Quality of life in physical health domains predicts adherence among myocardial infarction patients even after adjusting for depressive symptoms

Studies have shown that children and adolescents with autism and their relatives present a high level of stress and more family problems, impacting parents’ and caregivers’ quality of life (QoL). Despite studies on this subject, there is no specific questionnaire to evaluate QoL in parents or caregivers of children and adolescents with an autistic spectrum disorder (ASD) in Brazil. Therefore, this study’s primary purpose was to develop and validate a specific questionnaire to evaluate QoL in these individuals. The study was performed using the following steps: development of the ASD Parent/caregiver QoL questionnaire (autistic spectrum disorder parent/caregiver quality of life—ASDPC-QoL), subjective evaluation, validation of the questionnaire by the Delphi method, assessment of internal consistency, responsiveness, and reliability of the ASLPC-QoL, and administration of the questionnaire to 881 Brazilian ASD caregivers or parents. ASDPC-QoL comprises 28 questions divided into four domains (social, concerns, physical and mental health) with good psychometric properties (reproducibility, reliability, internal consistency, responsiveness, and validity). Our data showed that worries and physical health were the domains with the lowest scores in ASDPCA-QoL. ASDPCA-QoL did not differ among gender and age of child considering the total and all domains. Older participants (≥41 y/o) presented the best scores for social and worries domains but did not differ in other domains and the total. Parents or caregivers of ASD children diagnosed for more than three years have better mental and physical health domains than those recently diagnosed (up to 1 year) but did not differ in the total and other domains. Individuals with a partner and with the highest educational level present the best score for the social domain. Employed individuals showed better scores than unemployed ones for all domains and the total, except for worries, which did not differ. It also occurred comparing the individuals that do not use antidepressants and the ones that use them. Assessing and better understanding the QoL of caregivers is highly relevant. By understanding the social, worries, physical, and emotional health domains of caregivers, it is possible to track harmful aspects, prevent and treat pathologies, in addition to assisting in the implementation of effective public policies.

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Comparative analysis of postoperative sexual dysfunction and quality of life in type a aortic dissection patients of different ages

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-021-01468-0 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Zeng-Rong Luo ◽

Dong-Shan Liao ◽

Liang-Wan Chen

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Depressive Symptoms ◽

Sexual Dysfunction ◽

Aortic Dissection ◽

Physical Health ◽

The Elderly ◽

Type A Aortic Dissection ◽

Postoperative Sexual Dysfunction

Abstract Background To compare postoperative sexual dysfunction (SD) and quality of life (QOL) in Type A Aortic Dissection (AAD) Patients of Different Ages. Methods From January 2018 to December 2019, 204 AAD postoperative survivors in Union Hospital of Fujian Medical University were selected and were divided into young group (less than 50 years old) and elderly group (more than 50 years old). We evaluated SD according to the male International Erectile Dysfunction Index (IIEF-5) and female sexual function index (FSFI). The Short Form 12 Health Survey Questionnaire (SF-12) and Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) were used to investigate the QOL, Quick Inventory Depressive Symptomatology-Self Report (QIDS-SR) and the Beck Depression Inventory-II (BDI-II) to investigate depressive symptoms. Results One hundred seventy-five patients completed all the questionnaire (85.8%). The total SD prevalence rate was 38.9% (68 cases), with 27.4% of the young (20 cases) and 47.1% of the elderly (48 cases). The age of non-SD and SD patients was 49.0 ± 11.5 and 56.9 ± 10.8 years, respectively (P = 0.03). Compared with non-SD patients, the total physical health of SD patients was significantly worse (P = 0.04), however, the mental health was not significantly worse (P = 0.77); the depressive symptoms did not expressed a significant difference between the SD and non-SD groups (QIDS-SR P = 0.15, BDI-II P = 0.06). Total physical health scores in the young SD group did not show significant better than elderly SD group (P = 0.24), however, total mental health scores showed significantly worse (P = 0.04), depressive symptoms scores were significantly higher (QIDS-SR P = 0.03, BDI-II P = 0.04). Conclusion The postoperative AAD SD prevalence of elderly is higher than that of young, and the total physical health of SD patients is poorer than those without SD patients. The young SD patients did not show a significant higher physical health scores than the elderly SD patients, instead, the young SD patients were more psychologically affected than the elderly SD patients, whose mental health was worse, and depression symptoms were more obvious, suggesting that the factors affecting the QOL of postoperative SD patients are related to physical factors, but the young postoperative SD patients mainly affected by psychological factors.

