scholarly journals The metacognitive functioning of patients with paranoid schizophrenia through the prism of emotional intelligence: a connection with cognitive deficit, clinical manifestations, social functioning and quality of life

Author(s):  
A. G. Sofronov ◽  
A. V. Trusova ◽  
I. A. Getmanenko ◽  
A. E. Dobrovol’skaya ◽  
A. N. Gvozdetckii

Metacognitive functioning is the basis of the individual’s ideas about his ability to build relationships with other people and manage own’s social behavior. Deterioration of metacognitive functioning in schizophrenia patients, presumably due to neurocognitive deficiency and other manifestations of the disease, probably contributes to disruptions of social functioning and quality of life. The aim of this study was to assess the metacognitive functioning (MF) of patients with paranoid schizophrenia, operationalized as a cognitive ability to understand their own and other people’s emotions, and to explore the connection between social functioning (SF) and quality of life (QOL), as well as to establish logical relationships between MF with clinical indicators and socio-demographic characteristics of patients. In a sample of 300 patients with paranoid schizophrenia (age from 18 to 50 years, disease duration of at least 5 years, a total PANSS score of less than 120), MF was assessed using the Lyusin emotional intelligence test (EmIn) and the subjective assessment of interpersonal relationships (SOMO) test. Cognitive deficit was verified using a standardized battery of a Brief Assessment of Cognition in Schizophrenia (BACS). The indicators obtained using the quality of life questionnaire for schizophrenia patients (QOL-SM) and the social functioning scale (PSP) were used to create an integrated indicator that comprehensively assesses SF and QOL of schizophrenia patients (Factor B). Reliable associations of this factor with indicators obtained using the Emin method (p<0.05), SOMO (p<0.001), the PSP scale, the QOL-SM questionnaire, the BACS and PANSS scales, and also with a number of clinical-dynamic and socio-demographic characteristics were established. Significant relationships between the parameters of MF, SF and QOL were obtained, and logical relationships between MF, neurocognitive deficiency and other clinical manifestations of schizophrenia were established.

2022 ◽  
Vol 11 (2) ◽  
pp. 441
Author(s):  
Laura Quellhorst ◽  
Grit Barten-Neiner ◽  
Andrés de Roux ◽  
Roland Diel ◽  
Pontus Mertsch ◽  
...  

Patients with bronchiectasis feature considerable symptom burden and reduced health-related quality of life (QOL). We provide the psychometric validation of the German translation of the disease-specific Quality of Life Questionnaire-Bronchiectasis (QOL-B), version 3.1, using baseline data of adults consecutively enrolled into the prospective German bronchiectasis registry PROGNOSIS. Overall, 904 patients with evaluable QOL-B scores were included. We observed no relevant floor or ceiling effects. Internal consistency was good to excellent (Cronbach’s α ≥0.73 for each scale). QOL-B scales discriminated between patients based on prior pulmonary exacerbations and hospitalizations, breathlessness, bronchiectasis severity index, lung function, sputum volume, Pseudomonas aeruginosa status and the need for regular pharmacotherapy, except for Social Functioning, Vitality and Emotional Functioning scales. We observed moderate to strong convergence between several measures of disease severity and QOL-B scales, except for Social and Emotional Functioning. Two-week test-retest reliability was good, with intraclass correlation coefficients ≥0.84 for each scale. Minimal clinical important difference ranged between 8.5 for the Respiratory Symptoms and 14.1 points for the Social Functioning scale. Overall, the German translation of the QOL-B, version 3.1, has good validity and test-retest reliability among a nationally representative adult bronchiectasis cohort. However, responsiveness of QOL-B scales require further investigation during registry follow-up.


2009 ◽  
Vol 27 (21) ◽  
pp. 3547-3556 ◽  
Author(s):  
Remi A. Nout ◽  
Hein Putter ◽  
Ina M. Jürgenliemk-Schulz ◽  
Jan J. Jobsen ◽  
Ludy C.H.W. Lutgens ◽  
...  

