scholarly journals Dual Disorders in the Consultation Liaison Addiction Service: Gender Perspective and Quality of Life

2021 ◽  
Vol 10 (23) ◽  
pp. 5572
Author(s):  
Teresa Ferrer-Farré ◽  
Fernando Dinamarca ◽  
Joan Ignasi Mestre-Pintó ◽  
Francina Fonseca ◽  
Marta Torrens

Dual disorders (DD) and gender differences comprise an area of considerable concern in patients with substance use disorder (SUD). This study aims to describe the presence of DD among patients with SUD admitted to a general hospital and attended by a consultation liaison addiction service (CLAS), in addition to assessing its association with addiction severity and quality of life from a gender perspective, between 1st January and 30th September, 2020. The dual diagnosis screening interview (DDSI), the severity of dependence scale (SDS), and the WHO well-being index were used to evaluate the patients. In the overall sample, DD prevalence was 36.8%, (women: 53.8% vs. men: 32.7%, NS). In both genders the most prevalent DD was depression (33.8%, women: 46.2% vs. men: 30.9%, p = 0.296). Women presented more panic disorders (46.2% vs. 12.7%, p = 0.019) and generalized anxiety (38.5% vs. 10.9%, p = 0,049) than men. When DD was present, women had worse quality of life than men (21,7 vs. 50 points, p = 0.02). During lockdown period 77 patients were attended to and 13 had COVID-19 infection, with no differences in relation to sociodemographic and consumption history variables. The study confirms a high prevalence of DD among patients with SUD admitted to a general hospital for any pathology, and its being associated with worse quality of life, particularly in women.

2021 ◽  
Vol 601 (7) ◽  
pp. 29-40
Author(s):  
Agnieszka Buczak

The aim of the research was to diagnose the well-being of schoolchildren in the conditions of online learning in relation to the subjectively perceived quality of life in a pandemic. The psychometrically verified My well-being in e-school questionnaire and the Polish version of the KIDSCREEN 10 questionnaire were used. The research was conducted via the Internet (Google Forms) ensuring the anonymity of participants. The results were obtained from 360 students of 7th and 8th grades of primary schools and 1st grade of secondary schools of the Lubelskie Voivodeship. The results of the research indicate the deterioration of the well-being of young people in the conditions of online learning in the field of psychophysical health (overload of prolonged sitting in front of the computer, pain in the eyes, head and spine). The well-being of youth in e-school significantly correlates with the quality of life related to health. The quality-of-life index of the examined youth is significantly lower compared to the results of the normalizing sample for the Polish population, taking into account the age and gender criteria. These results may indicate the deterioration of the psychophysical condition of youth caused by the pandemic. Due to the possible long-term effects of online learning, social isolation and limited possibilities of self-fulfilment, other problems related to the prolonged state of the epidemic, further in-depth (also qualitative) research on the health, well-being and quality of life of schoolchildren is indicated.


2018 ◽  
Vol 30 (1) ◽  
pp. 1-6 ◽  
Author(s):  
S Kunene ◽  
S Ramklass ◽  
N Taukobong

Background: Anterior knee pain (AKP) is the most common injury among runners and has a negative impact on the quality of life (QOL) of many athletes. Objective: To determine the impact of anterior knee pain on the QOL among runners in Ekurhuleni, Gauteng. Materials & methods: A cross–sectional study design was used. A population of 73 runners with AKP were included. Participants included runners aged 13 to 55-year-old. The SF-36 questionnaire was used to collect data. Ethical clearance, permission from club managers and consent from participants were obtained. Data were collected over six weeks and analysed using SPSS. Descriptive statistics included frequencies, means, standard deviations and ranges. Inferential statistics included Spearman's correlation calculation. Results: The lowest QOL scores were found among: role functioning/physical (62), role functioning/emotional (59), energy/fatigue (59), emotional well-being (68) and pain scales (63). Males, youth and runners with least experience presented with lowest scores. Significant correlation was found between: role functioning/physical and experience (p =.030; rs =-.221), role functioning/emotional and gender (p =.017; rs =-.247) and race (p =.012; rs =-.265), general health and experience (p =.021; rs =-.239), energy/fatigue and race (p =.012; rs =.264), emotional well-being and age (p =.020; rs =.241), general health and gender (p =.013; rs =.456), social functioning and age (p =.010; rs =.271) and energy/fatigue and experience (p =.001; rs =-.371). Discussion & Conclusion: This study highlights the need to improve QOL among running population with AKP. Multidimensional rehabilitation programmes are recommended.  Key words: anterior knee pain, quality of life, runners


2020 ◽  
Vol 50 (3) ◽  
pp. 253-263
Author(s):  
Vicente Navarro

This article covers a very central issue in the discussions of the implications of exploitation for the health, quality of life, and well-being of populations. Essentially, the objective of any emancipatory project should be the elimination of any form of exploitation, whether of class, gender, race, nation, or the environment. This article explores the interrelatedness between different types of exploitation and demonstrates how all forms of exploitation are impacted by the political context within which they exist. It compares the levels of class and gender exploitation (as well as environmental exploitation) in countries governed by different political traditions, underlining the enormous importance this political context has in shaping not only each form of exploitation but how they are related. The article concludes that those countries which have an ideological project that connects all these different projects of liberation have less exploitation of each type of discrimination.


