Quality of life in individuals with attenuated psychotic symptoms: Possible role of anxiety, depressive symptoms, and socio-cognitive impairments

Objective The purpose of this study was to determine how burden and quality of life predict anxiety and depressive symptoms among caregivers of hemodialysis patients. Social support was included in the model as a proposed moderator in the above relationships. Methods This cross-sectional study involved 340 caregivers of chronic kidney patients undergoing hemodialysis. The setting was in Terengganu, Malaysia. The caregivers completed the measures of caregiving burden, quality of life, social support, and symptoms of anxiety and depression. Results About 28.8% and 52.4% of caregivers showed clinically moderate levels of anxiety and depressive symptoms, respectively. Furthermore, 35.9% and 3.8% of them showed clinically high levels of anxiety and depressive symptoms, respectively. Analyses showed that general quality of life was a significant predictor of both anxiety and depressive symptoms. Burden and psychological domains of quality of life significantly predicted anxiety. In addition, a lack of social support was a determinant of depressive symptoms. Evidence suggested that social support moderated the burden–anxiety relationship. Specifically, caregivers with low levels of social support showed more elevated levels of anxiety symptoms when their burden was higher. Conclusion There is an urgent need for early detection to initiate prompt treatment in this population. The study provides some important insights into offering comprehensive intervention to help caregivers cope more effectively through the provision of sufficient social support to buffer the effects of caregiving burden and improve mental health.

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Depressive symptoms and quality of life in people with a diagnosis of schizophrenia: An exploratory study of the potential mediating role of health‐promoting lifestyles

Perspectives In Psychiatric Care ◽

10.1111/ppc.12516 ◽

2020 ◽

Vol 56 (4) ◽

pp. 939-948

Author(s):

Chia‐Chi Chang ◽

Jason W. Beckstead ◽

Su‐Chen Lo ◽

Chiu‐Yueh Yang

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Exploratory Study ◽

Mediating Role ◽

Health Promoting

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[P1-630]: THE IMPACT OF PAIN ON QUALITY OF LIFE AND THE MEDIATING ROLE OF ACTIVITIES OF DAILY LIVING AND DEPRESSIVE SYMPTOMS IN SEVERE DEMENTIA

Alzheimer s & Dementia ◽

10.1016/j.jalz.2017.06.646 ◽

2017 ◽

Vol 13 (7S_Part_10) ◽

pp. P540-P540

Author(s):

Hanne Marie Rostad ◽

Martine Puts ◽

Milada Cvancarova Småstuen ◽

Inger Utne ◽

Ellen Karine Grov ◽

...

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Activities Of Daily Living ◽

Daily Living ◽

Severe Dementia ◽

Mediating Role ◽

The Impact

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Water-Based Exercise and Quality of Life in Women: The Role of Depressive Symptoms

Women & Health ◽

10.1080/03630242.2013.870634 ◽

2014 ◽

Vol 54 (2) ◽

pp. 161-175 ◽

Cited By ~ 15

Author(s):

Felipe Barreto Schuch ◽

Stephanie Santana Pinto ◽

Natália Carvalho Bagatini ◽

Paula Zaffari ◽

Cristine Lima Alberton ◽

...

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Water Based

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Untreated Depressive Symptoms Significantly Worsen Quality of Life of the Elderly and may Lead to the Misdiagnosis of Dementia: A Cross-Sectional Study

10.21203/rs.3.rs-32991/v1 ◽

2020 ◽

Author(s):

Viktor Voros ◽

Sandor Fekete ◽

Tamas Tenyi ◽

Zoltan Rihmer ◽

Ilona Szili ◽

...

Keyword(s):

Quality Of Life ◽

Cognitive Impairment ◽

Depressive Symptoms ◽

Depressive Disorders ◽

Early Recognition ◽

The Elderly ◽

Screening Tools ◽

Adequate Treatment

Abstract Background: Several studies demonstrated the role of depressive mood and cognitive impairment in the background of elevated mortality and decreased Quality of Life (QoL) of the elderly.Methods: In the framework of the ICT4Life project self-administered questionnaires and clinical screening tools were used to assess QoL, depressive symptoms and cognitive functions of 60 elderly over the age of 65.Results: Males found to be depressed and cognitively declined more frequently; and had higher scores on the depression and lower on the QoL scales. Depressed elderly had lower cognitive levels and their QoL was significantly poorer than that of the non-depressed subjects. Depressive disorders were detected in a quarter of the elderly, and the majority of them did not receive adequate antidepressant medication.Conclusions: Close correlation between depression and cognitive impairment was confirmed, as well as the key role of depression in the background of QoL decline. Results also highlighted the problems of recognition and adequate treatment of depression and cognitive decline in elderly, which can be further complicated by the common symptoms of depressive pseudo-dementia. Early recognition of depressive symptoms is important not only to treat the underlying mood disorder, but also to improve QoL of the elderly.

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Relations between Stress and Quality of Life among Women in Late Pregnancy: The Parallel Mediating Role of Depressive Symptoms and Sleep Quality

Psychiatry Investigation ◽

10.30773/pi.2019.02.14 ◽

2019 ◽

Vol 16 (5) ◽

pp. 363-369 ◽

Cited By ~ 1

Author(s):

Han Zhang ◽

Qi Zhang ◽

Tingting Gao ◽

Yixi Kong ◽

Zeying Qin ◽

...

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Sleep Quality ◽

Late Pregnancy ◽

Mediating Role

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Abstract WP463: Moderator Role of Preparedness on the Association Between Depression and Quality of Life in Stroke Survivor-Caregiver Dyads

Stroke ◽

10.1161/str.51.suppl_1.wp463 ◽

2020 ◽

Vol 51 (Suppl_1) ◽

Author(s):

Gianluca Pucciarelli ◽

Karen S Lyons ◽

Silvio Simeone ◽

Rosaria Alvaro ◽

Christopher S Lee ◽

...

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Hierarchical Linear Modeling ◽

Longitudinal Design ◽

Stroke Survivor ◽

Linear Modeling ◽

Rehabilitation Period ◽

Over Time

Background: Although several studies have clearly shown that depressive symptoms in stroke survivors and caregivers decreases their quality of life (QOL), previous research has not yet analyzed the role of potential moderators in the relationship between the above two variables. Aims: To examine the moderating effect of caregiver preparedness between depressive symptoms and QOL in stroke survivor and caregiver dyads. Methods: Longitudinal design with 222 stroke survivor-caregiver dyads enrolled at survivor discharge from rehabilitation hospitals. Data collection was performed over 12 months. We measured survivor and caregiver QOL dimensions (physical, psychological, social and environmental), depression and preparedness. Hierarchical Linear Modeling was used to test four longitudinal dyadic moderation models (one for each QOL domain). Results: Survivors (50% males) and caregivers (65% females) were 70.8 (SD=11.9) and 52.5 (SD=13.1) years old, respectively. Controlling for baseline covariates, caregiver preparedness significantly moderated the association between survivor depressive symptoms and survivor psychological (B = 0.56, p < .01) and environmental (B = 0.58, p < .01) QOL at baseline and social QOL over time (B = 0.24, p < .05). In each case, higher levels of caregiver preparedness were protective and buffered the influence of survivor depressive symptoms on survivor QOL. Similarly, caregiver preparedness significantly moderated the association between caregiver depressive symptoms and caregiver physical (B = 0.25, p < .01) and environmental (B = 0.18, p < .05) QOL over time. Conclusions: Caregiver preparedness is a positive variable for both members of the dyad and the paper highlights the importance of implementing tailored intervention which could improve caregivers’ preparedness already during the rehabilitation period.

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