PurposeStudies on quality of life (QOL) among women with endometrial cancer have shown that patients who undergo pelvic radiotherapy report lower role functioning and more diarrhea and fatigue. In the Post Operative Radiation Therapy in Endometrial Cancer (PORTEC) trial, patients with endometrial carcinoma were randomly assigned to receive external-beam radiotherapy (EBRT) or vaginal brachytherapy (VBT). QOL was evaluated by using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire C30 and subscales from the prostate cancer module, PR-25, and the ovarian cancer module, OV-28.Patients and MethodsPORTEC-2 accrued 427 patients between 2002 and 2006, of whom 214 were randomly assigned to EBRT, and 213 were randomly assigned to VBT. Three-hundred forty-eight patients (81%) were evaluable for QOL. QOL outcomes were analyzed at a median follow-up of 2 years.ResultsAt baseline after surgery, patient functioning was at the lowest level, and it increased during and after radiotherapy to reach a plateau after 12 months. Patients in the VBT group reported better social functioning (P < .002) and lower symptom scores for diarrhea, fecal leakage, the need to stay close to the toilet, and limitation in daily activities because of bowel symptoms (P < .001). At baseline, 15% of patients were sexually active; this increased significantly to 39% during the first year (P < .001). Sexual functioning and symptoms did not differ between the treatment groups.ConclusionPatients who received EBRT reported significantly higher levels of diarrhea and bowel symptoms. This resulted in a higher need to remain close to a toilet and, as a consequence, more limitation of daily activities because of bowel symptoms and decreased social functioning. Vaginal brachytherapy provides a better QOL, and should be the preferred treatment from a QOL perspective.


Ból ◽  
2019 ◽  
Vol 19 (4) ◽  
pp. 27-33
Author(s):  
Piotr Moneta ◽  
Michał Kaczmarek ◽  
Michał Przybylski ◽  
Jerzy Niedzielski ◽  
Agnieszka Durko ◽  
...  

People with migraine often use self-treatment, which can lead to increased intensity and frequency of pain, affecting the quality of life and the level of fitness of these people. The study was carried out in a group of 100 people with migraine headaches, aged 19 to 67 years, who reported for the first time to the Migraine Treatment Center at the Neurology Clinic of the Medical University of Lodz. The subjects completed the SF-36 quality of life questionnaire, the MIDAS level of disability assessment questionnaire and the original questionnaire, which questions concerned pain and treatment. In the majority of subjects, a significant increase in severity of headaches was observed. All but one person were qualified for the 4th degree of disability (MIDAS): average of 88.7 points, average frequency – 22.11/90, intensity – 7.15/10. A positive correlation (r = 0.22) was found between the amount of prescribed drugs and the number of points in the Midas Questionnaire. Significant lost of points was observed in the SF-36 Questionnaire; Physical Health – 5.62/100, Somatic Pain – 30.79/100, Social Functioning – 40.35/100, Energy – 41.12/100, Functioning Physical – 44.51/100, Emotional Functioning – 49.33/100, General Functioning – 50.59/100 and Psychic Functioning – 54.38/100. Most of these values strongly correlated negatively with MIDAS score values: Physical Health (r = –0.33, p = 0.001), Energy (r = –0.42, p = 0.000), Psychic Functioning (r = –0.27, p = 0.006), Social Functioning (r = –0.45, p = 0.000), Somatic pain (r = –0.24, p = 0.017), General Health (r = –0.44, p = 0.000). The self-treatment of people with migraine, as well as visiting the primary care physician only is a very dangerous phenomenon. Improper treatment, both ad hoc or prophylactic, may lead to increase in the frequency and intensity of headaches, and over time to a change in the nature of migraine for a chronic pain. Treatment, initially effective due to overuse of ad hoc and non-prescription drugs, in the long-term it may lead to the development of medication overuse headache (MOH).


2020 ◽  
Author(s):  
AULIA PUTRI ◽  
Bella Lusia Ariska ◽  
Siska Damaiyanti

Diabetes Mellitus (DM) which is a degenerative disease that requires proper treatment and serious. DM sufferers must undergo continuous therapy. This condition can lead to a variety of health changes that cause physical and psychological disorders for sufferers. One of them is emotional intelligence and poor quality of life. The purpose of this study was to analyze the Emotional Intelligence Relationship Against the Quality of Life of Type II Diabetes Mellitus Patients in Guguak Panjang Health Center in 2018. This type of research wasresearch descriptive analytic. With aapproach cross sectional. The sampling technique uses a total sampling with 82 respondents. The instrument used was the question of the level of emotional intelligence and the quality of life questionnaire in patients with DM. The results of the chi-squere test showed that there was an Emotional Intelligence Relationship to the Quality of Life of Type II Diabetes Mellitus Patients (p &lt;0.05). The conclusion of this study was that there was an Emotional Intelligence Relationship to the Quality of Life of Type II Diabetes Mellitus Patients in Guguak Panjang Health Center in 2018 the lower the level of Emotional intelligence the worse the quality of life in patients with Type II diabetes. It is hoped that patients with diabetes mellitus can put and control emotions so that they will improve the quality of life.


