scholarly journals Progressive decline of decision-making performances during multiple sclerosis

2009 ◽  
Vol 15 (2) ◽  
pp. 291-295 ◽  
Author(s):  
SAMANTA SIMIONI ◽  
CHRISTIANE RUFFIEUX ◽  
JOERG KLEEBERG ◽  
LAURE BRUGGIMANN ◽  
RENAUD A. DU PASQUIER ◽  
...  

AbstractThe purpose of this study was to evaluate longitudinally, using the Iowa Gambling Task (IGT), the dynamics of decision-making capacity at a two-year interval (median: 2.1 years) in a group of patients with multiple sclerosis (MS) (n = 70) and minor neurological disability [Expanded Disability Status Scale (EDSS) ≤ 2.5 at baseline]. Cognition (memory, executive functions, attention), behavior, handicap, and perceived health status were also investigated. Standardized change scores [(score at retest-score at baseline)/standard deviation of baseline score] were computed. Results showed that IGT performances decreased from baseline to retest (from 0.3, SD = 0.4 to 0.1, SD = 0.3, p = .005). MS patients who worsened in the IGT were more likely to show a decreased perceived health status and emotional well-being (SEP-59; p = .05 for both). Relapsing rate, disability progression, cognitive, and behavioral changes were not associated with decreased IGT performances. In conclusion, decline in decision making can appear as an isolated deficit in MS. (JINS, 2009, 15, 291–295.)

2018 ◽  
Vol 15 (2) ◽  
Author(s):  
Dr Bamgboye M Afolabi ◽  
Prof Emmanuel N Ezedinachi ◽  
Dr Iwara Arikpo ◽  
Prof Bassey Igri Okon ◽  
Prof Martin Meremikwu ◽  
...  

2009 ◽  
Vol 54 (8) ◽  
pp. 526-533 ◽  
Author(s):  
Norbert Schmitz ◽  
Alain Lesage ◽  
JianLi Wang

Objective: Psychological distress questionnaires are often used as screening instruments for mental disorders in clinical and epidemiologic settings. Poor physical health may affect the screening properties of a questionnaire. We evaluate the effect of self-perceived health status on the screening performance of the Kessler K10 and K6 scales in a community sample. Methods: We used data from the Canadian Community Health Survey: Mental Health and Well-Being (CCHS 1.2). Psychological distress was measured by the 6–item (K6) and the 10–item (K10) Kessler instrument. Depression and anxiety disorders were assessed using the World Mental Health Composite International Diagnostic Interview (1–month estimates). Optimal cut-off points regarding health status were determined by finding the K6 and K10 values that allowed for the best balance between sensitivity and specificity. Stratum-specific likelihood ratios (SSLRs) were computed to define strata with discriminating power. Results: There was a strong association between the screening performance of the K6 and K10 scales and self-perceived health status: for the K10 scale, a cut-off point of 5/6 yielded the best balance between sensitivity and specificity for subjects with excellent or very good health status, while a cut-off point of 14/15 yielded the best balance between sensitivity and specificity for subjects with poor health status. Conclusions: The combination of the K6 and K10 scales, with a self-rated health status item, may improve screening properties of the 2 scales.


2009 ◽  
Vol 23 (3) ◽  
pp. 529-538 ◽  
Author(s):  
Martina Krokavcova ◽  
Jitse P. van Dijk ◽  
Iveta Nagyova ◽  
Jaroslav Rosenberger ◽  
Miriam Gavelova ◽  
...  

2008 ◽  
Vol 73 (1) ◽  
pp. 159-165 ◽  
Author(s):  
Martina Krokavcova ◽  
Jitse P. van Dijk ◽  
Iveta Nagyova ◽  
Jaroslav Rosenberger ◽  
Miriam Gavelova ◽  
...  

Author(s):  
Minkyung Gu ◽  
Ran Kim ◽  
Hyunjung Lee ◽  
Sohyune Sok

The frequency of earthquakes in South Korea is increasing. This study aimed to examine and identify the factors influencing the degree of disaster-incident-related impacts among Korean nursing students who have actual disaster experience. The study sample consisted of 153 nursing students living around the Phohang-si area in Gyeongsang-do, South Korea, and who have actual disaster-incident-related experience. Measures used in this study were the Impact of Event Scale, Perceived Health Status Scale, Psychological Well-Being Scale, and Coping Strategy Indicator (Korean version). The data collection period was from October to December 2018. Factors that influence disaster-incident-related impacts among Korean nursing students in descending order are as follows: perceived health status (β = 0.48), gender (β = −0.28), coping skill (β = 0.18), psychological well-being (β = 0.14), need for disaster education (β = 0.12), and major satisfaction (β = −0.12). This study provides preliminary evidence that perceived health status is a major and primary predictor of disaster-incident-related impacts among Korean nursing students, followed by coping skill and psychological well-being. The findings can be reflected in a pertinent curriculum by actively considering these factors in designing nursing education interventions for managing disaster-incident-related impacts among Korean nursing students.