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Depression and Quality of Life in Older Gay and Bisexual Men in Spain and Portugal

The International Journal of Aging and Human Development ◽

10.1177/0091415019864600 ◽

2019 ◽

Vol 91 (2) ◽

pp. 198-213

Author(s):

Henrique Pereira ◽

Brian de Vries ◽

Juan Pedro Serrano ◽

Rosa Marina Afonso ◽

Graça Esgalhado ◽

...

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Physical Health ◽

Gay Men ◽

Social Relationships ◽

Gay And Bisexual Men ◽

World Health ◽

Bisexual Men ◽

And Bisexual

The purpose of this study was to assess levels of depressive symptoms and quality of life in older gay and bisexual older Spanish and Portuguese men and explore associations between these two samples and these variables. Using online surveys, 191 older gay and bisexual men from Spain and Portugal (mean age = 70 years) completed the Spanish and Portuguese versions of the Center for Epidemiologic Studies—Depression Scale and World Health Organization Instrument to Assess Quality of Life. Overall, moderate levels of depression and quality of life were found. Gay men and Spanish men report higher levels of depressive symptoms than bisexual and Portuguese men. Gay men score higher on physical health dimensions; bisexual men score higher on the social relationships dimension. Lower levels of physical health, psychological symptoms, and social relationships were significant predictors of depressive symptoms. These exploratory findings offer both similarities and differences between the samples from the two countries—and with U.S. data—and further evidence of the pervasive experience of depression in the lives of sexual minority older men with a renewed awareness of myriad contexts within which individuals age.

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Late-onset Pompe disease primarily affects quality of life in physical health domains

Neurology ◽

10.1212/01.wnl.0000142597.69707.78 ◽

2004 ◽

Vol 63 (9) ◽

pp. 1688-1692 ◽

Cited By ~ 68

Author(s):

M. L.C. Hagemans ◽

A. C.J.W. Janssens ◽

L. P.F. Winkel ◽

K. A. Sieradzan ◽

A. J.J. Reuser ◽

...

Keyword(s):

Quality Of Life ◽

Physical Health ◽

Pompe Disease ◽

Late Onset ◽

Health Domains

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Comparative Analysis of Postoperative Sexual Dysfunction and Quality of Life in Type A Aortic Dissection Patients of Different Ages

10.21203/rs.3.rs-68396/v1 ◽

2020 ◽

Author(s):

Zeng-Rong Luo ◽

Dong-Shan Liao ◽

Liang-Wan Chen

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Depressive Symptoms ◽

Sexual Dysfunction ◽

Aortic Dissection ◽

Physical Health ◽

The Elderly ◽

Type A Aortic Dissection ◽

Postoperative Sexual Dysfunction

Abstract Background: To compare postoperative sexual dysfunction (SD) and quality of life (QOL) in Type A Aortic Dissection (AAD) Patients of Different Ages. Methods: From January 2018 to December 2019, 204 AAD postoperative survivors in Union Hospital of Fujian Medical University were selected and were divided into youth group (less than 50 years old) and elderly group (more than 50 years old). We evaluated SD according to the male International Erectile Dysfunction Index (IIEF-5) and female sexual function index (FSFI) . The Short Form 12 Health Survey Questionnaire (SF-12) and Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) were used to investigate the QOL, Quick Inventory Depressive Symptomatology-Self Report (QIDS-SR) and the Beck Depression Inventory-II (BDI-II) to investigate depressive symptoms. Results: 175 patients completed all the questionnaire (85.8%). The total SD prevalence rate was 38.9% (68 cases), with 27.4% of the youth (20 cases) and 47.1% of the elderly (48 cases). The age of non-SD and SD patients was 49.0±11.5 and 56.9±10.8 years, respectively (P=0.03). Compared with non-SD patients, the total physical health of SD patients was significantly worse (P=0.04), however, the mental health was not significantly worse (P=0.77); the depressive symptoms did not expressed a significant difference between the SD and non-SD groups (QIDS-SR P=0.15, BDI-Ⅱ P=0.06) . Total physical health in the youth SD group did not show significant better (P = 0.24), however, total mental health showed significantly worse (P=0.04), depressive symptoms scores were significantly higher (QIDS-SR P=0.03, BDI-Ⅱ P=0.04). Conclusion: The postoperative AAD SD prevalence of elderly is higher than that of youth, and the total physical health of SD patients is poorer than those without SD patients. The youth SD patients did not show a significant higher scores than the elderly SD patients, instead, the youth SD patients were more psychologically affected than the elderly SD patients, whose mental health was worse, and depression symptoms were more obvious, suggesting that the factors affecting the QOL of postoperative SD patients are related to physical factors, but the youth postoperative SD patients mainly affected by psychological factors.

