Health-related quality of life predictors during medical residency in a random, stratified sample of residents

OBJECTIVE: To evaluate the quality of life during the first three years of training and identify its association with sociodemographicoccupational characteristics, leisure time and health habits. METHOD: A cross-sectional study with a random sample of 128 residents stratified by year of training was conducted. The Medical Outcome Study -short form 36 was administered. Mann-Whitney tests were carried out to compare percentile distributions of the eight quality of life domains, according to sociodemographic variables, and a multiple linear regression analysis was performed, followed by a validity checking for the resulting models. RESULTS: The physical component presented higher quality of life medians than the mental component. Comparisons between the three years showed that in almost all domains the quality of life scores of the second year residents were higher than the first year residents (p < 0.01). The mental component scores remained high for third year residents (p < 0.01). Predictors of higher quality of life were: second or third year of residency, satisfaction with the training program, sufficient time for leisure, and care of critical patients for less than 30 hours per week. CONCLUSION: The mental component of quality of life was the most impaired component, indicating the importance of caring for residents' mental health, especially during their first year and when they are overloaded with critical patients.

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Schizoaffective disorder and life quality

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.1671 ◽

2017 ◽

Vol 41 (S1) ◽

pp. s844-s845

Author(s):

W. Bouali ◽

I. Marrag ◽

F. Ellouze ◽

A. Dekhil ◽

M. Nasr

Keyword(s):

Quality Of Life ◽

Schizoaffective Disorder ◽

Linear Regression Analysis ◽

Life Quality ◽

Multiple Linear Regression Analysis ◽

Cross Sectional Study ◽

Cross Sectional ◽

Competing Interest ◽

Impaired Quality

Introductionschizoaffective disorder is a nosographic entity characterized by a combination of symptoms of schizophrenia with mood episodes. The fact that its diagnosis is difficult, and often oscillates between schizophrenia and bipolar disorder raises the problem of its care and the outcome of patients who suffers from it.ObjectiveTo evaluate the quality of life of treated patients with schizoaffective disorder.Materials and methodsThis is a cross-sectional study realized at the psychiatric consultation of Mahdia hospital during a 6month period. Data were collected from patients and from their medical records using a predefined questionnaire.ResultsA total of 52 patients were included, the average age was 38 years. The majority of patients (63.5%) were unemployed. The use of psychoactive substances was noted in 63.5% of patients. Multiple linear regression analysis allowed us to find that 12 factors were more significantly associated with impaired quality of life which were, in descending order of importance: the EAS score > 39, the EGF score ≤ 70, the null or partial adherence, the presence of side effects seriously affecting daily activity, the depressive subtype, the lack of employment, the socio-economic level, the lack of stable budgetary resources, an age > 60years, the widowed and divorced marital status, the PANSS score (≥ 45) and negative symptomatology (PANSS).ConclusionThe diagnosis of schizoaffective disorder has a triple relevance: clinical, prognostic and therapeutic. Identifying a schizoaffective disorder and the risk factors that may affect the quality of life provides a significant practical impact for the patient's benefit.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Health-related quality of life and associated factors in patients with myocardial infarction after returning to work: a cross-sectional study

10.21203/rs.2.23225/v2 ◽

2020 ◽

Author(s):

Changying Chen ◽

Ruofei Du ◽

Panpan Wang ◽

Tao Wang ◽

Lixia Ma ◽

...

Keyword(s):

