scholarly journals Relationship between radiological severity and physical and mental health in elderly individuals with knee osteoarthritis

2020 ◽  
Author(s):  
Isadora Ribeiro ◽  
Arlete Maria Valente Coimbra ◽  
Beatriz Lavras Costallat ◽  
Ibsen Bellini Coimbra
Keyword(s):  
Quality Of Life ◽  
Knee Osteoarthritis ◽  
Depression Scale ◽  
Womac Score ◽  
Depression Symptoms ◽  
Physical And Mental Health ◽  
Timed Up And Go ◽  
Risk Of Falls ◽  
The Individual

Abstract BACKGROUND: This study aimed to investigate the relationship between radiological severity, as assessed by the individual grades and grouped grades (grades "0 and 1" and "2 to 4") of the Kellgren-Lawrence scale (K&Ls), and depression symptoms, cognitive loss, risk of falls and quality of life in relation to knee osteoarthritis, as assessed by other instruments. METHODS: Data recorded between 2013 and 2014 in Amparo (São Paulo, Brazil) were retrieved for analysis. A total of 181 elderly patients who had knee osteoarthritis and underwent a radiologic exam were evaluated for depressive symptoms, cognitive loss, quality of life and risk of falls by the geriatric depression scale (GDS), mini-mental state examination (MMSE), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), timed up-and-go test (TUG) and Berg balance scale (BBS). For statistical analyses, Fisher's exact test, Mann-Whitney test, Kruskal-Wallis test and Spearman's coefficient analysis were used. RESULTS: There was no significant relationship between the scores of the instruments investigated and the individual K&Ls grades. However, when the K&Ls scores were assessed by groups, grades “2 to 4” were associated with the worst WOMAC score and the highest frequency and risk of falls according to the BBS but not according to TUG. For the GDS and MMSE, no significant relationships with the K&Ls grades were found. In addition, the K&Ls grade was correlated with the WOMAC score, regardless of the domain. CONCLUSION: The radiological scores of the Kellgren-Lawrence (K&L) scale were associated with poorer WOMAC and BBS scores only when the K&Ls scores were evaluated in groups, and the WOMAC score was associated with an increase in the radiological grade.

scholarly journals Relationship between radiologic gravity and predicting instruments of physical and mental health in elderly with knee osteoarthritis

2020 ◽  
Author(s):  
Isadora Ribeiro ◽  
Arlete Maria Valente Coimbra ◽  
Beatriz Lavras Costallat ◽  
Ibsen Bellini Coimbra
Keyword(s):  
Quality Of Life ◽  
Knee Osteoarthritis ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Womac Score ◽  
Depression Symptoms ◽  
Physical And Mental Health ◽  
Timed Up And Go ◽  
Risk Of Fall

Abstract BACKGROUND: This study aimed to investigate the relationship between radiologic severity by the grades of the Kellgren-Lawrence scale (K&Ls) independently and in two groups (grades "0 and 1" and "2 to 4") and instruments that assess depression symptoms, cognitive loss, risk of fall and quality of life related to knee osteoarthritis. METHODS: The analyzed materials were derived from a database and collected between 2013-2014 in Amparo (São Paulo, Brazil). 181 elderly with knee osteoarthritis who had a radiologic exam were evaluated for depressive symptoms, cognitive loss, quality of life and risk of fall by: Geriatric Depression Scale (GDS), Mini Mental State Examination (MMSE), WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index), Timed Up and Go test (TUG) and Berg Balance Scale (BBS). To statistical analyses was used Fisher's exact test, Mann-Whitney test, Kruskal-Wallis test and Spearman's coefficient. RESULTS: There was no significant relationship between the instruments investigated and the grades assessed individually. However, when assessed by groups, grades “2 to 4” had the worst WOMAC score, the highest frequency and the worst risk of fall in the BBS, but not in the TUG. For GDS and MMSE, no significant relationships were found. In addition, K&Ls was correlated with the WOMAC socre, with no differences between their domains. CONCLUSION: Only when evaluated in groups, the radiological scores of the Kellgren-Lawrence scale pointed to a worse status in the WOMAC and BBS and the WOMAC score accompanies the increase in the radiological grade.

scholarly journals Bidirectional Association Between Knee Osteoarthritis and Depressive Symptoms: A Nationwide Cohort Study

