scholarly journals Mediation effects of depression and anxiety on social support and quality of life among caregivers of persons with severe burns injury

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Kevin Bonsu ◽  
Nuworza Kugbey ◽  
Martin Amogre Ayanore ◽  
Ethel Akpene Atefoe
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Mental Health Problems ◽  
Depression And Anxiety ◽  
Mediation Effects ◽  
Health And Wellbeing ◽  
Severe Burns ◽  
Common Mental Health Problems ◽  
Negative Impacts

Abstract Objective Caregiving is associated with several psychosocial challenges including stress, depression and anxiety. These challenges have been found to have significant negative impacts on the health and wellbeing of caregivers, but the mechanisms of these effects are poorly understood. This study examined whether depression and anxiety serve as mediators between social support and quality of life caregivers of persons with severe burns injury. Results A sample of 100 caregivers of persons with severe burns injury were administered questionnaires to assess their depression, anxiety, social support and quality of life. Findings show that depression and anxiety were negatively correlated with quality of life whereas social support was positively correlated with quality of life. Results further showed that only depression significantly mediated the link between social support and quality of life among the caregivers. These findings emphasize the need to screen caregivers for common mental health problems and provide them support in the caregiving process to promote their health and wellbeing.

Social support, depression, anxiety, and quality of life among persons living with type 2 diabetes: a path analysis

2021 ◽  
pp. 008124632098428
Author(s):  
Henry Obo ◽  
Nuworza Kugbey ◽  
Ethel Atefoe
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Social Support ◽  
Type 2 Diabetes ◽  
Mental Health Problems ◽  
Pearson Correlation ◽  
Health Problems ◽  
Depression And Anxiety

Co-morbid mental health problems among persons living with type 2 diabetes have a significant influence on diabetic persons’ self-care and, ultimately, quality of life. However, the mechanisms linking the co-morbid mental health problems of type 2 diabetes patients to the decreased quality of life are not fully understood. This study examined the direct and indirect influences of co-morbid depression and anxiety on the quality of life of 115 persons living with type 2 diabetes, using a cross-sectional survey design. Frequencies and percentages were used to summarize the data, and the Pearson correlation was used to determine the bivariate association between the study variables. PROCESS Macro in SPSS was used for mediation analyses. The findings show that depression and anxiety had significant negative correlations with the quality of life of persons living with type 2 diabetes. However, only depression had a significant negative correlation with social support. On the contrary, social support significantly and positively correlated with quality of life. The mediation analysis shows that social support partially mediated the relationship between depression and quality of life after adjusting for the sex of the participants. However, social support did not have a significant mediation effect on the link between anxiety and quality of life after adjusting for the sex of the participants. The availability of social support, especially peer support, could buffer the negative emotional experiences associated with living with type 2 diabetes and improve the quality of life for persons living with this health condition.

scholarly journals Cost-effectiveness of a Transdiagnostic Psychotherapy Program for Youth With Common Mental Health Problems

2021 ◽  
Author(s):  
Rasmus Trap Wolf ◽  
Pia Jeppesen ◽  
Mette Maria Agner Pedersen ◽  
Louise Berg Puggaard ◽  
Mikael Thastum ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cost Effectiveness ◽  
Mental Health Problems ◽  
Base Case ◽  
Trial Period ◽  
Common Mental Health Problems ◽  
One Year ◽  
Psychotherapy Program ◽  
Preference Weights

Abstract Objectives: Our objective was to evaluate the cost-effectiveness of the transdiagnostic psychotherapy program Mind My Mind (MMM) for youth with common mental health problems using a cost-utility analysis (CUA) framework and data from a randomized controlled trial. Furthermore, we analyzed the impact of choice of informant with respect to both quality-of-life reporting and preference weights on the Incremental Cost Effectiveness Ratio (ICER). Methods: A total of 396 school-aged youth took part in the 6-month trial. CUAs were carried out for the trial-period and for four one-year extrapolation scenarios. Costs were based on a combination of budget and self-reported costs. Youths and parents were asked to report on the youth’s quality-of-life three times during the trial using the Child Health Utility 9D (CHU9D). Parental-reported CHU9D was used in the base case together with preference weights of a youth population. Analyses using self-reported CHU9D and preference weights of an adult population were also carried out. Results: The analysis of the trial period resulted in an ICER of €170,465. The analyses of the one-year scenarios resulted in ICERs between €23,653 and €50,480. The ICER increased by 24% and 71% compared to the base case when using self-reported CHU9D and adult preference weights, respectively. Conclusion: The MMM intervention has the potential to be cost-effective, but the ICER is dependent on the duration of the treatment effects. Results varied significantly with the choice of respondent and the choice of preference weights indicating that both factors should be considered when assessing CUA involving youth.