Quality Of Life ◽

Myocardial Infarction ◽

Social Support ◽

Linear Regression Analysis ◽

Multiple Linear Regression Analysis ◽

Cross Sectional Study ◽

Cross Sectional ◽

Related Quality ◽

Returning To Work

Abstract Background: Return to work following myocardial infarction (MI) represents an important indicator of recovery. However, MI can cause patients to feel pressure, loneliness and inferiority during work and even detachment from employment after returning to work, which may affect their quality of life. The aims of this study were to identify the influencing factors of Health-related quality of life (HRQoL) in patients with MI after returning to work and explore the correlations between these factors and HRQoL. Method: This was a cross-sectional study. All participants were recruited from tertiary hospitals in China from October 2017 to March 2018. The general data questionnaire, Short-Form Health Survey-8 (SF-8), Health Promoting Lifestyle ProfileⅡ (HPLPⅡ), Medical Coping Modes Questionnaire (MCMQ) and Social Supporting Rating Scale (SSRS) were used to assess 326 patients with myocardial infarction returned to work after discharge. Multiple linear regression analysis was performed to explore factors related to HRQoL in patients with MI after returning to work. Results: The sample consisted of 326 patients. The mean total score of quality of life was 28.03±2.554. According to the multiple linear regression analysis, next factors were associated with better HRQoL: younger age (B=−0.354, P=0.039), higher income (B=0.513, P=0.000), less co-morbidity (B=−0.440, P=0.000), the longer time taken to return to work (B=0.235, P=0.003), fewer stents installed (B=−0.359, P=0.003), participation in cardiac rehabilitation (CR) (B=−1.777, P=0.000), complete CR (B=−1.409, P=0.000), better health behaviors such as more health responsibility (B=0.172, P=0.000) and exercise (B=0.165, P=0.000), better nutrition (B=0.178, P=0.000) and self-realization (B=0.165, P=0.000), stress response (B=0.172, P=0.000), more social support such as more objective support (B=0.175, P=0.000), subjective support (B=0.167, P=0.000) and better utilization of social support (B=0.189, P=0.028), positive copping strategies such as more coping (B=0.133, P=0.000) and less yield (B=−0.165, P=0.000). Conclusions: HRQoL of MI patients after returning to work is not satisfactory. Health behavior, coping strategies, social support are factors which can affect HRQoL. A comprehensive and targeted guide may be a way to improve HRQoL and to assist patients' successful return to society.

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Impact of oral health conditions on the quality of life of workers

Ciência & Saúde Coletiva ◽

10.1590/1413-812320141912.21352013 ◽

2014 ◽

Vol 19 (12) ◽

pp. 4777-4786 ◽

Cited By ~ 5

Author(s):

Maria Júlia Campos Guerra ◽

Rosangela Maria Greco ◽

Isabel Cristina Gonçalves Leite ◽

Efigênia Ferreira e Ferreira ◽

Marcos Vinícius Queiroz de Paula

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Occupational Health ◽

Linear Regression Analysis ◽

Multiple Linear Regression Analysis ◽

Health Impact ◽

Cross Sectional Study ◽

Cross Sectional ◽

The Impact

Occupational health has been the scope of numerous studies, primarily due to the concern that the worker should enjoy good working conditions and a satisfactory quality of life. This study seeks to analyze the impact of oral health on the quality of life of workers at a public university using the simplified version of the Oral Health Impact Profile (OHIP-14) and associated factors. A cross-sectional study was conducted with 326 workers who responded the questions of OHIP-14 about self-rated health, oral morbidity, and socioeconomic and demographic questions. Multiple linear regression analysis was performed to verify the association between the independent variables and OHIP-14. About 40% of the impact of oral health on quality of life can be explained by the variables: education level (p = 0,03), age (p = 0,03), reason for visiting a dentist (p = 0,01), oral health perception (p < 0,01) and satisfaction with teeth and mouth (p < 0,01). The use of OHIP-14 can be useful for planning programs and actions focused on health education for occupational health, prioritizing workers with greater psychosocial impacts caused by oral problems.

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Association Between Comorbidities and Quality of Life in Psoriatic Arthritis: Results from a Multicentric Cross-sectional Study

The Journal of Rheumatology ◽

10.3899/jrheum.181471 ◽

2019 ◽

Vol 47 (3) ◽

pp. 369-376 ◽

Cited By ~ 10

Author(s):

Wallis Bavière ◽

Xavier Deprez ◽

Eric Houvenagel ◽

Peggy Philippe ◽

Valerie Deken ◽

...

