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Fidry M, Zugliani MM, do Valle CR, Martins RM, Cabo MCD, Nardi AE, Freire RC. Quality of life in panic disorder: the influence of clinical features and personality traits. TRENDS IN PSYCHIATRY AND PSYCHOTHERAPY 2020; 41:387-393. [PMID: 31967197 DOI: 10.1590/2237-6089-2019-0008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/17/2018] [Accepted: 04/02/2019] [Indexed: 01/31/2023]
Abstract
OBJECTIVE To identify which clinical features and personality traits are associated with quality of life (QoL) in panic disorder (PD) patients. METHODS This was a cross-sectional study with PD patients. The brief version of the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF) and the Big Five Inventory (BFI) were used to assess QoL and personality traits respectively. The strength of correlations was measured with Pearson's, Spearman's, and point-biserial correlation coefficients. We also performed multiple linear regressions, considering sociodemographic data and scores from clinical scales as independent variables and QoL scores as dependent variables. RESULTS A total of 98 patients were evaluated. Depressive symptoms had a strong negative correlation with QoL and, to a lesser extent, panic and anxiety symptoms were also negatively correlated with QoL. While consciousness, extraversion, and agreeableness had mild positive correlations with QoL, neuroticism had a strong negative correlation. CONCLUSION Symptoms of depression, anxiety, and panic seem to have a negative impact on the QoL of PD patients. Personality traits, especially neuroticism, may also influence QoL in these patients.
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Affiliation(s)
- Marcos Fidry
- Laboratório de Pânico e Respiração, Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - Morena Mourao Zugliani
- Laboratório de Pânico e Respiração, Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - Clarissa Reis do Valle
- Laboratório de Pânico e Respiração, Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - Renan Machado Martins
- Laboratório de Pânico e Respiração, Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - Mariana Costa do Cabo
- Laboratório de Pânico e Respiração, Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - Antonio Egidio Nardi
- Laboratório de Pânico e Respiração, Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - Rafael Christophe Freire
- Laboratório de Pânico e Respiração, Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
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Palardy V, El-Baalbaki G, Fredette C, Rizkallah E, Guay S. Social Support and Symptom Severity Among Patients With Obsessive-Compulsive Disorder or Panic Disorder With Agoraphobia: A Systematic Review. EUROPES JOURNAL OF PSYCHOLOGY 2018; 14:254-286. [PMID: 29899808 PMCID: PMC5973527 DOI: 10.5964/ejop.v14i1.1252] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2016] [Accepted: 08/11/2017] [Indexed: 12/21/2022]
Abstract
Panic disorder with or without agoraphobia (PD/A) and obsessive-compulsive disorder (OCD) are characterized by major behavioral dysruptions that may affect patients’ social and marital functioning. The disorders’ impact on interpersonal relationships may also affect the quality of support patients receive from their social network. The main goal of this systematic review is to determine the association between social or marital support and symptom severity among adults with PD/A or OCD. A systematic search of databases was executed and provided 35 eligible articles. Results from OCD studies indicated a negative association between marital adjustment and symptom severity, and a positive association between accommodation from relatives and symptom severity. However, results were inconclusive for negative forms of social support (e.g. criticism, hostility). Results from PD/A studies indicated a negative association between perceived social support and symptom severity. Also, results from studies using an observational measure of marital adjustment indicated a negative association between quality of support from the spouse and PD/A severity. However, results were inconclusive for perceived marital adjustment and symptom severity. In conclusion, this systematic review generally suggests a major role of social and marital support in PD/A and OCD symptomatology. However, given diversity of results and methods used in studies, more are needed to clarify the links between support and symptom severity among patients with PD/A and OCD.
