scholarly journals Comorbidity Structure of Psychological Disorders in the Online e-PASS Data as Predictors of Psychosocial Adjustment Measures: Psychological Distress, Adequate Social Support, Self-Confidence, Quality of Life, and Suicidal Ideation

2014 ◽  
Vol 16 (10) ◽  
pp. e248 ◽  
Author(s):  
Ali M AL-Asadi ◽  
Britt Klein ◽  
Denny Meyer
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Psychological Distress ◽  
Suicidal Ideation ◽  
Psychosocial Adjustment ◽  
Psychological Disorders ◽  
Self Confidence

Abstract 93: How is the Quality of Life and the Psychosocial Adjustment affected in Patients with Congenital Heart Disease?

2012 ◽  
Vol 5 (suppl_1) ◽  
Author(s):  
Marta Castro ◽  
Isabela Freitas ◽  
Sofia Sarmento ◽  
Flávio Teixeira ◽  
Rosália Coelho ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Social Relationships ◽  
School Performance ◽  
Psychosocial Adjustment ◽  
Congenital Heart ◽  
Negative Impact ◽  
Psychiatric Morbidity ◽  
Physical Limitations

Introduction: High rates of survival in Congenital Heart Disease (CHD) allowed patients to face different challenges in life cycle, and made the topics on adjustment and quality of life more and more central in healthcare. Hypothesis: We tested the hypothesis that CHD has a negative impact over psychosocial adjustment, psychiatric morbidity, quality of life and school performance, and that the severity of disease and the number of surgeries increase the negative impact over adjustment and the social support generates a buffer, good effect on it. Objective: We aimed to study Quality of Life (QOL), Psychosocial Adjustment (PSA), Psychiatric Morbidity, School Performance, Physical Limitations, and Social Support of adolescents and young adults with CHD. Methods: We evaluated 110 CHD patients, 62 males, aged from 12 to 26 years old (M=18.00 ± 3.62), 58 cyanotic. The participants were interviewed on such topics as social support, family/educational background, self-image, physical limitations and emotional adjustment, were administered a standardized psychiatric interview (SADS-L) and completed self-report questionnaires on QOL (WHOQOL-BREF) and PSA (YSR and ASR). Observational versions of the same questionnaires (CBCL, ABCL) were filled by one of their relatives. Full clinical and demographic history was collected. Results: We found a 22% rate of lifetime prevalence of psychopathology (14.5% in males and 31.3% in females) and 50% of school retentions (M=1.50 years + 0.50). Patients with severe forms of CHD showed worse PSA than those with moderate and mild forms of illness (internalization: u=939.000; p=0.030), the cyanotic versus acyanotic and those with moderate-to-severe residual lesions versus mild ones have worse QOL on physical dimension; those submitted to surgery showed worse QOL on physical (t=-2.525; p=0.013), psychological (t=-2.394; p=0,018), social relationships (t=-2.502; p=0,014) and general (u=1294,000; p=0.006) dimensions, and worse PSA (more withdrawn: u=719,000; p=0,037). Social support has a great impact improving patients’ physical (t=2.707; p=0,008), psychological (t= 2.755; p=0.007), social relationships (t=4.976; p=0,000), environment (t=3.085; p=0,003) and general (u=623.500; p=0,000) QOL and poorer social support resulted in more withdrawn (u=557.500; p=0.000) and social problems (u=748.500; p=0,023). Patients with more physical limitations showed worse physical (t=-2.093; p=0,039), psychological (t=-2.674; p=0.009) and general (u=971.500; p=0,002) QOL and more withdrawn (u=1023.000; p=0,015). Female patients showed more somatic complaints (u=260.000;p=0,011), anxiety/ depression (u=984.000;p=0,002), aggressive behavior (u=920.500;p=0,001), thought problems (u=1069.500;p=0,010), internalization (u=869.000;p=0,000) and externalization (u=1163.000; p=0,050). Good performance in school also showed a significant impact incrementing QOL and PSA. Conclusion: We concluded that we should set a special emphasis in maximizing social support and improving school performance, when supplying care in CHD, as they have a positive impact over self-confidence of patients and life adjustment.

Coping profiles and health outcomes among individuals with systemic sclerosis: A latent profile analysis approach

2020 ◽  
Vol 5 (3) ◽  
pp. 231-236
Author(s):  
Shelley E Condon ◽  
Scott C Roesch ◽  
Philip J Clements ◽  
Daniel E Furst ◽  
Michael H Weisman ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Psychological Distress ◽  
Systemic Sclerosis ◽  
Latent Profile Analysis ◽  
Profile Analysis ◽  
Health Related ◽  
And Coping ◽  
Latent Profile

