P645 Mental health, work presenteeism and exercise in IBD patients

Abstract Background IBD has been shown to increase the rates of anxiety and depression amongst diagnosed individuals, with a prevalence rate of approximately 15- 20%. Chronic diseases such as IBD can have a significant impact on productivity at work (presenteeism). This can lead to emotional distress, poor quality of life and cost effects on employers. The primary aim of the study was to assess the prevalence of psychological problems, exercise levels and presenteeism at work among IBD patients. Methods This was a multicentre international study whereby IBD patients (>18 years) in clinical remission over the last year, were asked to answer an anonymous questionnaire. Demographic data, type of IBD, current and previous medication, admissions to hospital, history of psychiatric referrals, Stanford Presenteeism Scale (SPS-6), Godin Score (exercise related score) were collected. Exclusion criteria included patients with IBD flares requiring corticosteroids in the previous 12 months. Results 573 patients (CD: n=318) from 8 European Centres and Israel participated in the study. The mean patient age was 39.9 years (SD+/- 13.0). 21.6% were smokers and 48.5% were non-smokers. The rest were ex-smokers. 10.9% of patients had a diagnosis of depression/anxiety prior to the diagnosis of IBD, whereas this increased to 20.6% post-IBD diagnosis, this being significantly commoner in the CD cohort (23.0%, p<0.05) and in females (55.8%, p<0.05). 37.7% of patients had been to a psychiatrist or a psychologist (41% of CD, p<0.05) with 11.7% of patients being on psychiatric medication (14.5% of CD, p<0.05). Low presenteeism at work was evident in 34.7%, with no statistically significant difference between UC and CD patients (p=0.5). 39.9% had a Godin Exercise Score being in the active range, 38.8% had a sedentary/insufficient exercise score. The rest were moderately active. Patients diagnosed with depression/anxiety had a more sedentary lifestyle. Conclusion In our study 37.7% of patients were referred for psychological help. This can have several effects including poor presenteeism at work (34.7%) and reduced efficiency. These issues are commoner in patients with CD than in UC. Active involvement of a psychologist/ psychiatrist as part of the IBD team should be routine as to improve the patient’s quality of life.

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Therapeutic Effects of Intra-Articular Botulinum Neurotoxin Versus Physical Therapy in Knee Osteoarthritis

Anesthesiology and Pain Medicine ◽

10.5812/aapm.112789 ◽

2021 ◽

Vol 11 (3) ◽

Author(s):

Zahra Rezasoltani ◽

Afsaneh Dadarkhah ◽

Seyed Morteza Tabatabaee ◽

Fateme Abdorrazaghi ◽

Morteza Kazempour Mofrad ◽

...

Keyword(s):

