scholarly journals Quality of life in schizophrenic patients: the influence of sociodemographic and clinical characteristics and satisfaction with social support

2018 ◽  
Vol 40 (3) ◽  
pp. 202-209 ◽  
Author(s):  
Lara Manuela Guedes de Pinho ◽  
Anabela Maria de Sousa Pereira ◽  
Cláudia Margarida Correia Balula Chaves

Abstract Objective To evaluate the relationship of sociodemographic and clinical characteristics and satisfaction with social support with the quality of life of schizophrenic patients. Methodology This study included a sample of 268 participants. An interview was conducted to obtain sociodemographic and clinical data, supplemented with two assessment tools used to evaluate quality of life (World Health Organization Quality of Life instrument-Abbreviated version – WHOQOL-Bref) and satisfaction with social support (Social Support Satisfaction Scale – SSSS). Descriptive and inferential analyses were performed. Results Most individuals were male (63.4%), with a mean age of 45.4 years, single (85.4%), living with their family (62.3%) and unemployed (90.3%). As for clinical characteristics, most had the disease for less than 20 years (50.7%), and 55.6% had at least one hospitalization within the last 5 years. Being employed and having had no hospitalization within the last 5 years were positively correlated with one or more WHOQOL-Bref domains. The results of the variables intimacy (p<0.001) and satisfaction with friends (p<0.001) were independently related to the total WHOQOL-Bref score. Conclusion Having a job, having had no hospitalization within the last 5 years and having greater satisfaction with social support are factors that positively influence quality of life among schizophrenics. It is therefore crucial that the psychosocial rehabilitation of patients with schizophrenia take these factors into account, increasing the support network, preventing relapses and promoting occupational activities.

Author(s):  
Iwanowicz-Palus ◽  
Zarajczyk ◽  
Pięta ◽  
Bień

Carbohydrate metabolism disorders resulting in hyperglycemia are among the most common metabolic complications of pregnancy. According to 2017 data from the International Diabetes Federation (IDF), 16.2% of pregnancies are complicated with hyperglycemia, of which gestational diabetes mellitus (GDM) accounts for 86.4% of cases. Carbohydrate metabolism disorders developing during pregnancy require the patient to change her lifestyle or, in some cases, to undergo pharmaceutical treatment, which may affect various aspects of the patient’s life, including her perceived quality of life (QoL). The purpose of the present study was to evaluate levels of QoL, social support, acceptance of illness, and self-efficacy among pregnant patients with hyperglycemia. The study was performed between July 2016 and September 2017 in a group of hyperglycemic pregnant women. The following instruments were used: the World Health Organization Quality of Life—BREF (WHOQOL-BREF), the Berlin Social Support Scales (BSSS), the Acceptance of Illness Scale (AIS), the Generalized Self-Efficacy Scale (GSES) and a standardized interview questionnaire. Participants rated their overall QoL (3.64 points) higher than their overall perceived health (3.43). In terms of social support, the highest scores were obtained in terms of actually received support (3.53) and perceived available instrumental support (3.52), while the lowest in terms of support seeking (2.99) and the need for support (2.95). The mean acceptance of illness score among the hyperglycemic pregnant women that were studied was 31.37, and the mean generalized self-efficacy score was 31.58. Participants’ reported QoL in the various WHOQOL-BREF domains was associated with specific social support scales, acceptance of illness, and generalized self-efficacy.


2019 ◽  
Vol 29 (3) ◽  
pp. 655-663 ◽  
Author(s):  
Rasheeda K. Hall ◽  
Michael P. Cary ◽  
Tiffany R. Washington ◽  
Cathleen S. Colón-Emeric

