Quality of life in patients with chronic idiopathic urticaria: the impact of Axis I and Axis II psychiatric disorders

Abstract Objectives: There is a high rate of psychiatric comorbidity in patients with epilepsy. However, the impact of surgical treatment of refractory epilepsy on psychopathology remains under investigation. We aimed to examine the impact of epilepsy surgery on psychopathology and quality of life at 1-year post-surgery in a population of patients with epilepsy refractory to medication. Methods: This study initially assessed 48 patients with refractory epilepsy using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), the Hospital Anxiety and Depression Scale (HADS) and the Quality of Life in Epilepsy Inventory 89 (QOLIE-89) on admission to an Epilepsy Monitoring Unit (EMU) as part of their pre-surgical assessment. These patients were again assessed using the SCID-I, QOLIE-89 and HADS at 1-year follow-up post-surgery. Results: There was a significant reduction in psychopathology, particularly psychosis, following surgery at 1-year follow-up (p < 0.021). There were no new cases of de novo psychosis and surgery was also associated with a significant improvement in the quality of life scores (p < 0.001). Conclusions: This study demonstrates the impact of epilepsy surgery on psychopathology and quality of life in a patient population with refractory surgery. The presence of a psychiatric illness should not be a barrier to access surgical treatment.

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The Impact of Chronic Idiopathic Urticaria on Quality of Life in Korean Patients

Annals of Dermatology ◽

10.5021/ad.2009.21.3.226 ◽

2009 ◽

Vol 21 (3) ◽

pp. 226 ◽

Cited By ~ 26

Author(s):

Min Ju Kang ◽

Hei Sung Kim ◽

Hyung Ok Kim ◽

Young Min Park

Keyword(s):

Quality Of Life ◽

Chronic Idiopathic Urticaria ◽

Korean Patients ◽

The Impact

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The prevalence of depressive and anxiety symptoms and their associations with quality of life among clinically stable older patients with psychiatric disorders during the COVID-19 pandemic

Translational Psychiatry ◽

10.1038/s41398-021-01196-y ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Wen Li ◽

Na Zhao ◽

Xiaona Yan ◽

Siyun Zou ◽

Huan Wang ◽

...

Keyword(s):

Quality Of Life ◽

Psychiatric Disorders ◽

Older Patients ◽

Negative Impact ◽

Anxiety Symptoms ◽

Poor Adherence ◽

Adherence To Treatment ◽

Negatively Associated ◽

The Impact

AbstractThe impact of the COVID-19 pandemic on clinically stable older patients with psychiatric disorders is unclear. This study examined the prevalence of depressive and anxiety symptoms, and their associations with quality of life (QOL) in clinically stable older patients with psychiatric disorders during the COVID-19 pandemic. This was a multicenter, cross-sectional study. Depressive and anxiety symptoms, insomnia, pain, and QOL were assessed with standardized instruments. A total of 1063 patients were included. The prevalence of depressive and anxiety symptoms, and combined depressive and anxiety symptoms were 62.3% (95%CI = 59.4–65.2%), 52.4% (95%CI = 49.3–55.4%), and 45.9% (95%CI = 42.9–48.9%), respectively. Patients with depressive and anxiety symptoms had significantly lower QOL than those without (P < 0.01). Binary logistic regression analyses revealed that having depressive symptoms was positively associated with more severe insomnia (OR = 1.29, P < 0.01) and pain (OR = 1.14, P < 0.01), and was negatively associated with other psychiatric diagnoses (except for major depressive disorder, schizophrenia, and organic mental disorder; OR = 0.50, P < 0.01), while having anxiety symptoms was positively associated with severe physical diseases (OR = 1.57, P = 0.02), poor adherence to treatment (OR = 1.50, P < 0.01), and more severe insomnia (OR = 1.15, P < 0.01) and pain (OR = 1.11, P < 0.01). Having combined depression and anxiety symptoms was positively associated with poor adherence to treatment (OR = 1.42, P = 0.02) and more severe insomnia (OR = 1.19, P < 0.01) and pain (OR = 1.15, P < 0.01), and was negatively associated with the diagnosis of schizophrenia (OR = 0.50, P = 0.04) and others (OR = 0.53, P < 0.01). Depressive and anxiety symptoms were common in clinically stable older patients with psychiatric disorders during the COVID-19 pandemic. Considering the negative impact of these symptoms on QOL, regular screening and appropriate treatment are recommended for this population.