Keyword(s):

Quality Of Life ◽

Psoriatic Arthritis ◽

Short Form ◽

Linear Regression Analysis ◽

Analysis Data ◽

Cross Sectional Study ◽

Multivariate Linear Regression Analysis ◽

Sectional Study ◽

Cross Sectional

Objective.In psoriatic arthritis (PsA), comorbidities add to the burden of disease, which may lead to poorer quality of life. The purpose of this study was to evaluate the relationship between comorbidities and quality of life (QOL).Methods.Patients from a multicentric, cross-sectional study on comorbidities in PsA were included in the analysis. Data on comorbidities were collected and were subsequently used to compute the modified Rheumatic Disease Comorbidity Index (mRDCI). The Medical Outcomes Study Short Form-36 questionnaire physical (PCS) and mental component summary (MCS) scales were used to assess QOL.Results.In total, 124 recruited patients fulfilled the ClASsification for Psoriatic ARthritis criteria (CASPAR): 62.1% were male; mean age and mean disease duration were 52.6 ± 12.6 years and 11.3 ± 9.6 years, respectively. The number of comorbid conditions was 2.0 ± 1.3, with 30.6% of the sample having currently or a history of 3 or more comorbidities. In the multivariate linear regression analysis, only anxiety remained significantly related to mental health (p < 0.0001). Anxiety alone accounted for 28.7% of the variance in MCS scores. Moreover, MCS was also significantly associated with the mRDCI score, which explained 4.9% of the variance in MCS [β = −1.56 (standard error 0.64), R2 = 0.049, p = 0.0167]. In contrast, PCS was not significantly associated either with type or number of comorbidities.Conclusion.In this study, the type of comorbidity appeared to have a greater effect than the number of comorbidities. Indeed, anxiety in PsA was independently associated with QOL and would thus be an important factor to take into account in daily clinical practice.

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Health-related quality of life and associated factors in patients with myocardial infarction after returning to work: a cross-sectional study

10.21203/rs.2.23225/v3 ◽

2020 ◽

Author(s):

Changying Chen ◽

Ruofei Du ◽

Panpan Wang ◽

Tao Wang ◽

Lixia Ma ◽

...

Keyword(s):

Quality Of Life ◽

Myocardial Infarction ◽

Social Support ◽

Linear Regression Analysis ◽

Multiple Linear Regression Analysis ◽

Cross Sectional Study ◽

Cross Sectional ◽

Related Quality ◽

Returning To Work

Abstract Background: Return to work following myocardial infarction (MI) represents an important indicator of recovery. However, MI can cause patients to feel pressure, loneliness and inferiority during work and even detachment from employment after returning to work, which may affect their quality of life. The aims of this study were to identify the influencing factors of Health-related quality of life (HRQoL) in patients with MI after returning to work and explore the correlations between these factors and HRQoL.Method: This was a cross-sectional study. All participants were recruited from tertiary hospitals in China from October 2017 to March 2018. The general data questionnaire, Short-Form Health Survey-8 (SF-8), Health Promoting Lifestyle ProfileⅡ (HPLPⅡ), Medical Coping Modes Questionnaire (MCMQ) and Social Supporting Rating Scale (SSRS) were used to assess 326 patients with myocardial infarction returned to work after discharge. Multiple linear regression analysis was performed to explore factors related to HRQoL in patients with MI after returning to work.Results: The sample consisted of 326 patients. The mean total score of quality of life was 28.03±2.554. According to the multiple linear regression analysis, next factors were associated with better HRQoL: younger age (B=−0.354, P=0.039), higher income (B=0.513, P=0.000), less co-morbidity (B=−0.440, P=0.000), the longer time taken to return to work (B=0.235, P=0.003), fewer stents installed (B=−0.359, P=0.003), participation in cardiac rehabilitation (CR) (B=−1.777, P=0.000), complete CR (B=−1.409, P=0.000), better health behaviors such as more health responsibility (B=0.172, P=0.000) and exercise (B=0.165, P=0.000), better nutrition (B=0.178, P=0.000) and self-realization (B=0.165, P=0.000), stress response (B=0.172, P=0.000), more social support such as more objective support (B=0.175, P=0.000), subjective support (B=0.167, P=0.000) and better utilization of social support (B=0.189, P=0.028), positive copping strategies such as more coping (B=0.133, P=0.000) and less yield (B=−0.165, P=0.000).Conclusions: HRQoL of MI patients after returning to work is not satisfactory. Health behavior, coping strategies, social support are factors which can affect HRQoL. A comprehensive and targeted guide may be a way to improve HRQoL and to assist patients' successful return to society.