scholarly journals Evaluation of a complex intervention (Engager) for prisoners with common mental health problems, near to and after release: study protocol for a randomised controlled trial

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e017931 ◽  
Author(s):  
Tim Kirkpatrick ◽  
Charlotte Lennox ◽  
Rod Taylor ◽  
Rob Anderson ◽  
Michael Maguire ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Standard Care ◽  
Mental Health Problems ◽  
Controlled Trial ◽  
Related Quality ◽  
Common Mental Health Problems ◽  
Randomised Controlled ◽  
Drug And Alcohol

IntroductionThe ‘Engager’ programme is a ‘through-the-gate’ intervention designed to support prisoners with common mental health problems as they transition from prison back into the community. The trial will evaluate the clinical and cost-effectiveness of the Engager intervention.Methods and analysisThe study is a parallel two-group randomised controlled trial with 1:1 individual allocation to either: (a) the Engager intervention plus standard care (intervention group) or (b) standard care alone (control group) across two investigation centres (South West and North West of England). Two hundred and eighty prisoners meeting eligibility criteria will take part. Engager is a person-centred complex intervention delivered by practitioners and aimed at addressing offenders’ mental health and social care needs. It comprises one-to-one support for participants prior to release from prison and for up to 20 weeks postrelease. The primary outcome is change in psychological distress measured by the Clinical Outcomes in Routine Evaluation-Outcome Measure at 6 months postrelease. Secondary outcomes include: assessment of subjective met/unmet need, drug and alcohol use, health-related quality of life and well-being-related quality of life measured at 3, 6 and 12 months postrelease; change in objective social domains, drug and alcohol dependence, service utilisation and perceived helpfulness of services and change in psychological constructs related to desistence at 6 and 12 months postrelease; and recidivism at 12 months postrelease. A process evaluation will assess fidelity of intervention delivery, test hypothesised mechanisms of action and look for unintended consequences. An economic evaluation will estimate the cost-effectiveness.Ethics and disseminationThis study has been approved by the Wales Research Ethics Committee 3 (ref: 15/WA/0314) and the National Offender Management Service (ref: 2015–283). Findings will be disseminated to commissioners, clinicians and service users via papers and presentations.Trial registration numberISRCTN11707331; Pre-results.

scholarly journals Quality of Life Among the Navies at Six Months After the Tsunami in Phang-NGA Naval Base, Phang-NGA Province, Thailand

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1 ◽  
Author(s):  
R. Kongsakon
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Social Support ◽  
Normative Data ◽  
Mental Health Problems ◽  
Short Form ◽  
Bodily Pain ◽  
Essential Information ◽  
Tsunami Disaster

Objective:This study aimed to identify the health-related quality of life (HRQOL) among the navies or their spouses at 6 months after the tsunami disaster, to compare HRQOL with the 2006 Thailand normative data for Short Form - 36 (Bangkok)4.Method:A structured questionnaire modified from the 36-item Medical Outcome Study Short-Form Health Survey (MOS SF - 36), including demographic data, characteristics and amount of loss, social support, health information, and type of Tsunami exposure were recorded.Result:A total of 434 subjects participated in this study. Male was 77%. Married was 67%. Mean age was 33.56 ± 9.26 years old. The QOL scores among members of the Navy or their spouses were lower than the 2006 Thailand normative data (Bangkok) in almost all subscales except physical functioning, bodily pain, and social functioning. The major consequence of the Tsunami was mental health problems. A majority of the survivors who seriously experienced mental problems were female, low education, decreased income, loss of one's family members/loved ones, or property. Bodily pain was the only indicator subscale of QOL which was significant statistically associated with Tsunami exposure.Conclusion:The QOL measurement provided essential information that helped healthcare providers to identify survivors’ needs and outcomes. In addition, the changes in QOL over time after Tsunami disaster might be an effective guideline for health resources allocation. To improve their quality of life, these people required appropriate social support as well as physical and mental health care.

Health, wellbeing and quality of life

2019 ◽  
pp. 177-204 ◽  
Author(s):  
Angela Curl ◽  
Julie Clark
Keyword(s):  
Quality Of Life ◽  
Health Policy ◽  
Population Health ◽  
Health Inequalities ◽  
Transport Policy ◽  
Health And Wellbeing ◽  
Private Car ◽  
Negative Impacts ◽  
Significant Health

Transport is fundamental to health, wellbeing and quality of life. By providing accessibility and mobility, it contributes positively to population health in numerous ways. At the same time, many significant health challenges can also be attributed to particular ways of travelling, with the dominance of the private car a particular issue. Transport has the potential to address health inequalities, yet despite a recent upsurge of interest in the benefits of active travel, health is seldom a primary consideration in transport policy. Proposing an agenda for change that puts health and wellbeing at the heart of transport policy, we investigate how transport and health policy can intertwine to realise the benefits of transport while mitigating its negative impacts, and argue that the underlying purpose of transport policy must be to improve the health and wellbeing of citizens.