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Affiliation(s)
- Véronique Palardy
- Department of Psychology, Université du Québec à Montréal, Montreal, Canada
| | - Ghassan El-Baalbaki
- Department of Psychology, Université du Québec à Montréal, Montreal, Canada.,Faculty of Medicine, McGill University, Montreal, Canada
| | - Catherine Fredette
- Department of Psychology, Université du Québec à Montréal, Montreal, Canada
| | - Elias Rizkallah
- Department of Sociology, Université du Québec à Montréal, Montreal, Canada
| | - Stéphane Guay
- School of Criminology, Université de Montréal, Montreal, Canada.,Institut Universitaire en Santé Mentale de Montréal, Montreal, Canada
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Behzadifar M, Behzadifar M, Saroukhani M, Sayehmiri K, Delpisheh A. Evaluation of Effective Indexes on Quality of Life Related to Health in Western Iran in 2013. IRANIAN RED CRESCENT MEDICAL JOURNAL 2016; 18:e23781. [PMID: 28191329 PMCID: PMC5292130 DOI: 10.5812/ircmj.23781] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/22/2014] [Revised: 03/13/2015] [Accepted: 04/20/2015] [Indexed: 11/16/2022]
Abstract
BACKGROUND Today, indexes regarding longevity and life expectancy have increased; the most important issue now is how to spend time loving or in other words quality of life. OBJECTIVES This study was aimed to evaluate effective indexes on quality of life related to health in western Iran in 2013. MATERIALS AND METHODS In this cross-sectional research, 918 families were selected among different counties of Ilam Province by multi-stage clustering sampling. The data collection instrument was a questionnaire used to measure the general economic and quality of life: the SF-36 health status questionnaire. Data were analyzed using multivariate regression models. RESULTS The mean age of the study participants was 32.97 ± 9.5 years, and the mean score for their quality of life was 61.74 ± 12.31. There was a significant statistical relationship between people's quality of life and their marital status, province of residency, income, economic situation, and life satisfaction (P < 0.05). Also, there was a significant and inverse correlation between people's age and quality of life (r = 0.21), physical health summary (r = 0.21) and mental health summary (r = 0.08). CONCLUSIONS The mean quality of life among the individuals studied was in the middle level, however, it is important to consider the different dimensions of their living situations, such as economic protections, social cooperation, ability to present suitable behaviors to solve problems, and living situation, especially among deprived people.
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Affiliation(s)
- Meysam Behzadifar
- Department of Epidemiology, Faculty of Health and Nutritional, Lorestan University of Medical Sciences, Khorramabad, IR Iran
| | - Masoud Behzadifar
- Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Mandana Saroukhani
- Prevention of Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, IR Iran
| | - Kourosh Sayehmiri
- Department of Social Medicine, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, IR Iran
| | - Ali Delpisheh
- Department of Epidemiology, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, IR Iran
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Behzadifar M, Behzadifar M, Abdi S, Arabsalmani M, Saroukhani M, Sayehmiri K. The Role of Socioeconomic Status on Health-Related Quality of Life in the West of Iran. J Clin Diagn Res 2016; 10:LC10-3. [PMID: 27630870 PMCID: PMC5020217 DOI: 10.7860/jcdr/2016/18349.8189] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2015] [Accepted: 02/08/2016] [Indexed: 11/24/2022]
Abstract
INTRODUCTION The quality of life involves different dimensions of people's social mental, physical welfare and health. AIM This study aimed to determine the effects of economic- social factors on quality of life in 2013 in the west of Iran. MATERIALS AND METHODS In this cross-sectional study, we selected cases among different counties of Ilam province by multi-stage cluster sampling. Data collection tools were general economic questionnaires and the quality of life questionnaire SF-36. Data analysed using multiple regression models. RESULTS Nine hundred and eighteen participants were selected mean±sd age for the studied participant was 32.97±9.5 years and mean±sd scores for their quality of life were 61.74± 12.31. Based on results of logistic regression, the good quality of life among women was 1.2 times more than men and among married was 1.47 times more than single. After adjustments on other covariates, the odds of good quality of life for people with good and median economic condition was respectively 1.8 and 3.4 times more than groups with bad economic condition. CONCLUSION Therefore, the general improvement of people's quality of life can be influenced by increasing social cooperation, improving health care services and providing counseling services about obtained policies by health care.
