Combined impact of ADHD and insomnia symptoms on quality of life, productivity, and health care use in the general population

2020 ◽  
pp. 1-12 ◽  
Author(s):  
Emma van Andel ◽  
Margreet ten Have ◽  
Denise Bijlenga ◽  
Aartjan T. F. Beekman ◽  
Ron de Graaf ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
General Population ◽  
Sleep Problems ◽  
Productivity Loss ◽  
Health Care Use ◽  
Mental Functioning ◽  
Wide Range ◽  
Insomnia Symptoms

Abstract Background Both attention-deficit/hyperactivity disorder (ADHD) and insomnia have been independently related to poorer quality of life (QoL), productivity loss, and increased health care use, although most previous studies did not take the many possible comorbidities into account. Moreover, ADHD and insomnia often co-occur. Symptoms of ADHD and insomnia together may have even stronger negative effects than they do separately. We investigated the combined effects of symptoms of ADHD and insomnia, in addition to their independent effects, on QoL, productivity, and health care use, thereby controlling for a wide range of possible comorbidities and confounders. Methods Data from the third wave of the Netherlands Mental Health Survey and Incidence Study-2 were used, involving N = 4618 from the general population. Both the inattention and the hyperactivity ADHD symptom dimensions were studied, assessed by the ASRS Screener. Results Mental functioning and productivity were negatively associated with the co-occurrence of ADHD and insomnia symptoms, even after adjusting for comorbidity and confounders. The results show no indication of differences between inattention and hyperactivity. Poorer physical functioning and health care use were not directly influenced by the interaction between ADHD and insomnia. Conclusions People with both ADHD and sleep problems have increased risk for poorer mental functioning and productivity loss. These results underscore the importance of screening for sleep problems when ADHD symptoms are present, and vice versa, and to target both disorders during treatment.

scholarly journals Pain location matters: the impact of leg pain on health care use, work disability and quality of life in patients with low back pain

2014 ◽  
Vol 24 (3) ◽  
pp. 444-451 ◽  
Author(s):  
Samantha L. Hider ◽  
David G. T. Whitehurst ◽  
Elaine Thomas ◽  
Nadine E. Foster
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Low Back Pain ◽  
Work Disability ◽  
Health Care Use ◽  
Leg Pain ◽  
Low Back ◽  
Pain Location ◽  
The Impact

Dedicated Severe Asthma Services Improve Health-care Use and Quality of Life

CHEST Journal ◽  
2015 ◽  
Vol 148 (4) ◽  
pp. 870-876 ◽  
Author(s):  
David Gibeon ◽  
Liam G. Heaney ◽  
Chris E. Brightling ◽  
Rob Niven ◽  
Adel H. Mansur ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Severe Asthma ◽  
Health Care Use ◽  
Improve Health Care ◽  
Improve Health

The Costs of Obesity

AAOHN Journal ◽  
2007 ◽  
Vol 55 (7) ◽  
pp. 265-270 ◽  
Author(s):  
Debra L. Thompson
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Wellness Programs ◽  
Health Care Use ◽  
Financial Impact ◽  
Healthy Lifestyles ◽  
Obesity Epidemic ◽  
Workplace Productivity ◽  
Care Costs

Each year millions of Americans struggle with obesity and health problems related to it. Despite the focus on health promotion and healthy lifestyles, the obesity epidemic is worsening. Disability, decreased quality of life, greater health care use, decreased workplace productivity, and increased absenteeism may be associated with obesity, leading to higher costs to businesses and society. The financial impact on businesses, especially health care costs to treat obese employees, is staggering. This is a burden for businesses trying to control expenses. Occupational health nurses are key to developing effective wellness programs for employers.

scholarly journals A Web-Based eHealth Intervention to Improve the Quality of Life of Older Adults With Multiple Chronic Conditions: Protocol for a Randomized Controlled Trial

10.2196/25175 ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. e25175
Author(s):  
David H Gustafson Sr ◽  
Marie-Louise Mares ◽  
Darcie C Johnston ◽  
Jane E Mahoney ◽  
Randall T Brown ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Primary Care ◽  
Health Care ◽  
Chronic Conditions ◽  
Health Care Use ◽  
Multiple Chronic Conditions ◽  
Secondary Outcomes ◽  
Ehealth Intervention

