scholarly journals The impact of participant mental health on attendance and engagement in a trial of behavioural weight management programmes: secondary analysis of the WRAP randomised controlled trial

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Rebecca A. Jones ◽  
Julia Mueller ◽  
Stephen J. Sharp ◽  
Ann Vincent ◽  
Robbie Duschinsky ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Weight Management ◽  
Satisfaction With Life ◽  
Life Questionnaire ◽  
Depression And Anxiety ◽  
Lower Odds ◽  
Link Type ◽  
High Engagement

Abstract Background Low attendance and engagement in behavioural weight management trials are common. Mental health may play an important role, however previous research exploring this association is limited with inconsistent findings. We aimed to investigate whether mental health was associated with attendance and engagement in a trial of behavioural weight management programmes. Methods This is a secondary data analysis of the Weight loss referrals for adults in primary care (WRAP) trial, which randomised 1267 adults with overweight or obesity to brief intervention, WW (formerly Weight Watchers) for 12-weeks, or WW for 52-weeks. We used regression analyses to assess the association of baseline mental health (depression and anxiety (by Hospital Anxiety and Depression Scale), quality of life (by EQ5D), satisfaction with life (by Satisfaction with Life Questionnaire)) with programme attendance and engagement in WW groups, and trial attendance in all randomised groups. Results Every one unit of baseline depression score was associated with a 1% relative reduction in rate of WW session attendance in the first 12 weeks (Incidence rate ratio [IRR] 0.99; 95% CI 0.98, 0.999). Higher baseline anxiety was associated with 4% lower odds to report high engagement with WW digital tools (Odds ratio [OR] 0.96; 95% CI 0.94, 0.99). Every one unit of global quality of life was associated with 69% lower odds of reporting high engagement with the WW mobile app (OR 0.31; 95% CI 0.15, 0.64). Greater symptoms of depression and anxiety and lower satisfaction with life at baseline were consistently associated with lower odds of attending study visits at 3-, 12-, 24-, and 60-months. Conclusions Participants were less likely to attend programme sessions, engage with resources, and attend study assessments when reporting poorer baseline mental health. Differences in attendance and engagement were small, however changes may still have a meaningful effect on programme effectiveness and trial completion. Future research should investigate strategies to maximise attendance and engagement in those reporting poorer mental health. Trial registration The original trial (ISRCTN82857232) and five year follow up (ISRCTN64986150) were prospectively registered with Current Controlled Trials on 15/10/2012 and 01/02/2018.

scholarly journals GOOD QUALITY OF LIFE AFTER MORE THAN A DECADE OF LIVING DONOR LIVER TRANSPLANTATION

2021 ◽  
Vol 58 (1) ◽  
pp. 10-16
Author(s):  
Isabel Roldo NOGUEIRA ◽  
Julio Cezar Uili COELHO ◽  
Micheli Fortunato DOMINGOS ◽  
Mônica Beatriz PAROLIN ◽  
Jorge Eduardo Fouto MATIAS ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Liver Transplantation ◽  
General Population ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Life Questionnaire ◽  
Donor Liver ◽  
Donor Liver Transplantation

ABSTRACT BACKGROUND: Receptors of living donor liver transplantation (LDLT) have higher rate of postoperative biliary and vascular complications that may reduce posttransplant quality of life (QOL) due to the need of invasive and repetitive treatments. OBJECTIVE: The purpose of our study is to assess the various aspects of QOL of receptors undergoing LDLT after 10 years of transplantation and to identify potential factors that might be associated with impaired QOL. METHODS: Data of all patients with more than 10 years of LDLT were retrospectively evaluated. Patients were interviewed through a quality of life questionnaire (SF-36). RESULTS: From a total of 440 LT performed in 17 years (from September 1991 through December 2008), 78 patients underwent LDLT, of which 27 were alive and 25 answered completely the questionnaire. There were 17 (68%) men and 8 (32%) women, with a mean age of 38.6±18.5 years at the time of transplantation and mean follow up time of 15.1±1.9 years. The average MELD was 16.4±4.9 and the main indication for LT was hepatic cirrhosis caused by hepatitis B virus (32%). When compared to the general population, LDLT patients had lower mental health score (66.4 vs 74.5, P=0.0093) and higher vitality score (87.8 vs 71.9, P<0.001), functional aspects (94.6 vs 75.5, P=0.002), social aspects (93 vs 83.9, P=0.005), physical aspects (92 vs 77.5, P=0.006), and emotional aspects (97.33 vs 81.7, P<0.001). General health status (73.28 vs 70.2, P=0.074) and pain (78.72 vs 76.7, P=0.672) scores were similar in both groups. CONCLUSION: It is concluded that the various aspects LDLT recipients’ QOF are similar to those of the general population more than a decade after the transplant, except for the mental health domain which is lower.