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Affiliation(s)
- Meysam Behzadifar
- Faculty of Health and Nutrition, Department of Epidemiology, Lorestan University of Medical Sciences, Khorramabad, Iran
| | - Masoud Behzadifar
- Health Management and Economics Research Centre, Iran University of Medical Sciences, Tehran, Iran
| | - Shadi Abdi
- Faculty of Health and Nutrition, Department of Health, Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran
| | - Masoumeh Arabsalmani
- Faculty of Medicine, Department of Epidemiology, Zahedan University of Medical Sciences, Zahedan, Iran
| | - Mandana Saroukhani
- Department of Medicine, Student Research Committee, Ilam University of Medical Sciences, Ilam, Iran
| | - Kourosh Sayehmiri
- Faculty of Medicine, Department of Social Medicine, Ilam University of Medical Sciences, Ilam, Iran
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Poghosyan H, Darwish SA, Kim SS, Cooley ME. The association between social support and smoking status in cancer survivors with frequent and infrequent mental distress: results from 10 US states, 2010. J Cancer Surviv 2016; 10:1078-1088. [PMID: 27236586 DOI: 10.1007/s11764-016-0551-6] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2016] [Accepted: 05/19/2016] [Indexed: 10/21/2022]
Abstract
PURPOSE This study examined the association between social support and smoking status among adult cancer survivors, with special emphasis on mental health differences using data from 10 US states. METHODS Cross-sectional data from the 2010 Behavioral Risk Factor Surveillance System, Cancer Survivorship module on 8055 cancer survivors were analyzed. Sample weights were applied for the generalization of results to 2.6 million cancer survivors. RESULTS In 2010, 15.6 % (418,700) were current, 38.4 % (1.03 million) former, and 46.0 % (1.2 million) never smokers. About 18.0 % of cancer survivors reported receiving the lowest level of social support and 12.1 % reported experiencing frequent mental distress in the past 30 days. Participants' mean age at the time of the first cancer diagnosis was 51.0 (standard error (SE) = 0.33) and mean time since their diagnosis was 11.3 years (SE = 0.18). Compared to those with infrequent mental distress, cancer survivors with frequent mental distress were diagnosed at a younger age (45.0 vs. 51.8), more likely to be current smokers (36.8 vs. 12.7 %), and less likely to always receive social support they needed (33.4 vs. 56.3 %). Cancer survivors who received higher levels of social support were less likely to be current smokers than those who received the lowest level of social support they needed. Among cancer survivors who reported frequent mental distress, non-Hispanic blacks were more likely to be current smokers than non-Hispanic whites. CONCLUSIONS Rates of current smokers were lower among cancer survivors who received social support and reported infrequent mental distress. IMPLICATIONS FOR CANCER SURVIVORS Psychosocial screening may help health care professional identify smokers with frequent mental distress who require more intensive smoking cessation interventions.
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Affiliation(s)
- Hermine Poghosyan
- School of Nursing; Bouve College of Health Sciences, Northeastern University, Boston, MA, USA.
| | - Sabreen A Darwish
- College of Nursing and Health Sciences, University of Massachusetts Boston, 100 Morrissey Boulevard, Boston, MA, 02125, USA
| | - Sun S Kim
- College of Nursing and Health Sciences, University of Massachusetts Boston, 100 Morrissey Boulevard, Boston, MA, 02125, USA
| | - Mary E Cooley
- Phyllis F. Cantor Center for Research in Nursing and Patient Care Services, Dana-Farber Cancer Institute, Boston, MA, USA
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Pien FC, Chang YC, Feng HP, Hung PW, Huang SY, Tzeng WC. Changes in Quality of Life After a Suicide Attempt. West J Nurs Res 2015; 38:721-37. [DOI: 10.1177/0193945915620306] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
The aim of this follow-up study was to examine factors related to a suicide attempt within 3 months of a prior attempt. Participants were recruited from a suicide-prevention center. Of 96 suicidal individuals who had participated in the baseline study, only 51 completed all measures at follow-up assessment. Study results showed that suicidal individuals who reattempted suicide during the first 3 months of follow-up care exhibited lower mean scores on all four domains of the brief version of the World Health Organization Quality-of-Life Instrument at follow-up assessment than at baseline. In contrast, individuals who did not reattempt suicide had higher quality-of-life scores across all domains between baseline and 3 months. The reattempt and no-reattempt groups differed significantly in the physical health and environmental domains. These results can be used by nurses to develop their abilities to recognize and prevent suicide reattempts in high-risk groups.