2013 ◽  
Vol 2013 ◽  
pp. 1-9
Author(s):  
Subrata K. Roy ◽  
Sujata Kar Chakraborty ◽  
Arupendra Mozumdar

There is scarcity of health information in many subpopulations in India, which needs to be explored for formulating effective public health policy. Studies on the tea garden population revealed that poor socioeconomic conditions, ignorance due to illiteracy, culture and food habit, overcrowding, and unhygienic living conditions make the population vulnerable to various communicable and noncommunicable diseases and malnutrition. Data were collected from the labourers of Birpara and Dalgaon tea gardens of Jalpaiguri district, West Bengal. The objective was to identify the primary health care available vis-à-vis the health problems. The results were based on mortality data, subjective well-being, frequency of ailment symptoms, perceived health status, and selected health practices as well as some observations, which indicate their cognition and threshold regarding health problems, presented as case studies. Mortality rates were high in the population; comparative mortality data shows no considerable change in mortality rate over time and space. A very high frequency of anaemia was prevalent among females along with sore throat and abdominal pain. Perceived health status of most of the people was good, although that was not always true, because the perception of the people often depends on their threshold and cognition about health and disease.


2012 ◽  
Vol 35 (1) ◽  
pp. 40-47 ◽  
Author(s):  
Martina Krokavcova ◽  
Iveta Nagyova ◽  
Jaroslav Rosenberger ◽  
Miriam Gavelova ◽  
Berrie Middel ◽  
...  

2021 ◽  
Author(s):  
Elaine Valias Sodré Pereira ◽  
Carolina Pessoni Garcia ◽  
Maria José D’Elboux

INTRODUCTION: Assessing quality of life in older adults is relevant due to the significant increase in this population. Based on Maslow’s need hierarchy model, CASP-19 is a broad measure of quality of life that focuses on positive aspects of older adults’ lives, regardless of health conditions or other factors. OBJECTIVE: To compare sociodemographic and health variables with quality of life according to CASP-19 scores. METHODOLOGY: Using data from the Frailty in Brazilian Older People (FIBRA 80+) follow-up study, this study included 233 adults aged ≥ 80 years who resided near the University of Campinas (Campinas, SP, Brazil). Sociodemographic variables (gender, age, and perceived social support), health variables (perceived health status and depressive symptoms) and quality of life were evaluated. RESULTS: The participants were predominantly women (69.09%) with a mean age of 83.46 ± 3.7 years. A total of 77.25% rated their health as fair or good, and 79% showed no signs of depression. The mean CASP-19 score was 41.8 ± 2.62 points, which corresponds to better well-being (total scores range from 0 to 57). Among the instrument’s domains, autonomy and pleasure obtained the highest mean scores (11.15 and 11.64 respectively). When comparing these variables with quality of life, social support (p = 0.001), depressive symptoms (p <0.001), and perceived health status (p <0.001) were statistically significant. CONCLUSIONS: Older adults who were satisfied with their social support, presented no depressive symptoms, and who rated their health as good or very good had higher overall quality of life scores.


Author(s):  
Sohyune R. Sok ◽  
Minkyung Gu ◽  
Ran Kim ◽  
Hyunjung Lee

The frequency of earthquakes in South Korea is increasing. This study aimed to examine and identify the factors influencing the degree of disaster-incident-related shock among Korean nursing students with the disaster experience. The study sample consisted of 153 nursing students who have been living around Phohang-si in Gyeongsang-do, South Korea, and who having the experience of disaster-incident-related shock. Measures were Impact of Event Scale, Perceived health status scale, Psychological Well-Being Scale, and Coping Strategy Indicator in Korean version. The data collection period was from October to December, 2018. The factor that was found to have the most influence on disaster-incident-related shock among Korean nursing students was the perceived health status (&beta; = 0.48), followed by gender (&beta; = -0.28), coping skill (&beta; = 0.18), psychological well-being (&beta; = 0.14), need for disaster education (&beta; = 0.12), and major satisfaction (&beta; = -0.12). This study provides preliminary evidence that perceived health status is a major and primary predictor of disaster-incident-related shock among Korean nursing students, next followed by coping skill, and psychological well-being. The findings can be reflected in the pertinent curriculum by actively considering these influence factors in designing nursing education interventions for disaster-incident-related shock in the Korean nursing students.


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