2013 ◽  
Vol 7 (1) ◽  
pp. 165-173 ◽  
Author(s):  
Liselotte Jakobsson ◽  
Per Fransson

Prostate cancer is the most common cancer among men in Sweden, and treatment is negatively affecting the patients' quality of life. Even so, long term experiences are sparse and implications for nursing practice are little known. The aim of this study was to determine areas of functioning and factors impacting quality of life, QOL, during and five years after radical prostatectomy (RP) using a quality of life questionnaire and a specific module for prostate cancer. A longitudinal study was performed with consecutively included Swedish men from baseline and after RP treatment (n=222) from 2003 to 2011 to obtain their opinions on quality of life. Data was gathered through a mail out - mail in procedure at baseline, 3 months, 1-3 and 5 years after treatment with a response rate of 94.14% - 75.2%. One reminder was sent on each occasion. Identified areas with increased functioning after five years were emotional and social functioning. QOL ratings did not change over the years. Sexual activity and functioning decreased and hormonal treatment-related symptoms increased. Impact on QOL was found regarding emotional and social functioning, nausea/vomiting, pain and hormone-related symptoms. Increasing age, living with a partner and educational level had no significant impact on QOL. Implications for nursing are to initially focus on physical problems and at times for follow-up visits pay attention also to emotional and social aspects of life. To be able to make a difference in the patient’s life, nurses need to bridge the gap between in-hospital treatment and everyday life outside hospital.


2016 ◽  
Vol 7 (1) ◽  
pp. 16-21 ◽  
Author(s):  
Ruslana M Akhmedova ◽  
Ludmila V Sofronova ◽  
Ksenia N Vladimirova

Appreciation of life′s quality supplements complex medical investigation and make it possible to value child′s state of health and develop rational approach for therapy and rehabilitation. The life quality of 127 patients with obesity and 67 patients with diabetes of the 1st type were investigated. 120 teenagers of the same age and sex who were practically healthy compile the group of control. Questionnaire in life′s quality for children from 13 to 18 years old was used Ped′s QL 4.0 Pediatric Quality of life Questionnaire. It was established that teenagers with diabetes have all the indicators of life′s quality more lower than their contemporaries, specially in physical and social functioning. Children with diabetes of the 1st type, who are on insulin pump therapy have the life′s quality more higher than children receives insulin with the help of autoinjector. The indicators of life′s quality is registered at children who are ill the first year or more than five years. During the investigation of teenagers life′s quality with obesity was get registered that total indices of their life′s quality are significantly lower than at their mates from control group. More significant differences are discovered by indicator panel “Social functioning”. The indices of physical functioning of teenagers with obesity are significantly lower than at healthy mates. Girls comparatively with boys appreciate practically all indicators of life′s quality lower besides school if we compare indicators of life′s quality of teenagers with obesity and diabetes of the 1st type their general indicator is higher than at teenagers with excess weight.


2020 ◽  
Vol 10 (4) ◽  
pp. 1611-1620 ◽  
Author(s):  
Esther Cubo ◽  
Pablo Martínez-Martín ◽  
Jerónimo González-Bernal ◽  
Elena Casas ◽  
Sandra Arnaiz ◽  
...  

Background: The asymmetry of motor manifestations present in Parkinson’s disease (PD) suggests the existence of differences between both hemispheres. As a consequence, this asymmetry might contribute to different PD clinical phenotypes. Objective: To study the relationship between motor symptom laterality with motor, non-motor symptoms (NMS), freezing of gait (FOG), and quality of life (QoL) impairment in PD. Methods: In this cross-sectional study, we measured motor symptoms severity and complications with the Unified Parkinsons’ disease Rating Scale (UPDRS), FOG with the FOG questionnaire, QoL with the 39-item PD Quality of Life Questionnaire Summary Index, and NMS with the NMS, Visual Analogue Scales for Pain and Fatigue, Beck Depression Inventory-II, Impulsive-Compulsive Disorders, and PD Sleep and Cognitive Rating scales. We defined left and right motor laterality using the UPDRS part III. We used comparative, regression, and effect size analyses to evaluate the impact of asymmetry on motor and NMS, FOG, and QoL. Results: 342 left (LPD) and 310 right (RPD) patients, with a mean age of 62.0±8.8 years, were included. In multivariate regression analysis, LPD was associated with a greater motor (OR = 1,50, 95% CI 1.02–2.21), FOG (OR = 1.56, 95% CI 1.01–2.41), and overall NMS impairment (OR = 1.43, 95% CI 1.001–2.06), and better QoL (OR = 0.52 95% CI 0.32–0.85). Overall, only a mild effect size was found for all comparisons in which significant differences were present. Conclusion: In this large multicenter study, motor symptom laterality seems to carry a mild but significant impact on PD clinical manifestations, and QoL.


