Quality of life as a predictor of social relationships in Oxford House

Background: The analysis has involved social interactions in a multicultural environment. The social context has been defined by the Vilnius region (Lithuania), where national, religious, and cultural differences exist across generations (multicultural community). The space of “social relationships”, as one of the modules of the WHO quality of life assessment, has been studied. An innovation of the research has been related to the analysis of the phenomenon of community of nationalities and cultures as a predictor of quality of life (QoL). The social motive of the research has been the historical continuity (for centuries) of the construction of the Vilnius cultural borderland. Here, the local community evolves from a group of many cultures to an intercultural community. Interpreting the data, therefore, requires a long perspective (a few generations) to understand the quality of relationships. We see social interactions and strategies for building them as a potential for social QoL in multicultural environments. Methods: The research has been conducted on a sample of 374 respondents, including Poles (172), Lithuanians (133), and Russians (69). A diagnostic poll has been used. The respondents were adolescents (15–16 years). The research answers the question: What variables form the interaction strategies of adolescents in a multicultural environment? The findings relate to interpreting the social interactions of adolescents within the boundaries of their living environment. The description of the social relations of adolescents provides an opportunity to implement the findings for further research on QoL. Results: An innovative outcome of the research is the analysis of 3 interaction strategies (attachment to national identification, intercultural dialogue, and multicultural community building) as a background for interpreting QoL in a multicultural environment. Their understanding is a useful knowledge for QoL researchers. The data analysis has taken into account cultural and generational (historical) sensitivities. Therefore, the team studying the data has consisted of researchers and residents of the Vilnius region. We used the interaction strategies of adolescents to describe the category of “social relationships” in nationally and culturally diverse settings.

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How Important Are Choice, Autonomy, and Relationships in Predicting the Quality of Life of Nursing Home Residents?

Journal of Applied Gerontology ◽

10.1177/0733464820983972 ◽

2021 ◽

pp. 073346482098397

Author(s):

Marita McCabe ◽

Jessica Byers ◽

Lucy Busija ◽

David Mellor ◽

Michelle Bennett ◽

...

Keyword(s):

Quality Of Life ◽

Nursing Home ◽

Nursing Homes ◽

Social Relationships ◽

Daily Living ◽

Nursing Home Residents ◽

Predictor Variables ◽

Social Connections ◽

Hierarchical Regression

Older people face major challenges when they move into nursing homes, particularly in relation to independence and their ability to influence their activities of daily living (ADLs). This study evaluated the contribution of resident choice, as well as the staff–resident relationship, to promoting resident quality of life (QoL). A total of 604 residents from 33 nursing homes in Australia completed measures of QoL, perceived levels of choice in various ADLs, and the staff–resident relationship. A hierarchical regression demonstrated that the predictor variables accounted for 25% of the variance in QoL. Two of the four predictor variables (resident choice over socializing and the staff–resident relationship) significantly contributed to resident QoL. These findings reinforce the important contribution of autonomy and social relationships to resident QoL. Nursing home staff have a key role to play in supporting resident autonomy as a means of building residents’ chosen social connections, and thereby promoting QoL.

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Variables associated with health-related quality of life in a Brazilian sample of patients from a tertiary outpatient clinic for depression and anxiety disorders

Trends in Psychiatry and Psychotherapy ◽

10.1590/2237-6089-2015-0013 ◽

2015 ◽

Vol 37 (4) ◽

pp. 202-208 ◽

Cited By ~ 4

Author(s):

Bianca Schwab ◽

Heloisa Silveira Daniel ◽

Carine Lutkemeyer ◽

João Arthur Lange Lins Neves ◽

Louise Nassif Zilli ◽

...

