Work Arrangement, Job Stress, And Health-related Quality Of Life

Economic, social and psychological distress is common in individuals affected with tuberculosis (TB). However, the magnitude of distress, psychological interventions and their effect on the treatment outcomes are often under-evaluated. We examined the level of psychological stress and Health-related quality of life (HRQoL) of such patients and the effect of antituberculosis therapy on them.Our prospective cohort study included newly diagnosed adult pulmonary (PTB) and extrapulmonary TB (EPTB) patients. Assessment of psychological stress was done using Generalised Anxiety Disorder Questionnaire (GAD-7) for anxiety and Patient Health Questionnaire PHQ-9 for depression. The HRQoL was assessed by the WHOQOL-BREF questionnaire.Of the 86 patients studied, 21 (24.4%) had anxiety symptoms at the baseline which reduced to 5.8% and 1.2% at two months and treatment completion, respectively (p<0.001). Among the subjects, 18 (20.9%) patients had depression which reduced to 7% and 2.3% at two months and treatment completion, respectively (p<0.001). All the mean domain scores of HRQoL were poor at the baseline, which showed improvement at the treatment completion (p<0.001).Anxiety and depression were common among TB patients, and there is significant progressive reduction during and after the treatment. TB had remarkable negative impacts on HRQoL, with the physical domain being the most affected, and all the domain scores showed significant improvement at treatment completion. Routine screening for depression and anxiety and timely referral to a psychiatrist is required in TB patients to improve the outcome of the disease and the quality of life.

Download Full-text

The Relationship between Stress and Health-related Quality of Life is Mediated by Shoulder Pain, Shoulder Disorder, and Depression

10.21203/rs.3.rs-1020292/v1 ◽

2021 ◽

Author(s):

Myung Kyung Lee ◽

Jihyun Oh

Keyword(s):

Quality Of Life ◽

Shoulder Pain ◽

Health Related Quality ◽

Shoulder Disorder ◽

Related Quality ◽

Health Related ◽

Serial Mediation ◽

The Relationship ◽

Stress And Health

Abstract The purpose of this study is to analyze the mediating effect of shoulder pain, shoulder disorder, and depression in the relationship between stress and health-related quality of life in middle-aged women using a serial mediation model. For this study, data was collected from middle-aged women aged between 35 and 64 living in Seoul, South Korea, from May 13, 2021 to May 23, 2021. Data regarding stress, health-related quality of life, shoulder pain, shoulder disorder, and depression were collected using a self-reported, structured survey. SPSS macro process (Model 6) was used, and the relationship between stress and health-related quality of life of participants were analyzed using serial mediation analysis using shoulder pain, shoulder disorder, and depression as variables. From the results of the study, it was observed that stress has a statistically direct impact on health-related quality of life. On performing serial mediation analysis, shoulder pain, shoulder disorder, and depression were found to be statistically significant, which predicts the relationship between stress and health-related quality of life; the variables showed an explanatory power of 33% for influencing the quality of life. Therefore, the relationship between stress and health-related quality of life was found to be partially mediated by shoulder pain, shoulder disorder, and depression. This study suggests the need for healthcare workers to develop a method, such as exercise intervention programs based on various degrees and types of physical activity, for improving the health-related quality of life and reducing stress caused by shoulder pain, shoulder disorder, and depression in middle-aged women.

Download Full-text