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 220-220
Author(s):  
Han Lu ◽  
Shaomei Shang ◽  
Limin Wang ◽  
Hongbo Chen
Keyword(s):  
Cohort Study ◽  
Depressive Symptoms ◽  
Knee Osteoarthritis ◽  
Proportional Hazards ◽  
Depression Scale ◽  
Cox Proportional Hazards ◽  
Depression Symptoms ◽  
Physical And Mental Health ◽  
Bidirectional Association ◽  
Bidirectional Relationship

Abstract Both knee osteoarthritis (KOA) and depressive symptoms are common health issues affecting the quality of life of old adults. Although it is presumed that KOA has a bidirectional relationship with the depressive symptoms, no cohort study has proven it. This is the first study to determine the strength of association for the bidirectional relationship between KOA and depressive symptoms. Data were gathered from the nationally survey of China Health and Retirement Longitudinal Study in 2011-2015. The presence of depressive symptoms was defined by the 10-item Center for Epidemiologic Studies Depression Scale score of 10 or higher. The adjusted Cox proportional hazards regression model was conducted to estimate hazards ratios (HRs). Controlled covariates include gender, age, education, marital status, residence, number of chronic diseases, and disability. The analysis of KOA predicting the depressive symptoms onset consisted of 4,377 participants free from depressive symptoms at baseline. During 4 years follow-up, diagnosed KOA participants were more likely to have depressive symptoms than their peers without KOA (HR = 1.50, 95% CI: 1.23-1.83). The parallel analysis of depressive symptoms predicting KOA onset included 6,848 participants without KOA at baseline, those with depressive symptoms had a higher relative risk of developing KOA (HR = 1.64, 95% CI: 1.41-1.92). Our results provide compelling evidence that the KOA-depressive symptoms association is bidirectional, highlighting the importance of evaluating the relationship between physical and mental health among older people. Particularly, taking this association into consideration in the risk assessment and primary prevention of KOA and depression symptoms.

scholarly journals Quality of Life and Philosophy of Life Determines Physical and Mental Health: Status Over Research Findings From The Quality of Life Research Center, Copenhagen, 1991-2007

2007 ◽  
Vol 7 ◽  
pp. 1743-1751 ◽  
Author(s):  
Søren Ventegodt ◽  
Isack Kandel ◽  
Joav Merrick
Keyword(s):  
Quality Of Life ◽  
Good Life ◽  
Public Awareness ◽  
Social Indicators ◽  
Health Science ◽  
Physical And Mental Health ◽  
Quality Of Life Research ◽  
Global Quality Of Life ◽  
The Individual

Quality of life (QOL) has over the past decade become an important part of health science and also increased public awareness. It has become increasingly apparent that illness is closely related to the individual perception of a good life, and therefore the exploration of indicators related to quality of life appears to be of broad importance for the prevention and treatment of diseases. Identifying, which factors constitute a good life may reveal an understanding about what areas in life should be encouraged, in order to enhance the global quality of life, health, and ability. In this paper we present results from studies initiated in 1989 to examine quality of life in relation to disease. The purpose of this presentation was to assemble the results from the study carried out in the years between 1993 and 1997, examining a total of 11.500 Danes, to show the association between quality of life and a wide series of social indicators.

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 Burnout and Well-Being Levels of Medical Students: a Cross-Sectional Study

2020 ◽  
Vol 44 (4) ◽  
Author(s):  
Priscila Gadelha Cazolari ◽  
Matheus de Sousa Cavalcante ◽  
Marcelo Marcos Piva Demarzo ◽  
Frederico Molina Cohrs ◽  
Adriana Sanudo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Medical Students ◽  
Emotional Exhaustion ◽  
Suicide Attempts ◽  
Well Being ◽  
Three Dimensions ◽  
Burnout Syndrome ◽  
Depression Symptoms ◽  
Physical And Mental Health

