scholarly journals DYNAMICS OF LIFE QUALITY, ANXIETY AND DEPRESSION SYMPTOMS AMONG PATIENTS WITH CHRONIC INSOMNIA IN COMPLEX SANATORIUM-AND-HEALTH RESORT TREATMENT WITH INCLUSION OF TRANSCRANIAL MAGNETOTHERAPY

2018 ◽  
Vol 35 (1) ◽  
pp. 82-87
Author(s):  
A G Goryaev
Keyword(s):  
Quality Of Life ◽  
Comparison Group ◽  
Main Group ◽  
Chronic Insomnia ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Health Resort ◽  
Randomized Sampling ◽  
Transcranial Magnetotherapy

Aim. To evaluate the dynamics of the quality of life, symptoms of anxiety and depression in patients with chronic insomnia against the background of complex sanatorium-and-health resort treatment with inclusion of transcranial magnetotherapy (TCMT). Materials and methods. 63 patients (mean age 53.1 ± 1.4 years) with verified diagnosis of chronic insomnia were examined. The patients were divided into 2 randomized groups by means of randomized sampling technique: 33 patients of the main group were administered a basic sanatorium complex including nitric-siliceous baths with low content of radon, massage of head and collar zone, terrencure, cognitive-behavioral therapy, group psychotherapy, transcerebral magnetotheprapy; 30 patients of the comparison group had the same therapy, but no TCMT. Results. When analyzing the initial data before treatment, high levels of subclinical and clinically manifested anxiety and depression were revealed in all patients with insomnia. When comparing subjective complaints before and after treatment within both groups, a reliable dynamics in anxiety and depression assessment was detected. In the main group with TCMT used, the results of treatment were significantly better, than in the comparison group. In the comparison group, positive reliable dynamics of the quality of life indices was also noted, but it was statistically less significant by all scales, than in the main group. Conclusions. Transcranial magnetotherapy, included into complex of sanatorium-and-health resort treatment of chronic insomnia patients, permits to reduce subjective clinical symptoms of anxiety and depression and improve patients’ quality of life, mostly of psychological component of their health status.

scholarly journals Optimization of Complex Sanatorium-resort Treatment for Patients with Chronic Insomnia by Including Transcranial Magnetic Therapy

2021 ◽  
Vol 20 (2) ◽  
pp. 118-125
Author(s):  
Alexander G. Goryaev ◽  
Tamara V. Kulishova
Keyword(s):  
Quality Of Life ◽  
Comparison Group ◽  
Main Group ◽  
Chronic Insomnia ◽  
Health Resort ◽  
Number Of Patients ◽  
Magnetic Therapy ◽  
Insomnia Severity ◽  
Epworth Scale

Aim. To determine the effectiveness of the transcranial magnetic therapy course inclusion in the sanatorium-resort treatment complex for patients with chronic insomnia. Material and methods. 122 patients with a verified diagnosis of chronic insomnia were examined, the average age was 54.0±0.92 years, of which 68.9% were women and 31.1% were men. The patients were divided into 2 randomized groups: 62 in the main group (who received health resort treatment complex and transcranial magnetic therapy) and 60 in the comparison group (an identical complex without transcranial magnetic therapy). All patients were evaluated for the index of insomnia severity, symptoms of impaired daytime functioning, daytime sleepiness on the Epworth scale, anxiety and depression on the HADS scale, vegetative tone, polysomnography data, and quality of life (SF-36). Results. As a result of the course of treatment, the average index of insomnia severity in the main group decreased from 20.3±0.32 to 13.0±0.38 (p<0.001), in the comparison group from 19.9±0.32 to 15.3±0.29 (p<0.001). Clinically, in addition to improving sleep quality, patients reported improved daytime functioning significantly more pronounced in the main group for most of the analyzed symptoms (p<0.05). A comparative analysis of the daytime sleepiness results assessment on the Epworth scale, anxiety and depression on the HADS scale before and after treatment showed a statistically significant positive trend more pronounced in the main group (p<0.05). The change in the indicators of vegetative tone in patients with chronic insomnia after treatment was expressed in a statistically significant decrease in the number of patients with sympathicotonia by 15.7% (p<0.05) and an increase in the number of patients with normotonic vegetative support by 17.4% (p<0.05). In the comparison group, the results were significantly worse (p<0.05). After the use of therapeutic complexes, there was a favorable reliable dynamic in the change in polysomnography indicators in patients of both groups, however, the positive result in the main group was more pronounced (p<0.05). the resulting positive assessment of the transcranial magnetotherapy application was a statistically significant improvement in the quality of life of patients in the main group (p<0.05). Conclusion. The inclusion of transcranial magnetotherapy in complex health resort treatment treatment can significantly improve the effectiveness of sleep disorders treatment and improve the quality of life of patients with chronic insomnia.

