scholarly journals The Relation between Different Aspects of Quality of Life with Coping Style in Adolescents with Thalassemia in Comparison to a Healthy Group

Author(s):  
Samira Abbasi ◽  
Mohsen Shahriari ◽  
Majid Ghanavat ◽  
Sedigheh Talakoub ◽  
Fatemeh Sadat Mosavi Asl ◽  
...  

Background: Thalassemia as a chronic disease could affect different aspects of a patient’s life. On the other hand, when encountering the symptoms of a chronic disease as a stressful factor, the coping strategy of the adolescents and their families could have an important role in the quality of life of these patients. The present study was conducted to determine the relation between different aspects of quality of life with coping styles in the adolescents with thalassemia in comparison to a healthy control group. Materials and Methods: The present study is a case-control research in 2017. Studied samples were 200 adolescents with thalassemia and healthy adolescents. Data gathering tools were demographic characteristics checklist and the coping style and quality of life questionnaire by the World Health Organization. Data were analyzed by SPSS 20 using independent t-test, linear regression and correlation coefficients. Conclusion: Results of Pearson statistical test showed a positive and significant relation between the total mean score of quality of life and its physical, social and mental aspects with emotion-oriented coping style (p<0.01). Also a direct significant relation was observed between the total mean score of quality of life and its social and physical aspects with problem-oriented coping style(p<0.01). Conclusion: According to the results of the present study, educating the adolescents and their families for paying attention to the coping style for stressful factors and preparing these adolescents for passing toward the youth period, which could be challenging for them, are highly recommended. 

Author(s):  
Jamileh Malekuti ◽  
Mojgan Mirghafourvand ◽  
Khadijeh Samadi ◽  
Fatemeh Abbasalizadeh ◽  
Laleh Khodaei

Abstract Introduction Due to the effects of hemorrhoids on physical and mental health, this study aimed to compare the effect of Myrtus communis herbal and anti-hemorrhoid ointments on symptoms of hemorrhoid and quality of life (primary outcomes) and satisfaction of the treatment and side effects (secondary outcomes). Methods This triple-blind randomized controlled trial was performed on women with grade I and II hemorrhoid referring to health centers in Tehran, Iran, in 2017. Individuals were randomly assigned to two groups of 67 people through block randomization method. The intervention group received the Myrtus communis herbal ointment and the control group received anti-hemorrhoid ointment twice a day, every 12 ± 2 h, an applicator of the drug through the rectum for 4 weeks. The Colorectal Evaluation of a Clinical Therapeutics Scale (CORECTS) was used to assess the severity of symptoms of hemorrhoid. To assess the quality of life, the World Health Organization Quality of Life questionnaire (WHOQOL-BREF) was used to measure the general quality of life of participants. This questionnaire was completed once before the start of the study, then on the fourth and the eighth week after the start of the intervention. Repeated measure ANOVA, Chi-square, Mann–Whitney U and independent t-test were used for data analysis. Results The severity of all symptoms of hemorrhoid decreased in both two group and there was no statistically significant difference between the two groups (p>0.05). However, the mean of anal itching at 4 and 8 weeks after the intervention was significantly lower in the Myrtus communis ointment group (p<0.05). There was no significant difference between groups in terms of quality of life at 4 and 8 weeks after the intervention (p>0.05). There was a significant difference between the two groups in terms of satisfaction with the drug (p=0.019) and the participants in the Myrtus communis ointment group were more satisfied with their drug use. Conclusions Myrtus communis herbal ointment was able to reduce the symptoms of hemorrhoid in the affected women. Therefore, it is likely that the use of this drug will promote the health of mothers with hemorrhoid.


2016 ◽  
Vol 10 (12) ◽  
pp. 107
Author(s):  
Mozhgan Rafiee ◽  
Hossein Davoodi

This study was carried out with the objective of evaluating the effect of combined Effectiveness of 1 And 2 Educational Combination Relation Marital Skills (Speaking and listening to each other) and (moving forward together) On Reducing Marital Conflict And Improving The Quality of Life For Women of Mahmudabad city. The statistical population of the research were 80 housewives under the support of Welfare Organization of Mahmoud Abad city who had records in 2014-15 among whom 20 individuals were randomly selected as statistical sample using available sampling. 10 individuals were randomly assigned to the experimental group and 10 individuals were assigned to the control group. Research tools were marital conflicts’ questionnaire with 42 items (Barati & Snaie, 1996) and quality of life questionnaire with 26 questions (WHOQ-REFB) of the world Health Organization. The results of the study showed that integrated teaching of 1 and 2 marital communication skills (taking and listening to each other) and (moving forward together) has had no effect on reduction of marital conflicts and improvement of quality of life of woman.


