scholarly journals Factors affecting anxiety, depression, and self-care ability in patients who have undergone liver transplantation

2021 ◽  
Vol 27 (40) ◽  
pp. 6967-6984
Author(s):  
Sami Akbulut ◽  
Ali Ozer ◽  
Hasan Saritas ◽  
Sezai Yilmaz
2002 ◽  
Vol 10 (S1) ◽  
pp. R96-R96 ◽  
Author(s):  
S. M. Aburuz ◽  
J. C. McElnay ◽  
J. S. Millership ◽  
W. J. Andrews ◽  
S. Smyth

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hamideh Shiri-Mohammadabad ◽  
Seyed Alireza Afshani

Abstract Background Research on factors affecting self-care is scarce. The social factors, in particular, have not been yet investigated in Iran. Therefore, the present study aimed to investigate the relationship between self-care and social capital among women. Methods The participants were 737 women who were living in the marginal, middle and upper areas in the city of Yazd, Iran. Data were collected using a researcher-made self-care questionnaire and Harper’s (Off Natl Stat 11:2019, 2019) Social Capital Scale. The data were analyzed using structural equation modeling by SPSS and Amos v24. Results The results showed that the social capital had significant positive effects on the general self-care behavior of the participants (β = 0.56, p < 0.001). It also had significant positive effects on the self-care behavior of women living in the marginal (β = 0.58), middle (β = 0.49) and upper (β = 0.62) parts of the city (p < 0.001). Besides, the women living in the marginal parts had relatively lower levels of self-care compared to those living in the middle and upper parts of the city. The examination of the fit indices indicated that the model has a good fit (CMIN/DF = 2.087, NFI = 0.921, RMSEA = 0.027, CFI = 0.956, TLI = 0.940, GFI = 0.956, IFI = 0.957). Conclusion The findings of this study demonstrated that social capital has significant positive effects on the general self-care behavior of women. Therefore, improving their self-care can be achieved through promoting their social capital.


2021 ◽  
Vol 15 (5) ◽  
pp. 1739-1742
Author(s):  
Nilufar Safaie ◽  
Hadi Zeinali ◽  
Nazila Ghahramanfard ◽  
Majid Mirmohammadkhani ◽  
Mohammadreza Moonesan

Introduction & Objective: Definitive diagnosis of cancer in patients, the duration of treatment, and grueling treatment methods can provide a basis for psychiatric disorders such as depression and anxiety in patients; accordingly, this study was conducted to evaluate the factors affecting these disorders in patients who were newly diagnosed with cancer. Materials and Methods: This descriptive-analytical study was performed on 122 cancer patients in 1397 in Semnan, Iran. Data were collected using the HADS questionnaire. In order to compare the subgroups in terms of frequencies, Chi-square test and, if necessary, more accurate Fisher test were used. Numerical variables were compared using T-test or Mann Whitney U test. Results: In the present study, the mean of total anxiety was about 28.6% and the mean of total depression among patients was 26.2%. 80% of women and 74.3% of people without income had anxiety and there was a significant relationship between gender and income with anxiety in cancer patients (p <0/05). The variables of age, sex, income level, education level were not significantly associated with depression (P> 0.05). Conclusion: Considering the levels of psychiatric disorders, especially anxiety and depression in cancer patients, to control this issue, providing psychiatric interventions in the treatment program of these patients can be effective. Key words: Cancer, Anxiety, Depression, Psychiatric disorders


BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e040286
Author(s):  
Simon DS Fraser ◽  
Jenny Barker ◽  
Paul J Roderick ◽  
Ho Ming Yuen ◽  
Adam Shardlow ◽  
...  