Quality Of Life ◽

Physical Therapy ◽

Knee Osteoarthritis ◽

Botulinum Neurotoxin ◽

Demographic Data ◽

Therapeutic Effects ◽

Vas Score ◽

Chronic Knee Pain ◽

Significant Difference

Background: Knee osteoarthritis (KOA) is the most common cause of chronic knee pain, and disability and different modalities have been used to improve pain and function. Botulinum toxin intra-articular injection is proposed to manage resistant joint pains. Objectives: This study was carried out to compare therapeutic effects of intra-articular botulinum neurotoxin (BTX) versus physical therapy (PT) in KOA. Methods: In this single-blind randomized clinical trial, patients with KOA attending to Imam-Reza Hospital, Tehran, Iran, from June 2018 to March 2019 were enrolled. Patients who met the inclusion criteria were randomly divided into BTX receiving a single intra-articular dose of 100 units (250 units from disport brand) and PT groups. The study was described for patients, and informed consent forms were received. For assessment of the pain and related severity, the VAS score and KOOS scales were used. Post-intervention assessment was done 1, 3, and 6 months after the intervention. The level of significance was set at α = 0.05. All data analyses were performed with SPSS version 26 for windows. Results: In this study, 50 patients were randomly divided into BTX and PT groups. All patients completed the study, and there was no loss to follow-up. There was no significant difference between demographic data of the two groups, including age and BMI. The VAS score was similar in the two groups at the beginning. KOOS subscales were not significantly different, but the quality of life was better in the BTX than the PT group (86.2 ± 15 vs. 72.1 ± 11.5, P < 0.001). One month after the intervention, all KOOS subscales were improved in the BTX group in comparison to the PT group (P < 0.001). This difference was statistically significant in the 3rd (P < 0.001 in all comparisons except Sport/Rec subscale in which P = 0.02) and 6th months (P < 0.001) after the intervention, and the improvement in all KOOS subscales and VAS score were higher in the BTX group than the PT group. The trend of KOOS subscales and VAS score was improved over time in the BTX (P < 0.001 in all tests), but the PT group showed no improvement (P > 0.05) except for Sport/Rec and VAS score (P < 0.001). Conclusions: Totally, it is concluded that the use of BTX can reduce pain and improve the function and quality of life in patients with KOA.

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Anxiety and Depression in Patients Who Undergo a Cerebrovascular Procedure

10.21203/rs.2.20492/v2 ◽

2020 ◽

Author(s):

Lauren Lombardo ◽

Richard Shaw ◽

Kathleen Sayles ◽

Dorothea Altschul

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Physical Health ◽

Global Mental Health ◽

Anxiety And Depression ◽

Life Outcomes ◽

Quality Of Life Outcomes ◽

Significant Difference ◽

History Of

Abstract Background: Observe the relationship of anxiety and depression on quality of life outcomes after open and endovascular cerebrovascular procedures. Methods: We retrospectively analyzed 349 patients who underwent a procedure for aneurysm, arteriovenous malformation, intraparenchymal hemorrhage, carotid stenosis, acute stroke, and conventional catheter angiogram over three years at a community hospital. We correlated pre-procedural anxiety and depression with Global Physical Health, Global Mental Health, and Modified Rankin Scale scores. We performed univariate and multivariate linear and logistic regression analyses adjusting for past medical history and sociodemographic factors. Results: Anxiety or depression occurred in eighteen percent of patients. Patients with anxiety or depression were more likely to be female (81% vs 60.8%; p=0.002) and younger (54 vs. 59 years old; p=0.025). The groups did not differ in type or urgency of procedure, smoking or history of diabetes, or cardiovascular disease. Patients with anxiety or depression reported lower mental health scores at 30 days (45.1 vs 48.2; p=0.002) post-procedure. In multivariate analyses, anxious or depressed patients had worse mental health scores at 30 days (t=-2.893; p=0.008) than those who did not have a history of anxiety or depression. There was no difference between groups in length of stay, mortality, physical health t-scores, functionality scores, or six month quality of life outcomes. Conclusions: Patients undergoing cerebrovascular procedures who self-reported anxiety or depression showed a significant difference in mental health outcomes at 30 days, but six month mental health and other medical and functional outcomes measures were similar to patients without these diagnoses.

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Psychiatric morbidity, quality of life and marital satisfaction among spouse of men with opioid dependence syndrome: a study from North India

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20171060 ◽

2017 ◽

Vol 4 (2) ◽

pp. 556

Author(s):

Ruchi Soni ◽

Ritesh Upadhyay ◽

Parth Singh Meena ◽

Mahendra Jain

Keyword(s):