scholarly journals Effectiveness of e-Health cardiac rehabilitation program on quality of life associated with symptoms of anxiety and depression in moderate-risk patients

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Raquel Bravo-Escobar ◽  
Alicia González-Represas ◽  
Adela María Gómez-González ◽  
Ángela Heredia-Torres
Keyword(s):  
Quality Of Life ◽  
Cardiac Rehabilitation ◽  
Rehabilitation Program ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Cardiac Rehabilitation Program ◽  
Moderate Risk ◽  
Risk Patients ◽  
The Impact

AbstractExploring new models of medical care requires evaluating the impact of new care strategies not only on physiological parameters but also on the quality of life of the patient. On the other hand the presence of anxiety together with depression requires further consideration when planning appropriate management strategies. The aim of this study was to examine the effectiveness of a home-based cardiac rehabilitation program incorporating an e-Health technology on health-related quality of life associated with symptoms of anxiety and depression in moderate-risk patients. A multicenter, randomized controlled clinical trial was designed to compare a traditional hospital based cardiac rehabilitation program (n = 38, 35 male) with a mixed home surveillance program where patients exercised at home with a remote electrocardiographic monitoring device (n = 33, 31 male). The Short Form-36 (SF-36) Health Survey and the Goldberg questionnaire were used to evaluate quality of life and the presence of symptoms of anxiety and depression respectively. The results of this study show that the type of cardiac rehabilitation program did not influence the improvement in quality of life (p = 0.854), but the presence of symptoms of anxiety and depression did (p = 0.001). Although both programs achieved a decrease in anxiety and depression symptoms and improved functional capacity (p ≤ 0.001), a significant interaction effect was found between the group with or without anxiety and depression symptoms and the type of program in the bodily pain dimension (p = 0.021). Trial registration: Retrospectively registered NCT02796404 (10/06/2016) in clinialtrials.gov.

scholarly journals Prevalence of symptoms and quality of life of cancer patients

2020 ◽  
Vol 73 (2) ◽  
Author(s):  
Marina de Góes Salvetti ◽  
Caroline Silva Pereira Machado ◽  
Suzana Cristina Teixeira Donato ◽  
Adriana Marques da Silva
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Negative Correlation ◽  
Physical Symptoms ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Positive Correlation ◽  
Quality Of Life Scale ◽  
Loss Of Appetite

ABSTRACT Objectives: to analyze the prevalence of symptoms and their relationship with the quality of life of cancer patients. Methods: this is a cross-sectional study with 107 patients evaluated using a sociodemographic instrument, the hospital anxiety and depression scale (HADS) and the quality of life scale (EORTC-QLQ-C30). Pearson’s correlation test was used to evaluate the relationship between symptoms and quality of life. Results: prevalence of female patients (56.1%), 55 years as the mean age and 10 years of schooling. Fatigue (76.6%), insomnia (47.7%), pain (42.1%), loss of appetite (37.4%), anxiety (31.8%) and depression (21.5%) were identified. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms. Conclusions: fatigue, insomnia, pain and loss of appetite were the most common and most intense symptoms. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms.

scholarly journals Four-year course of quality of life and obsessive–compulsive disorder