Background: Systemic sclerosis has negative implications for quality of life, and coping is a mechanism by which individuals can adapt more successfully to illness. This study (1) identified coping profiles in patients with systemic sclerosis and (2) examined distress and disability correlates of the profiles. Methods: A sample of 93 patients with confirmed diagnoses of systemic sclerosis received clinical examinations and reported on coping, psychological distress, and health-related disability. Latent profile analysis was used to identify coping-based profile groups. The profile groups were then compared on psychological distress and health-related disability, controlling for disease severity. Results: A two-profile solution was supported: Active Copers emphasized problem-focused, social support, counting blessings, and religious approaches to coping with systemic sclerosis. Passive Copers emphasized blaming self and others, avoidance, and wishful thinking approaches to coping. Active Copers reported significantly less psychological distress than Passive Copers, but no significant differences were found for health-related disability. Discussion: The findings identify multidimensional patterns of coping that are differentially related to psychological distress in systemic sclerosis patients. These findings can inform coping-based interventions for patients with systemic sclerosis.

Correlation of suicidal ideation with social support and quality of life among college students

2014 ◽  
Vol 35 (1) ◽  
pp. 74 ◽  
Author(s):  
Xiao-rong CHEN ◽  
Li KUANG ◽  
Jun CAO ◽  
Ming AI ◽  
Jian-mei CHEN ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
College Students ◽  
Suicidal Ideation

Psychological distress, social support, and quality of life among cancer caregivers in Albania

2016 ◽  
Vol 26 (6) ◽  
pp. 779-786 ◽  
Author(s):  
Denise Burnette ◽  
Veronika Duci ◽  
Elona Dhembo
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Psychological Distress ◽  
Cancer Caregivers

scholarly journals P543 The role of social support on psychological distress and health-related quality of life in adults with mild to moderately active Crohn’s disease

2021 ◽  
Vol 15 (Supplement_1) ◽  
pp. S513-S514
Author(s):  
S Regev ◽  
G Goren ◽  
D Schwartz ◽  
R Sergienko ◽  
M Friger ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Crohn’S Disease ◽  
Psychological Distress ◽  
Crohn's Disease ◽  
Satisfaction With Life ◽  
Family Stress ◽  
Significant Other ◽  
Work Activity

Abstract Background Medical and psychological factors contribute to the heightened psychological distress and reduced health-related quality of life in patients with Crohn’s disease. Whether Social Support plays a role in this scenario is unknown. We used the Multidimensional Scale of Perceived Social Support (MSPSS) to investigate whether Social Support associates with psychological distress and quality of life in Crohn’s disease. Methods Consecutive adult patients with Crohn’s disease, presenting at specialist gastroenterology services or recruited by advertising, with mild to moderate disease activity by the Harvey-Bradshaw Index (HBI), were enrolled into the study. Patients completed the 12-item MSPSS questionnaire that measures psychological support in three categories: Family, Friends and Significant Other, and provides individual category scores and a total score (range of all scores 1–7; a higher score indicates more social support). Patients also completed the following questionnaires: psychological distress (Brief Symptom Inventory, with Global Severity Index, GSI), quality of life (Short Inflammatory Bowel Disease Questionnaire, SIBDQ), satisfaction with life (SWLS), family stress (Family Assessment Device, FAD), coping strategies (Brief-COPE), and presenteeism and work activity (WPAI). Statistics: Spearman rho. *p<0.05, **p<0.01. Results The cohort comprised 126 patients, mean (SD) age 33.7 (10.6) years, females 79%, HBI 8.4 (2.5), CRP 1.2 (2.3), calprotectin 394 (674). MSPSS scores were as follows: Total score 5.72 (1.14), Friends 5.36 (1.34), Family 5.73 (1.14), and Significant Other 6.07 (1.15); Cronbach’s α ≥ .877. MSPSS scores correlated negatively with family stress measure FAD: Friends -.258**, Family -.732**, Significant Other -.401**; and with GSI psychological stress measure: Friends -305**, Family -.352**, Significant Other -.245**. MSPSS correlated positively with SIBDQ quality of life: Friends .300**, Family .188*, Significant Other .200*; and with satisfaction with life SWLS: Friends .379**, Family .333**, Significant Other .245**. MSPSS correlations with emotion-focused coping were: Friends -.337**, Family -.263**, Significant Other -.329**. MSPSS Family score correlated negatively with WPAI presenteeism -.270*, and WPAI work activity -.294**. Conclusion In mild to moderate Crohn’s disease, strong social support was associated with better quality of life, more satisfaction with life, and better performance in the work arena. Social support was associated with reduced psychological distress, reduced family stress, and less use of emotion-focused coping. This research shows the importance of social support in improving the psychological condition of patients with Crohn’s disease.

scholarly journals The relationship among social support, experienced stigma, psychological distress, and quality of life among tuberculosis patients in China

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Xu Chen ◽  
Jia Xu ◽  
Yunting Chen ◽  
Ruiheng Wu ◽  
Haoqiang Ji ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Psychological Distress ◽  
Structural Equation ◽  
Liaoning Province ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Mediating Role ◽  
Complex Relationships

