Psychological distress and quality of life in older persons: relative contributions of fixed and modifiable risk factors

e23187 Background: Most patients with lung cancer have psychological problems, which has a significant impact on patients' rehabilitation, treatment and quality of life. Through the distress and quality of life assessment, to understand the risk factors of distress, in order to improve the quality of life of lung cancer patients. Methods: The investigation was consisted of 209 lung cancer patients who were treated in Fourth Hospital of Hebei Medical University from February 2014 to December 2015.Patients were assessed through the use of distress thermometer, problem list, quality of life questionnaire. Lung cancer patients were divided into a significant distress group and a non-significant distress group. Chi-square test was used to analyze the relationship between demographic characteristics, disease information and significant distress. Logistic regression analysis was used to analyze risk factors for distress. The Spearman rank correlation was used to analyze the correlation between the significant distress group and each area of the quality of life questionnaire. The test level was significantly different at P< 0.05. Results: The distress of majority lung cancer patients was 0-4 points, 68 cases were significant distress, significant distress rate was 32.5%. Logistic regression showed PS scores, family residence, informed condition were risk factors of significant distress( P< 0.001 < P= 0.035, P= 0.031). Economic problems were the most common cause of psychological distress in lung cancer patients. Other risk factors included the lack of time and energy to take care for the elderly/children, fear, sadness, dizziness and pain. The significant distress of lung cancer patients was negatively correlated with health status, physical function, emotional function, cognitive function, social function, and was positively correlated with symptoms as fatigue, nausea and vomiting, pain, shortness of breath, insomnia, loss of appetite and constipation. Conclusions: The incidence of significant distress in patients with lung cancer is 32.5%. PS score, fully informed, and family residence are the risks of significant distress in patients. The distress of lung cancer patients is significantly related to the quality of life.

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Causal Relationships Between Modifiable Risk Factors of Cognitive Impairment, Cognitive Function, Self-Management, and Quality of Life in Patients With Rheumatic Diseases

Orthopaedic Nursing ◽

10.1097/nor.0000000000000492 ◽

2018 ◽

Vol 37 (5) ◽

pp. 316-317

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Cognitive Impairment ◽

Cognitive Function ◽

Rheumatic Diseases ◽

Self Management ◽

Modifiable Risk Factors ◽

Causal Relationships

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Health-Related Quality of Life and psychological distress of adolescents during the COVID-19 pandemic in Geneva

10.1101/2021.09.20.21263812 ◽

2021 ◽

Author(s):

Roxane Dumont ◽

Viviane Richard ◽

Hélène Baysson ◽

Elsa Lorthe ◽

Giovanni Piumatti ◽

...

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Psychological Distress ◽

Well Being ◽

Health Related Quality ◽

Long Term Effects ◽

Increased Risk ◽

Related Quality ◽

Health Related

AbstractPurposeOur objective was to assess adolescent’s Health-Related Quality of Life (HRQoL) and psychological distress, from their own and their parents’ perspective, and to examine associated risk factors during the COVID-19 pandemic in Geneva, Switzerland.MethodsA random sample of adolescents, aged 14-17 years, and their families was invited to a serosurvey in November and December 2020. Adolescents’ HRQoL was evaluated using the validated adolescent-reported KIDSCREEN-10 and parent-reported KINDL® scales. Psychological distress was assessed with self-reported sadness and loneliness, and using the KINDL® emotional well-being scale. Risk factors for adolescents’ low HRQoL and psychological distress were identified using generalized estimating equations and both adolescents’ and their parents’ perceptions were compared.ResultsAmong 240 adolescents, 11% had a low HRQoL, 35% reported sadness and 23% reported loneliness. Based on parents’ perception, 12% of the adolescents had a low HRQoL and 16% a low emotional well-being. Being a girl (aOR=3.29; 95%CI: 1.64-6.57), increased time on social media (aOR=2.05; 95%CI: 1.08-3.88), parents’ average to poor mood (aOR=2.81; 95%CI: 1.21-6.56) and average to poor household financial situation (aOR=2.30; 95%CI: 1.00-5.29) were associated with an increased risk of sadness. Mismatches between adolescents’ and their parents’ perception of HRQoL were more likely for girls (aOR=2.88; 95%CI: 1.54-5.41) and in households with lower family well-being (aOR=0.91; 95%CI: 0.86-0.96).ConclusionA meaningful proportion of adolescents experienced low well-being during the second wave of COVID-19. Adolescents living in underprivileged or distressed families seemed particularly affected. Monitoring is necessary to evaluate the long-term effects of the pandemic on adolescents.Implications and ContributionThis study describes the psychological well-being of a population-based sample of adolescents in Geneva, Switzerland amid the COVID-19 pandemic, and identifies adolescents at risk of distress. This study provides further insight by comparing adolescents’ well-being as reported by themselves and their parents.