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Affiliation(s)
- Feng-Chen Pien
- National Defense Medical Center, Taipei City, Taiwan (R.O.C.)
| | | | - Hsin-Pei Feng
- National Defense Medical Center, Taipei City, Taiwan (R.O.C.)
| | - Pin-Wei Hung
- National Defense Medical Center, Taipei City, Taiwan (R.O.C.)
| | - San-Yuan Huang
- National Defense Medical Center, Taipei City, Taiwan (R.O.C.)
| | - Wen-Chii Tzeng
- National Defense Medical Center, Taipei City, Taiwan (R.O.C.)
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Chen MT, Li CY, Lin HC, Shen WW, Hsieh PC, Chen CC. Health-seeking behavior, alternative medicine, and quality of life in Taiwanese panic disorder patients. Int J Psychiatry Clin Pract 2013; 17:206-15. [PMID: 22809126 DOI: 10.3109/13651501.2012.713111] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE Panic disorder (PD) is an anxiety disorder characterized by spontaneous and unexpected panic attacks of varying frequency. Clinically manifest PD is widespread among the general population in developed countries worldwide. This study is aimed to identify factors influencing Taiwanese patients' decision to seek psychiatric help and to assess relationships between patients' health-seeking behaviors and quality of life (QOL). METHODS One hundred patients from the outpatient psychiatric clinic of a university hospital in Taiwan were evaluated for PD. RESULTS Delayed diagnosis of panic disorder, high comorbidity with other mental and physical disorders, and high utilization of health care services were identified. Thirty-three percent of PD patients sought alternative therapies, delaying their seeking psychiatric care. CONCLUSIONS More PD patients in Taiwan seek care from family practitioners and alternative and complementary medicine than from psychiatrists. Taiwanese patients with PD who seek psychiatric consultation more than one year after disease onset have lower QOL and lower physical health scores.
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Affiliation(s)
- Miao-Tzu Chen
- Department of Nursing, Hsinchu Cathay General Hospital, Hsinchu, Taiwan
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8
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Panayiotou G, Karekla M. Perceived social support helps, but does not buffer the negative impact of anxiety disorders on quality of life and perceived stress. Soc Psychiatry Psychiatr Epidemiol 2013; 48:283-94. [PMID: 22711064 DOI: 10.1007/s00127-012-0533-6] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2012] [Accepted: 05/26/2012] [Indexed: 12/01/2022]
Abstract
PURPOSE Anxiety disorders are prevalent and substantially hinder quality of life, in all domains, including social connections, mental and physical health. Past research on stress indicates that perceived social support improves wellbeing both directly by providing positive experiences and indirectly through buffering the effects of stress. This study examined whether social support moderates the negative impact of anxiety disorders on quality of life. METHOD The study was conducted on a community sample in Cyprus, screened for anxiety disorders. The hypothesized model takes into account potential differences between individuals with and without anxiety in health, tendency to seek support, stressful life events, and depression. Furthermore, differences between different anxiety disorders on these variables were examined. RESULTS Results indicate that perceived social support has a positive, direct effect on quality of life and perceived stress for all participants but that it does not appear to moderate the adverse effects of having a disorder on quality of life or stress. The negative effects of anxiety appeared to mostly be carried by comorbid depression. CONCLUSIONS Social support is important for quality of life. Potential interventions for anxiety disorders should take this into account, as well as the substantially detrimental role of co-morbid depression symptoms on wellbeing outcomes.
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Affiliation(s)
- Georgia Panayiotou
- Department of Psychology, University of Cyprus, P.O. Box 20537, 1678 Nicosia, Cyprus.