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Quality of life and subthreshold obsessive-compulsive disorder

Acta Neuropsychiatrica ◽

10.1111/j.1601-5215.2007.00257.x ◽

2007 ◽

Vol 19 (6) ◽

pp. 357-361 ◽

Cited By ~ 7

Author(s):

Arianna Goracci ◽

Mirko Martinucci ◽

Anastassia Kaperoni ◽

Andrea Fagiolini ◽

Chiara Sbaragli ◽

...

Keyword(s):

Quality Of Life ◽

Obsessive Compulsive Disorder ◽

Therapeutic Interventions ◽

Obsessive Compulsive ◽

Axis Ii ◽

Compulsive Disorder ◽

Residential Population ◽

Current Axis ◽

Axis I

Objective:This study investigates the relationship between subthreshold obsessive-compulsive disorder (OCD) and quality of life (QoL) in a sample from the Italian general population.Methods:A sample of 202 psychiatrically healthy (defined as absence of current axis I and axis II disorders) subjects was recruited by word of mouth from the residential population in the Siena, Salerno and Milano municipalities (Italy). All study subjects completed the Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) and the Questionnaire for Obsessive-Compulsive Spectrum (OBS-SR), which explore a wide array of threshold and subthreshold OCD symptoms, behaviours and traits. A diagnostic assessment was conducted to exclude the presence of DSM-IV axis I and axis II disorders using the Mini International Neuropsychiatric Interview and the Structured Clinical Interview for DSM-III-R personality disorders, respectively.Results:A statistically significant correlation was found between the OBS-SR total score and the Q-LES-Q domains of physical health, subjective feelings, work, school, social relationships and general activities. There was also a statistically significant correlation between several Q-LES-Q and OBS-SR domains.Conclusions:The presence of subthreshold OCD is correlated with poorer QoL. More research is needed to evaluate if specific therapeutic interventions targeting subthreshold obsessive-compulsive symptoms can lead to a significant improvement in the QoL of the affected individuals.

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The WHO Quality of Life Assessment Instrument (WHOQOL-100)

European Journal of Psychological Assessment ◽

10.1027/1015-5759.22.3.207 ◽

2006 ◽

Vol 22 (3) ◽

pp. 207-215 ◽

Cited By ~ 5

Author(s):

Fons J. Trompenaars ◽

Erik D. Masthoff ◽

Guus L. Van Heck ◽

Paul P. Hodiamont ◽

Jolanda De Vries

Keyword(s):

Quality Of Life ◽

General Population ◽

Assessment Instrument ◽

Life Assessment ◽

Psychiatric Outpatients ◽

Quality Of Life Assessment ◽

Axis Ii ◽

Axis I ◽

Dsm Iv

This study scrutinizes the ability of the WHO quality of life assessment instrument (WHOQOL-100) to discriminate (1) between psychiatric outpatients and the general population, and (2) between subgroups of psychiatric outpatients. A sample of Dutch adult psychiatric outpatients (N = 410) completed the WHOQOL-100. In addition, DSM-IV Axis-I and Axis-II diagnoses were obtained. Compared with the general population, psychiatric outpatients scored significantly lower on all aspects of self-reported quality of life (QOL). Within the group of outpatients, participants with DSM-IV diagnoses had lower scores than those without. Participants with diagnoses on both Axis-I and Axis-II of DSM-IV (comorbidity) had the lowest self-reported QOL. It is concluded that in psychiatric outpatients, outcome scores of self-reported QOL were negatively related to presence and degree of psychopathology. The WHOQOL-100 has good discriminant ability for psychiatric outpatients.