Quality Of Life ◽

Marital Satisfaction ◽

Psychiatric Disorder ◽

Opioid Dependence ◽

Short Form ◽

Psychiatric Morbidity ◽

Poor Quality ◽

North India ◽

Significant Difference

Background: Opioid dependence syndrome has deleterious consequences not only on addict but also on the members of family especially his spouse who is most vulnerable to develop significant psychiatric disorder given the intimate nature of their relationship. Addressing these issues will be beneficial as spouses are important source of moral support and assistance to the substance user’s quest toward abstinence.Methods: For psychiatric morbidity, 100 spouses of men with opioid dependence syndrome were evaluated. Severity of opioid dependence in the husbands was assessed using severity of opioid dependence questioner (SODQ). Quality of life and marital satisfaction was assessed using short form health survey 36 (SF 36) and marital satisfaction scale (MSS) respectively.Results: Data analysis reveals that 33% of spouses had a psychiatric disorder. Primarily mood and anxiety disorder was present in 22% and 9% of subjects respectively. Highly significant difference existed between cases and controls in terms of marital satisfaction (p = 0.0001) and quality of life (p≤0.05) indicating low marital satisfaction and poor quality of life in spouses of opioid dependent individuals.Conclusions: Psychological distress and psychiatric morbidity in spouses of opioid dependent men is high, with poor quality of marital life and marital satisfaction being low. Hence, interventions that aim at allaying their distress and improving their mental health can improve the condition of the substance user and contribute to a better outcome of substance abuse treatment.

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Risk factors of overactive bladder syndrome and its relation to sexual function in menopausal women

Urologia Journal ◽

10.1177/0391560317750484 ◽

2018 ◽

Vol 85 (1) ◽

pp. 10-14 ◽

Cited By ~ 5

Author(s):

Sevil Hakimi ◽

Elham Aminian ◽

Sakineh Mohammad- Alizadeh Charandabi ◽

Parvin Bastani ◽

Marzieh Mohammadi

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Overactive Bladder ◽

Sexual Function ◽

Demographic Data ◽

Overactive Bladder Syndrome ◽

Or Education ◽

Menopausal Women ◽

Significant Difference

Background: Overactive bladder syndrome is a common and annoying complication worldwide that could negatively affect the quality of life of afflicted individuals. We aimed to determine the prevalence and risk factors of overactive bladder syndrome and its relation to sexual function in healthy menopausal women. Methods: This cross-sectional study was done on 340 women aged 45-60 years in Tabriz, northwest Iran, during 2015-2016. Data were collected using a demographic data questionnaire, the Overactive Bladder Syndrome Score, and the McCoy Female Sexuality Questionnaire. Results: Fifty-six (16.5%), 63 (18.5%), and 10 (2.9%) of the participating women had mild, moderate, and severe overactive bladder syndrome, respectively. Predictors of overactive bladder included: night sweats, central prolapse, episiotomy, varicose disease, illiteracy or education at the primary level, systolic blood pressure >140 mmHg and lack of physical activity. We found a significant difference between the women with and without overactive bladder with respect to the total score and sub-domain scores related to sex partner (p = 0.029) and sexual interest (p = 0.049). Conclusions: The prevalence of overactive bladder was quite high in this study. Since sexual dysfunction is not an easy topic to talk about and can affect women’s quality of life, physicians should consider talking about these issues besides urinary issues to all middle-aged women.

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Quality of Life Among Multiple Sclerosis Patients in Terms of Mental Health

Asian Social Science ◽

10.5539/ass.v17n5p62 ◽

2021 ◽

Vol 17 (5) ◽

pp. 62

Author(s):