Keyword(s):

Quality Of Life ◽

Social Relationships ◽

Psychological Health ◽

Linear Regression Analysis ◽

Multiple Linear Regression Analysis ◽

Depression And Anxiety ◽

Brazilian Sample ◽

Related Quality ◽

Health Related

Introduction: Health-related quality of life (HRQOL) assessment tools have been broadly used in the medical context. These tools are used to measure the subjective impact of the disease on patients. The objective of this study was to evaluate the variables associated with HRQOL in a Brazilian sample of patients followed up in a tertiary outpatient clinic for depression and anxiety disorders. Method: Cross-sectional study. Independent variables were those included in a sociodemographic questionnaire and the Hospital Anxiety and Depression Scale (HADS) scores. Dependent variables were those included in the short version of the World Health Organization Quality of Life (WHOQOL-BREF) and the scores for its subdomains (overall quality of life and general health, physical health, psychological health, social relationships, and environment). A multiple linear regression analysis was used to find the variables independently associated with each outcome. Results: Seventy-five adult patients were evaluated. After multiple linear regression analysis, the HADS scores were associated with all outcomes, except social relationships (p = 0.08). Female gender was associated with poor total scores, as well as psychological health and environment. Unemployment was associated with poor physical health. Conclusion: Identifying the factors associated with HRQOL and recognizing that depression and anxiety are major factors are essential to improve the care of patients.

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Association between social support and quality of life of relative caregivers of elderly dependents

Ciência & Saúde Coletiva ◽

10.1590/1413-81232015205.14192014 ◽

2015 ◽

Vol 20 (5) ◽

pp. 1321-1330 ◽

Cited By ~ 17

Author(s):

Karla Ferraz dos Anjos ◽

Rita Narriman Silva de Oliveira Boery ◽

Rafael Pereira ◽

Larissa Chaves Pedreira ◽

Alba Benemérita Alves Vilela ◽

...

Keyword(s):

Quality Of Life ◽

Social Support ◽

Social Relationships ◽

Family Health ◽

Cross Sectional Study ◽

Full Time ◽

Cross Sectional ◽

Relative Caregivers ◽

The Social

Objective: to ascertain the association between the social support and the quality of life of relative caregivers of elderly dependents at home.Method: a cross-sectional study conducted with 58 relative caregivers of elderly dependents, registered in the Family Health Strategy. Data were collected from the Katz instrument, sociodemographic, Zarit Burden Interview, WHOQOL-bref, and analyzed using descriptive statistics and multiple linear regression.Results: the majority of caregivers were women, who took care full-time and presented moderate to severe burden. Most caregivers are satisfied with their social relationships and the social support received. It is found that the burden and the time of care correlated with the social relationships domain, which is associated with social support, and consequently, reduced quality of life.Conclusion: social support for caregivers is important to prevent health implications, burden, biopsychosocial stress, and provide favorable conditions for quality of life, by allowing greater freedom to develop their daily activities.

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Quality of Life of Patients Suffering from Schizophrenia Treated with Clozapine and Risperidone

European Psychiatry ◽

10.1016/s0924-9338(09)71402-6 ◽

2009 ◽

Vol 24 (S1) ◽

pp. 1-1

Author(s):

M. Milosavljevic ◽

D. Lecic-Tosevski ◽

I. Perunicic

Keyword(s):

Quality Of Life ◽

Clinical Outcome ◽

Social Relationships ◽

Atypical Antipsychotics ◽

Clinical Status ◽

Positive Symptoms ◽

Significant Difference ◽

Social Recovery ◽

Improve Clinical Outcome

Background:Quality of life (QoL) is considered an important outcome in the treatment of schizophrenia and is linked with clinical and social recovery. Until recently treatments of schizophrenia have focused mainly on reducing positive symptoms, often leaving patients with numerous residual difficulties. It's been expected that atypical antipsychotics improve QoL equally as they improve clinical outcome of the patients with schizophrenia.Objectives:To compare clinical improvement and QoL of patients treated with risperidone and clozapine two months after the beginning of treatment.Methods:The sample included 40 patients (17 males and 23 females, mean age 33.1) with diagnosis of schizophrenia according to ICD-X. the patients were treated with either risperidone (n=20) or clozapine (n=20). the PANSS and CGI scales for clinical status were applied at the beginning of the treatment and two months later. the QoL was assessed by the WHOQOL-BREF.Results:Analysis of data has shown a significant difference for all four domains (physical, psychological, social relationships and environment) at WHOQOL-BREF scale for both medications after two months, but no difference between the two antipsychotics. the patients treated with clozapine had significantly higher scores on PANSS at the beginning of treatment. PANSS and CGI applied after two months have not shown differences between the medications.Conclusion:Both clozapine and risperidone had equal and statistically significant effect in reducing the symptoms of schizophrenia measured by PANSS and CGI in two months period, as well as in improving the quality of life. However no difference was found between the two medications.