Author(s):  
R. Abdryahymov

With informed consent, 100 combatants were surveyed. Of these, 54 participants with eye injury and partial loss of vision due to participation in hostilities with clinical manifestations of post-traumatic syndrome; comparison group - 46 combatants with clinical manifestations of post-traumatic syndrome. All respondents were screened for a mental condition using the clinical diagnostic scale CAPS (Clinical-administered PTSD Scale), a neurotic and psychopathic level determination questionnaire (HNP), Diagnostics of Hayma’s Coping Strategies, Psychological Protection of Plutchik-Kellermann-Conte, WHO WHOQOL-100 quality of life questionnaire, Rosenzweig's test of frustration reactions (adult version) modified by P.V. Tarabry. Upon completion of the survey, psychocorrectional measures were conducted with participants of the main group for 60 days. Methods of psychoeducation, cognitive-behavioral, personality-oriented, rational, suggestive psychotherapy, psychological self-regulation were used. The results of psychocorrection were assessed according to the dynamics of the significance of clinical manifestations and these methods. The application of a system of psychocorrectional measures to participants with an eye injury and partial loss of vision with clinical manifestations of post-traumatic syndrome allows to achieve neutralization or significant improvement in their mental state. This is confirmed by changes in the indicator indicators of the relevance of manifestations of somatic injury with clinical symptoms of post-traumatic syndrome, coping strategies and the structure of psychological protection, frustration response and level of assessment of quality of life. The changes achieved in the process of psychocorrection were significantly significant compared with the participants who are characterized by manifestations of post-traumatic syndrome without an eye injury. Changes achieved using psychocorrection did not reach for some indicators of the normative levels. This indicates the presence of manifestations associated with the consequences of somatic trauma and for their correction, the restructuring of life experience in the face of changes in personal capabilities is necessary.


Author(s):  
Olga A. Naumova ◽  
Inna V. Gogunska ◽  
Tetyana V. Smagina ◽  
Vladislav I. Nesterchuk ◽  
Tetiana Yu. Kholodenko

Topicality: Beta-glucans are a group of biologically active polysaccharides of natural origin with a proven pleiotropic immunomodulatory effect. In vitro experiments as well as animal and human clinical studies proved the importance of beta-glucans in the treatment and prevention of allergic diseases. This opens up new prospects for the use of this widespread and popular group of natural substances. Aim: to investigate whether the addition of "Bewell®" can alleviate the symptoms of seasonal AR in children sensitized to ragweed during flowering and improve their quality of life. Materials and methods: The study involved 30 patients (12 girls, 18 boys) aged from 6 to 12 years with a verified diagnosis of seasonal allergic rhinitis. Clinical manifestations of rhinoconjunctivitis were evaluated according to T5SS scale, quality of life (QOL) – according to Paediatric Rhinoconjunctivitis Quality of Life Questionnaire (PRQLQ). Results: The study found that administration of "Bewell®" in the complex therapy of seasonal allergic rhinitis significantly reduced rhinoconjunctival manifestations (p<0.001). The surveyed patients reduced consumption of antihistamines. After a treatment course, a decrease in the PRQLQ score was detected for such parameters as: irritability, need to wake up at night due to nasal congestion, need to take medications to relieve AR symptoms such as antihistamines or inhaled corticosteroids, which indicated an increase in the quality of life of patients after the therapy. The use of a complex of parameters to evaluate the therapy effectiveness showed that the use of beta-1,3/1,6-glucan ("Bewell®") is promising for reducing AR symptoms in children, leading to their rapid regression, improving the quality of life and effective relief of AR symptoms. Administration of "Bewell®" reduces the need for concomitant therapy and helps to reduce the drug load.


2011 ◽  
Vol 63 (3) ◽  
pp. 617-622 ◽  
Author(s):  
Svetlana Miletic ◽  
Gordana Toncev ◽  
Jasna Jevdjic ◽  
B. Jovanovic ◽  
D. Canovic

The aim of this work was to examine the relationship between fatigue and depression, common features of multiple sclerosis (MS), and the quality of life (QOL). The study was comprised of 120 patients with clinical manifestations of definite MS. Relapsing-remitting MS was present in 76.7% patients and secondary progressive MS was present in 23.3% patients. Mean disease duration was 8.1 ? 5.6 years and the mean Expanded Disability Status Score (EDSS) was 3.5 ? 1.8 (range 1-8). Fatigue was measured with the Fatigue Severity Scale (FSS), depression was measured by the Beck Depression Inventory (BDI) and QOL was assessed using the health-related quality of life questionnaire SF-36. We observed that the global FSS score was 4.6 ? 1.8 (range 1-7) and BDI was 10.7 ? 10.3 (range 0-39). The FSS significantly and positively correlated with the BDI scores (r = 0.572; p = 0.000). The severity of fatigue had a significant impact on the quality of life (r = -0.743; p = 0.000), in particular on mental health (r = -0.749; p = 0.000). We observed a significant correlation between the severity of depression and impaired quality of life (r = -0.684; p = 0.000). This study shows that fatigue and depression are associated with impaired QOL in MS.


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