The Effects of Daily Stress, Depression, and Self-esteem on Quality of Life in Middle-aged Women

2020 ◽  
Vol 14 (1) ◽  
pp. 5-21
Author(s):  
Kwang Ok Kim ◽  
2021 ◽  
Vol 28 (1) ◽  
pp. 43-55
Author(s):  
Young Ran Yeom ◽  
Aekyung Kim

Purpose: The purpose of this study was to investigate factors affecting the quality of life of middle-aged women with urinary incontinence by using Wilson and Cleary (1995)'s health-related quality of life model and previous studies. This article was done to construct a model for the collection of data on women with urinary incontinence and verifying the suitability of the model and the hypotheses presented in the model.Methods: A total of 209 valid questionnaires which met the criteria of middle-aged women who experienced urinary incontinence was used for final analysis. The exogenous and endogenous variables of the hypothesis model consisted of age, number of delivery, menstrual status, self-esteem, social support, physical symptoms, depression, anxiety, self-care agency and quality of life. The data were analyzed using IBM SPSS/WINdow 25.0 and AMOS 18.0 program.Results: The fitness of the modified model, x<sup>2</sup>/df=1.675, RMR=0.047, RMAEA=0.057, GFI=0.900, AGFI=0.855, NFI=0.923, TLI=0.957, CFI=0.9674. In the modified model, self-esteem showed the strongest total impact including the direct and indirect impacts on the quality of life of women with incontinence. In the result of verification of the modified model, quality of life explained by 58.8% through self-esteem, social support, self-care agency.Conclusion: Efforts are needed to improve self-esteem for middle-aged women with urinary incontinence, alleviate psychological symptoms, and develop self-care agency that they can manage themselves. Various aspects of physical, mental and psychological aspects can be comprehensively assessed and utilized to develop an interactive strategy system through individual programs and social support.


Author(s):  
Hyunwoo Kang ◽  
Seyong Jang

Background: We aimed to conduct a mindfulness yoga program to treat the psychological problems of middle-aged men by examining the effects of a mindfulness yoga program on depression, self-esteem, and quality of life in this population. Methods: The participants included 50 middle-aged men (aged 40–60 yr) living in Seongnam-si, Korea. Twenty-five men were randomly assigned to the experimental group and 25 were assigned to the control group. The mindfulness yoga program was conducted twice a week for 12 weeks, and each session lasted approximately 75 min. Before the first session, a pre-test was conducted, after which the program began. Questionnaires were completed after the 4th, 8th, and 12th weeks of the program, and the control group underwent psychological tests at the same time points. A two-way (2 × 4) repeated measures analysis of variance was conducted, and when the interaction effect was significant, a post-hoc test (Bonferroni) was performed. Results: In the intervention group, depression severity significantly decreased (P<0.001) and self-esteem significantly increased (P<0.01). Furthermore, the intervention group also showed a significant increase in psychological (P<0.001), social (P<0.001), and overall quality of life (P<0.001) among the sub-dimensions of quality of life. Conclusion: Middle-aged men should be made aware of the usefulness of mindfulness yoga and encouraged to participate in such programs. Mindfulness yoga may be considered as an alternative treatment strategy that promotes the natural healing and management of psychological issues faced by middle-aged men.  


2020 ◽  
Vol 103 (11) ◽  
pp. 1185-1193

Background: The systemic lupus erythematosus (SLE) patients oftentimes suffer from both physical and psychosocial challenges that may lead to low health-related quality of life (HRQoL). However, limited research has been done in this area. Objective: To examined mental health status and HRQoL among SLE patients in Thailand. Materials and Methods: The present study was a cross-sectional study conducted at the rheumatology clinic of four major hospitals in Thailand. The paper-based questionnaire consisted of demographic, health history such as depression, anxiety, stress Scale (DASS-21), and the Rosenberg self-esteem scale (RSE), and the disease-specific Lupus Quality of Life scale (LupusQoL). Depending on the variable’s level of measurement such as categorical or continuous, Spearman’s Rho or Pearson’s product moment correlation coefficients were used to explore the relationships among the variables. Hierarchical multiple regression was used to identify the predictors of LupusQoL. Results: Among the 387 participants, many might have experienced depression, anxiety, and stress (30%, 51%, and 29%, respectively). Self-esteem among the participants was good (31.8 out of 40). All eight domains of LupusQoL were affected with intimate relationship domain being impacted the most. The overall LupusQoL was significantly associated with the number of prescribed medications (r=–0.23), depression (r=–0.70), anxiety (r=–0.58), stress (r=–0.67), and self-esteem (r=0.59), p<0.001. Significant predictors of the overall LupusQoL were mental health status (depression, anxiety, and stress) and self-esteem, F (3, 81)=43.10, p<0.001, adjusted R²=0.60. Conclusion: SLE patients should be holistically assessed in both physical and psychological aspects. In addition to proper medical treatments, healthcare providers should use a multidisciplinary team approach to resolve the patients’ psychosocial issues, which in turn, may increase the patients’ quality of life. Self-care education may be necessary to help the patients manage the condition and decrease the number of medications. Keywords: Mental health, Quality of life, SLE, Thailand


2017 ◽  
Vol 63 (2) ◽  
pp. 316-319 ◽  
Author(s):  
Valentina Chulkova ◽  
Tatyana Semiglazova ◽  
Margarita Vagaytseva ◽  
Andrey Karitskiy ◽  
Yevgeniy Demin ◽  
...  

Psychological rehabilitation is an integral part of rehabilitation of a cancer patient. Psychological rehabilitation is aimed at a patient adaptation in the situation of the disease and improvement his quality of life. Understanding of an oncological disease is extreme and (or) crisis situation and monitoring dynamics of the psychological statement of a patient allows using differentiated approach in the provision of professional psychological assistance. The modified scale of self-esteem level of distress (IPOS) was used for screening of mental and emotional stress of cancer patients. There were selected groups of cancer patients who were most in need of professional psychological assistance. Results of a psychological study of one of these groups - breast cancer patients - are presented.


2021 ◽  
Vol 230 ◽  
pp. 113297
Author(s):  
Joana Perez-Tejada ◽  
Ibane Aizpurua-Perez ◽  
Ainitze Labaka ◽  
Oscar Vegas ◽  
Gurutze Ugartemendia ◽  
...  

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