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Benefits of Equine-Based Therapy for Individuals with Dementia

10.46409/sr.gkds8152 ◽

2020 ◽

Author(s):

◽

Lauren Fearn

Keyword(s):

Quality Of Life ◽

Energy Level ◽

Physical Health ◽

Social Relationships ◽

Functional Capacity ◽

Functional Decline ◽

Well Being ◽

Equine Assisted

Individuals living with dementia typically experience progressive, cognitive, and functional decline which limits their ability to communicate and fully perform activities (Pimouguet el al., 2019). Horses have been shown to benefit individuals with dementia by improving well-being, physical health, functional capacity, and social relationships (Fields et. al., 2019). A 6-week OT-based virtual equine-assisted activities program was conducted to determine if participation in equine-assisted activities could improve the quality of life of individuals with dementia. Outcomes of the program resulted in improvements in mood, energy level, engagement, communication, memory, socialization, and overall quality of life.

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How different domains of quality of life are associated with latent dimensions of mental health measured by GHQ-12

Health and Quality of Life Outcomes ◽

10.1186/s12955-021-01892-9 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Fatemeh Nouri ◽

Awat Feizi ◽

Hamidreza Roohafza ◽

Masoumeh Sadeghi ◽

Nizal Sarrafzadegan

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Cohort Study ◽

Physical Health ◽

Social Relationships ◽

Rural Areas ◽

Clinical Symptoms ◽

Short Form ◽

Environmental Condition

Abstract Background and objectives A short form of the General Health Questionnaire (GHQ-12) is a useful screening instrument for assessing mental health. Furthermore, Quality of life (QoL) is a critical treatment outcome in many clinical and health care research settings. This study aimed to reassess the dimensionality of GHQ-12 using Multidimensional Graded Response Model (MGRM) and evaluate how its extracted dimensions are associated with the QoL's domains. Methods Isfahan Cohort Study 2 (ICS2) is a population-based, ongoing prospective cohort study among adults aged 35 years and older who were free of cardiovascular diseases (CVDs) at the beginning of the study in 2013. A total of 1316 participants, all living in urban and rural areas of Isfahan and Najafabad, Iran was completed the GHQ-12 and WHO QoL-brief version at baseline. Five competing MGRMs with different latent structures were specified for GHQ-12. Factor scores derived from the best fitted model were used to associate with various domains of QoL. Results: The Three-Dimensional model for GHQ-12 was the best-fitted model explaining the Social Function (SF), Self Confidence (SC), and Anxiety/Depression (A/D) as three correlated yet different latent dimensions of mental health. Our findings in full adjusted multivariate regression models showed that a one-SD increase in dimensions of SC and SF was associated with a 38- to 48%-SD and 27- to 38%-SD increase in the domains scores of QoL, respectively. Moreover, for each one‐SD increase in score of A/D dimension, the domains scores of QoL decreased by 29- to 40%-SD. The highest to the lowest standardized coefficients for all latent dimensions of mental health were respectively related to the psychological, physical health, social relationships, and environmental condition domains of QoL. Furthermore, SC, A/D, and SF dimensions of GHQ-12 showed the highest to the lowest degree of association with all domains of QoL. Conclusions Our findings confirm that the GHQ-12 as a multidimensional rather than unitary instrument measures distinct dimensions of mental health. Furthermore, all aspects of QoL changed when the intensity of latent dimensions of mental health increased. Moreover, the psychological domain of QoL is the most affected by all latent dimensions of mental health, followed by physical health, social relationships, and environmental condition domains. It seems that in an attempt to full recovery as assessed by improved QoL outcomes, treatment of clinical symptoms may not be sufficient. Identifying and differentiating the structures of mental health in each community as well as implementing intervention programs aimed at focusing on specific dimensions may help in the prevention of further deterioration of mental health and improved QoL in the community.