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Psychopathology in severely obese women from a Canadian bariatric setting

Ethnicity and Inequalities in Health and Social Care ◽

10.1108/eihsc-10-2013-0033 ◽

2014 ◽

Vol 7 (2) ◽

pp. 72-85 ◽

Cited By ~ 1

Author(s):

Rachel Strimas ◽

Michelle M. Dionne ◽

Stephanie E. Cassin ◽

Susan Wnuk ◽

Marlene Taube-Schiff ◽

...

Keyword(s):

Quality Of Life ◽

Bariatric Surgery ◽

Psychiatric Disorder ◽

Psychiatric Disorders ◽

Content Type ◽

Female Patients ◽

Current Axis ◽

Axis I ◽

A Current

Purpose – Evidence suggests high rates of psychiatric disorders in bariatric surgery candidates (e.g. Mitchell et al., 2012), although no rigorous studies have examined the prevalence in a Canadian sample. Improved understanding of the prevalence of psychopathology among female patients is an important area of study, as females comprise approximately 80 percent of surgical candidates (Martin et al., 2010; Padwal, 2005). The purpose of this paper is to assess the prevalence of Axis I disorders and associations with quality of life in a Canadian sample of female bariatric surgery candidates. Design/methodology/approach – Female patients (n=257) were assessed using a structured psychodiagnostic interview and completed a health-related quality of life questionnaire. Findings – Results indicated that 57.2 percent of patients met DSM-IV-TR criteria for a lifetime psychiatric disorder and 18.3 percent met criteria for a current psychiatric disorder. Major depressive disorder was the most common lifetime psychiatric disorder (35.0 percent) and binge eating disorder was the most prevalent current psychiatric disorder (6.6 percent). Patients scored significantly lower than Canadian population norms on all domains of the SF-36 (all p's<0.001). Patients with a current Axis I disorder also reported significantly worse functioning on four mental health domains and one physical health domain (p's<0.01) compared to patients without a current Axis I disorder. Originality/value – Results confirm high rates of psychiatric disorders in Canadian female bariatric surgery candidates and provide evidence for associated functional health impairment. Further study is needed to elucidate how pre-operative psychopathology may impact female patients’ post-operative outcomes.

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Three clinical pearls in the treatment of patients with seizures and comorbid psychiatric disorders

Mental Health Clinician ◽

10.9740/mhc.2017.11.235 ◽

2017 ◽

Vol 7 (6) ◽

pp. 235-245 ◽

Cited By ~ 1

Author(s):

Kimberly Tallian

Keyword(s):

Quality Of Life ◽

Psychiatric Disorders ◽

Psychotropic Medication ◽

Strong Association ◽

Psychotropic Medications ◽

Seizure Threshold ◽

Hypersensitivity Reactions ◽

Psychiatric Comorbidities ◽

The Impact

Abstract A strong association exists between epilepsy and psychiatric comorbidities, especially depression, anxiety, attention deficit disorders, and psychosis. The impact of psychotropic medications in lowering seizure threshold both directly and indirectly, hypersensitivity reactions to antiepileptic and other psychotropic medications, and how antiepileptic drugs affect psychiatric disorders are explored through three patient cases. Ultimately, in selecting an appropriate psychotropic medication for an individual with epilepsy and psychiatric comorbidities, it is important to consider the clinical and quality-of-life impacts that a particular medication will have on that individual.

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Evaluation of the life quality in patients with Temporomandibular Disorders

Brazilian Dental Science ◽

10.14295/bds.2015.v18i3.1144 ◽

2015 ◽

Vol 18 (3) ◽

pp. 77 ◽

Cited By ~ 1

Author(s):

Carolina Oliveira de Lima ◽

Jean Soares Miranda ◽

Paula Liparini Caetano ◽

Natália Veloso Malta ◽

Isabel Gonçalves Leite ◽

...

