narrow the previous work to be more focused on hemodialysis patients. Aim: This scoping review aims to determine the gaps in the knowledge about the impact of anxiety and depression concerning QOL among people undergoing hemodialysis. Methods: The studies selected were those examined the relationships between depression or/and anxiety with quality of life in adult patients on hemodialysis. The CINAHL, MEDLINE, and Pub Med databases were searched for literature published between January 2012 and December 2019. The quality of the included studies was also apprised. Eleven studies met the inclusion criteria. Results: Six studies examined the impact of depression and anxiety on the quality of life. Five studies identified from the review have examined the relationships between depression and quality of life. It was established that the prevalence of anxiety and depression was high among hemodialysis patients, and the same was associated with low quality of life. Conclusion: The literature review highlights the negative associations between anxiety, depression, and quality of life among hemodialysis patients. It is, therefore, essential to screen hemodialysis patients frequently for anxiety and depression using a short-form questionnaire. This screening would allow for providing early interventions, and the potential deterioration of quality of life could be prevented. Further longitudinal studies are needed to assess these relationships. Additionally, further research is needed to determine effective interventional programs to improve the overall quality of life.


2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Rebecca C. Knibb ◽  
Aaron Cortes ◽  
Christopher Barnes ◽  
Carol Stalker

Background. The Scale for Psychosocial Factors in Food Allergy (SPS-FA) is based on the biopsychosocial model of health and was developed and validated in Chile to measure the interaction between psychological variables and allergy symptoms in the child. We sought to validate this scale in an English speaking population and explore its relationship with parental quality of life, self-efficacy, and mental health. Methods. Parents (n=434) from the general population in the UK, who had a child with a clinical diagnosis of food allergy, completed the SPS-FA and validated scales on food allergy specific parental quality of life (QoL), parental self-efficacy, and general mental health. Findings. The SPS-FA had good internal consistency (alphas = .61–.86). Higher scores on the SPS-FA significantly correlated with poorer parental QoL, self-efficacy, and mental health. All predictors explained 57% of the variance in SPS-FA scores with QoL as the biggest predictor (β=.52). Discussion. The SPS-FA is a valid scale for use in the UK and provides a holistic view of the impact of food allergy on the family. In conjunction with health-related QoL measures, it can be used by health care practitioners to target care for patients and evaluate psychological interventions for improvement of food allergy management.


2003 ◽  
Vol 12 (4) ◽  
pp. 133-137 ◽  
Author(s):  
Robyn Lewis Claar ◽  
James A. Blumenthal

Emotional stress has been associated with the development and progression of several chronic medical conditions. Recently, researchers have assessed the impact of stress-management interventions on patients' psychological functioning, quality of life, and various disease outcomes, including survival. This review summarizes the value of stress-management techniques in the treatment of two important, life-threatening conditions: coronary heart disease and cancer. Results from randomized clinical trials indicate that psychological interventions can improve patients' psychological functioning and quality of life. However, there is limited evidence to suggest that these interventions significantly reduce morbidity and mortality.


Author(s):  
Hafizah Che Hassan ◽  
Pallav Sengupta

  Objectives: This study aims to elucidate the impacts of self-efficacy and behavioral changes on exercise that may affect health-related quality of life (HRQoL) of middle-aged Malaysian women.Methods: A questionnaire-based data collection was performed from October 2013 to March 2014 in the Klang Valley, Malaysia. SPSS (v. 21.0) was used to analyze the data after recording body mass index, general health, physical health status, self-efficacy and self-awareness associated to HRQoL. Correlation between the parameters was calculated using Pearson’s correlation coefficients, and the reliability test was conducted using Cronbach’s alpha (α). Results are mentioned as significant when P values are found to be <0.05.Results: Findings of the study indicated, though women of Klang Valley suffer from few health problems, they prefer exercise to maintain their HRQoL. It has been observed that self-efficacy and behavioral changes for exercise related quality of life are affected by several factors, such as education, monthly income, marital status, and even ethnicity.Conclusions: This study portrays that women of Klang Valley, Malaysia, are inflicted with quite a good self-efficacy to exercise, which impacts their HRQoL. 


2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S376-S377
Author(s):  
A Rudnik ◽  
G Piotrowicz ◽  
G Rydzewska ◽  
M Bidzan ◽  
E Ozgo