scholarly journals Mental health state and quality of life questionnaire in low vision assessment: a case report

2014 ◽  
Vol 7 (1) ◽  
Author(s):  
Rokiah Omar ◽  
Mohd Harimi Abd Rahman ◽  
Victor Feizal Knight ◽  
Mushawiahti Mustaphal ◽  
Zainora Mohammed
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Case Report ◽  
Low Vision ◽  
Health State ◽  
Life Questionnaire ◽  
Quality Of Life Questionnaire ◽  
Vision Assessment

scholarly journals Assessment Scales, Associated Factors and the Quality of Life Score in Pregnant Women in Iran

2016 ◽  
Vol 8 (11) ◽  
pp. 127
Author(s):  
Farideh Kazemi ◽  
Fatemeh Nahidi ◽  
Nourossadat Kariman
Keyword(s):  
Quality Of Life ◽  
Pregnant Women ◽  
Associated Factors ◽  
Satisfaction With Life ◽  
Nausea And Vomiting ◽  
Endocrine Gland ◽  
Life Questionnaire ◽  
Life Score ◽  
Assessment Scales

<p>Women experience physical, chemical, endocrine gland and organ changes during pregnancy that limit their activities and reduce their quality of life. The present study was conducted to investigate the quality of life in pregnant women in Iran, the assessment scales used to measure this variable and the factors associated with it.</p><p>The present study searched databases including Science Direct, PubMed, Scopus, SID, Iranmedex, Mahiran, IranDoc and Google Scholar using keywords such as pregnant women, Iran, quality of life, pregnancy and prenatal and their Persian equivalents to find relevant articles conducted in Iran and ultimately found 20 articles to review without any regard for their time, language and publication site.</p><p>Studies conducted in Iran to assess the quality of life in pregnant women have used four tools, including the SF-36, the WHOQOL-BRIEF, the SF-12 and the Nausea and Vomiting of Pregnancy-Specific Health-Related Quality of Life Questionnaire. The mean quality of life score obtained using these different tools varied from 61.18±13.21 to 66.48±15.57. Social support, socioeconomic status, the pregnancy being wanted, satisfaction with life and sexual function were related directly to the quality of life, while prenatal mental disorders, the severity of pregnancy nausea and vomiting and sleep disorders were related inversely to it.</p><p>Given the lack of a specific tool designed to assess the quality of life in pregnant women, general tools were used for its assessment. Further studies are thus required to design a specific localized tool and to also assess the relationship between the quality of life and its associated factors.</p>

scholarly journals QUALITY OF LIFE IN DEPRESSIVE PATIENTS FOLLOWED IN PSYCHOLOGY AND IN PSYCHIATRY

2017 ◽  
Vol 6 (1) ◽  
pp. 97
Author(s):  
Sandrine Martins Antunes ◽  
Lisete Dos Santos Mendes Monico
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Physical Function ◽  
Physical Performance ◽  
Depressive Symptomatology ◽  
Life Questionnaire ◽  
Role Emotional ◽  
Sf 36 ◽  
Depressive Patients