Keyword(s):

Quality Of Life ◽

Negative Impact ◽

Temporomandibular Disorder ◽

Life Quality ◽

Health Impact ◽

Muscular Disorder ◽

Axis I ◽

The Individual ◽

The Impact

AIMS: To evaluate influence of variables gender, diagnosis and severity of types of Temporomandibular Disorder (TMD) on the quality of life of the individual. METHODS: The sample consisted of one hundred one individuals seeking TMD treatment at the Faculdade de Odontologia/ Universidade Federal de Juiz de Fora. The TMD diagnosis was done through the RDC/TMD: Axis I (Research Diagnostic Criteria/Temporomandibular Disorder). The severity of TMD was established by the Temporomandibular Index (TMI) and the impact on quality of life by the OHIP-14 (Oral Health Impact Profile). The data was tabulated and analyzed by the Mann-Whitney test, T student test and Spearman correlation analysis (α=0,05). RESULTS: Most patients had diagnosis of muscular disorder, followed by diagnoses of arthralgia and disk displacement, respectively. All patients had a negative impact on at least one question from OHIP-14.CONCLUSIONS: Women presented worse quality of life when compared to men. The presence of muscular disorder was related to greater impact on quality of life (p<0,05). The relationship between severity of TMD and quality of life in the muscle sub-index of TMI was observed in all domains of OHIP-14 (p<0,05). In addition, there was positive correlation between TMI and the psychological incapacity.

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Interviewing and Case Formulation

The Oxford Handbook of Clinical Psychology ◽

10.1093/oxfordhb/9780195366884.013.0012 ◽

2010 ◽

pp. 223-254

Author(s):

Naomi Koerner ◽

Heather K. Hood ◽

Martin M. Antony

Keyword(s):

General Structure ◽

Clinical Interview ◽

Case Formulation ◽

Core Component ◽

Axis Ii ◽

Clinical Interviews ◽

Clinical Interviewing ◽

Axis I ◽

The Impact

The main objective of this chapter is to provide an overview of clinical interviewing. Although clinical interviewing is often referred to as an art (Shea, 2007), the information in this chapter highlights the science of clinical interviewing as well. The chapter opens with a discussion of the general structure and content of clinical interviews that are typically conducted in mental health contexts. The reader is introduced to a variety of interviews that are used in the assessment of Axis I and Axis II conditions, including their psychometric properties; guidelines for the assessment of suicidality are also presented. This is followed by an overview of interviewing skills. Specifically discussed are ways in which information processing limitations, verbal and nonverbal cues, and style of questions can influence the clinical interview. We then turn to a discussion of case formulation, a core component of the clinical interview. Empirical research on the impact of training on quality of case conceptualization and on the association between case formulation and treatment outcome is summarized. The chapter closes with a brief overview of issues that may arise when interviewing certain populations, in particular, couples, individuals from diverse populations, and young individuals.

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Interviewing and Case Formulation

The Oxford Handbook of Clinical Psychology ◽

10.1093/oxfordhb/9780199328710.013.024 ◽

2014 ◽

pp. 225-255

Author(s):

Naomi Koerner ◽

Heather K. Hood ◽

Martin M. Antony

Keyword(s):

General Structure ◽

Clinical Interview ◽

Case Formulation ◽

Core Component ◽

Axis Ii ◽

Clinical Interviews ◽

Clinical Interviewing ◽

Axis I ◽

The Impact

The main objective of this chapter is to provide an overview of clinical interviewing. Although clinical interviewing is often referred to as an art (Shea, 2007), the information in this chapter highlights the science of clinical interviewing as well. The chapter opens with a discussion of the general structure and content of clinical interviews that are typically conducted in mental health contexts. The reader is introduced to a variety of interviews that are used in the assessment of Axis I and Axis II conditions, including their psychometric properties; guidelines for the assessment of suicidality are also presented. This is followed by an overview of interviewing skills. Specifically discussed are ways in which information processing limitations, verbal and nonverbal cues, and style of questions can influence the clinical interview. We then turn to a discussion of case formulation, a core component of the clinical interview. Empirical research on the impact of training on quality of case conceptualization and on the association between case formulation and treatment outcome is summarized. The chapter closes with a brief overview of issues that may arise when interviewing certain populations, in particular, couples, individuals from diverse populations, and young individuals.

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