2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Maria Oles ◽  
Piotr Oles

Purpose.This study aims at evaluating coping style and quality of life in patients with glaucoma and cataract.Methods.The participants were patients (N=237, 130F; mean age: M = 67,8; SD = 9,5) with low vision caused by cataract(N=188)and glaucoma(N=49)who answered the Quality of Life Questionnaire (QOLQ) by Schalock and Keith. The participants were divided by means of cluster analysis (k-means) according to coping styles measured by CISS (Endler and Parker) into three groups: (1) high mobilization for coping, (2) task-oriented coping, and (3) low mobilization for coping.Results.In all the group, a general quality of life was moderately lowered; however, in task-oriented group it was relatively high. Moreover, task-oriented group had significantly lower level of anxiety (STAI), hopelessness (HS), and loneliness (UCLA LS-R) and higher level of self-esteem (SES) in comparison to the patients from high mobilization and low mobilization for coping.Conclusions.In an old age, adaptive coping with vision disturbances does not necessarily mean flexibility in combining all coping styles, but rather task-oriented coping and an ability to use social support. Extreme mobilization for coping seems not adaptive similarly like low mobilization for coping because it violates balance between environmental requirements and personal resources.


Author(s):  
Artur Wdowiak ◽  
Agnieszka Anusiewicz ◽  
Grzegorz Bakalczuk ◽  
Dorota Raczkiewicz ◽  
Paula Janczyk ◽  
...  

The aim of this study was to assess the quality of life (QoL) of infertility treated women as it can affect the effectiveness of therapy. This cross-sectional study was conducted with Abbreviated World Health Organization Quality of Life questionnaire (WHOQOL-BREF), Fertility Quality of Life tool (FertiQoL) and an author’s questionnaire. The study included 1200 women treated for infertility without the use of assisted reproductive technology (non-ART), intrauterine insemination (IUI), or in vitro fertilization (IVF). The control group was 100 healthy women who had children. The time to conceive did not significantly differ between study groups and was 3.1–3.6 years, on average. The quality of life in the WHOQOL-BREF questionnaire data significantly differed between study groups and the control (physical domain p < 0.001, psychological p = 0.009; social p = 0.004; environmental p < 0.001). A significant effect was found in 4 FertiQoL subscales: emotional, biological, partnership, and attitude towards treatment; depending on the method of treatment. Women who received non-ART treatment evaluated their QoL in significantly more negative terms in these 4 subscales, compared to those treated with IVF. The quality of life depends on reproductive problems, methods of infertility treatment, age, place of residence, and education level. Prolongation of the duration of treatment unfavourably affects the quality of life. The quality of life of women undergoing infertility treatment differs according to the mode of work and having children from a previous relationship.


2012 ◽  
Vol 8 (1) ◽  
pp. 152-157 ◽  
Author(s):  
MG Carta ◽  
D Petretto ◽  
S Adamo ◽  
KM Bhat ◽  
ME Lecca ◽  
...  

Introduction:To measure the effectiveness on Quality of Life of adjunctive cognitive behavioral counseling in the setting of General Practitioners (GPs) along with the treatment as usual (TAU;) for the treatment of depression.Methods:Six month-controlled trial of patients who were referred to randomly assigned GPs (four for experimental group of patients and ten for the control) was done. Experimental sample had 34 patients with DSM-IV diagnosis of Depression (Depressed Episode, Dysthymia, or Adjustment Disorder with Depressed Mood) receiving the TAU supplemented with counseling. Control group had 30 patients with diagnosis of Depression receiving only the TAU.Results:The Beck Depression Inventory (BDI) score improved in both groups. Patients in the experimental group showed greater improvement compared to the control group at T2. The World Health Organization Quality OF Life Questionnaire (WHOQOL) score also improved in the experimental group but not in the control group. The improvement in the experimental group was statistically significant in terms of both BDI and WHOQOL scores.Conclusions:Adding counseling to TAU in general medical practice settings is more effective in controlling the symptoms of depression and improving the quality of life as measured over a period of six months, than TAU alone. These results while encouraging, also calls for a larger study involving a largersample size and a longer period of time.


Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 1328-1328
Author(s):  
Julie A. Panepinto ◽  
Kerry M. O’Mahar ◽  
Michael R. DeBaun ◽  
J. Paul Scott

Abstract Children with sickle cell disease use different coping styles to control their pain. Those who use an affective coping style such as fear and anger self-statements or a passive coping style such as resting have more severe pain, higher utilization of health care services, and worse psychological adjustment. Those who use active coping styles such as diverting attention or praying and hoping engage in greater work and social activities. The association of coping style to the health-related quality of life (HRQL) in children with sickle cell disease is not known. Our study sought to determine the association of coping styles with HRQL in children with sickle cell disease. We hypothesized that children with sickle cell disease who used affective or passive coping styles would have worse HRQL. To determine the association between coping styles and HRQL, the Child Health Questionnaire-Child Form (CHQ-CF87) was completed by children with SCD age 10–18 years at the time of their annual comprehensive visit to 1 of 2 sickle cell disease clinics. Mean scores were calculated for each of the 12 concepts that make-up the CHQ-CF87. Scores range from 0, representing poor quality of life, to 100, representing a high quality of life. In addition, children also completed the Coping Strategies Questionnaire (CSQ) for sickle cell disease. This questionnaire assesses ways in which children cope with pain based on the child’s response on a 7-point Likert-type scale where 0 =never and 6=always. Mean scores were calculated for each of 3 types of coping styles: affective, passive adherence and active coping. Pearson correlation coefficients were calculated to determine the association of HRQL with coping style. Partial correlation coefficients, controlling for disease severity, were calculated for those relationships with significant associations. Forty-eight children completed both questionnaires for analysis. The mean age of the children was 13. 3 years (standard deviation 2.2) and 58% were female. Children who used an affective coping style had worse associated HRQL scores in the areas of mental health and self esteem (r of −0.38, p=0.010 and r of −0.35, p=0.015 respectively). Furthermore, children who used an affective coping style or passive coping style reported a greater frequency of disruption in their usual family activities or that their health more likely was a source of family tension (r of −0.39, p=0.006 and r of −0.31, p=0.037 respectively). These relationships persisted after controlling for disease severity. There was no significant association with other domains of HRQL and coping. In conclusion, children with sickle cell disease who report using affective and passive coping styles have worse mental health and self esteem and increased disruption of family activities. This maladaptive response to pain further impacts the well being of children with sickle cell disease and their families. In addition, these findings support the need to provide psychological intervention and therapy to improve children’s coping abilities to ultimately improve their HRQL.


2016 ◽  
Vol 9 (4) ◽  
pp. 174
Author(s):  
Razieh Parnian ◽  
Farzad Poorgholami ◽  
Nehle Parandavar ◽  
Safeih Jamali ◽  
Fatemeh Shakeri

<p><strong>INTRODUCTION:</strong> Infertility is a medical problem which influences all the dimensions of one’s individual and social life and can expose him/her to psycho-physical, socio-economic, sexual and family challenges. This study was designed to compare the quality of life of fertile and infertile women.</p><p><strong>MATERIALS &amp; METHODOLOGY:</strong> This is a case-control analytical study in which 180 fertile and infertile women (aged 18-42) participated. The infertile group consisted of women who had visited an infertility treatment clinic. The fertile group consisted of healthy women who had children and had visited a healthcare center in the city of Jahrom. For the case group (n=90), sampling was conducted based on the census method; for the control group (n=90), subjects were selected through stratified random sampling. Data were collected using a questionnaire which had two sections: demographic information and the World Health Organization quality of life questionnaire (WHO QOL-BREF). The collected data were analyzed using SPSS version 16.</p><p><strong>RESULTS:</strong> The mean age of the participants was 28.26±4.85 years. 76.5% of the infertility cases were due to female infertility and 5.9% were due to male infertility. The results showed that there was a significant difference between the infertile and fertile groups in their overall satisfaction with life levels (p=0.002). There were no significant differences between the two groups in mean scores of somatic, psychological, social and environmental dimensions (p&gt;0.05).</p><p><strong>CONCLUSION:</strong> Considering the results of the present research, it seems that factors like acceptance of infertility by couples, hope for present medical solutions to be effective, use of support plans and recent advancements in technology are possible reasons for the absence of difference between the infertile and fertile groups in quality of life.</p>