Abstract.This study aims to analyze and compare the Quality of Life in patients followed exclusively in Psychiatry and in patients followed exclusively in Psychology. Took part of the study 60 patients of both genders with depressive symptomatology and no other clinical diagnosis (exclusion criteria), 30 being exclusively followed at hospital psychiatric consultations and 30 exclusively followed in psychology consultations. After informed consent, we used the Quality of Life questionnaire (SF-36; Ware & Sherbourne, 1992), which showed good psychometric properties in its nine domains: Physical Function, Physical Performance, Body Pain, General Health, Vitality, Social Functioning, Role Emotional, Mental Health, and Health Change. We found that the patients followed in Psychology showed a better quality of life in Emotional and Physical Performance, as well as in Mental Health. Men expressed a similar quality of life to women, except in the field of Physical Function, higher in males. Single patients had better in Role Emotional and Mental Health, when compared to divorced and widowed. The results are discussed considering the benefits of psychological therapy in improving the quality of life of depressed patients.Keywords: Quality of life; Patients; Psychology; Psychiatry.Resumo.O presente estudo pretende analisar e comparar a Qualidade de Vida em pacientes exclusivamente acompanhados em consultas psiquiatria e em pacientes exclusivamente acompanhados em consultas de psicologia. Participaram no estudo 60 pacientes de ambos os sexos com sintomatologia depressiva e sem outro quadro clínico diagnosticado (critério de exclusão), sendo 30 exclusivamente acompanhados em consultas hospitalares de psiquiatria e 30 exclusivamente acompanhados em consultas de psicologia. Após consentimento informado, aplicámos o Questionário da Qualidade de Vida (SF-36; Ware & Sherbourne, 1992), que mostrou boas propriedades psicométricas nos nove domínios constituintes: Função física, Desempenho físico, Dor corporal, Saúde geral, Vitalidade, Função Social, Desempenho emocional, Saúde mental e Mudança de Saúde. Verificámos que os pacientes acompanhados em Psicologia mostraram uma melhor Qualidade de Vida ao nível dos domínios Desempenho emocional, Desempenho físico e Saúde mental. Os homens manifestaram uma Qualidade de Vida semelhante à das mulheres, excepto no domínio da Função física, superior no sexo masculino. Os pacientes solteiros apresentaram melhores Desempenho emocional e Saúde mental comparativamente aos divorciados e aos viúvos. Os resultados são discutidos numa abordagem dos benefícios da terapia psicológica na melhoria da qualidade de vida em doentes deprimidos.Palavras-chave: Qualidade de Vida; Pacientes; Psicologia; Psiquiatria

Sleep disorder prevalence in at-risk adolescents and potential effects of nightmare triad syndrome

2018 ◽  
Vol 0 (0) ◽  
Author(s):  
Natalia D. McIver ◽  
Barry Krakow ◽  
Jessica Krakow ◽  
Michael R. Nadorff ◽  
Victor A. Ulibarri ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
At Risk ◽  
High School Students ◽  
Sleep Disorders ◽  
Anxiety Symptoms ◽  
Depression And Anxiety ◽  
School Students ◽  
At Risk Adolescents

Abstract Objective At-risk high school students, those considered to have a higher probability for academic failure or dropping out, were assessed for various sleep disorders. Effects were compared between students with and without the nightmare triad syndrome (NTS+), the sleep disorders’ cluster of frequent nightmares, insomnia disorder and suspected sleep-disordered breathing (SDB). Methods Data were gathered at a charter school for at-risk youth using: computer based surveys, physical airway exams, and mental health interviews by school social worker. Ninety-two students were enrolled, and 70 completed all study components. Results Students were teenaged [17.10 (1.50) years], male (52.2%) slightly overweight [BMI 25.50 (6.41)] Hispanics (87.0%); two-thirds (65 of 92) subjectively reported a sleep problem. Frequent nightmares (39.1%), insomnia (ISI ≥ 12, 41.3%), and SDB risk (79.3%) were common. Several presumptive sleep disorders (insomnia, SDB risk, parasomnia, or nightmares) were associated with worse sleep quality and lower quality of life. Nineteen students met criteria for NTS. Compared to NTS−, NTS+ showed significantly lower quality of life (p < 0.003, g = 0.84). Regression analyses revealed higher levels of depression and anxiety symptoms in NTS+ students. NTS was associated with reduced quality of life independent of anxiety symptoms. Conclusion Prevalence of presumptive sleep disorders was high with a tendency for clusters of sleep disorders in the same individual. Students with NTS+ showed worse outcomes and reduced quality of life, mediated partially by depression and anxiety. To examine relationships between sleep disorders and mental health in at-risk adolescents, research investigations must include both subjective and objective measurements of sleep.

scholarly journals Quality of life, depression and anxiety among pregnant women with previous adverse pregnancy outcomes

2009 ◽  
Vol 127 (4) ◽  
pp. 185-189 ◽  
Author(s):  
Evelyn Regina Couto ◽  
Egle Couto ◽  
Bruna Vian ◽  
Zoraide Gregório ◽  
Marcelo Luis Nomura ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pregnant Women ◽  
Pregnancy Outcomes ◽  
Adverse Pregnancy Outcomes ◽  
Anxiety And Depression ◽  
Life Questionnaire ◽  
Depression And Anxiety ◽  
Adverse Pregnancy ◽  
Group 1

