Mastery is significantly associated with greater physical and mental health-related quality of life in two independently recruited international samples of people with multiple sclerosis

This study aims to explore if objectively and subjectively measured sleep parameters are associated with physical and mental health-related quality of life in a multiethnic working population in Singapore. We performed a cross-sectional analysis with data from 329 full-time employees enrolled in a workplace cohort study in Singapore. The Short-Form 36v2 (SF-36v2) survey was used to assess health-related quality of life, in terms of physical and mental health. Subjective and objective sleep parameters were measured using the Pittsburgh Sleep Quality Index and wrist actigraphy, respectively. Generalized linear modeling was performed to examine the association between sleep parameters and health-related quality of life. After adjusting for confounders, subjectively measured sleep disturbances were associated with a lower physical health-related quality of life, whereas higher, objectively measured sleep efficiency was associated with greater physical health-related quality of life. Subjectively measured daytime dysfunction was associated with impaired mental health-related quality of life. Using both objective and subjective measurements of sleep, the current study suggests that there is an association between sleep and health-related quality of life. Workplace health-promotion planners in Singapore should consider programmes that educate workers on better sleep hygiene practices in an effort to improve sleep and health-related quality of life.

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Logistic regression models for predicting physical and mental health-related quality of life in rheumatoid arthritis patients

Modern Rheumatology ◽

10.3109/s10165-008-0092-6 ◽

2008 ◽

Vol 18 (6) ◽

pp. 601-608 ◽

Cited By ~ 19

Author(s):

Gholam Hossein Alishiri ◽

Noushin Bayat ◽

Ali Fathi Ashtiani ◽

Seyed Abbas Tavallaii ◽

Shervin Assari ◽

...

Keyword(s):

Quality Of Life ◽

Rheumatoid Arthritis ◽

Mental Health ◽

Regression Models ◽

Health Related Quality ◽

Physical And Mental Health ◽

Logistic Regression Models ◽

Related Quality ◽

Health Related

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Deterioration in the health-related quality of life of persons with multiple sclerosis: the possible warning signs

Multiple Sclerosis Journal ◽

10.1177/1352458507078393 ◽

2007 ◽

Vol 13 (8) ◽

pp. 1038-1045 ◽

Cited By ~ 63

Author(s):

K.V.L. Turpin ◽

L.J. Carroll ◽

J.D. Cassidy ◽

W.J. Hader

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Multiple Sclerosis ◽

Health Related Quality ◽

Illness Intrusiveness ◽

Factors Associated ◽

Sf 36 ◽

Related Quality ◽

Health Related

Baseline data from a population-based study examining the health-related quality of life (HRQL) of MS patients about to begin disease modifying therapy was used to determine the factors associated with the HRQL of Saskatchewan adults with relapsing-remitting MS. Participants completed a self-report questionnaire regarding demographic and socioeconomic status, fatigue, comorbid medical conditions, disability level (EDSS), number of attacks in past 6 months, illness intrusiveness (Illness Intrusiveness Ratings Scale), depression (Beck Depression Inventory), and HRQL (SF-36 Health Status Survey). Multiple linear regression models were used to identify the factors associated with the physical and mental health summary scores of the SF-36. We found poorer physical HRQL in those who are female; older; not working; have musculoskeletal or respiratory problems; greater fatigue, higher disability scores, and more MS attacks. High illness intrusiveness; digestive system problems; genitourinary problems; and headaches were associated with poorer mental HRQL. Interestingly, we found an interaction between sex and age in mental HRQL, with worse mental health in older men but better mental health in older women. These findings may assist health care providers in identifying patients who may be at risk for decline in their HRQL, permitting appropriate and timely interventions. Multiple Sclerosis 2007; 13: 1038—1045. http://msj.sagepub.com

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Health-related quality of life and co-morbidities among older adults in Bhutan

Bhutan Health Journal ◽

10.47811/bhj.63 ◽

2018 ◽

Vol 4 (2) ◽

pp. 15-24

Author(s):

Nidup Dorji ◽

Michael P. Dunne ◽

Charrlotte Seib ◽

Sibnath Dep

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Older Adults ◽

Female Gender ◽

P Value ◽

Health Related Quality ◽

Physical And Mental Health ◽

Related Quality ◽

Health Related

Introduction: Health-related quality of life (HRQoL) is a multi-dimensional construct that assesses an individual’s and group’s perceived physical and mental health over time. Measurement of HRQoL is an important medical outcome study and its study among older adults in Bhutan is limited. Methods: This is a cross-sectional study aimed to assess HRQoL and its sociodemographic and health correlates, among older adults in Bhutan. Data for this study was collected from the four major towns of Thimphu, Phuntsholing, Gelephu, and Samdrupjongkhar, Bhutan, from November 2014 - February 2015, using structured questionnaire with face-to-face interview. A total of 337 Bhutanese older adults participated in this study. Statistical analysis was performed using statistical package for social science version 21.0. Results: The overall mean score for the HRQoL among older adults in this study was 0.67 (SD: 0.13) significantly different between the gender (p-value<0.001). A significantly low scores inthe areas of role limitations (p<0.05), pain (p<0.01), mental health (p<0.001), and vitality (p<0.05) of the HRQoL was observed for the female gender. Frequent back pain (67.1%), memory decline (60.5%), depression (46.0%) mobility impairment (45.4%), insomnia (42.1%), and problem affecting breathing (31.8%) were common health problems and were significantly higher among the female gender. Better health conditions was positively related with better HRQoL (p-value<0.001). Conclusions: Low HRQoL was reported higher among female gender and was linked to multiple and cumulative health morbidities. Members of the family, community and healthcare providers could incorporate holistic approach to foster positive health outcomes and HRQoL of the older adults.

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Gender differences in health-related quality of life in multiple sclerosis

Multiple Sclerosis Journal ◽

10.1177/1352458509107016 ◽

2009 ◽

Vol 15 (11) ◽

pp. 1339-1346 ◽

Cited By ~ 34

Author(s):

Ilaria Casetta ◽

Trond Riise ◽

Monica Wamme Nortvedt ◽

Nicola Tiberio Economou ◽

Riccardo De Gennaro ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Multiple Sclerosis ◽

Physical Functioning ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

The Impact ◽

Gender Specific

Women have about twice the risk of developing multiple sclerosis (MS) compared with men, a ratio that seems to be increasing. Most studies show that female patients seem to have a more favourable outcome of the disease. We studied the gender-specific impact of MS on health-related quality of life. We surveyed the population prevalence of MS patients in Ferrara, Italy. Data were extracted from the MS registry of the study area. Health-related quality of life was assessed using the MSQOL54 questionnaire. We analysed 370 patients (105 men and 265 women). They had worse scores than the general population in all health-related quality of life dimensions, ranging from 2.5 standard deviations (SD) lower for physical functioning to less than 0.5 standard deviations for mental health. Health-related quality of life scores were inversely correlated with disability scores. The impact of disability on health-related quality of life was higher for men than women regarding physical functioning (p < 0.01), vitality (p < 0.001), social functioning (p < 0.001), emotional wellbeing (p < 0.05) and mental health (p < 0.01). For scales reflecting mental health, a marked reduction with increasing disability was seen for men, while a linear reduction in the range of Expanded Disability Status Scale score 0—5 was reported for women, followed by no clear decrease for higher scores. We conclude that MS affects health-related quality of life in all of its dimensions. The impact of disability seems to be stronger among men, in particular for scales related to mental well-being. This could indicate that interventions should to be gender specific in order to better meet patients’ needs.

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