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VASCULAR AGE. ITS INFLUENCE ON THE QUALITY OF LIFE AND ON ITS FORECAST, POSSIBILITIES OF CORRECTION

Globus ◽

10.52013/2658-5197-60-3-5 ◽

2021 ◽

Vol 7 (3(60)) ◽

pp. 27-30

Author(s):

Abdulwahed Mahmoud Fatah

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Cardiovascular Risk ◽

Cardiovascular Complications ◽

Chronological Age ◽

Modifiable Risk Factors ◽

Vascular Aging ◽

Vascular Age ◽

The Subject

Vascular age (synonyms — cardiac age, age of cardiovascular risk, biological age). Chronological age of a patient with the same level of cardiovascular risk as the subject, but in the absence of modifiable risk factors. Vascular age: — may be more than the passport in the presence of risk factors, — allows you to explain to the patient that he has a high risk of CVD, — increases the motivation and adherence of patients to therapy, — allows the physician to evaluate the effectiveness of therapy in reducing the risk of CVD in a given patient. The growing interest in the problems of vascular aging and the search for new available parameters reflecting the effect of this process on cardiovascular risk, led to the emergence of the indicator «Vascular age», which is a way of expressing the risk of cardiovascular complications in the form of age.

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Psychological distress, iron deficiency, active disease and female gender are independent risk factors for fatigue in patients with ulcerative colitis

United European Gastroenterology Journal ◽

10.1177/2050640617703868 ◽

2017 ◽

Vol 6 (1) ◽

pp. 148-158 ◽

Cited By ~ 7

Author(s):

Börje Jonefjäll ◽

Magnus Simrén ◽

Anders Lasson ◽

Lena Öhman ◽

Hans Strid

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Ulcerative Colitis ◽

Psychological Distress ◽

Iron Deficiency ◽

Female Gender ◽

High Fatigue ◽

Independent Risk Factors ◽

Active Disease

Background Patients with ulcerative colitis often report fatigue. Objectives To investigate prevalence of and risk factors for fatigue in patients with ulcerative colitis with active disease and during deep remission. Methods In this cross-sectional study, disease activity was evaluated with endoscopy and calprotectin, and patients were classified as having active disease ( n = 133) or being in deep remission ( n = 155). Blood samples were analysed to assess anaemia, iron deficiency and systemic immune activity. Patients completed questionnaires to assess fatigue, psychological distress, gastrointestinal symptoms and quality of life. Results The prevalence of high fatigue (general fatigue ≥ 13, Multidimensional Fatigue Inventory) was 40% in the full study population. Among patients with high fatigue, female gender and iron deficiency were more prevalent, and these patients had more severe disease activity and reported higher levels of anxiety, depression and decreased quality of life compared with patients with no/mild fatigue. A logistic regression analysis identified probable psychiatric disorder (odds ratio (OR) (confidence interval) 6.1 (3.1–12.2)), iron deficiency (OR 2.5 (1.2–5.1)), active disease (OR 2.2 (1.2–3.9)) and female gender (OR 2.1 (1.1–3.7)) as independent risk factors for high fatigue. Similar results were found concerning psychological distress, gender and quality of life, but immune markers did not differ in patients in deep remission with high vs. no/mild fatigue. Conclusions Probable psychiatric disorder, iron deficiency, active disease and female gender are independent risk factors for high fatigue in patients with ulcerative colitis. Low-grade immune activity does not seem to be the cause of fatigue among patients in deep remission.

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Psychological distress and quality of life: rationale and protocol of a prospective cohort study in a rural district in Bangaladesh

BMJ Open ◽

10.1136/bmjopen-2017-016745 ◽

2017 ◽

Vol 7 (9) ◽

pp. e016745 ◽

Cited By ~ 6

Author(s):

Mohammed Nazim Uddin ◽

Sunil Bhar ◽

Abdullah Al Mahmud ◽

Fakir M Amirul Islam

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Psychological Distress ◽

Rural Areas ◽

Significant Proportion ◽

Related Quality ◽

Health Related ◽

Human Ethics ◽

Socio Demographic Factors

IntroductionA significant proportion of the global burden of disease has been attributed to mental and behavioural disorders. People with mental disorders (MDs) have lower levels of health-related quality of life than those without MDs. Several studies have shown that in low-resource countries, a range of social determinants including poor health literacy is critical in the epidemiological transition of disease outcome. There is a lack of evidence of MDs literacy, the prevalence and risk factors of common mental health conditions, or any validated instruments to measure psychological distress or evaluate the quality of life in rural areas of Bangladesh.AimsThe aims of this study are: (1) report the awareness, knowledge, attitudes and practice (KAP) of MDs; (2) estimate the prevalence of and risk factors for psychological distress; (3) measure association of psychological distress and other socio-demographic factors with quality of life and (4) test the feasibility to use Kessler 10-item (K10) and WHO Quality Of Life-BREF (WHOQOL-BREF) questionnaires in rural Bangladesh for measuring psychological distress and quality of life.Methods and analysisA sample of 1500 adults aged 18–59 years and 1200 older adults aged 60–90 years will be interviewed from a multistage cluster random sample. Each participant will go through a face-to-face interview to assess their awareness and KAP of MDs. Information about the participant’s sociodemographic and socioeconomic status will be collected along with the psychological distress (K10) and quality of life (WHOQOL-BREF) questionnaires. Internal consistency, validity, reliability and item discrimination of K10 and WHOQOL-BREF instruments will be determined by using Rasch analysis and regression techniques.Ethics and disseminationHuman Ethics Approval was received from the Swinburne University of Technology Human Ethics Committee. Results of this research will be disseminated via scientific forums including peer-reviewed publications and presentations at national and international conferences.

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