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Exploring the association between optimism and quality of life among informal caregivers of persons with dementia

International Psychogeriatrics ◽

10.1017/s104161021800090x ◽

2018 ◽

Vol 31 (3) ◽

pp. 309-315 ◽

Cited By ~ 7

Author(s):

Pablo Ruisoto ◽

Israel Contador ◽

Bernardino Fernández-Calvo ◽

David Palenzuela ◽

Francisco Ramos

Keyword(s):

Quality Of Life ◽

Linear Regression Analysis ◽

Informal Caregivers ◽

Well Being ◽

Multiple Linear Regression Analysis ◽

Cross Sectional Study ◽

World Health ◽

Cross Sectional ◽

World Health Organization Quality

ABSTRACTObjective:We aimed to analyze the relationship between optimism and quality of life (QoL) among informal caregivers of patients with dementia (PWD).Design:In this cross-sectional study, a hierarchical multiple linear regression analysis was used to determine the association between optimism and caregiver's QoL after controlling the effect of different covariates, including burden.Participants:A sample of 130 PWD and their informal caregivers underwent a comprehensive protocol of assessment.Measurements:Caregivers completed the Battery of Generalized Expectancies of Control Scales, the Zarit Burden Interview, and the World Health Organization Quality of Life-Brief as measure of QoL. Optimism was estimated based on the combination of three expectancies of control, namely, self-efficacy, contingency, and success.Results:QoL correlated positively with optimism and negatively with burden. Optimism predicted each dimension of QoL, even after controlling for the effect of sociodemographic, care-recipients’ clinical covariates, and burden in all models.Conclusion:Optimism consistently predicted well-being and QoL in informal caregivers of PWD.

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Quality of life in multiple sclerosis: The differential impact of motor and cognitive fatigue

Multiple Sclerosis Journal - Experimental Translational and Clinical ◽

10.1177/2055217321996040 ◽

2021 ◽

Vol 7 (1) ◽

pp. 205521732199604

Author(s):

Sabina David Ruban ◽

Claudia Christina Hilt ◽

Thor Petersen

Keyword(s):

Quality Of Life ◽

Multiple Sclerosis ◽

Short Form ◽

Cross Sectional Study ◽

University Hospital ◽

Cognitive Fatigue ◽

Cross Sectional ◽

Impact Scale ◽

Assessment And Treatment

Background Multiple sclerosis is a chronic disease leading to reduced quality of life. Objectives To investigate whether motor and cognitive fatigue impact differently on aspects of quality of life among patients with multiple sclerosis, independently from bodily disability. Methods 79 patients with multiple sclerosis from Aalborg University Hospital, Denmark were included in an observational, cross-sectional study. Each subject completed two separate questionnaires regarding fatigue (Fatigue Scale for Motor and Cognitive Functions and Modified Fatigue Impact Scale) and one regarding quality of life (Short Form 36). Disability was measured with the Expanded Disability Status Scale (EDSS)-scores obtained from patient records. Results All fatigue scores were significantly correlated to all areas of quality of life (p < 0,05). This remained significant after adjustment for age, disease duration and EDSS-score. When looking at each type of fatigue separately, cognitive fatigue correlated mainly with mental health aspects of quality of life and motor fatigue with physical health areas of quality of life. Conclusion Increased motor and cognitive fatigue lead to a differential reduction in physical and mental quality of life, independently of bodily disability. This underlines the importance of proper assessment and treatment of fatigue among patients with multiple sclerosis.

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Study time, glasses utilization and age affect quality of life among senior first-year Chinese myopia students

European Journal of Ophthalmology ◽

10.1177/1120672120982528 ◽

2021 ◽

pp. 112067212098252

Author(s):

Ziqian Zhu ◽

Yan He ◽

Jiezheng Yang ◽

Qiaoli Li ◽

HuanHuan Cheng ◽

...