Abstract: Introduction: The presence of chronic stress, caused by the activities and demands of the medical course, can lead to what is called ‘burnout’, a syndrome characterized by three dimensions: emotional exhaustion, dehumanization (or depersonalization) and reduced professional achievement. Considering the increased incidence of burnout syndrome, anxiety and depression symptoms, suicide attempts and suicide rates among medical students, as a consequence of increasing demands for professional and financial success at the expense of physical and mental health, one understands the importance of studying the subject and proposing measures of prevention and control. The aim of this study was to evaluate and describe the levels of burnout and well-being of medical students at a Brazilian public university. Method: The stress and well-being levels of students from the first to the sixth year for the Medical Course at Universidade Federal de São Paulo were evaluated using MBI-SS and WHOQOL-BREF questionnaires, applied online on the REDCAP platform. Results: A total of 302 students completed the questionnaires. Regarding the MBI-SS, students showed a low value in the emotional exhaustion factor and high levels of professional disbelief and effectiveness, indicating a burnout that ranged from low to moderate. It was also observed that female students showed a greater tendency toward emotional exhaustion when compared to male ones, as well as the fact that students from the 1st and 2nd years showed higher values of professional effectiveness when compared with 3rd and 4th years, with no difference between genders. Based on the answers from WHOQUOL-BREF questionnaire, the students thought they had a good quality of life. Discussion: These results reinforce possible factors that might interfere with the students’ quality of life: excessive workload, teaching model based on extensive lectures, lack of stimulation, recognition for their efforts. Conclusion: The medical students evaluated in this study have a good quality of life and show low or moderate burnout levels.

scholarly journals Analysis of life quality and prevalence of cognitive impairment, anxiety, and depressive symptoms in older adults

2017 ◽  
Vol 34 (2) ◽  
pp. 261-268 ◽  
Author(s):  
Michele Marinho da SILVEIRA ◽  
Mirna Wetters PORTUGUEZ
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Depressive Symptoms ◽  
Cognitive Performance ◽  
Depression Scale ◽  
World Health ◽  
Depression Symptoms ◽  
World Health Organization Quality

Abstract The development of anxiety, depressive symptoms, and a decrease in cognitive performance can affect older adults’ quality of life. The objective of this cross-sectional study was to analyze quality of life and determine the prevalence of cognitive impairment, anxiety, and depression symptoms in senior center participants. A total of 120 older adults living in the city of Passo Fundo, RS, Brazil, participated in this study. The convenience sampling technique was used. All participants answered questions relative to socio-demographic variables, quality of life (World Health Organization Quality of Life-Bref), cognitive performance (Addenbrooke’ Cognitive Examination), and emotional state (Geriatric Depression Scale and Beck Anxiety Inventory). The prevalence of anxiety, depressive symptoms, and cognitive impairment were low indicating satisfactory quality of life of the older adults investigated.

scholarly journals Differences in quality of life between patients with severe hip and knee osteoarthritis

2018 ◽  
Vol 75 (1) ◽  
pp. 62-67
Author(s):  
Slavica Jandric
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Knee Osteoarthritis ◽  
Physical Function ◽  
Statistical Significance ◽  
Womac Score ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Knee Oa

Background/Aim. Osteoarthritis (OA) is the clinical manifestation of degenerative joint changes. The aim of this study was to investigate differences in quality of life (QoL) between patients with severe hip and knee OA. Methods. This is the cross-sectional study of 195 patients (average age 63.2 ? 11.1 yrs), with a diagnosis of OA of the hip and knee that were assigned to receive a total hip or knee replacement. The patients were divided into three groups in relation to localization of OA. The first group included patients with hip OA; the second group consisted of patients with knee OA and the third group with both hip and knee OA. Demographic and clinical data were collected for each patient. We measured health related quality of life (QoL) by Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaires. Statistical significance of differences was at the level of p < 0.05. Results. The best QoL was in the group of knee OA (42.7 ? 11.3) and the worst in the group with both hip and knee OA patients (35.8 ? 12.7). QoL assessed by WOMAC score and the domain of physical function were significantly different among three groups of patients with OA (F = 5.377, p < 0.01 and F = 5.273, p < 0.01) respectively). Results of three multiple linear regression models where WOMAC score was dependent variable and age, body mass index (BMI), social class, pain, stiffness, physical function, hypertension, cardiomyopathy, diabetes mellitus were independent variables, have shown that QoL was statistically significantly associated with pain and physical function in the hip and knee OA groups, whereas in the group with both hip and knee OA patients, QoL was associated with BMI, pain, physical function and diabetes mellitus. Conclusion. QoL of patients with severe hip and knee osteoarthritis in relation to localization was significantly different. QoL in severe hip and knee OA patients was significantly associated with pain and physical function, but in patients with both hip and knee OA QoL was also associated with BMI and diabetes mellitus.