2020 ◽  
Author(s):  
Elena Maria Gallardo Nieto ◽  
Aitor Gómez González ◽  
Regina Gairal-Casadó ◽  
Maria del Mar Ramis Salas

Abstract BackgroundHate crimes have raised in Spain and the gender and sexuality-based conflict persist worldwide which leads to this problem having an effect on health and wellbeing. Following a focus of transforming Higher Education Institutions (HEI), this research focusses on analysing how this problem affects undergraduate students in six Spanish universities. The goal of this study is to improve the quality of life of LGBTQI+ University students, breaking the silence that exists about the violence that this group suffer in Catalonia, Spain.MethodsFollowing the Communicative Methodology, this study has identified violence based on sexual orientation, gender identity or expression in the target universities and provided guidelines to improve anti-discrimination protocols. A qualitative method has reached experiences of university students, heads of equality commissions, professors and administrative staff regarding this conflict. Focussing on the qualitative research tools, 30 half-structured interviews were conducted with university students, staff and professors around issues related to LGBTQI-phobic violence: 1) perception of violence and discrimination, 2) institutional measures, 3) actions against violence. An analysis of exclusionary and transformative dimensions was used to identify emergent themes. ResultsWe have identified two dimensions for the analysis: exclusionary -those that maintain the problem-, and transformative, -those that contribute to transform the problem of LGBTQI-phobia-. On the one hand, exclusionary facts have been described by participants in the study as a wide range of forms of violence against the LGBTQI+ community perpetrated at university, mainly verbal and psychological. Moreover, equality commissions have not received reports of LGBTQI-phobic violence, and university staff and professors show certain unfamiliarity regarding measures and politics to prevent and intervene in cases of violence on the grounds of sexual orientation, gender identity and gender expression. On the other hand, in the study of variables that contribute to overcoming this conflict, actions of LGBTQI groups against violence and the professors’ commitment to intervene show relevant changes in student’s wellbeing. An improvement and implementation of anti-discrimination protocols with mandatory measures has also been documented.ConclusionsFindings highlight the need for evidence that contributes to the improvement of protocols, measures and politics to protect the LGBTQI community at university. A better understanding of violence based on sexual orientation, gender identity and gender expression in HEI’s may guide national and international governments to improve the LGBTQI collectives’ health and well-being. This study provides relevant information regarding this pressing challenge and presents an important impact achieved contributing to the improvement of the quality of life of the LGBTQI+ community.Trial registrationNot applicable


Work ◽  
2020 ◽  
Vol 67 (3) ◽  
pp. 573-581
Author(s):  
Asnat Bar-Haim Erez ◽  
Stefan Kuhle ◽  
Jessie-Lee McIsaac ◽  
Naomi Weintraub

BACKGROUND: Cross-national comparisons of students’ school quality of life (QoL) can support our understanding of factors that may affect students’ health and well-being at school. OBJECTIVE: To compare Canadian and Israeli students’ perception of their school QoL. METHODS: The Quality of Life at School Questionnaire (QoLS) was administered to 1231 students in 4th to 6th grades from Canada (n = 629) and Israel (n = 602), measuring: Physical Environment, Positive Attitudes, Student-Teacher Relationship, and Psychosocial. RESULTS: The Canadian students scored significantly higher than the Israeli students on all domains. The two-way ANOVA did not show a statistically significant interaction between country and gender nor age. However, within each country, girls and 4th grade students reported higher overall QoLS. CONCLUSIONS: This study lends support for the universal aspects of perceived QoL at school. This information may serve clinicians and educators in setting goals and developing programs to enhance students’ school QOL.


