The Additive Effect of Co-Occurring Anxiety and Depression on Health Status, Quality of Life and Coping Strategies in Help-Seeking Tinnitus Sufferers

Psoriasis is a multisystem inflammatory disease associated to several comorbidities with a significant impact on interpersonal and social life. Depression, anxiety symptoms and suicidal ideation–due to psychological distress–are frequently reported. The aim of the study was to assess whether psychological factors–psychopathology, perceived health status and coping strategies–together with clinical and sociodemographic factors, were independent predictors of Quality of Life (QoL) in adult psoriatic patients on topical and/or systemic pharmacological therapy. A cohort of 87 patients (53 M and 34 F), whose mean age was 46 ± 22 years, was analyzed. Coping responses were assessed by COPE and general psychopathology by Self-Reported-Symptom Inventory Revised (SCL-90), while HAM-D and HAM-A evaluated depressive and anxiety symptoms. In addition, perceived health status and QoL were analyzed by Short-Form-36 (SF-36) while the disease's burden assessed by PSODISK. Univariate analyses were performed for each variable to explore the relationship with QoL. Preliminary results indicated that, although not severe, anxiety and depressive symptoms were the most reported among patients along with somatization and obsessive-compulsivity. Female patients used more frequently mental disengagement, focus on and venting of emotions, use of instrumental social support and religious coping. Physical pain and mental health, instead, greatly affected QoL of subjects in a negative manner. PSODISK data analysis showed that general health, itching, serenity, shame and degree of extension of the disease on the skin were the most compromised areas. Moreover, correlation analysis indicated that a worse perception of patients’ health status was associated to poor QoL.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Download Full-text

Characteristics of pain, psychological aspects, quality of life and coping strategies in patients with chronic back pain in a city of Colombia

Colombian Journal of Anesthesiology ◽

10.1016/j.rcae.2017.08.001 ◽

2017 ◽

Vol 45 (4) ◽

pp. 310-316

Author(s):

Ana Mercedes Bello-Villanueva ◽

Maira Benítez-Lara ◽

Oscar Oviedo-Trespalacios

Keyword(s):

Quality Of Life ◽

Back Pain ◽

Coping Strategies ◽

Chronic Back Pain ◽

Psychological Aspects ◽

And Coping

Download Full-text

Longitudinal Assessment of the Effects of Illness Perceptions and Coping Strategies on Patients' Health Related Quality of Life in Ulcerative Colitis Patients after Proctocolectomy

Gastroenterology ◽

10.1016/s0016-5085(17)30750-3 ◽

2017 ◽

Vol 152 (5) ◽

pp. S125

Author(s):

Inbar Cohen ◽

Yael Benyamini ◽

Hagit Tulchinsky ◽

Iris Dotan

Keyword(s):

Quality Of Life ◽

Ulcerative Colitis ◽

Coping Strategies ◽

Illness Perceptions ◽

Health Related Quality ◽

Longitudinal Assessment ◽

Related Quality ◽

Health Related ◽

And Coping

Download Full-text

STRUCTURAL RELATIONSHIP BETWEEN PSYCHOLOGICAL DISORDERS, QUALITY OF LIFE AND COPING STYLES AMONG BRAIN DISORDER PATIENTS

Asia Proceedings of Social Sciences ◽

10.31580/apss.v1i1.299 ◽

2018 ◽

Vol 1 (1) ◽

pp. 15-19

Author(s):

Priscilla Das

Keyword(s):

Quality Of Life ◽

Health Status ◽

Panic Disorder ◽

Positive Relationship ◽

Emotional Functioning ◽

Coping Styles ◽

Negative Relationship ◽

Brain Disorder ◽

And Coping

Objective: Brain and nervous system cancer incidence was one of the ten most common cancers in Malaysia. The study intends to model the structural relationship of MDD, anxiety disorders, other psychiatric disorders, quality of life, coping styles and their associated factors among neurological disorder (brain tumour / brain disorder) patients. Methods: The EORTC-Quality of Life, Brief COPE, Single Item Social Support, MINI International Neuropsychiatric Interview and Patient Health Questionnaires were utilised in the study. Results: The multivariate normality kurtosis was 6.174 with c.r = 2.440 obtained in this SEM model. Chi-square normalized by degrees of freedom, (Ï‡Ì°2 /df) =1.086, p= 0.353. The RMSEA was 0.03, TLI = 0.988 and CFI =0.999 were obtained in the study. All 8 paths out of 10 paths were significant with p-values less than 0.05 (two-tailed) with R2 values ranging from 0.48 to 0.55 which indicates that the variance explained ranged from 48% for emotional functioning to 55% for severity of depression. The severity of MDD has positive relationship with insomnia and panic disorder lifetime and negative relationship with self distraction coping styles. Meanwhile emotional functioning had negative relationship with fatigue, venting and panic disorder lifetime and positive relationship with global health status. The emotional functioning also was correlated negatively with the severity of MDD (p < 0.005). Conclusion: Therefore based on the path analysis, the main contributing factors of MDD severity were emotional functioning, insomnia, self distraction coping and panic disorder lifetime. The emotional functioning of the patients were influenced by the fatigue, global health status, venting coping styles and panic disorder lifetime and this increased the severity of MDD among the patients. Therefore the role of quality of life and coping styles on depression and anxiety should not be neglected. The clinician, health psychologist, psychiatrist, and counselor in this country need to implement better treatments for the effected patients.

Download Full-text