scholarly journals Social support in multiple sclerosis: Associations with quality of life, depression, and anxiety

2020 ◽  
Vol 138 ◽  
pp. 110252 ◽  
Author(s):  
Adrianna Ratajska ◽  
Bonnie I. Glanz ◽  
Tanuja Chitnis ◽  
Howard L. Weiner ◽  
Brian C. Healy
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Social Support ◽  
Depression And Anxiety

scholarly journals Impact of Longitudinal Social Support and Loneliness Trajectories on Mental Health during the COVID-19 Pandemic in France

2021 ◽  
Vol 18 (23) ◽  
pp. 12677
Author(s):  
Sandy Laham ◽  
Leticia Bertuzzi ◽  
Séverine Deguen ◽  
Irwin Hecker ◽  
Maria Melchior ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Study ◽  
Depression And Anxiety ◽  
Linear Regression Models ◽  
Symptoms Of Depression ◽  
Common Mental Health Problems ◽  
Mental Health Study

(1) Background: Little is known about how the COVID-19 pandemic has impacted social support and loneliness over time and how this may predict subsequent mental health problems. This study aims to determine longitudinal trajectories of social support and loneliness in the French general population during the first year of the COVID-19 pandemic and study whether variations in these trajectories are associated with symptoms of depression and anxiety; (2) Methods: Analyses were based on data from 681 French participants in the international COVID-19 Mental Health Study (COMET) study, collected at four periods of time between May 2020 and April 2021. Group-based trajectory modelling (GBTM) was used to determine social support and loneliness trajectories. Associations between the identified trajectories and symptoms of depression and anxiety, measured with the Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder scale (GAD-7), were tested through multivariate linear regression models; (3) Results: Social support trajectories revealed four stable groups: ‘poor’ (17.0%), ‘moderate’ (42.4%), ‘strong’ (35.4%) and ‘very strong’ (5.1%). Loneliness trajectories also identified four groups: ‘low stable’ (17.8%), ‘low rising’ (40.2%), ‘moderate stable’ (37.6%) and ‘high rising’ (5.0%). Elevated symptoms of depression were associated with poor social support as well as all identified loneliness trajectories, while high levels of anxiety were associated with moderate stable and high rising loneliness trajectories; (4) Conclusions: High and increasing levels of loneliness are associated with increased symptoms of depression and anxiety during the pandemic. Interventions to address loneliness are essential to prevent common mental health problems during the pandemic and afterwards.

scholarly journals Prevalence of depression and anxiety in patients with chronic obstructive pulmonary disease and their association with psychosocial outcomes: A cross-sectional study from Pakistan

2021 ◽  
Vol 9 ◽  
pp. 205031212110328
Author(s):  
Muhammad Omair Husain ◽  
Imran B Chaudhry ◽  
Amy Blakemore ◽  
Suleman Shakoor ◽  
Muhammad Ali Husain ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Social Stress ◽  
Chronic Obstructive ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease

Objectives: Chronic obstructive pulmonary disease contributes to substantial health and economic burden worldwide. Co-morbid depression and anxiety are highly prevalent in patients with chronic obstructive pulmonary disease. Depressive symptoms in chronic obstructive pulmonary disease are associated with poorer survival, longer hospitalisation and impaired quality of life. Literature on chronic obstructive pulmonary disease is largely derived from high-income countries; yet 90% of deaths related to chronic obstructive pulmonary disease occur in low- and middle-income countries. We aimed to establish the prevalence of anxiety and depression in patients with chronic obstructive pulmonary disease, as well as the association with psychosocial outcomes. Methods: This was a cross-sectional study of chronic obstructive pulmonary disease patients attending outpatient primary care clinics in Karachi, Pakistan. The Patient Health Questionnaire-9 was used to assess depression and the Generalised Anxiety Disorder-7 scale was used for the assessment of anxiety. Health-related quality of life was assessed with EuroQol–Five Dimensions, social support with Oslo-3 and social stress with Life Events Checklist. We recruited 293 subjects. Results: The prevalence of depression and anxiety in the sample was 51% ( n = 149) and 20% ( n = 59), respectively. Depressed chronic obstructive pulmonary disease patients reported significantly lower health-related quality of life scores as compared to non-depressed patients. Participants with depression had significantly higher levels of anxiety, less social support, higher social stress and more subjective impairment in quality of life. Conclusion: Given the association with reduced social support and increased perceived stress, the role of psychosocial interventions must be explored in improving outcomes of chronic obstructive pulmonary disease patients in Pakistan.

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