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Schmidt NB, Buckner JD, Pusser A, Woolaway-Bickel K, Preston JL, Norr A. Randomized controlled trial of false safety behavior elimination therapy: a unified cognitive behavioral treatment for anxiety psychopathology. Behav Ther 2012; 43:518-32. [PMID: 22697441 DOI: 10.1016/j.beth.2012.02.004] [Citation(s) in RCA: 88] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2010] [Revised: 02/27/2012] [Accepted: 02/28/2012] [Indexed: 11/28/2022]
Abstract
We tested the efficacy of a unified cognitive-behavioral therapy protocol for anxiety disorders. This group treatment protocol, termed false safety behavior elimination therapy (F-SET), is a cognitive-behavioral approach designed for use across various anxiety disorders such as panic disorder (PD), social anxiety disorder (SAD), and generalized anxiety disorder (GAD). F-SET simplifies, as well as broadens, key therapeutic elements of empirically validated treatments for anxiety disorders to allow for easier delivery to heterogeneous groups of patients with anxiety psychopathology. Patients with a primary anxiety disorder diagnosis (N=96) were randomly assigned to F-SET or a wait-list control. Data indicate that F-SET shows good efficacy and durability when delivered to mixed groups of patients with anxieties (i.e., PD, SAD, GAD) by relatively inexperienced clinicians. Findings are discussed in the context of balancing treatment efficacy and clinical utility.
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Affiliation(s)
- Norman B Schmidt
- Department of Psychology, Florida State University, Tallahassee, FL 32306-4301, USA.
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Karacetin G, Bayoglu B, Cengiz M, Demir T, Kocabasoglu N, Uysal O, Bayar R, Balcioglu I. Serotonin-2A receptor and catechol-O-methyltransferase polymorphisms in panic disorder. Prog Neuropsychopharmacol Biol Psychiatry 2012; 36:5-10. [PMID: 22036916 DOI: 10.1016/j.pnpbp.2011.10.010] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2011] [Revised: 10/11/2011] [Accepted: 10/12/2011] [Indexed: 01/19/2023]
Abstract
Catechol-O-methyltransferase (COMT) and serotonin receptor 2A (5HTR2A) polymorphisms have been investigated for their possible role in panic disorder (PD). The aim of this study was to investigate the genotype distribution of the COMT val158met and 5HTR2A 102T/C polymorphisms in PD. COMT val158met is a polymorphism at codon 158 that results in variations in COMT enzymatic activity with high- (H) and low-activity (L) alleles. The 5HTR2A 102T/C polymorphism comprises a T-to-C mutation at position 102. The effects of symptom severity, gender, and age of onset were also investigated. The participants were 105 outpatients with PD and 130 controls. The severity of the symptoms of PD was assessed by the Panic and Agoraphobia Scale (PAS). Polymorphisms of the 5HTR2A and COMT genes were identified using polymerase chain reaction and restriction fragment length polymorphism analysis. A significant relationship was found between the COMT Val158Met polymorphism and PD. No significant differences were found in genotype distributions or allele frequencies of the 5HTR2A polymorphisms between the PD and control groups. There were no significant relationships between the COMT and 5HTR2A polymorphisms and age of onset, gender, presence of agoraphobia, or PAS scores in the PD group (p>0.05).
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Affiliation(s)
- Gul Karacetin
- University of Istanbul, Cerrahpasa Medical Faculty, Department of Child and Adolescent Psychiatry, Istanbul, Turkey.
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Quality of life in panic disorder: looking beyond symptom remission. Qual Life Res 2011; 21:945-59. [PMID: 21935739 DOI: 10.1007/s11136-011-0020-7] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/10/2011] [Indexed: 12/23/2022]
Abstract
PURPOSE Panic Disorder (PD) is a classic example of a disease where symptom remission may be achieved, yet patient quality of life (QOL) remains low, providing further support for the need to measure QOL as an additional outcome in patient care. The objectives of this review are to examine the substantial QOL impairments in PD and to determine whether modern treatments for PD, which have been proven to achieve symptom remission, have been shown to restore QOL. METHODS We identified studies on QOL in PD from 1980 to 2010 by searching MEDLINE, PsycINFO, and PubMed databases. RESULTS The literature reveals substantial QOL impairments in PD, often resulting in poor sense of health, frequent utilization of medical services, occupational deficiency, financial dependency, and marital strife. Modern therapies have been demonstrated to achieve symptom remission and improve QOL in PD; however, post-treatment QOL is still significantly lower than community averages. CONCLUSIONS QOL needs to be added as an essential outcome measure in patient care. Further research should be conducted to better understand the nature of comorbidities in PD as well as to determine whether additional interventions that have been studied in other psychiatric disorders, such as exercise, meditation, yoga, humor, massage, and nutritional supplements, can be utilized to improve QOL in PD to normal community levels.