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Anxiety and depressive symptoms and illness perceptions in psoriatic arthritis and associations with physical health-related quality of life

Arthritis Care & Research ◽

10.1002/acr.21725 ◽

2012 ◽

Vol 64 (10) ◽

pp. 1593-1601 ◽

Cited By ~ 71

Author(s):

Konstantinos Kotsis ◽

Paraskevi V. Voulgari ◽

Niki Tsifetaki ◽

Myrela O. Machado ◽

André F. Carvalho ◽

...

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Psoriatic Arthritis ◽

Physical Health ◽

Illness Perceptions ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Comparative Analysis of Postoperative Sexual Dysfunction and Quality of Life in Type A Aortic Dissection Patients of Different Ages

10.21203/rs.3.rs-56025/v1 ◽

2020 ◽

Author(s):

Zeng-Rong Luo ◽

Liang-Wan Chen ◽

Dong-Shan Liao

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Depressive Symptoms ◽

Sexual Dysfunction ◽

Aortic Dissection ◽

Physical Health ◽

The Elderly ◽

Type A Aortic Dissection ◽

Postoperative Sexual Dysfunction

Abstract Background: To compare postoperative sexual dysfunction (SD) and quality of life (QOL) in Type A Aortic Dissection (AAD) Patients of Different Ages. Methods: From January 2018 to December 2019, 204 AAD postoperative survivors in Union Hospital of Fujian Medical University were selected and were divided into youth group (less than 50 years old) and elderly group (more than 50 years old). We evaluated SD according to the male International Erectile Dysfunction Index (IIEF-5) and female sexual function index (FSFI) . The Short Form 12 Health Survey Questionnaire (SF-12) and Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) were used to investigate the QOL, Quick Inventory Depressive Symptomatology-Self Report (QIDS-SR) and the Beck Depression Inventory-II (BDI-II) to investigate depressive symptoms. Results: 175 patients completed all the questionnaire (85.8%). The total SD prevalence rate was 38.9% (68 cases), with 27.4% of the youth (20 cases) and 47.1% of the elderly (48 cases). The age of non-SD and SD patients was 49.0±11.5 and 56.9±10.8 years, respectively (P=0.03). Compared with non-SD patients, the total physical health of SD patients was significantly worse (P=0.04), however, the mental health was not significantly worse (P=0.77); the depressive symptoms did not expressed a significant difference between the SD and non-SD groups (QIDS-SR P=0.15, BDI-Ⅱ P=0.06) . Total physical health in the youth SD group did not show significant better (P = 0.24), however, total mental health showed significantly worse (P=0.04), depressive symptoms scores were significantly higher (QIDS-SR P=0.03, BDI-Ⅱ P=0.04). Conclusion: The postoperative AAD SD prevalence of elderly is higher than that of youth, and the total physical health of SD patients is poorer than those without SD patients. The youth SD patients did not show a significant higher scores than the elderly SD patients, instead, the youth SD patients were more psychologically affected than the elderly SD patients, whose mental health was worse, and depression symptoms were more obvious, suggesting that the factors affecting the QOL of postoperative SD patients are related to physical factors, but the youth postoperative SD patients mainly affected by psychological factors.