2019 ◽  
Vol 55 (8) ◽  
pp. 989-1000 ◽  
Author(s):  
Karin C. P. Remmerswaal ◽  
Neeltje M. Batelaan ◽  
Adriaan W. Hoogendoorn ◽  
Nic J. A. van der Wee ◽  
Patricia van Oppen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Obsessive Compulsive Disorder ◽  
Patient Characteristics ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Data Sets ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Comorbid Anxiety

Abstract Objective Patients with obsessive compulsive disorder (OCD) have high disease burden. It is important to restore quality of life (QoL) in treatment, so that patients become able to live a fulfilling life. Little is known about the longitudinal course of QoL in patients with OCD, its association with remission from OCD, and about factors that contribute to an unfavourable course of QoL in remitting patients. Methods Study on the 4-year course of QoL of patients with chronic (n = 144), intermittent (n = 22), and remitting OCD (n = 73) using longitudinal data of the Netherlands Obsessive Compulsive Disorder Association (NOCDA; complete data: n = 239; imputed data n = 382). The EuroQol five-dimensional questionnaire (EQ-5D) utility score was used to assess QoL. In patients with remitting OCD, we examined patient characteristics that contributed to an unfavourable course of QoL, including sociodemographics, OCD characteristics, psychiatric comorbidity, and personality traits. Results Course of QoL was associated with course of OCD. QoL improved in those who remitted from OCD; however, even in these patients, QoL remained significantly below the population norms. The correlation between QoL and severity of OCD was only moderate: r = − 0.40 indicating that other factors besides OCD severity contribute to QoL. In remitters, more severe anxiety and depression symptoms were related to a lower QoL. Results were similar in complete and imputed data sets. Conclusions Remission from OCD is associated with improvement of QoL, but comorbid anxiety and depression symptoms hamper the improvement of QoL. QoL could be improved by reducing OCD symptoms in patients with OCD and by treating comorbid anxiety and depression symptoms in remitting patients.

Psychological distress in adults with congenital heart disease: focus beyond depression

2019 ◽  
Vol 29 (2) ◽  
pp. 185-189 ◽  
Author(s):  
Lacey P. Gleason ◽  
Lisa X. Deng ◽  
Abigail M. Khan ◽  
David Drajpuch ◽  
Stephanie Fuller ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Depression Scale ◽  
Anxiety Symptoms ◽  
Satisfaction With Life Scale ◽  
Anxiety And Depression ◽  
Depression Symptoms

AbstractBackgroundAdults with congenital heart disease face psychological challenges although an understanding of depression vs. anxiety symptoms is unclear. We analyzed the prevalence of elevated symptoms of anxiety and depression and explored associations with demographic and medical factors as well as quality of life.MethodsAdults with congenital heart disease enrolled from an outpatient clinic completed the Hospital Anxiety and Depression Scale and two measures of quality of life: the Linear Analogue Scale and the Satisfaction with Life Scale. Medical data were obtained by chart review.ResultsOf 130 patients (median age = 32 years; 55% female), 55 (42%) had elevated anxiety symptoms and 16 (12%) had elevated depression symptoms on subscales of the Hospital Anxiety and Depression Scale. Most patients with elevated depression symptoms also had elevated anxiety symptoms (15/16; 94%). Of 56 patients with at least one elevated subscale, 37 (66%) were not receiving mental health treatment. Compared to patients with 0 or 1 elevated subscales, patients with elevations in both (n=15) were less likely to be studying or working (47% vs. 81%; p=0.016) and reported lower scores on the Linear Analogue Scale (60 vs. 81, p<0.001) and the Satisfaction with Life Scale (14 vs. 28, p<0.001).ConclusionsAmong adults with congenital heart disease, elevated anxiety symptoms are common and typically accompany elevated depressive symptoms. The combination is associated with unemployment and lower quality of life. Improved strategies to provide psychosocial care and support appropriate engagement in employment are required.

scholarly journals Psychological Differences of Patients and Relatives according to Post-Transplantation Anxiety

