Risk of psychological distress in partners with functional disability among older Japanese adults

2018 ◽  
Vol 18 (5) ◽  
pp. 775-782 ◽  
Author(s):  
Toshimasa Sone ◽  
Naoki Nakaya ◽  
Yasutake Tomata ◽  
Ichiro Tsuji
Keyword(s):  
Psychological Distress ◽  
Functional Disability ◽  
Japanese Adults

Prevalence and risk factors for psychological distress and functional disability in urban Pakistan

2014 ◽  
Vol 3 (2) ◽  
pp. 144 ◽  
Author(s):  
Nusrat Husain ◽  
Nasim Chaudhry ◽  
Farhat Jafri ◽  
Barbara Tomenson ◽  
Ishaq Surhand ◽  
...  
Keyword(s):  
Risk Factors ◽  
Psychological Distress ◽  
Functional Disability

scholarly journals Dose–Response Association Between Accelerometer-Assessed Physical Activity and Incidence of Functional Disability in Older Japanese Adults: A 6-Year Prospective Study

2020 ◽  
Vol 75 (9) ◽  
pp. 1763-1770 ◽  
Author(s):  
Tao Chen ◽  
Takanori Honda ◽  
Sanmei Chen ◽  
Kenji Narazaki ◽  
Shuzo Kumagai
Keyword(s):  
Physical Activity ◽  
Dose Response ◽  
Lower Risk ◽  
Functional Disability ◽  
Vigorous Physical Activity ◽  
Term Care ◽  
Hazard Ratios ◽  
Japanese Adults ◽  
Long Term Care Insurance ◽  
Adjusted Model

Abstract Background It is unknown whether moderate-to-vigorous physical activity (MVPA) in bouts of <10 minutes protects against disability risks or if only 10 minutes bouts of MVPA is critical. Additionally, it is unclear whether light physical activity (LPA) or its accumulation patterns is associated with functional disability. Methods A total of 1,687 adults aged ≥65 years and without functional disability at baseline were followed up for 6 years. Functional disability was identified using the database of Japan’s Long-term Care Insurance System. Physical activity was measured using a tri-axial accelerometer secured to the waist. Results Functional disability was identified in 274 participants (16.2%). When examined as quartiles, higher levels of all MVPA measures were dose-dependently associated with lower risk of functional disability. Associations of MVPA in ≥10 and <10 minutes bouts remained significant in a mutually adjusted model. Neither total LPA nor LPA in bout of ≥10 minutes, but LPA in bouts of <10 minutes was associated with functional disability. Analyses using restricted cubic spline functions showed that associations of all MVPA measures and LPA in bouts of <10 minutes with functional disability were linear (p for nonlinear >.05). The hazard ratios (HRs; 95% confidence interval [CI]) for functional disability per 10 minutes increment of total MVPA and LPA in bout of <10 minutes were 0.86 (0.81–0.92) and 0.96 (0.93–0.99), respectively. Conclusions Higher MVPA, regardless accumulation patterns, or LPA in bouts of <10 minutes was associated with lower risk of functional disability in a linear dose–response manner in older adults.

Factors associated with high sedentary behaviour among adolescents and adults with psychological distress in South Africa

2020 ◽  
Vol 50 (4) ◽  
pp. 565-573
Author(s):  
Supa Pengpid ◽  
Karl Peltzer
Keyword(s):  
South Africa ◽  
Psychological Distress ◽  
Sedentary Behaviour ◽  
Functional Disability ◽  
Bodily Pain ◽  
Risk Groups ◽  
Cross Sectional ◽  
Factors Associated ◽  
Adolescents And Adults ◽  
Adjusted Logistic Regression

The aim of this study was to estimate factors associated with high sedentary behaviour (SB) in adolescents and adults who have psychological distress in South Africa. Data used in this analysis were derived from the cross-sectional South African National Health and Nutrition Examination Survey – 2012. The sample consisted of 2306 participants (42 years median age) who had psychological distress. In all, 16.2% of the study participants engaged in ⩾8 hr SB/day. In unadjusted analysis, functional disability, older age, bodily pain, hypertension, and cognitive impairment was significantly more frequent among those with high SB. In adjusted logistic regression, functional disability and aged 65 years and above were positively associated with high SB. Results seem to suggest that interventions aimed at reducing SB among South Africans who have psychological distress may target the risk groups that were identified.