ObjectivesTo determine the associations between comorbidities, health-related quality of life (HRQoL) and functional impairment in people with mild-to-moderate chronic kidney disease (CKD) in primary care.DesignCross-sectional analysis at 5-year follow-up in a prospective cohort study.SettingThirty-two general practitioner surgeries in England.Participants1008 participants with CKD stage 3 (of 1741 people recruited at baseline in the Renal Risk in Derby study) who survived to 5 years and had complete follow-up data for HRQoL and functional status (FS).Primary and secondary outcome measuresHRQoL assessed using the 5-level EQ-5D version (EQ-5D-5L, with domains of mobility, self-care, usual activities, pain/discomfort and anxiety/depression and index value using utility scores calculated from the English general population), and FS using the Karnofsky Performance Status scale (functional impairment defined as Karnofksy score ≤70). Comorbidity was defined by self-reported or doctor-diagnosed condition, disease-specific medication or blood result.ResultsMean age was 75.8 years. The numbers reporting some problems in EQ-5D-5L domains were: 582 (57.7%) for mobility, 166 (16.5%) for self-care, 466 (46.2%) for usual activities, 712 (70.6%) for pain/discomfort and 319 (31.6%) for anxiety/depression. Only 191 (18.9%) reported no problems in any domain. HRQoL index values showed greater variation among those with lower FS (eg, for those with Karnofsky score of 60, the median (IQR) EQ-5D index value was 0.45 (0.24 to 0.68) compared with 0.94 (0.86 to 1) for those with Karnofsky score of 90). Overall, 234 (23.2%) had functional impairment.In multivariable logistic regression models, functional impairment was independently associated with experiencing problems for all EQ-5D-5L domains (mobility: OR 16.87 (95% CI 8.70 to 32.79, p<0.001, self-care: OR 13.08 (95% CI 8.46 to 20.22), p<0.001, usual activities: OR 8.27 (95% CI 5.43 to 12.58), p<0.001, pain/discomfort: OR 2.94 (95% CI 1.86 to 4.67), p<0.001, anxiety/depression: 3.08 (95% CI 2.23 to 4.27), p<0.001). Higher comorbidity count and obesity were independently associated with problems in mobility, self-care, usual activities and pain/discomfort: for three or more comorbidities versus none: (mobility: OR 2.10 (95% CI 1.08 to 4.10, p for trend 0.002), self-care: OR 2.64 (95% CI 0.72 to 9.67, p for trend 0.05), usual activities: OR 4.20 (95% CI 2.02 to 8.74, p for trend <0.001), pain/discomfort: OR 3.06 (95% CI 1.63 to 5.73, p for trend <0.001)), and for obese (body mass index (BMI) ≥30 kg/m2) versus BMI <25 kg/m2: (mobility: OR 2.44 (95% CI 1.61 to 3.69, p for trend <0.001), self-care: OR 1.98 (95% CI 1.06 to 3.71, p for trend 0.003), usual activities: OR 1.82 (95% CI 1.19 to 2.76, p for trend 0.019), pain/discomfort: OR 2.37 (95% CI 1.58 to 3.55, p for trend <0.001)). Female sex, lower FS and lower educational attainment were independently associated with anxiety/depression (ORs 1.60 (95% CI 1.18 to 2.16, p 0.002), 3.08 (95% CI 2.23 to 4.27, p<0.001) and 1.67 (95% CI 1.10 to 2.52, p 0.009), respectively). Older age, higher comorbidity count, albuminuria (≥30 mg/mmol vs <3 mg/mmol), lower educational attainment (no formal qualifications vs degree level) and obesity were independently associated with functional impairment (ORs 1.07 (95% CI 1.04 to 1.09, p<0.001), 2.18 (95% CI 0.80 to 5.96, p for trend <0.001), 1.74 (95% CI 0.82 to 3.68, p for trend 0.005), 2.08 (95% CI 1.26 to 3.41, p for trend <0.001) and 4.23 (95% CI 2.48 to 7.20), respectively).ConclusionsThe majority of persons with mild-to-moderate CKD reported reductions in at least one HRQoL domain, which were independently associated with comorbidities, obesity and functional impairment.Trial registration numberNational Institute for Health Research Clinical Research Portfolio Study Number 6632.


1984 ◽  
Vol 55 (2) ◽  
pp. 673-674 ◽  
Author(s):  
Doris Hertsgaard ◽  
Harriett Light

760 randomly selected women residing on farms in a mid-western srate were administered the Multiple Affect Adjective Check List to explore factors affecting their depression, anxiety, and hostility scores. Anxiety scores were significantly correlated with hostility scores and with depression scores, as were hostility scores with depression scores. Factors that appeared to affect depression scores were presence and age of children in the home, church attendance, religious affiliation, involvement in decision making, contact with friends, and husbands' educational level. Anxiety scores appeared to be affected by presence and age of children, subjects' age, church attendance, religious affiliation, decision making and husbands' education. Hostility appeared to be affected by presence and age of children, subjects' age, decision making, contact with friends, and husbands' educational level.


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