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Carcedo RJ, Perlman D, Orgaz MB, López F, Fernández-Rouco N, Faldowski RA. Heterosexual romantic relationships inside of prison: partner status as predictor of loneliness, sexual satisfaction, and quality of life. INTERNATIONAL JOURNAL OF OFFENDER THERAPY AND COMPARATIVE CRIMINOLOGY 2011; 55:898-924. [PMID: 20581227 DOI: 10.1177/0306624x10373593] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
This study investigated the differences in loneliness, sexual satisfaction, and quality of life among three groups of prison inmates: inmates in a heterosexual romantic relationship with a fellow prisoner, inmates with a partner outside the prison, and inmates without a partner. In-person interviews with 70 male and 70 female inmates from the Topas Penitentiary (Spain) were conducted. These inmates lived in the same facility but in gender-segregated modules. After controlling for age, nationality, total time in prison, actual sentence time served, and estimated time to parole, the results showed a lower level of romantic loneliness, and a higher level of sexual satisfaction and global, psychological, and environment quality of life for the group of inmates with a heterosexual partner inside prison. These findings highlight the positive attributes associated with heterosexual romantic relationships between inmates inside the same prison.
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Liu CPB, Leung DSY, Chi I. Social functioning, polypharmacy and depression in older Chinese primary care patients. Aging Ment Health 2011; 15:732-41. [PMID: 21562990 DOI: 10.1080/13607863.2011.562174] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
OBJECTIVE This study aims to identify the relationship among social functioning, polypharmacy and depression among older patients in Hong Kong. METHOD Three out of 18 elderly health centres were selected using the cluster sampling method. 457 elders were randomly selected from all the patients aged 65 and over attending the centres, and were interviewed using the Chinese Minimum Data Set-Home Care in 1999. Of them 318 were re-assessed in 2000. RESULTS At follow-up, their mean age was 73.6 (SD = 5.5), of whom 51.6% were females. Besides negative emotions, respondents' increased depressive symptoms were associated with using more than four medications and decline in social functioning over time, and behavioural agitation at baseline. If there was no medication review at baseline, the impact of polypharmacy on depression was subsided. CONCLUSION Medication review is important in the prediction and treatment process of depression as it can moderate the impact of social functioning and polypharmacy. Therefore, medical professionals should prescribe fewer medications to eliminate adverse drug reactions and reduce depressive symptoms. However, the study reflects that older adults might feel depressed by not being able to control the result of their reviews. Thus, if the review could involve older patients, it might be more assuring and helps to restore their hope for gaining control in their treatment process.
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Hou SY, Yen CF, Huang MF, Wang PW, Yeh YC. Quality of Life and its Correlates in Patients With Obsessive-compulsive Disorder. Kaohsiung J Med Sci 2010; 26:397-407. [DOI: 10.1016/s1607-551x(10)70065-6] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2009] [Accepted: 03/02/2010] [Indexed: 10/19/2022] Open
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Yen CF, Chen CC, Lee Y, Tang TC, Ko CH, Yen JY. Association between quality of life and self-stigma, insight, and adverse effects of medication in patients with depressive disorders. Depress Anxiety 2010; 26:1033-9. [PMID: 19288581 DOI: 10.1002/da.20413] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND The aims of this study were to examine whether different domains of quality of life (QOL) are differently affected by depressive disorders by comparing QOL of subjects with and without depressive disorders, and to examine the association of QOL with self-stigma, insight and adverse effects of medication among subjects with depressive disorders. METHOD The QOL on the four domains of the WHOQOL-BREF Taiwan version were compared between the 229 subjects with depressive disorders and 106 control subjects. Among the depressive subjects, the association between the four QOL domains and subjects' self-stigma, insight, and adverse effects of medication were examined using multiple regression analyses by controlling for the influence of depression, socio-demographic and clinical characteristics and family function. RESULTS Depressive subjects had poorer QOL on the physical, psychological and social relationship domains than the non-depressive control group. The depressive subjects who had more severe self-stigma had poorer QOL on all four domains. The depressive subjects who perceived more severe adverse effects from medication had poorer QOL on the physical, psychological and environmental domains. However, insight was not associated with any domain of QOL in patients with depressive disorders. CONCLUSIONS The results of this study demonstrate that different domains of QOL are differently affected by depressive disorders, and that clinicians must consider the negative influences of self-stigma and adverse effects from medication on QOL of subjects with depressive disorders.
