scholarly journals Therapeutic Lifestyle Changes: Impact on Weight, Quality of Life, and Psychiatric Symptoms in Veterans With Mental Illness

2017 ◽  
Vol 182 (9) ◽  
pp. e1738-e1744 ◽  
Author(s):  
Jillian M. Tessier ◽  
Zachary D. Erickson ◽  
Hilary B. Meyer ◽  
Matthew R. Baker ◽  
Hollie A. Gelberg ◽  
...  
2011 ◽  
Vol 26 (S2) ◽  
pp. 694-694 ◽  
Author(s):  
H.Ø. Sørensen ◽  
P. Munk-Joergensen

IntroductionDepression and simple phobia are the most prevalent mental illnesses among employees leading to an increased number of sick days, decreased social and professional function, job satisfaction, quality of life and increased risk of loss of work.Around 25% of the working population is affected by psychiatric symptoms in a way that is painful to the individual, but not of such severity that is qualifies as a genuine disease.Untreated and not early identified these cases could lead to actual mental illness.Moreover, less than half of those currently suffering from depression are provided with the correct diagnosis in general practice, and less the half, diagnosed correctly, receive the proper medical treatment.ObjectivesTo identify, treat and thereby interrupt pre-existing cases of mental illness in the workplace. To prevent worsening of minor cases of psychiatric illness and symptomatic cases not considered a genuine disease.AimsTo develop models for early tracing and treatment of mental illness in the workplace with consequent improved health status and quality of life for the individual and improved economy for the workplace and the public.MethodsThis intervention study includes larger companies with more than 100 employees in the Region of North Denmark.The study design is a before-after study using self-reporting questionnaires as a basis for identification of cases of mental illness and follow-up of treatment. The study uses clinical interview and examination for determining the need for treatment.ResultsResults not yet available.


2005 ◽  
Vol 35 (3) ◽  
pp. 259-271 ◽  
Author(s):  
Susan Hatters Friedman ◽  
Martha Sajatovic ◽  
Isabel N. Schuermeyer ◽  
Roknedin Safavi ◽  
Robert W. Hays ◽  
...  

Objective: Menopause is an important life event that has not yet been well characterized among women with severe mental illness. Our goal was to evaluate menopause-related quality of life among severely mentally ill women. Method: We conducted a cross-sectional assessment of perimenopausal and postmenopausal women, ages 45–55, diagnosed with schizophrenia/schizoaffective disorder, bipolar disorder, or major depression, who were receiving inpatient or outpatient psychiatric care. Women were compared regarding menopausal symptoms and quality of life using the Menopause Specific Quality of Life Scale (MENQOL). Results: Women with severe mental illnesses who were peri- and post-menopausal experienced considerable vasomotor, physical, sexual, and psychosocial symptoms related to menopause. On seven of 29 MENQOL items, women with major depression reported problems significantly more often than women with other serious mental illnesses. Conclusions: This preliminary study indicates that psychiatrists and other physicians should consider the frequency and overlap of menopausal and psychiatric symptoms among women with serious mental illness in this age group.


2020 ◽  
Vol 11 (1) ◽  
pp. 1444-1453
Author(s):  
Awaludin Jahid Abdillah

ABSTRAKKehadiran penyakit kronis salah satunya adalah hipertensi di kalangan lansia memberikan risiko penurunan fungsional pada populasi lansia dan dapat mempengaruhi kualitas hidup lansia. Salah satu penatalaksanaan hipertensi pada lansia adalah melakukan modifikasi perilaku atau gaya hidup lansia itu sendiri atau lebih dikenal denganTherapeutic Lifestyle Changes for hypertension (TLCs). Tujuan penelitian ini adalah pengaruh Therapeutic Lifestyle Changes (TLCs) terhadap kualitas hidup lansia dengan hipertensi.Desain penelitian yang digunakan adalah Pre Eksperimental Design (quasi experiment) dengan pretest-posttest with control group.  Jumlah sampel yang digunakan adalah 64 sampel terdiri dari 32 responden pada kelompok intervensi dan kelompok kontrol. Analisis data statistic menggunakan T test independen dan Mann-Whitney test.Uji beda rata-rata menunjukan terdapat pengaruh therapeutic lifestyle changes terhadap kualitas hidup lansia dengan hipertensi pada kelompok intervensi pada domain  Aktifitas pada masa lampau kini dan yang akan datang (p value 0.020), domain partisipasi sosial (p value 0.000) dan domain persahabatan dan cinta kasih (p value 0.020), sedangkan uji beda rata-rata pada kelompok intervensi dan kontrol didapatkan pengaruh kualitas lansia dengan hipertensi (p value 0.000).Kata Kunci :  Therapeutic Lifestyle Changes, Kualitas hidup  ABSTRACTThe presence of chronic diseases, one of which is hypertension among the elderly provides a risk of functional decline in the elderly population and can affect the quality of life of the elderly. One of the management of hypertension in the elderly is to modify the behavior or lifestyle of the elderly itself or better known as Therapeutic Lifestyle Changes for hypertension (TLCs). The purpose of this study is the effect of Therapeutic Lifestyle Changes (TLCs) on the quality of life of the elderly with hypertension.The research design used was Pre Experimental Design (quasi experiment) with pretest-posttest with control group. The number of samples used was 64 samples consisting of 32 respondents in the intervention group and the control group. Statistical data analysis using independent T test and Mann-Whitney test.The average difference test shows there is an effect of therapeutic lifestyle changes on the quality of life of the elderly with hypertension in the intervention group in the past and present domains of activity (p value 0.020), the domain of social participation (p value 0.000) and the domain of friendship and love you (p value 0.020). while the average difference test in the intervention and control group was influenced by the quality of the elderly with hypertension (p value 0.000).Keywords: Therapeutic Lifestyle Changes, Quality of  life