scholarly journals Changes in the Health of Adolescent Athletes: A Comparison of Health Measures Collected Before and During the CoVID-19 Pandemic

2021 ◽  
Author(s):  
Timothy A. McGuine ◽  
Kevin Biese ◽  
Scott J. Hetzel ◽  
Labina Petrovska ◽  
Stephanie Kliethermes ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Physical Activity ◽  
Online Survey ◽  
Depression Symptoms ◽  
Physical And Mental Health ◽  
Adolescent Athletes ◽  
Cross Sectional ◽  
Health Measures

ABSTRACT Context: In the spring of 2020, schools closed to in-person teaching and sports were cancelled to control the transmission of CoVID-19. The changes that took place to the physical and mental health among young athletes during this time remain unknown, however. Objective: Identify changes in the health (mental health, physical activity and quality of life) of athletes that occurred during the CoVID-19 pandemic. Design: Cross-sectional study. Setting: Sample recruited via social media. Patients or Other Participants: 3243 Wisconsin adolescent athletes (age=16.2±1.2 yrs., female=58% female) completed an online survey in May 2020 (DuringCoVID-19). Health measures for this cohort were compared with previously reported data for Wisconsin adolescent athletes (n=5231, age=15.7±1.2, 47% female) collected in 2016–2018 (PreCoVID-19). Main Outcome Measure(s): Demographic information included: sex, grade and sports played. Health assessments included the Patient Health Questionnaire-9 Item (PHQ-9) to identify depression symptoms, the Pediatric Functional Activity Brief Scale (PFABS) for physical activity, and the Pediatric Quality of Life Inventory 4.0 (PedsQL) for health related quality of life (HRQoL). Univariable comparisons of these variables between groups were made via t-tests or chi-square tests. Means and 95% confidence intervals (CI) for each group were estimated by survey weighted ANOVA models. RESULTS: Compared to PreCoVID-19, a larger proportion of the During-CoVID-19 participants reported rates of moderate to severe levels of depression (9.7% vs 32.9%, p&lt;0.001). During-CoVID-19 participants reported 50% lower (worse) PFABS scores (mean:12.2 [95%CI: 11.9, 12.5] vs 24.7 [24.5, 24.9] p&lt;0.001) and lower (worse) PedsQL total scores compared to the PreCoVID-19 participants (78.4 [78.0, 78.8] vs. 90.9 [90.5, 91.3] p&lt;0.001). CONCLUSIONS: During the CoVID-19 pandemic, adolescent athletes reported increased symptoms of depression, decreased physical activity and decreased quality of life compared to adolescent athletes in previous years.

scholarly journals Health-Related Problems and Drivers of Health-Related Quality of Life Among Community-Dwelling Older Adults

2020 ◽  
Vol 11 ◽  
pp. 215013272091372
Author(s):  
Watcharaporn Taburee ◽  
Supinda Sirilak ◽  
Rossukon Khotcharrat ◽  
Prattana Anekpunyakul ◽  
Piyameth Dilokthornsakul ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Community Dwelling ◽  
Health Related Quality ◽  
Timed Up And Go ◽  
Related Quality ◽  
Health Related ◽  
Risk Of Falls ◽  
Community Dwelling Older Adults

Purpose: The aims of this study were to explore prevalence of health-related problems and identify factors associated with health-related quality of life (HRQOL) among community-dwelling older adults (CDOAs) in rural Thailand. Methods: A total of 384 CDOAs with mean age of 71 years (SD = 7.6) were recruited. The Thai Ministry of Public Health’s comprehensive geriatric assessment (CGA) was used to measure the CDOAs’ health conditions in the primary care unit of community hospitals. HRQOL of the participants was assessed by using the EQ-5D questionnaire. Results: The results showed that the most common health-related problems were risk of glaucoma (89.6%) and hypertension (64.6%). The HRQOL were predicted by the incidence of falls (β = −0.076, P < .001), Timed Up and Go Test (β = −0.087, P < .001), and age (β = −0.667, P = .002). Discussion: This study highlighted the need to incorporate CGA in family practice, which included risk of falls assessment by measuring TUG test, fall prevention, and to provide resources for caring older adults at home which ultimately will improve CDOAs’ quality of life.

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