Abstract Purpose Patient priorities for quality of life change with age. We conducted a qualitative study to identify quality of life themes of importance to older adults receiving dialysis and the extent to which these are represented in existing quality of life instruments. Methods We conducted semi-structured interviews with 12 adults aged ≥ 75 years receiving hemodialysis to elicit participant perspectives on what matters most to them in life. We used framework analysis methodology to process interview transcripts (coding, charting, and mapping), identify major themes, and compare these themes by participant frailty status. We examined for representation of our study’s subthemes in the Kidney Disease Quality of Life (KDQOL-36) and the World Health Organization Quality of Life for Older Adults (WHOQOL-OLD) instruments. Results Among the 12 participants, average age was 81 (4.2) years, 7 African-American, 6 women, and 6 met frailty criteria. We identified two major quality of life themes: (1) having physical well-being (subthemes: being able to do things independently, having symptom control, maintaining physical health, and being alive) and (2) having social support (subthemes: having practical social support, emotional social support, and socialization). Perspectives on the subthemes often varied by frailty status. For example, being alive meant surviving from day-to-day for frail participants, but included a desire for new life experiences for non-frail participants. The majority of the subthemes did not correspond with domains in the KDQOL-36 and WHOQOL-OLD instruments. Conclusion Novel instruments are likely needed to elicit the dominant themes of having physical well-being and having social support identified by older adults receiving dialysis.


2020 ◽  
Author(s):  
Mohammad Farris Iman Leong Bin Abdullah ◽  
Nor Shuhada Murad ◽  
Soo Huat Teoh ◽  
Mohd Afifuddin Mohamad

Abstract Purpose: Despite the significant impact of COVID-19 on mental health among university students, data on the related quality of life (QoL) are lacking in this group of the population. This study aimed to evaluate quality of life (QoL) and determine its association with various factors and social support among university students during the COVID-19 pandemic after the end of movement lockdown. Methods: This was an online, cross-sectional study recruited a total of 316 participants. Participants were administered a self-reported questionnaire to gather data on demographic, personal, clinical and psychological characteristics; the 21-item depression, anxiety and stress scale (DASS-21) to assess the severity of their depressive, anxiety and stress symptoms; the multidimensional scale of perceived social support (MSPSS) to assess the degree of social support; and the World Health Organization quality of life-BREF (WHOQoL-BREF) to assess QoL. Results: The psychological and social QoL scores were lower than the non-pandemic norms of the general population, while the physical health and environmental QoL scores were comparable. After adjusting for relevant demographic, personal, and clinical variables, religious coping; greater number of hours of online classes attended; and greater social support from family, friends and significant others were found to be significantly associated with higher QoL among the participants. Frustration because of study disruption, living in areas with a high prevalence of COVID-19 cases, and a higher severity of depressive and stress symptoms were significantly associated with lower QoL. Conclusion: COVID-19 impaired the QoL of university students even after the movement lockdown was lifted.


2020 ◽  
Vol 9 (9) ◽  
pp. e491997397
Author(s):  
Andréa Victória Oliveira Santos ◽  
Lorenna Emília Sena Lopes ◽  
Iani Miranda Pinto ◽  
Stefane dos Santos ◽  
Luiz Eduardo Oliveira de Almeida ◽  
...  

Introduction: Duchenne Muscular Dystrophy (DMD) is characterized by membrane dissociation, resulting in the breakdown of the musculoskeletal fiber. Objective:  to identify the assessment tools used to measure the quality of life in patients with DMD. Methodology: A systematic review of articles published from 2007 to 2017 on QOL assessment tools in patients with DMD was conducted in the SciELO, PubMED and LILACS databases. Results: 6 articles met the inclusion criteria, using the QOL assessment tools; Life Satisfaction Index for Adolescents; Quality of Life Evaluation Scale; Medical Outcomes Study 36; World Health Organization Quality of Life Instrument; Health Related Quality of Life Questionnaire for Children and Young People and their Parents e Pediatric Quality of Life Inventory. Conclusions: the tools for the evaluation of quality of life in patients with Duchenne Muscular Dystrophy (DMD) are essentials to determinate and to present an effective treatment focused on patient’s priorities and their main difficulties. However the lack of a validated scale specifically focused on this diagnostic interferes in the real score of those patients quality of life.