AbstractThe complex relationships among social support, experienced stigma, psychological distress, and quality of life (QOL) among tuberculosis (TB) patients are insufficiently understood. The purpose of this study was to explore the interrelationships among social support, experienced stigma, psychological distress, and QOL and to examine whether experienced stigma and psychological distress play a mediating role. A cross-sectional survey was conducted between November 2020 and March 2021 in Dalian, Liaoning Province, Northeast China. Data were obtained from 473 TB patients using a structured questionnaire. Structural equation modelling was used to examine the hypothetical model. The research model provided a good fit to the measured data. All research hypotheses were supported: (1) social support, experienced stigma and psychological distress were associated with QOL; (2) experienced stigma fully mediated the effect of social support on psychological distress; (3) psychological distress fully mediated the effect of experienced stigma on QOL; and (4) experienced stigma and psychological distress were sequential mediators between social support and QOL. This study elucidated the pathways linking social support, experienced stigma, and psychological distress to QOL and provides an empirical basis for improving the QOL of TB patients.

scholarly journals Determinants of Satisfaction With Health Services by Dimensions of Care: An Age-Stratified Analysis

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 171-172
Author(s):  
Helen-Maria Vasiliadis ◽  
Isabelle Pitrou ◽  
Djamal Berbiche
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Social Support ◽  
Older Adults ◽  
Primary Care ◽  
Psychological Distress ◽  
Psychiatric Services ◽  
Care Assessment ◽  
Age Category

Abstract Studies that examined satisfaction with care in older adults are scarce. The aim of this research was to analyse satisfaction among older adults considering mental health, socio-clinical and health system factors and by age category. Data come from the Étude sur la Santé des Aînés Services study including 1,624 adults aged ≥65 years recruited between 2011-2013 in primary care in Quebec. Patient satisfaction was assessed during interviews with questions adapted from the Primary Care Assessment Survey. Mental health (anxiety, depression, suicidal ideation, psychological distress, cognition), social support, quality of life, the presence of pain and chronic conditions were self-reported. Health service use was extracted from administrative registries. Logistic regressions stratified by age were used to examine the associations of low satisfaction in three dimensions of care. For continuity of care, the determinants of low satisfaction were pain and attraction index for psychiatric services in adults 65 to 75 years versus anxiety, cognition and hospitalizations in adults 75 years and older. For patient-provider interactions, the determinants were psychological distress, attraction index for psychiatric services in adults 65 to 75 years versus quality of life and cognition in adults 75 years and older. For adequacy of care, anxiety, psychological distress, social support, pain, quality of life and attraction index for psychiatric services were significant in adults 65 to 75 years versus quality of life and cognition in adults 75 years and older. Results highlight different patterns of satisfaction by age category that should be used to improve care delivered in primary care.

scholarly journals Predicting Type 2 Diabetes Care Results with Social Psychological Factors

2018 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Psychological Distress ◽  
Psychological Factors ◽  
Binary Logistic Regression ◽  
Economic Independence ◽  
Care Outcomes ◽  
Average Glucose

The prevalence rate of diabetes is very high in Taiwan that poses a serious threat to the health of people. Patients’ physical and psychosocial factors always have an impact on the treatment results. However, this issues have not been extensively discussed in previous researches. The purpose of this study is to investigate the effects of sociopsychological factors on the care outcomes of Type 2 diabetes. The study is a descriptive and correlation design; Instruments included a basic information form, Social Support Scale, Chinese version of Patient Health and Depression Questionnaire, Perceived Stress Scale, and Health-related Quality of Life Scale.The analysis methods included descriptive statistics, independent-sample t-test, one-way ANOVA, Pearson product-moment correlation, multiple linear regression, and binary logistic regression. The sample consisted of 133 patients. Results showed, depression is significantly negatively related to social support (r=-0.27, p<.05), psychological distress is significantly negatively related to social support (r=-0.21, p<.05), psychological distress is significantly positively related to depression (r=0.85, p<.01), quality of life is significantly negatively related to depression (r=- 0.64, p<.01) and psychological distress (r=-0.59, p <.01). Continuous outcome variables are analyzed using regression analysis, depression and economic independence jointly explained 32.1% of variance in the physical aspect of quality of life (27.9% by depression and 4.2% by economic independence). Depression and psychological distress jointly explained 61.3% of variance in the psychological aspect of quality of life (59% by depression and 2.3% by psychological distress). Economic dependence on others explained 3.1% of variance in the number of hospital stays. Depression explained 3.7% of variance in the number of emergency department visits. Education level explained 4.3% of variance in the number of complications. Categorical outcome variables are analyzed using binary logistic regression, ducation has a significant effect on average glucose level over the last year (p>.03). Depression has a significant effect on both the last HbA1c level (p<.05) and average glucose level over the last year (p>.03). Results of this study suggest that when providing clinical care to diabetes, nurses should also consider the effects of socio-psychological factors on the care outcomes and provide necessary counseling and treatment of depression to enhance the effectiveness of care.

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