Dima Ibrahim Abu Maloh ◽

Hazem Nouri AlNahar ◽

Haya Ibrahim Abu Maloh

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Multiple Sclerosis ◽

Outcome Measurement ◽

Demographic Data ◽

Physical Activities ◽

Data Form ◽

Significant Difference ◽

Multiple Sclerosis Patients

This study aimed to identify the mental health quality of life among patients with multiple sclerosis in Jordan. Thus, a descriptive quantitative design was used on a total of (N=100) Multiple Sclerosis patients that were randomly selected by using convenience sampling from the Health Insurance Center in the capital Amman, Jordan. Outcome measurement tools were the demographic data form and the Multiple Sclerosis Quality of Life-54 (MSQOL-54) Scale. The demographic data form consisted of questions about: age in years, gender, stage of multiple scleroses, and physical activities. The Multiple Sclerosis Quality of Life-54 (MSQOL-54) consisted of two domains the physical health composite and the mental health composite. In this study the mental health composite were used by the participants. The results revealed that the QOL- Mental Health Composite among patients with multiple sclerosis was 33.9 + 33.6. Moreover, there was no significant difference in score for male and females p=.874. In addition, there was no significant difference in QOL mental health scores for the age groups p=.165. Finally, there was a significant difference in scores for participants and non-participants in physical activity p=.000. Accordingly, this research concluded that Multiple sclerosis patients’ have a low quality of life in terms of mental health. In addition, practicing physical activities have a positive effect on the quality of mental health among multiple sclerosis patients.

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The Relationship between Non-Communicable Diseases History and Health-Related Quality of Life

Jurnal Kesehatan Masyarakat ◽

10.15294/kemas.v12i1.4853 ◽

2016 ◽

Vol 12 (1) ◽

Author(s):

Ajeng Tias Endarti ◽

Agus Handito

Keyword(s):

Quality Of Life ◽

Poor Quality ◽

Communicable Diseases ◽

Joint Disease ◽

Shortness Of Breath ◽

Non Communicable Diseases ◽

Related Quality ◽

Health Related ◽

History Of

Disaster-prone population is vulnerable for suffering non-communicable diseases (NCDs) which become risk factors for poor quality of life (QoL). The study aims at investigating the effect of history of NCDs to the QoL. QoL was measured by WHODAS. NCDs with prevalence more than 1% were involved in analysis. Those NCDs included shortness of breath, diabetes, hypertension, joint disease and stroke. Among 1,872 respondents of Riskesdas, 7.7% of them have a poor QoL, suffering hypertension (8.7%), shortness of breath (7.3%) and asthma (6.9%). Risks of poor QoL six times higher among those with a history of PTM (PORadj 5.987; 95% CI 4.210-8.514) after adjusted by age, gender, education, socioeconomic status and region of residence. Stroke gives the greatest impact with POR 25.00 (95% CI 10.406 to 60.063). We recommend that the promotion and prevention of NCDs should be integrated with both mitigation-related and community resilience activities to disasters.

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School-based diabetes interventions and their outcomes: a systematic literature review

Journal of Public Health Research ◽

10.4081/jphr.2015.467 ◽

2015 ◽

Vol 4 (1) ◽

Cited By ~ 19

Author(s):

Bénédicte Pansier ◽

Peter J. Schulz

Keyword(s):

Quality Of Life ◽

Academic Performance ◽

School Environment ◽

Diabetes Management ◽

School Personnel ◽

Poor Quality ◽

Assessment Tools ◽

Significant Difference ◽

Diabetes Interventions

Type 1 diabetes is one of the most common chronic childhood diseases, while type 2 diabetes in children is increasing at alarming rates globally. Against this backdrop, the school is a critical environment for children with diabetes. They continue to face barriers to education that may lead to depression, poor academic performance, and poor quality of life. To address these challenges, diabetes interventions have been implemented in school and the goal was to systematically review these interventions and their outcomes between 2000 and 2013. Fifteen studies were included in the narrative synthesis. Education of school personnel was the main focus before 2006. Studies reported gains in knowledge and perceived confidence of school staff. Since 2006, more comprehensive interventions have been developed to promote better care coordination and create a safe school environment. These studies reported improved diabetes management and quality of life of students. Assessment tools varied and study design included randomized controlled trials, quantitative and qualitative methods. Although many of the studies reported a significant difference in the parameters measured, it was not possible to determine optimal ways to improve the health, quality of life and academic performance of children with diabetes, given the disparity in scope, assessment tools and measured outcomes. Experimental designs, longer follow-up studies, larger sample sizes, and a higher number of participating schools are critical issues to consider in future studies. Most of the research was conducted in North America and further research is needed in other parts of the world.