2017 ◽  
Vol 25 (6) ◽  
pp. 583-587 ◽  
Author(s):  
Laura Hayes ◽  
Helen Herrman ◽  
David Castle ◽  
Carol Harvey

Objectives: Hope is an important part of recovery from severe mental illness. Our aim was to assess hope and its correlation with symptoms in people living with severe mental illness. Methods: We used validated questionnaires to assess hope, social isolation, quality of life and symptoms among 60 people living with severe mental illness. Results: Hope scores were significantly lower than those reported for many community groups. There was a negative association between psychiatric symptoms and levels of hope. Conclusions: Some people living with enduring severe mental illness in the Australian community feel hopeless. Being hopeful and initiating recovery are evidently difficult when symptoms remain severe. Appropriate acknowledgement and support for patients and their families is required.


2002 ◽  
Vol 36 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Coletta Hobbs ◽  
Lesley Newton ◽  
Christopher Tennant ◽  
Alan Rosen ◽  
Kate Tribe

Objective: Forty-seven patients with long-term mental illness were transferred to the community following the closure of a psychiatric hospital in Sydney. This 6-year evaluation is an extension of a detailed clinical, ethnographic and economic study of the initial 2-years of community transition. Method: Quantitative evaluation was conducted using the Brief Psychiatric Rating Scale, Life Skills Profile, Social Behaviour Scale, Montgomery Asberg Depression Rating Scale and Quality Of Life measures. Assessments were completed prior to discharge and at two- and 6-year intervals following community transfer. Repeated measures analysis was utilized to determine changes in outcome variables over time. The residents' perception of 6-years of community living was explored in qualitative semistructured interviews. Details of accommodation, level of care, readmissions, incidents and medication were also documented. Results: During the 6 years following community relocation a total of seven residents returned to hospital for long-term care, three residents died from medical causes and one resident required detention in a corrective services facility. The 36 residents who remained in the community at the 6-year follow-up no longer required intensive 24-h supervision. Living semi-independently, 23 residents resided in two to three person accommodation with either daily or weekly case manager visits. Clinically, community residents remained stable over the 6 years without significant changes in psychiatric symptoms, depression, living skills or social behaviour problems. Clinical stability was achieved with significant reduction in medication levels over the 6 years. Community-based residents continued to experience improved quality of life and reported their marked preference for living in the community. Conclusion: The residents maintained community tenure with significant improvement in quality of life and a reduction in medication, supported by a mental health system with adequate community resources. Issues regarding continuing rehabilitation and social integration need to be addressed. Further deinstitutionalization will require 24-h supervision for most initially and for some on a continuing basis. An ageing population will require specific age related medical and psychiatric services.


2020 ◽  
Author(s):  
Christian Arinze Okonkwo ◽  
Peter Olarenwaju Ibikunle ◽  
Izuchukwu Nwafor ◽  
Andrew Orovwigho

BACKGROUND Quality of life (QoL), physical activity (PA) level and psychological profile (PF) of patients with serious mental illness have been neglected during patient’s management OBJECTIVE The purpose of this study was to determine the effect of selected psychotropic drugs on the QoL, PA level and PF of patients with serious mental illness METHODS A cross sectional survey involving one hundred and twenty-four subject [62 Serious Mental Illness (SMI) and 62 apparently healthy subjects as control] using purposive and consecutive sampling respectively .Questionnaires for each of the constructs were administered to the participants for data collation. Analysis of the data was done using non parametric inferential statistics of Mann-Whitney U independent test and Spearman’s rho correlation with alpha level set as 0.05. RESULTS Significant difference was recorded in the QoL (p<0.05) of patient with SMI and apparently healthy psychotropic naive participants. There was a significant correlation between the QoL (p<0.05) and PF of participants with SMI. Participants with SMI had significantly lower QoL than apparently healthy psychotropic naive subject. QoL of the healthy psychotropic naive group was better than those of the participants with SMI. Female participants with SMI had higher PA than their male counterparts CONCLUSIONS Psychological profiles of male participants with SMI were lower than male healthy psychotropic naive participants. Clinicians should take precaution to monitor the QoL, PA level and PF because the constructs are relevant in evaluation of treatment outcome.


2021 ◽  
Vol 11 (6) ◽  
pp. 771
Author(s):  
Fany Chuquilín-Arista ◽  
Tania Álvarez-Avellón ◽  
Manuel Menéndez-González

Parkinson’s disease (PD) is a complex disorder characterized by a wide spectrum of symptoms. Depression and anxiety are common manifestations in PD and may be determinants of health-related quality of life (HRQoL). The objective of this study is to determine the association of depression and anxiety with the dimensions of HRQoL in subjects with PD enrolled in an association of patients. Ninety-five community-based patients with PD diagnosis at different disease stages were studied. HRQoL was assessed using the Parkinson’s Disease Questionnaire (PDQ-39); depression and anxiety were assessed using the Beck Depression Inventory (BDI-II) and the State-Trait Anxiety Inventory (STAI), respectively. Our results showed that depression and anxiety were negatively associated with HRQoL measured by PDSI. Higher motor dysfunction measured by Hoehn and Yahr (H&Y) staging was also associated with worse HRQoL. Depression was the most influential variable in the model. All PDQ-39 dimensions except social support and bodily discomfort were associated with depression. Anxiety was associated with the emotional well-being and bodily discomfort dimensions. These results suggest that physicians should pay attention to the presence of psychiatric symptoms and treat them appropriately.


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