2001 ◽  
Vol 25 (3) ◽  
pp. 186-194 ◽  
Author(s):  
K. Hagberg ◽  
R. Brånemark

Individuals with unilateral trans-femoral amputations due to non-vascular causes were studied in a mailed survey designed to investigate health-related quality of life (HRQL), prosthetic use and problems. The Swedish SF-36 Health Survey and a structured questionnaire designed for trans-femoral amputees were used. The series consisted of 97 subjects (60 men, 37 women), aged 20 to 69 years with a mean of 22 years since the amputation. Trauma was the cause of amputation in 55%, tumour in 35% and other causes in 10%. Ninety-two (92) subjects (95%) had a prosthesis and 80 (82%) used it daily. General HRQL was significantly lower than Swedish age- and gender-matched norms in all dimensions as measured by SF-36. Most frequently reported problems that had led to reduction in quality of life were heat/sweating in the prosthetic socket (72%), sores/skin irritation from the socket (62%), inability to walk in woods and fields (61%) and inability to walk quickly (59%). Close to half were troubled by stump pain (51%), phantom limb pain (48%), back pain (47%) and pain in the other leg (46%). One fourth considered themselves to have a poor or extremely poor overall situation. Trans-femoral amputation, due to non-vascular causes, has an evident impact on quality of life and there are considerable problems related to the amputation and the prosthesis. Efforts to improve the physical and the psychological well-being for this group, with a long life expectancy, are needed.


2021 ◽  
Vol 10 (4) ◽  
pp. 567
Author(s):  
Magdalena Skórzewska ◽  
Andrzej Kurylcio ◽  
Karol Rawicz-Pruszyński ◽  
Wachirabhorn Chumpia ◽  
Buabongkoj Punnanan ◽  
...  

Although mastectomy could lead to a decrease in sexual performance among patients, only a handful of studies focused on the psychological and sexual behavioral aspects after the surgery. Research on post-mastectomy sexuality has focused mainly on female subjects but barely on lesbian, gay, bisexual, transgender, queer (LGBTQ), and male patients. This narrative review aimed to explore the importance of sexuality after mastectomy from a LGBTQ perspective. Each sexual minority group has been addressed individually. In general, sexual and gender minority breast cancer (BC) patients undergoing bilateral mastectomy expect a complex treatment plan in terms of physical and emotional outcomes. Bilateral mastectomy or top surgery for masculinization reasons was reported to be the most popular procedure among transmen, which resulted in a significant improvement in the quality of life. Heterosexual and lesbian female patients are willing to undergo mastectomy after repeated lumpectomies or to avoid radiation, despite potential post-operative somatic and quality-of-life complications. Transwomen would seek gender-affirming surgery to improve physical satisfaction and psychological well-being. There is not enough evidence for non-oncological reasons and consequences of mastectomy in gay men and cisgender heterosexual men. Establishing the awareness of the sexuality impact of mastectomy will allow the implementation of tailored perioperative psychological care.


2019 ◽  
Vol 64 (10-11) ◽  
pp. 1156-1177
Author(s):  
Stephanie Grace Prost ◽  
Lisa S. Panisch ◽  
Laura E. Bedard

Quality of life (QOL) is an important area of exploration in U.S. corrections linked closely to well-being and an important indicator of intervention efficacy. Little is known of QOL in U.S. jails despite the admittance of over 10-million people to these settings every year. Research regarding the dimensions, correlates, and gender disparities in QOL in jails is important to shaping gender-responsive supports and reducing recidivism. Independent t tests and correlational and regression analyses were used to explore dimensions, correlates, and gender disparities in QOL among persons incarcerated in a large, southeastern jail ( N = 299). All QOL domains were significantly related to overall QOL, and psychological QOL contributed most readily to respondent’s overall QOL. Females, on average, reported lower QOL than males with significant differences between the groups in physical health and psychological domains. The importance of psychological QOL intervention and healthcare continuity are discussed.


Chronic kidney disease (CKD) is a global health problem with global prevalence ranging from 11-13%. The process of chronic inflammation and malnutrition in CKD patients undergoing hemodialysis (HD) is a medical condition that affects the quality of life. This study aims to determine the correlation of hs-CRP levels and nutritional status with quality life of CKD patients undergoing HD. This research is an analytical study, cross sectional design, conducted in December 2019 - March 2020 at Haji Adam Malik General Hospital Medan. Based on the fisher's exact test of 37 samples, a significant correlation was found between hs-CRP and physical health (p = 0. 037, PR 1.6) and with psychological well- being (p = 0.045; PR 1.78). There was no correlation found between hs-CRP with social relations (p = 0.091; PR 1.7) and the environment (p = 0.078; PR 1.54). A significant correlation was found between nutritional status and several domains including physical health (p = 0.038; PR 1.6), psychological well-being (p = 0.005; PR 2.09), social correlations (p = 0.011; PR 2.48), and the environment (p = 0.012; PR 2.02). The study determinded that there was correlation found between hs-CRP levels with physical health and psychological well-being and between nutritional status with all domains of quality of life.


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