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Older People in Long-Term Care Institutions: A Case of Multidimensional Social Exclusion

International Perspectives on Aging - Social Exclusion in Later Life ◽

10.1007/978-3-030-51406-8_23 ◽

2021 ◽

pp. 297-309

Author(s):

Feliciano Villar ◽

Rodrigo Serrat ◽

Annette Bilfeldt ◽

Joe Larragy

Keyword(s):

Quality Of Life ◽

Older People ◽

Social Relationships ◽

Support Services ◽

Long Term Care ◽

Models Of Care ◽

Term Care ◽

The Impact

AbstractLiving in a long-term care (LTC) institution provides older people experiencing health and social problems with a comprehensive range of support services that address their quality of life. Despite access to such services, challenges arise in relation to their participation in key activities both within and outside the institution. This chapter examines such challenges, reviewing and describing ways to prevent exclusion along various domains, specifically social relationships, civic participation and socio-cultural life. Firstly, we discuss ways in which bio-medical models of care and the quality control systems, which are dominant in LTC services, standardise care, tending to put decisions exclusively in hands of staff, taking away residents’ autonomy, and ultimately curtailing rights and citizenship status. Secondly, we examine how LTC services might prevent such exclusion and promote older people’s participation in at least four respects: (1) prompting and supporting residents’ ability to take decisions on their own care, (2) favouring the maintenance and creation of social relationships, (3) enabling residents’ participation in the activities and management of the institution, and (4) guaranteeing residents’ rights and full access to citizenship. We discuss the impact and limitations of recent initiatives put into practice in these areas of practice.

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Quality of life evaluation of coinfected patients with HIV/tuberculosis in a hospital in northeast Brazil

Revista Brasileira de Farmácia Hospitalar e Serviços de Saúde ◽

10.30968/rbfhss.2020.112.0346 ◽

2020 ◽

Vol 11 (2) ◽

pp. 0346

Author(s):

Amanda D. SILVA ◽

Thaylany C. AMORIM ◽

Ádeny M. ARAGÃO ◽

Maria J. IBAÑEZ ◽

José A. FILHO ◽

...

Keyword(s):

Quality Of Life ◽

Social Relationships ◽

Well Being ◽

Cross Sectional Study ◽

Socioeconomic Conditions ◽

Cross Sectional ◽

Life Evaluation ◽

General Quality ◽

And Performance

Objectives: To evaluate the quality of life of patients coinfected with HIV/tuberculosis and to understand their perception of their health. Methods: A cross-sectional study was carried out in a hospital in the state of Pernambuco, Brazil. Data were collected between November 2017 and April 2018 through interviews. The WHOQOL-HIV Bref instrument was used, obtaining the total score and performance in the domains: physical, psychological, level of independence, social relationships, environment, spirituality. Sociodemographic and clinical data from the Logistic Control System of Medicines (SICLOM®) were also collected through a questionnaire. Results: Twenty-six patients were interviewed, 76.9% were male, mostly heterosexual, single, 43.1% presented an advanced state of immune system compromise. 73.1% considered their health "good" or "very good" and 69.2% did not consider themselves sick. The general quality of life, score from zero (worst quality of life) to one hundred (best quality of life) obtained an average of 69.6 ± 9.1. In the domains, the worst average was obtained at the independence level (11.1 ± 2.6) and the highest scores were in the spirituality (15.5 ± 3.8) and psychological (15.3 ± 2.2) domains. Conclusions: The low level of independence and the unfavorable socioeconomic conditions were important aspects influencing in the quality of life of the studied population. Knowledge about the most affected domains in the quality of life allows the elaboration of clinical guidelines and public assistance policies that contribute to the well-being of these patients.

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