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Self-Reported Physical and Mental Health of Copd and Nsclc Caregivers: Relevance for Palliative Care Implementation in Serbia

10.21203/rs.3.rs-563449/v1 ◽

2021 ◽

Author(s):

Dragana Maric ◽

Dragana Jovanovic ◽

Ljudmila Nagorni Obradovic ◽

Tatjana Adzić Vukicevic ◽

Spasoje Popevic ◽

...

Keyword(s):

Quality Of Life ◽

Palliative Care ◽

Depressive Symptoms ◽

Physical Health ◽

Short Form ◽

Study Participant ◽

Sf 36 ◽

Significant Difference ◽

The Impact

Abstract The purpose: In context of forthcoming implementation of palliative care in Serbia we aimed to evaluate and compare the quality of life (QoL) and depressive symptoms level of chronic obstructive pulmonary disease (COPD) and non-small cell lung cancer (NSCLC) caregivers and to analyze the impact of demographic and socioeconomic factors as well as the correlation of patients' quality of life with the quality of life of caregivers.Methods: A cross-sectional survey of 200 caregivers and the patients they care for was undertaken in a three-year period. The Medical Outcomes 36-item Short Form Health Survey (SF-36) (Serbian version) was used to measure caregivers and patient’s health-related quality of life and Standard 21-item Beck Depression Inventory (BDI) was given to each study participant (patient and caregiver) in order to explore feelings and attitudes relating to general depressive status. Data were analyzed using appropriate statistical methods.Results of our study did not show a significant difference in most QoL domains and depressive symptoms of the two caregiver groups, but it did show a difference in the domain of general health (GH) and physical health (PHC) measured by the SF-36 (p=0.003 and p=0,038, respectively) in COPD caregivers. Conclusion: Particularly vulnerable caregiver group, the one that cared for patients with COPD, perceived their own general and physical health significantly worse compared to NSCLC caregivers. More depressed caregivers and those with a longer duration of unemployment (regardless of the disease type) reported poorer quality of life and represented a groups with greater support needs.

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Network analysis of the relationship between depressive symptoms, demographics, nutrition, quality of life and medical condition factors in the Osteoarthritis Initiative database cohort of elderly North-American adults with or at risk for osteoarthritis

Epidemiology and Psychiatric Sciences ◽

10.1017/s204579601800077x ◽

2019 ◽

Vol 29 ◽

Cited By ~ 2

Author(s):

Marco Solmi ◽

Ai Koyanagi ◽

Trevor Thompson ◽

Michele Fornaro ◽

Christoph U Correll ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Depressive Symptoms ◽

Network Analysis ◽

Physical Health ◽

Life Style ◽

Health Related Qol ◽

Health Related ◽

Osteoarthritis Initiative

Abstract Aims A complex interaction exists between age, body mass index, medical conditions, polypharmacotherapy, smoking, alcohol use, education, nutrition, depressive symptoms, functioning and quality of life (QoL). We aimed to examine the inter-relationships among these variables, test whether depressive symptomology plays a central role in a large sample of adults, and determine the degree of association with life-style and health variables. Methods Regularised network analysis was applied to 3532 North-American adults aged ⩾45 years drawn from the Osteoarthritis Initiative. Network stability (autocorrelation after case-dropping), centrality of nodes (strength, M, the sum of weight of the connections for each node), and edges/regularised partial correlations connecting the nodes were assessed. Results Physical and mental health-related QoL (M = 1.681; M = 1.342), income (M = 1.891), age (M = 1.416), depressive symptoms (M = 1.214) and education (M = 1.173) were central nodes. Depressive symptoms’ stronger negative connections were found with mental health-related QoL (−0.702), income (−0.090), education (−0.068) and physical health-related QoL (−0.354). This latter was a ‘bridge node’ that connected depressive symptoms with Charlson comorbidity index, and number of medications. Physical activity and Mediterranean diet adherence were associated with income and physical health-related QoL. This latter was a ‘bridge node’ between the former two and depressive symptoms. The network was stable (stability coefficient = 0.75, i.e. highest possible value) for all centrality measures. Conclusions A stable network exists between life-style behaviors and social, environmental, medical and psychiatric variables. QoL, income, age and depressive symptoms were central in the multidimensional network. Physical health-related QoL seems to be a ‘bridge node’ connecting depressive symptoms with several life-style and health variables. Further studies should assess such interactions in the general population.

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