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Hearing aid handling skills: relationship with satisfaction and benefit

CoDAS ◽

10.1590/s2317-17822014.001-0003 ◽

2014 ◽

Vol 26 (1) ◽

pp. 10-16 ◽

Cited By ~ 13

Author(s):

Patrícia Danieli Campos ◽

Amanda Bozza ◽

Deborah Viviane Ferrari

Keyword(s):

Quality Of Life ◽

Hearing Aids ◽

Hearing Aid ◽

Demographic Data ◽

Likert Scale ◽

Volume Control ◽

Significant Difference ◽

Hearing Handicap ◽

Hearing Aid Benefit

Purpose: To evaluate hearing aid handling skills for new and experienced users and to assess if such skills influence user's benefit and satisfaction. Methods: Seventy four participants (mean age of 70.43), experienced (n=37) or new hearing aid users (n=37) performed the tasks of "Practical Hearing Aid Skills Test" (PHAST), which were scored on a five-point Likert scale - higher scores indicate better hearing aid handling skills. Experienced users answered the International Outcome Inventory for Hearing Aids (IOI-HA) and the hearing aid benefit for handicap reduction was calculated by the hearing handicap inventory (HHIA/HHIE). Results: Medians for PHAST total scores of 79 and 71% were obtained for experienced and new users, respectively - there were no significant difference between groups. Lower PHAST scores were observed for the tasks of volume control manipulation and telephone usage. Moderate correlations were obtained between IOI benefit and quality of life items and the PHAST scores. There was no correlation between the results of PHAST and demographic data of the participants. Conclusion: There was no difference in handling skills between new and experienced hearing aid users. Handling skills affected hearing aid benefit.

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Predictors of Poor Quality of Life 1 Year After Subarachnoid Hemorrhage

Neurosurgery ◽

10.1227/neu.0000000000001042 ◽

2015 ◽

Vol 78 (2) ◽

pp. 256-264 ◽

Cited By ~ 29

Author(s):

Zahrah Taufique ◽

Teresa May ◽

Emma Meyers ◽

Cristina Falo ◽

Stephan A. Mayer ◽

...

Keyword(s):

Quality Of Life ◽

Subarachnoid Hemorrhage ◽

Cognitive Rehabilitation ◽

Sickness Impact Profile ◽

Multivariable Analysis ◽

Population Based ◽

Poor Quality ◽

History Of ◽

Grade 3

ABSTRACT BACKGROUND: Risk factors for poor quality of life (QOL) after subarachnoid hemorrhage (SAH) remain poorly described. OBJECTIVE: To identify the frequency and predictors of poor QOL 1 year after SAH. METHODS: We studied 1-year QOL in a prospectively collected cohort of 1181 consecutively admitted SAH survivors between July 1996 and May 2013. Patient clinical, radiographic, surgical, and acute clinical course information was recorded. Reduced QOL (overall, physical, and psychosocial) at 1 year was assessed with the Sickness Impact Profile and defined as 2 SD below population-based normative Sickness Impact Profile values. Logistic regression leveraging multiple imputation to handle missing data was used to evaluate reduced QOL. RESULTS: Poor overall QOL was observed in 35% of patients. Multivariable analysis revealed that nonwhite ethnicity, high school education or less, history of depression, poor clinical grade (Hunt-Hess Grade ≥3), and delayed infarction were predictors of poor overall and psychosocial QOL. Poor physical QOL was additionally associated with older age, hydrocephalus, pneumonia, and sepsis. At 1 year, patients with poor QOL had increased difficulty concentrating, cognitive dysfunction, depression, and reduced activities of daily living. More than 91% of patients with poor QOL failed to fully return to work. These patients frequently received physical rehabilitation, but few received cognitive rehabilitation or emotional-behavioral support. CONCLUSION: Reduced QOL affects as many as one-third of SAH survivors 1 year after SAH. Delayed infarction is the most important in-hospital modifiable factor that affects QOL. Increased attention to cognitive and emotional difficulties after hospital discharge may help patients achieve greater QOL.

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