2018 ◽  
Vol 9 (1) ◽  
pp. 1-10
Author(s):  
Christy N M Hitijahubessy ◽  
Yati Affiyanti ◽  
Tri Budiati

Violence against women is generally a social phenomenon that is very worrying throughout the world,so WHO has established it as a global epidemic. Violence against women in the household, both inurban and rural areas, always places women in a vulnerable position which results in a lack ofconfidence and inhibits women from empowering themselves. The importance of social support greatlyhelps women victims of domestic violence to improve their quality of life. This study aims to identifysocial support to improve the physical quality of life of women victims of domestic violence. Thedesign of this study is cross-sectional. The study sample consisted of 243 women victims of domesticviolence, aged 19-49 years. Assessment of social support using the Multidimensional Scale ofPerseived Social (MSPSS) questionnaire, while an assessment of physical quality of life usingquestionnaire The World Health Organization Quality of Life (WHOQOL) Bref the Indonesianversion. The results of the analysis show that there is a very strong relationship, the direction of thepositive relationship between social support with the quality of physical life is affected (R = 0.994, p =0.000). Social support can be used as an intervention to improve the physical quality of life of womenvictims of domestic violence through mentoring and counseling programs. Keywords: Social support, quality of physical life, women victims of domestic


2021 ◽  
Vol 15 ◽  
Author(s):  
Roumayne Costa ◽  
Márcia Carrera ◽  
Ana Paula Marques

OBJECTIVE: The objective of this study was to assess global quality of life and the factors associated with it in long-lived older adults registered with family health centers. Global quality of life was measured using the two general questions on the World Health Organization Quality of Life instrument. METHODOLOGY: This was a cross-sectional, quantitative study based on secondary data from a sample of 100 older adults. RESULTS: The results of analyses revealed a mean age of 84.20 years, 77% of the sample were female, 46% had spent between 1 and 4 years in education, 63% were widowed, 76% had an income equivalent to one to two times the minimum wage, 77% had systemic arterial hypertension, 34% had diabetes mellitus, 27% had cardiovascular disease, 74% had social support, and 63% exhibited depressive symptomology. The frequency of satisfactory global quality of life in the sample studied was 35%. CONCLUSIONS: In relation to global quality of life, assessed in terms of interviewees’ satisfaction with their lives and health in conjunction, the majority of the study population reported not being satisfied. After completion of all statistical analyses, factors associated with dissatisfaction were social support, depression, and osteoarthritis.


2017 ◽  
Vol 1 (1) ◽  
pp. 25
Author(s):  
Karina Megasari Winahyu ◽  
Susi Wahyuniati ◽  
Rita Sekarsari

The aging population is a common situation in developing countries caused by the successful health care outcome. However, the increasing prevalence of chronic diseases, such as hypertension is the impact of physical deterioration caused by the aging process. Older adults with hypertension require social support as a source of external support to help maintain health, which could affect the quality of life. A cross-sectional study was used by recruiting 71 older adults in primary health care in Tangerang. The standardized questionnaires, including the Multidimensional Scale of Perceived Social Support (MSPSS) and World Health Organization Quality of Life (WHOQOL) -BREF were provided based upon validity and reliability. Statistical analysis was conducted by employing the Pearson Product-Moment coefficient correlation. The result showed that perceived social support was significantly positively correlated with the quality of life of older adults with hypertension. In conclusion, this study suggests that maintaining social support from family, friends, and significant other needs to be considered in achieving a better quality of life for older adults with hypertension. Keywords: Older Adult, Hypertension, Social Support, Quality of Life.