CONTEXT AND OBJECTIVE: Previous adverse pregnancy outcomes (recurrent spontaneous abortion, fetal death, preterm birth or early neonatal death) can affect the quality of life of pregnant women. The objective of this study was to compare the quality of life and the prevalence of symptoms of anxiety and depression among pregnant women with and without these antecedents. DESIGN AND SETTING: An analytical cross-sectional study was performed in four settings (two high-risk and two low-risk prenatal clinics) in the city of Campinas, São Paulo, Brazil. METHODS: A total of 240 women were interviewed by a single investigator between the 18th and 24th weeks of gestation: 120 women with prior adverse pregnancy outcomes (group 1) and 120 women with no such history (group 2), matched according to their numbers of living children. Sociodemographic variables were collected and two questionnaires were used: the Short Form-36 quality-of-life questionnaire and the Depression and Anxiety Scale. RESULTS: The women in group 1 had lower scores in all the items on the quality-of-life questionnaire. Depression and anxiety were more frequent in group 1 (P < 0.0001). An inverse correlation was found between the Short Form-36 domains and anxiety and depression. CONCLUSIONS: Women with histories of recurrent spontaneous abortion, fetal death, preterm birth or early neonatal death seem to have poorer quality of life and more symptoms of anxiety and depression during their subsequent pregnancy, compared with those without such antecedents.

scholarly journals Quality Of Life Among Patients With Depression

2015 ◽  
Vol 16 (2) ◽  
pp. 151-156 ◽  
Author(s):  
Sandra Matovic ◽  
Slobodan Jankovic
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Social Relations ◽  
Psychological Health ◽  
Unipolar Depression ◽  
Psychiatric Clinic ◽  
Life Questionnaire ◽  
Depressed Patients ◽  
Significant Difference

Abstract Depression is a disease of great social and medical importance. Quality of life can correlate with severity of manifested depression. The aim of our study was to determine whether people with unipolar depression have a poorer quality of life than healthy individuals, in what areas they have poorer quality of life and how socio-demographic characteristics and different therapies impact quality of life. The survey was conducted among 110 subjects, of which 55 were patients diagnosed with depression using ICD-10 criteria at the Psychiatric Clinic in Kragujevac and 55 were healthy subjects. Quality of life was evaluated by The Quality of Life Questionnaire compiled by the WHO. Quality of life was compared between the two groups and within research groups, depending on the applied therapy. There were statistically significant differences in quality of life between the groups: physical health - 49.64 versus 70.84, p=0.000; psychological health - 38.69 versus 69.85, p=0.000; social relations - 53.73 versus 64.89, p=0.004; living conditions - 54.58 versus 66.7, p=0.000, and in overall quality of life - 75.41 versus 96.00, p=0.000. The results showed that there was no statistically significant difference in quality of life between applied therapies. The overall quality of life of depressed patients did not depend on marital status or gender of the respondents. Depressed patients generally have a low quality of life in all domains and in overall quality of life. To improve of mental health, oOne of the primary goals to improve mental health should be to improve quality of life among depressed patients.

scholarly journals Quality of Life and its associated factors amongst Patients with Brain Tumors at a Tertiary Care Hospital in Pakistan: An Analytical Cross-Sectional Study

2021 ◽  
Author(s):  
Nida Zahid ◽  
Russell Seth Martin ◽  
Wajeeha Zahid ◽  
Iqbal Azam ◽  
Aneesa Hassan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Social Support ◽  
Brain Tumors ◽  
Health Outcomes ◽  
Mental Health Outcomes ◽  
Life Questionnaire ◽  
Cross Sectional ◽  
Primary Brain Tumors

Abstract Introduction Despite quality of life (QoL) being recognized as an important outcome in neuro-oncology, there is a lack of research from Pakistan where sociocultural differences may influence QoL. This study aimed to measure the QoL in patients with primary brain tumors (PBTs), and assess its association with mental health outcomes, resilience, and social support. Methods A cross-sectional survey was conducted among primary brain tumor patients. QoL was measured using European Organization for Research and Treatment of Cancer Quality of Life Questionnaire. Resilience was assessed by Wagnild and Young's Resilience Scale, mental health outcomes using Hospital Anxiety and Depression Scale, and social support using the Enriched Social Support Instrument. Results Our study included a total of 250 patients, with median age of 42 years (range 33-54 years). The mean global QoL of the sample was 75.73 ± 14.9. On multivariable linear regression, global QoL was inversely associated with no or low income, having hypertension (-5.77), currently using a urine catheter (-15.33), having low social support (-28.16) suffering from mild (-9.88) or symptomatic (-17.59) depression, or mild anxiety (-7.11), while resilience (0.28) demonstrated a significant positive association. Conclusion The quality of life of patients with primary brain tumors in Pakistan is a function of clinical factors such as comorbid disease and use of a urinary catheter, social factors such a family income and social support, and psychological factors such as mental illness and resilience. Our findings may be of use in the development of QoL-improving interventions within the sociocultural setting of Pakistan.

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