Abstract Background Irritable bowel syndrome (IBS) and inflammatory bowel diseases (IBD), such as ulcerative colitis (UC) and Crohn’s disease (CD) are chronic conditions characterised by severe intestinal symptoms and other general symptoms, which impede daily functioning and affect the quality of life of patients. Understanding the significance of psychological factors in the disease development and therapy can improve the satisfaction with life of gastroenterological patients. The aim of the study was to analyse the impact of accepting the disease on the relation between an important personal resource, which is one’s self-efficacy and both satisfaction with life and components of the quality of life. Methods The study group consisted of 104 patients (N = 104), 58 women and 46 men suffering from IBS (35), UC (33) or CD (36). The average age equalled 32.56 years (SD = 11.04). The average duration of the disease was 8.5 years (SD = 6.9). The following research methods were used: the Generalised Self Efficacy Scale GSES (Schwarzer, Jerusalem, Juczynski), the Acceptance of Illness Scale AIS (Felton, Revenson, Hinrichsen, Polish adapt. by Juczynski), the Quality of Life SF-36v2 Questionnaire—the Polish version, the Satisfaction with Life Scale SWLS (Diener, Emmons, Larson, Griffin, Polish adapt. by Juczynski) and the author’s own questionnaire to collect the demographic data. Results The data were analysed using the independent sample t-test, chi-square test, Pearson correlation, regression analysis and mediation analysis. The study did not prove that the disease diagnosis (IBS, UC or CD) differed the level of satisfaction with life or the level of quality of life. Participants with IBS demonstrated a higher level of illness acceptance in comparison to IBD patients (p = 0.028). A strong positive correlation (p &lt; 0.01) was observed between generalised self-efficacy and satisfaction with life—SWL (r = 0.37) and components of quality of life: lower perceived bodily pain—BP (r = 0.20), social role functioning—SF (r = 0.29) and mental health—MH (r = 0.35). Results pointed out that acceptance of illness mediated the relationship between generalised self-efficacy and SWL, BP, SF, and MH (β = 0.38 95% CI: 0.16–0.59; β = 0.25 95% CI: 0.004–0.73; β = 1.23 95% CI: 0.20–2.25; β = 1.18 95% CI: 0.46–1.90). Conclusion Psychological factor as acceptance of illness can be considered to be a resource which helps to cope with challenges posed by gastrointestinal disorders. Therefore, it is so significant to increase its level by applying psychotherapeutic methods tailored to the age and the needs of a patient.


2020 ◽  
pp. archdischild-2020-319906
Author(s):  
Sarah Burrell ◽  
Nandinee Patel ◽  
Marta Vazquez-Ortiz ◽  
Dianne E. Campbell ◽  
Audrey DunnGalvin ◽  
...  

ObjectiveTo assess the impact of anaphylaxis on health-related quality of life (HRQL) and self-efficacy in food-allergic patients undergoing in-hospital food challenge.DesignSecondary analysis of a randomised controlled trial.SettingSpecialist allergy centre.PatientsPeanut-allergic young people aged 8–16 years.InterventionsDouble-blind, placebo-controlled food challenge to peanut, with HRQL and self-efficacy assessed using validated questionnaire, approximately 2 weeks prior to and 2 weeks after challenge. Where possible, anaphylaxis was treated with self-injected adrenaline (epinephrine).Main outcome measuresChange in HRQL and self-efficacy.Results56 participants had reactions at food challenge, of whom 16 (29%) had anaphylaxis. Overall, there was an improvement in HRQL (mean 2.6 points (95% CI 0.3 to 4.8); p=0.030) and self-efficacy (mean 4.1 points (95% CI 2.4 to 5.9); p<0.0001), independent of whether anaphylaxis occurred. Parents also reported improved HRQL (mean 10.3 points (95% CI 5.9 to 14.7); p<0.0001). We found evidence of discordance between the improvement in HRQL and self-efficacy as reported by young people and that perceived by parents in their child.ConclusionsAnaphylaxis at food challenge, followed by self-administration of injected adrenaline, was associated with an increase in HRQL and self-efficacy in young people with peanut allergy. We found no evidence that the occurrence of anaphylaxis had a detrimental effect. Young people should be encouraged to self-administer adrenaline using their autoinjector device to treat anaphylaxis at in-hospital challenge.Trial registration numberNCT02149719


1998 ◽  
Vol 8 (3) ◽  
pp. 170-176 ◽  
Author(s):  
Mona Newsome Wicks ◽  
E. Jean Milstead ◽  
Donna K. Hathaway ◽  
Muammer Cetingok

Improved quality of life and physical functioning among renal transplant recipients have been documented; however, little of the literature has addressed the effects of transplantation on family caregivers. The purpose of this exploratory descriptive study was to characterize the level of subjective burden, quality of life, and self-rated health of caregivers who assist family members prior to transplantation as well as at 6 months following. The study sample included 19 caregivers of 19 renal transplant recipients. In general, caregiver burden, quality of life, and self-rated health did not improve following patients' transplants. In addition, 9 of 19 family caregivers reported increased burden. Because much of healthcare is family-based and greater reliance on family support seems inevitable, further studies are needed to examine the impact of transplantation on the family as well as the impact of the family on patients' posttransplant outcomes.


2020 ◽  
pp. 90-95

Background and Objectives: Irritable bowel syndrome is the most common diagnosis among patients with gastrointestinal diseases and can adversely affect their quality of life. In this regard, the present study aimed to evaluate the effectiveness of self-efficacy-based training on depression, self-care behaviors, and the quality of life of patients with irritable bowel syndrome. Materials and Methods: This applied quasi-intervention study was conducted based on a pretest-posttest design with a control group and follow-up. The statistical population included all patients with irritable bowel syndrome who referred to Khorshid Hospital in Isfahan, Iran from September to November 2019. The samples were selected using the convenience sampling method. In total, 30 patients with irritable bowel syndrome were included in the study and randomly divided into two groups of intervention and control. The data were collected using Beck depression inventory, self-care questionnaire, and quality of life questionnaire. The intervention group received four sessions of self-efficacy training (one session per week for 90 min), while the control group did not receive any training. Two months later, the follow-up period was completed. The collected data were analyzed using repeated measures of analysis of variance in SPSS software (version 22). Results: The results showed that self-efficacy training was effective in decreasing depression (P<0.0001, F=35.39) and increasing quality of life (P<0.0001, F=120.30) and self-care behaviors (P<0.0001, F=70.50) in patients with irritable bowel syndrome. Conclusion: It can be concluded that training based on self-efficacy theory can effectively reduce depression and increase self-care behaviors and quality of life in patients with irritable bowel syndrome.


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