Author(s):  
Deborah Adeyemi Lawrence ◽  
Olutope E. Akinnawo ◽  
Bede C. Akpunne ◽  
Aderonke A. Akintola

This study was carried out to investigate the relationship between Quality of Life (QoL) and psychosocial health status of caregivers of children living with diagnosed psychological disorder. A total of 309 caregivers of children with psychological disorders using a Federal Neuropsychiatric Hospital in  Nigeria (mean age = 41.2 years) were purposively selected during clinic appointment days and responded to Zarit Burden Interview (ZBI), Multidimensional Scale of Social Support (MSPSS), The World Health Organization Quality of Life - Brief (WHOQOL-BREF) and General Health Questionnaire (GHQ-12). Data was analyzed using descriptive and inferential statistics. The result revealed that burden of care and social support were significant joint  predictors of the Quality Of Life of the participants (R2= .040, p = .003), age of caregiver, duration of marriage of caregiver, child age and duration of care failed to jointly significantly predict the quality of life of caregiver  (R2= .013, p = .424), but significantly predicted the psychological health of the caregivers (R2= .084, p = .000).Social support had strong beta contribution on QoL while age of caregiver had significant beta contribution on psychological health of the caregivers.


Author(s):  
Shaista Shaban ◽  
Mohd Abrar Ahmad Guroo ◽  
Racheal Bashir

Background: Quality of life (QOL) is a measure to see an individual’s adaptation and feeling of wellbeing and adjustment with the surroundings. Schizophrenia and rheumatoid arthritis (RA) both are chronic and disabling disorders supposed to have significant effect on quality of life. Also chronicity and disability of these disorders can be directly proportional to the caregiver burden.Methods: Comparative study assessing quality of life and caregiver burden between persons with schizophrenia and RA.Results: 50% of the schizophrenia group as well as the RA group were unemployed, suggesting the magnitude of the disability levels caused by the illness. Only 33% of patients with schizophrenia were married, unlike patients with RA where 83% were married. Of all the four domains of the World Health Organization quality of life instrument (WHO-QOL BREF) both the groups scored highest in the physical domain and least in the psychological domain and the difference between the two groups was not statistically significant in all the four domains. Burden among the caregivers of schizophrenic patients was comparatively high on BAS than caregivers of rheumatoid arthritis. The mean duration of illness in patients with schizophrenia was significantly higher than patients with RA.Conclusions: RA is a chronic disorder and physical in nature with full insight in the patients. While as schizophrenia is characterized as a chronic mental illness with poor prognosis and no insight. QOL is expected to be less in schizophrenic patients. There is no significant difference in QOL except in physical domain in which patients with schizophrenia scored significantly better than patients with RA. The social domain of QOL was the only one in which schizophrenic patients did poorly, though not statistically significant. Also care giver burden was more among caregivers of schizophrenic patients and that can be attributed to lack of insight.


2021 ◽  
Vol 9 (1) ◽  
pp. 45
Author(s):  
Hsiao-Tan Chiu ◽  
Hui-Man Huang

Objective: The study aims to explore the perception of empowerment, HRQoL and their relationship in schizophrenia patients in rehabilitation ward.Methods: Cross-sectional correlational design and convenience sampling were used to recruit 102 subjects from rehabilitation wards of a psychiatric hospital in southern Taiwan. Three instruments were used: the Brief Psychiatric Rating Scale, the Empowerment Scale (subscales: self-esteem and self-efficacy, power-powerlessness, righteous anger, and community autonomy), and the Taiwanese version of the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF) with four domains (physical health, psychological, social relationship, and environment).Results: (1) Overall empowerment perception and overall HRQoL were at a moderate and above level in patients with schizophrenia in rehabilitation ward. (2) Older patients having a lower empowerment perception with power-powerlessness than youngers; the more severe the psychiatric symptoms, the lower the righteous anger. (3) Male patients scored higher than female patients on overall HRQoL and “environment” domain. The duration of mental illness also influenced at “environment” domain, 6-10 years group scored higher than ≤ 5 years group. (4) Actively participate in rehabilitation activities correlated positively; psychiatric symptoms correlated negatively with overall HRQoL and with each individual domain. (5) Empowerment perception correlated positively with overall HRQoL and with each individual domain.Conclusions: Mental health workers should assist chronic schizophrenic patients in coping with their psychiatric symptoms, allow patients to express negative emotions, and provide opportunities for patients to make their own decisions and exercise their own rights.


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