2008 ◽  
Vol 11 (1) ◽  
pp. 250-258 ◽  
Author(s):  
María Ángeles Pérez San Gregorio ◽  
Agustín Martín Rodríguez ◽  
José Pérez Bernal
Keyword(s):  
Quality Of Life ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Life Questionnaire ◽  
Post Transplantation ◽  
Transplant Patients ◽  
Psychological Differences ◽  
One Year

The aim of this investigation is to analyze the psychological differences of patients and their relatives according to the formers' post-transplantation anxiety. We used two groups of participants: transplant patients (n = 166) and close relatives (n = 166). Four questionnaires were applied: a Psychological Survey (to both groups), the Hospital Anxiety and Depression Scale, and the Quality of Life Questionnaire (to the transplant patients), and the Leeds Scales for the Self-Assessment of Anxiety and Depression (to the relatives). Participants were assessed twice: post-Intensive Care Unit (ICU; when patients were moved from the ICU to the Transplantation Unit) and post-hospital (one year after transplant). Results showed that high anxiety in patients just after organ transplant was related to an increase of anxiety and depression symptoms both in patients and relatives one year after transplant; it was also related to a decrease in the quality of life of these patients.

scholarly journals Dynamics of quality of life in patients with morbid obesity after biliopancreatic diversion and sleeve gastrectomy

2018 ◽  
Vol 22 (3) ◽  
pp. 548-552
Author(s):  
O.V. Perekhrestenko
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery ◽  
Morbid Obesity ◽  
Sleeve Gastrectomy ◽  
Surgical Treatment ◽  
Biliopancreatic Diversion ◽  
Comparison Group ◽  
Main Group ◽  
The Impact

The rapid progress of obesity surgery dictates the necessity to study the quality of life of patients after bariatric procedures. The aim of the study is to assess the dynamics of quality of life of patients with morbid obesity after biliopancreatic diversion in the modification of Hess-Marceau and the sleeve gastrectomy in order to improve the results of surgical treatment of the specified category of patients. The results of surgical treatment of 205 patients with morbid obesity who performed sleeve gastrectomy (main group — 105 patients) or biliopancreatic diversion by Hess-Marceau (comparison group — 100 patients) were analyzed. The study of the dynamics of quality of life of patients was performed in according the Moorehead-Ardelt II method. Statistical data processing was performed using the methods of variational and descriptive statistic using Statistica 6.0 statistical analysis package. Installed that biliopancreatic diversion by Hess-Marceau and sleeve gastrectomy allowed to significantly improve the quality of life of patients with an increase of the quality of life index with -1.5±0.7 in the comparison group and -1.6±0,6 in the main group up to 1.8±0.3 and 2.0±0.4 respectively (p<0.05 compared to pre-operative data) 60 months after surgery. A more pronounced positive dynamics of quality of life in patients of the main group in the time interval of 12–24 months after the operation was achieved due to the absence of severe late metabolic complications and undesirable side effects of biliopancreatic diversion and laparoscopic access for sleeve gastrectomy in 54.3% of patients. Thus, the quality of life of patients with morbid obesity before performing bariatric surgery is critically low and significantly improved after biliopancreatic diversion by Hess-Marceau as well as sleeve gastrectomy. The impact of bariatric surgery on the duration and quality of life of patients requires further multicenter randomized trials.

The combined application of transvaginal collagenase electrophoresis and pulsed magnetic therapy to improve the quality of life of patients with chronic salpingo-oophoritis

2021 ◽  
pp. 14-19
Author(s):  
Tamara Mikhailovna Medoeva ◽  
Madina Zaudinovna Dugieva ◽  
Vadim Viktorovich Portnov
Keyword(s):  
Quality Of Life ◽  
Psychological Health ◽  
Comparison Group ◽  
Main Group ◽  
Pelvic Pain Syndrome ◽  
Combined Application ◽  
Group 2 ◽  
Magnetic Therapy ◽  
Group 1