2007 Katharine A. Lembright Award and Lecture—Stage D Heart Failure: Quality-of-Life Outcomes After Transplantation and Mechanical Support

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Kathleen Grady
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Psychological Distress ◽  
Heart Transplantation ◽  
Functional Disability ◽  
Left Ventricular ◽  
Heart Failure Patients ◽  
Improved Outcomes ◽  
Stage D

Approximately 5 million individuals have heart failure in the United States. The 1-year mortality rate for patients with New York Heart Association class IV heart failure is 50%. Treatment options for patients with refractory symptoms and stage D heart failure include heart transplantation and mechanical circulatory support devices. Improved outcomes have been demonstrated in these advanced heart failure patients who undergo surgical therapies. Prolongation of life is relevant only if quality of life (QOL) is improved. Improvement in QOL outcomes has been demonstrated before and after heart transplantation, including improved outcomes when bridged to transplantation with left ventricular assist devices (LVADs). While listed for transplantation, worse QOL is significantly related to more symptoms, psychological distress, and functional disability. Patients who are bridged to heart transplantation with an LVAD report significantly improved QOL and decreased symptoms from before to early after LVAD implantation, as well as fairly good and stable QOL outcomes through 1 year after implantation. At 1 year after transplantation, better QOL is significantly related to less psychological distress, functional disability, and symptom distress; older age; and fewer complications. At 5 to 10 years after heart transplantation, QOL is positive and stable. Improved QOL is significantly related to biopsychosocial variables, including less depression, more positive emotions, more social support, and less fatigue. Thus, for stage D heart failure patients, heart transplantation conveys significant short-and long-term QOL benefit, including in those patients who are bridged to transplantation with an LVAD.

Progression of low back and lower extremity pain in a cohort of patients with achondroplasia

2010 ◽  
Vol 13 (3) ◽  
pp. 335-340 ◽  
Author(s):  
Michael C. Ain ◽  
Madeel A. Abdullah ◽  
Beverlie L. Ting ◽  
Richard L. Skolasky ◽  
Emily Streyer Carlisle ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Back Pain ◽  
Lower Extremity ◽  
Spinal Stenosis ◽  
Healthcare Utilization ◽  
Functional Disability ◽  
Pain Severity ◽  
Low Back ◽  
Lower Extremity Pain

Object The aim of this study was to assess the natural history of pain associated with spinal stenosis in individuals with achondroplasia and to characterize pain patterns and associated functional and psychological effects. Methods The authors measured pain severity, spatial distribution of pain, functional disability, psychological distress, physical symptoms other than pain, and healthcare utilization in 181 individuals with achondroplasia. They also assessed low back and/or lower extremity pain at the initial visit and 1-year follow-up via self-rated patient questionnaires, calculated composite scores from responses via component analyses, and used repeated measures linear regression analyses for score changes (significance, p ≤ 0.05). Results At the follow-up, back pain severity was unchanged. Patients reported significant progression of pain toward involvement of the lower extremities and significant increases in lower extremity pain severity overall. There were also significant increases in healthcare utilization overall. Compared with patients with back pain only, those with back pain and proximal or distal leg pain had higher self-rated pain severity; higher functional disability; and more bowel and bladder dysfunction symptoms, sleep disturbances, extremity numbness, and psychological distress. Conclusions Individuals with achondroplasia and symptomatic spinal stenosis often experience back pain, which may progress to lower extremity pain and debilitating consequences. A more thorough understanding of the progression of spatial pain characteristics and pain severity may aid clinical decision making regarding the optimal timing for intervention.

scholarly journals Psychological Distress and Social Functioning in Elderly Spanish People: A Gender Analysis

2019 ◽  
Vol 16 (3) ◽  
pp. 341 ◽  
Author(s):  
M. Matud ◽  
M. García
Keyword(s):  
Social Support ◽  
Psychological Distress ◽  
Social Functioning ◽  
Psychosocial Functioning ◽  
Functional Disability ◽  
The Elderly ◽  
Self Esteem ◽  
Gender Analysis ◽  
Cross Sectional ◽  
The Social

Psychological distress has been considered a key component in the psychosocial functioning and functional disability of the elderly, but the determining factors of social functioning and psychological distress in the elderly people are not yet fully known. The aim of this study is to perform a gender analysis of the relevance of psychological distress and psychosocial factors in the social functioning of the elderly. A cross-sectional study with a sample of 589 men and 684 women from the general Spanish population aged between 65 and 94 years was conducted. All participants were evaluated through questionnaires and scales that assess psychological distress, social functioning, stress, coping styles, self-esteem and social support. Results: Women scored higher than men in psychological distress, chronic stress, emotional coping and instrumental social support, whereas men scored higher than women in self-esteem and rational coping. Psychological distress was significantly associated in women and men with worse social functioning, which was also lower in older people and in women with lower self-esteem. Psychological distress has a considerable impact on the social functioning of the elderly, and gender is a relevant factor in the psychological distress experienced and its predictors.

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