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Affiliation(s)
- Cheng-Fang Yen
- Department of Psychiatry, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan 807
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Current awareness: Pharmacoepidemiology and drug safety. Pharmacoepidemiol Drug Saf 2008. [PMID: 18533281 PMCID: PMC7167700 DOI: 10.1002/pds.1487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
In order to keep subscribers up‐to‐date with the latest developments in their field, John Wiley & Sons are providing a current awareness service in each issue of the journal. The bibliography contains newly published material in the field of pharmacoepidemiology and drug safety. Each bibliography is divided into 20 sections: 1 Reviews; 2 General; 3 Anti‐infective Agents; 4 Cardiovascular System Agents; 5 CNS Depressive Agents; 6 Non‐steroidal Anti‐inflammatory Agents; 7 CNS Agents; 8 Anti‐neoplastic Agents; 9 Haematological Agents; 10 Neuroregulator‐Blocking Agents; 11 Dermatological Agents; 12 Immunosuppressive Agents; 13 Autonomic Agents; 14 Respiratory System Agents; 15 Neuromuscular Agents; 16 Reproductive System Agents; 17 Gastrointestinal System Agents; 18 Anti‐inflammatory Agents ‐ Steroidal; 19 Teratogens/fetal exposure; 20 Others. Within each section, articles are listed in alphabetical order with respect to author. If, in the preceding period, no publications are located relevant to any one of these headings, that section will be omitted.
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Health-related quality of life and health behaviors by social and emotional support. Their relevance to psychiatry and medicine. Soc Psychiatry Psychiatr Epidemiol 2008; 43:151-9. [PMID: 17962895 DOI: 10.1007/s00127-007-0277-x] [Citation(s) in RCA: 109] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2007] [Accepted: 10/04/2007] [Indexed: 10/22/2022]
Abstract
BACKGROUND Social and emotional support is an important construct, which has been associated with a reduced risk of mental illness, physical illness, and mortality. Despite its apparent relevance to health, there have been no recent state or national population-based U.S. studies regarding social and emotional support. In order to better address this issue, we examined health-related quality of life (HRQOL) and health behaviors by level of social and emotional support in community-dwelling adults in the United States and its territories. METHODS Data were obtained from the Behavioral Risk Factor Surveillance System, an ongoing, state-based, random digit telephone survey of the noninstitutionalized U.S. population aged > or =18 years. In 2005, one social and emotional support question, four HRQOL questions, two disability questions, one life satisfaction question, and four health behavior questions were administered in the 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands. An additional five HRQOL questions were administered in two states. RESULTS An estimated 8.6% of adults reported that they rarely/never received social and emotional support; ranging in value from 4.2% in Minnesota to 12.4% in the U.S. Virgin Islands. As the level of social and emotional support decreased, the prevalence of fair/poor general health, dissatisfaction with life, and disability increased, as did the mean number of days of physical distress, mental distress, activity limitation, depressive symptoms, anxiety symptoms, insufficient sleep, and pain. Moreover, the prevalence of smoking, obesity, physical inactivity, and heavy drinking increased with decreasing level of social and emotional support. Additionally, the mean number of days of vitality slightly decreased with decreasing level of social and emotional support; particularly between those who always/usually received social and emotional support and those who sometimes received support. CONCLUSIONS These findings indicate that the assessment of social and emotional support is highly congruent with the practice of psychiatry. Assessment of social and emotional support, both in psychiatric and medical settings, may identify risk factors germane to adverse health behaviors, and foster interventions designed to improve the mental and physical health of at risk segments of the population.
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