Chronic salpingo-oophoritis (CSO) is one of the most common diseases among the entire gynecological pathology, the frequency of which reaches 65-68%. Despite the progress made in the treatment of CSO, there is a serious problem due to the steady growth and complications leading to infertility, ectopic pregnancy and the development of chronic pelvic pain syndrome, which significantly reduces the quality of life of patients. In this regard, the development of promising pharmaco-physiotherapeutic methods with pronounced analgesic, anti-inflammatory, immunomodulatory and bacteriological effects to increase the therapeutic effectiveness and improve the quality of life of patients with salpingo-oophoritis is an important task of modern gynecology and physiotherapy. Objective: To study in a comparative aspect the effect of the combined use of transvaginal electrophoresis of the collagenase complex and pulsed magnetic therapy and their mono-effects on the quality of life of patients with chronic salpingo-oophoritis. Materials and research methods. The study included 77 patients aged 18 to 42 years (median age was 26,7±2,8 years) with a diagnosis of chronic salpingo-oophoritis of non-specific etiology. More than half of the patients (59,7%) were women under 25 years of age. All patients were divided into three groups that were comparable according to the main clinical and anamnestic data, somatic and obstetric-gynecological status: group 1 — the main group — included 28 patients who received a course of combined application of transvaginal electrophoresis of the collagenase complex and pulsed magnetic therapy; group 2 — comparison group 1 — included 25 patients who received acourse of transvaginal electrophoresis of the collagenase complex; group 3 — comparison group 2 — included 24 patients who received a course of pulsed magnetic therapy. The quality of life was assessed by the indicators of the Quality of Life Index (QOL), which takes into account the three most important and informative aspects of patients’ lives: physical condition and its dynamics, mental (psychological) health and daily functioning. The results of the study. Based on the obtained results, it was proved that the most pronounced results were achieved in patients of the main group who received a course of transvaginal electrophoresis of the collagenase complex in combination with pulsed magnetic therapy, where the quality of life improved by 89,3% according to the QOL index, compared to the monotherapy with transvaginal electrophoresis and pulsed magnetic therapy — 75,7% and 73,1%, respectively.

scholarly journals EFFECTIVENESS OF AN INTERDISCIPLINARY PROGRAM IN PATIENTS WITH FAILED BACK SURGERY SYNDROME

2017 ◽  
Vol 16 (1) ◽  
pp. 48-51
Author(s):  
JOSÉ EDUARDO NOGUEIRA FORNI ◽  
ANA MARCIA RODRIGUES CUNHA ◽  
CARLOS EDUARDO D'AGLIO ROCHA ◽  
LILIAN CHESSA DIAS ◽  
MARCO HENRIQUE D'ALL AGLIO FOSS ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Failed Back Surgery Syndrome ◽  
Pain Clinic ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Interdisciplinary Program ◽  
Failed Back Surgery ◽  
Back Surgery ◽  
The Mean

ABSTRACT Objective: To evaluate the results of an interdisciplinary program administered to patients with failed back surgery syndrome, aiming at functional improvement, modulation of pain, reduction of anxiety symptoms and depression, and improvement of quality of life. Method: This is a non-randomized prospective study with a sample of patients with failed back surgery pain syndrome diagnosed with persistent or recurrent pain after surgery to the lumbar spine (laminectomy and arthrodesis) referred to liaison in the Pain Clinic (n= 26). The instruments used were Brief Pain Inventory, Roland-Morris Questionnaire and Beck Anxiety and Depression Inventories. The generic WHOQOL-bref13 questionnaire was used to evaluate the quality of life and the fear of moving was assessed by the Tampa Scale for Kinesiophobia. Results: There was a predominance of females, the mean age was 42.3 ± 5.8 years, 43% were married and average schooling was 7 ± 4.5 years. The mean time of pain reported was 8 ± 6.8 months in addition to high levels of anxiety, depression and kinesiophobia. After the intervention, there was a significant improvement in the perception of quality of life and of all parameters evaluated (p<0.05), with functional gains as well as decreased pain threshold. Conclusion: The interdisciplinary intervention in patients with failed back surgery syndrome provides better functional performance, decreases the intensity of pain, anxiety and depression symptoms, and improves quality of life. The inclusion of this intervention associated with drug therapy may the patient develop an active and independent lifestyle.

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