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Regression Analysis ◽

Linear Regression Analysis ◽

Multiple Linear Regression Analysis ◽

Study Time ◽

First Year ◽

Normal Vision ◽

First Year Students

Purpose: To compare the quality of life of senior first-year students with normal vision and myopia, and to explore the risk factors related to quality of life in students with myopia. Methods: In this study, 1103 senior first-year students were enrolled in ten high schools. These students were divided according to the diopter degree, with 916 myopia students and 187 normal vision students. Visual function indexes, such as naked eye vision, were measured and recorded, and social demographic indexes and the National Eye Institute 25-Item Visual Function Questionnaire (NEI VFQ-25) was used. The differences in quality of life between the two groups were compared. Multiple linear regression analysis was used to explore the possible risk factors for quality of life in myopia students. Results: In the NEI VFQ-25, the total quality of life scores of myopia students (77.06 ± 15.66) were lower than those of normal vision students (85.49 ± 12.37). The difference was statistically significant ( p = 0.007). In the correlation analysis, the total scores of quality of life in myopia students were positively correlated with wearing glasses ( p = 0.049), and were negatively correlated with study time ( p = 0.029). Multiple linear regression analysis showed that study time, wearing glasses and age were risk factors affecting quality of life in myopia students. Conclusion: Our results show that senior first-year myopia students have lower quality of life scores than students with normal vision. Study time, wearing glasses and age are risk factors for quality of life in senior first-year myopia students.

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Predictors of quality of life among patients on dialysis in southern Brazil

Sao Paulo Medical Journal ◽

10.1590/s1516-31802008000500002 ◽

2008 ◽

Vol 126 (5) ◽

pp. 252-256 ◽

Cited By ~ 25

Author(s):

Maristela Bohlke ◽

Diego Leite Nunes ◽

Stela Scaglioni Marini ◽

Cleison Kitamura ◽

Marcia Andrade ◽

...

Keyword(s):

Quality Of Life ◽

Peritoneal Dialysis ◽

Short Form ◽

Outcome Measurement ◽

Cross Sectional Study ◽

Southern Brazil ◽

Cross Sectional ◽

Sf 36 ◽

Dialysis Facilities

CONTEXT AND OBJECTIVE: Quality of life (QoL) is considered important as an outcome measurement, especially for long-term diseases such as chronic renal failure. The present study searched for predictors of QoL in a sample of patients undergoing dialysis in southern Brazil. DESIGN AND SETTING: This was a cross-sectional study developed in three southern Brazilian dialysis facilities. METHODS: Health-related QoL of patients on hemodialysis or peritoneal dialysis was measured using the generic Short Form-36 (SF-36) health survey questionnaire. The results were correlated with sociodemographic, clinical and laboratory variables. The analysis was adjusted through multiple linear regression. RESULTS: A total of 140 patients were assessed: 94 on hemodialysis and 46 on peritoneal dialysis. The mean age was 54.2 ± 15.4 years, 48% were men and 76% were white. The predictors of higher (better) physical component summary in SF-36 were: younger age (β-0.16; 95% confidence interval, CI: -0.27 to -0.05), shorter time on dialysis (β-0.06; 95% CI: -0.09 to -0.02) and lower Khan comorbidity-age index (β 5.16; 95% CI: 1.7-8.6). The predictors of higher mental component summary were: being employed (β 8.4; 95% CI: 1.7-15.1), being married or having a marriage-like relationship (β 4.56; 95% CI: 0.9-8.2), being on peritoneal dialysis (β 4.9; 95% CI: 0.9-8.8) and not having high blood pressure (β 3.9; 95% CI: 0.3-7.6). CONCLUSIONS: Age, comorbidity and length of time on dialysis were the main predictors of physical QoL, whereas socioeconomic issues especially determined mental QoL.

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The COVID-19 pandemic and first-year medical students’ academic motivation

10.21203/rs.3.rs-215761/v1 ◽

2021 ◽

Author(s):

Aidos K. Bolatov

Keyword(s):

Quality Of Life ◽

Medical Students ◽

Extrinsic Motivation ◽

Academic Motivation ◽

Well Being ◽

Cross Sectional Study ◽

First Year ◽

Cross Sectional ◽

First Year Medical Students

Abstract The study aimed to investigate the relationships between academic motivation and the psychological well-being of 1st-year medical students during the COVID-19 pandemic. The total number of respondents in the cross-sectional study was 273. Intrinsic motivation was positively correlated with fear of COVID-19 and negatively correlated with psychological collapse and negative changes in quality of life due to the COVID-19. Extrinsic motivation positively associated with fear of COVID-19. Amotivation positively correlated with psychological collapse and negative changes in quality of life. In conclusion, COVID-19-related changes in quality of life and psychological destruction were predictors of academic motivation among 1st-year medical students.

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