Background Multiple chronic conditions (MCCs) are common among older adults and expensive to manage. Two-thirds of Medicare beneficiaries have multiple conditions (eg, diabetes and osteoarthritis) and account for more than 90% of Medicare spending. Patients with MCCs also experience lower quality of life and worse medical and psychiatric outcomes than patients without MCCs. In primary care settings, where MCCs are generally treated, care often focuses on laboratory results and medication management, and not quality of life, due in part to time constraints. eHealth systems, which have been shown to improve multiple outcomes, may be able to fill the gap, supplementing primary care and improving these patients’ lives. Objective This study aims to assess the effects of ElderTree (ET), an eHealth intervention for older adults with MCCs, on quality of life and related measures. Methods In this unblinded study, 346 adults aged 65 years and older with at least 3 of 5 targeted high-risk chronic conditions (hypertension, hyperlipidemia, diabetes, osteoarthritis, and BMI ≥30 kg/m2) were recruited from primary care clinics and randomized in a ratio of 1:1 to one of 2 conditions: usual care (UC) plus laptop computer, internet service, and ET or a control consisting of UC plus laptop and internet but no ET. Patients with ET have access for 12 months and will be followed up for an additional 6 months, for a total of 18 months. The primary outcomes of this study are the differences between the 2 groups with regard to measures of quality of life, psychological well-being, and loneliness. The secondary outcomes are between-group differences in laboratory scores, falls, symptom distress, medication adherence, and crisis and long-term health care use. We will also examine the mediators and moderators of the effects of ET. At baseline and months 6, 12, and 18, patients complete written surveys comprising validated scales selected for good psychometric properties with similar populations; laboratory data are collected from eHealth records; health care use and chronic conditions are collected from health records and patient surveys; and ET use data are collected continuously in system logs. We will use general linear models and linear mixed models to evaluate primary and secondary outcomes over time, with treatment condition as a between-subjects factor. Separate analyses will be conducted for outcomes that are noncontinuous or not correlated with other outcomes. Results Recruitment was conducted from January 2018 to December 2019, and 346 participants were recruited. The intervention period will end in June 2021. Conclusions With self-management and motivational strategies, health tracking, educational tools, and peer community and support, ET may help improve outcomes for patients coping with ongoing, complex MCCs. In addition, it may relieve some stress on the primary care system, with potential cost implications. Trial Registration ClinicalTrials.gov NCT03387735; https://www.clinicaltrials.gov/ct2/show/NCT03387735. International Registered Report Identifier (IRRID) DERR1-10.2196/25175

scholarly journals Effect of Collaborative Dementia Care via Telephone and Internet on Quality of Life, Caregiver Well-being, and Health Care Use

2019 ◽  
Vol 179 (12) ◽  
pp. 1658 ◽  
Author(s):  
Katherine L. Possin ◽  
Jennifer J. Merrilees ◽  
Sarah Dulaney ◽  
Stephen J. Bonasera ◽  
Winston Chiong ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Well Being ◽  
Dementia Care ◽  
Health Care Use

scholarly journals Health-related quality of life and health care use in cancer survivors compared with patients with chronic diseases

Cancer ◽  
2016 ◽  
Vol 122 (6) ◽  
pp. 962-970 ◽  
Author(s):  
Marianne J. Heins ◽  
Joke C. Korevaar ◽  
Petra E.P.C. Hopman ◽  
Gé A. Donker ◽  
François G. Schellevis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Cancer Survivors ◽  
Chronic Diseases ◽  
Health Care Use ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Investigation of the Impact of Myelodysplasia (MDS) From the Patients' Perspective

Blood ◽  
2011 ◽  
Vol 118 (21) ◽  
pp. 5049-5049 ◽  
Author(s):  
Stephen P McKenna ◽  
James Twiss ◽  
Jeanette N Wilburn ◽  
Sigrid Rebecca Crawford ◽  
Kevin Loth ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Research Funding ◽  
Sleep Problems ◽  
World Health ◽  
Activity Limitations ◽  
Wide Range ◽  
Fundamental Needs ◽  
The Impact ◽  
Patients Perspective

Abstract Abstract 5049 Introduction: Little research is currently available on the impact of MDS from the patients' perspective. Where research has been conducted it has predominantly used generic cancer outcome measures. Such measures do not provide an accurate assessment of MDS patients as they miss important aspects of the condition. A qualitative study was conducted with MDS patients to investigate how their lives are affected by the condition. Methods: Qualitative, unstructured interviews were conducted with patients. Verbatim transcripts of the interviews were analysed thematically to assess the impact of MDS in terms of symptoms experienced, activity limitations and quality of life (QoL). Emergent themes were identified, clustered and harmonised. Investigation of issues related to impairments and activity limitations were guided by the World Health Organizations (WHO) classification of outcomes related to health and injury. Investigation of QoL issues was guided by the needs-based model of QoL (Hunt SM, McKenna SP. The QLDS: A scale for the measurement of quality of life in depression. (1992). Health Policy 22; 307–319). This model identifies several core fundamental needs that are important to an individual's QoL and adjustment to society. Illness affects QoL by preventing the satisfaction of these needs. Results: The sample included 30 participants (male 17 (56.7%); mean (SD) age 65.5 (11.3) years with low to intermediate-1 risk MDS. Illness information for the sample is shown in Table 1. The analyses identified several symptoms. The most frequently reported symptoms were; fatigue (97%), breathlessness (60%), increased infections (60%), sleep problems (53%), cognitive problems (50%), temperature fluctuations (47%), increased bruising (40%) and bleeding (10%), pain (30%), depression (23%) and anxiety (10%). Several common functions were affected by MDS, including; standing, walking, bending, lifting, carrying and rising from sitting. Various more complex functions were also affected such as the ability to socialise, shop and do jobs around the house. A total 33 QoL issues were identified. Nine fundamental needs were affected by MDS; subsistence, safety and security, affection, understanding, participation, leisure, self-actualisation, identity and independence. Conclusions: The study was successful in developing outcome models describing how MDS affects symptoms, activity limitations and QoL. Many symptoms were experienced including several in addition to those directly associated with anaemia. Functioning was also frequently affected. A wide range of QoL issues were identified with several fundamental needs impaired to some extent. Following this study a large bank of potential items has been created that will aid the development of MDS-specific outcome scales assessing symptoms, activity limitations and QoL. Disclosures: McKenna: Celgene Ltd: Consultancy, Research Funding. Twiss:Celgege Ltd: Consultancy, Research Funding. Wilburn:Celegene Ltd: Consultancy, Research Funding. Crawford:Celegene: Consultancy, Research Funding. Loth:Celgene Ltd: Employment.

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