2014 ◽  
Vol 3;17 (3;5) ◽  
pp. 227-234 ◽  
Author(s):  
Ricardo Plancarte

Background: Bone metastases occur frequently in advanced cancer. The spine, pelvis, ribs, skull and femur are the most affected sites. It is reported that up to 83% of the patients develop pain at some point of the disease. The patient can also develop fractures and disability, particularly in the femur.. Objectives: To evaluate the effectiveness of percutaneous femoroplasty in patients with metastatic osseous disease located in the proximal femur (trochanter, neck, and femoral head). Study Design: A retrospective clinical review, comparing pain status “before vs after” intervention. Setting: National Cancer Institute in Mexico. Methods: We included patients over 18 years old, with mild to severe pain due to metastasis in the proximal femur (trochanter, neck, or head), or with a high risk of fracture according to Mirels scale (> 8 points) or severe osteoporosis according to the World Health Organization (a Karnofsky score more than 50%). Exclusion criteria were femoral fracture. We recorded the following variables age, sex, type of neoplasm, concomitant therapy, We used the Karnofsky functionality scale, the VAS pain intensity assessment, the “Mayo Clinic” scale to measure improved functionality, and the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 15 Palliative (EORTC QLQ-C15-PAL) (Spanish version) questionnaires. Follow-up was performed at 7 days, one month after femoroplasty, and during the individual outpatient that lasted one year on average. Results: Eighty subjects were enrolled. Seventy-three percent were women. The most frequent tumors were breast (46.3%), followed by multiple myeloma (18.7%). All patients had a decrease in the intensity of pain, analgesic consumption, and improved quality of life, at 7 and 30 days after the intervention. There were no complications with serious consequences. Two participants experienced polymethylmetacrylate (PMMA) leakage, without clinical or functional impact. In 4 patients, the needle was occluded during the filling process and we had to place another biopsy needle through the same entry site to finish the injection process. Limitations: The sample was a single group of patients evaluated before and after the femoroplasty. We did not include a control group. Conclusion: The results of the current report suggest that femoroplasty, a percutaneous cement placement analogous to a vertebroplasty, might be a therapeutic option for patients with metastatic bone disease of the proximal femur, providing the patient an analgesic reduction and a better quality of life. Key words: Femoroplasty, bone metastases, cancer, pain, bone pain


2013 ◽  
Vol 61 (1) ◽  
pp. 17-26 ◽  
Author(s):  
Katrin Leenen ◽  
Michael Rufer ◽  
Hanspeter Moergeli ◽  
Hans-Jörgen Grabe ◽  
Josef Jenewein ◽  
...  

Aus Untersuchungen in der Normalbevölkerung ist bekannt, dass Menschen mit erhöhten Alexithymiewerten eine verminderte Lebensqualität (LQ) aufweisen. Für Patienten mit psychischen Störungen wurde dieser Zusammenhang jedoch kaum untersucht. Ziel dieser Studie war es, den möglichen Zusammenhang zwischen alexithymen Patientenmerkmalen und der LQ bei Patienten mit Angststörungen zu überprüfen. Bei 79 ambulanten Patienten mit Angststörungen wurden alexithyme Charakteristika mit der Toronto Alexithymia Scale (TAS-20), die LQ mit der Kurzversion des World Health Organization Quality of Life Questionnaire 100 (WHOQOL-BREF) erfasst. Darüber hinaus fand eine Erhebung der psychischen Symptombelastung (SCL-90-R) und depressiven Symptomatik (MADRS) statt. Mittels hierarchischer Regressionsanalysen wurde der Zusammenhang zwischen der alexithymen Charakteristika und den unterschiedlichen LQ-Domänen berechnet. Die Patienten zeigten eine im Vergleich zur Normalbevölkerung deutlich verminderte LQ. Als Hauptergebnis fand sich, auch nach Kontrolle von Depression, Ängstlichkeit und Geschlecht, ein signifikanter Zusammenhang zwischen den beiden TAS-20 Subskalen Schwierigkeiten, Gefühle zu identifizieren und zu beschreiben und vor allem der psychischen LQ. Unsere Ergebnisse sprechen dafür, bei der Diagnostik und Therapieplanung von Patienten mit Angststörungen alexithyme Merkmale einzubeziehen. Im Falle von ausgeprägten alexithymen Merkmalen sollten psychotherapeutische Interventionen zur Verbesserung der Schwierigkeiten Gefühle wahrzunehmen und zu kommunizieren in Betracht gezogen werden.


Crisis ◽  
2003 ◽  
Vol 24 (2) ◽  
pp. 73-78 ◽  
Author(s):  
Yves Sarfati ◽  
Blandine Bouchaud ◽  
Marie-Christine Hardy-Baylé

Summary: The cathartic effect of suicide is traditionally defined as the existence of a rapid, significant, and spontaneous decrease in the depressive symptoms of suicide attempters after the act. This study was designed to investigate short-term variations, following a suicide attempt by self-poisoning, of a number of other variables identified as suicidal risk factors: hopelessness, impulsivity, personality traits, and quality of life. Patients hospitalized less than 24 hours after a deliberate (moderate) overdose were presented with the Montgomery-Asberg Depression and Impulsivity Rating Scales, Hopelessness scale, MMPI and World Health Organization's Quality of Life questionnaire (abbreviated versions). They were also asked to complete the same scales and questionnaires 8 days after discharge. The study involved 39 patients, the average interval between initial and follow-up assessment being 13.5 days. All the scores improved significantly, with the exception of quality of life and three out of the eight personality traits. This finding emphasizes the fact that improvement is not limited to depressive symptoms and enables us to identify the relative importance of each studied variable as a risk factor for attempted suicide. The limitations of the study are discussed as well as in particular the nongeneralizability of the sample and setting.


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