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Katsi V, Kallistratos MS, Kontoangelos K, Sakkas P, Souliotis K, Tsioufis C, Nihoyannopoulos P, Papadimitriou GN, Tousoulis D. Arterial Hypertension and Health-Related Quality of Life. Front Psychiatry 2017; 8:270. [PMID: 29255431 PMCID: PMC5722974 DOI: 10.3389/fpsyt.2017.00270] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2017] [Accepted: 11/20/2017] [Indexed: 12/13/2022] Open
Abstract
PURPOSE To investigate the effect of awareness of arterial hypertension on quality of life in hypertensive patients in Greece. MATERIALS AND METHODS This was a prospective observational study that included 189 aware hypertensive patients on treatment with antihypertensive therapy. Patients were ambulatory men or women ≥18 years old, with diagnosed essential hypertension. The administration and fulfillment of the questionnaires was given at the outpatient hypertensive clinic starting with the SF-36 and continuing with the BDI-I test. RESULTS The mean BDI score was 9.9 ± 6.9, and 58, 25, 8.9, and 7.3% were identified as without, with minimal, moderate, and 0.8% with severe depression, respectively. The mean score for physical component summary (PCS-36) was 48.9 ± 7.6, and the mean score for mental component summary (MCS-36) was 46.0 ± 10.6. The stage of hypertension was not an independent predictor for any of the SF-36 dimensions. Dippers had not different levels of health-related quality of life (HRQOL) as compared with non-dippers. LV hypertrophy was associated with lower scores on bodily pain (p < 0.05) and kidney failure was associated with lower scores on general health perception (p < 0.05). Female gender, increased age, and the presence of COPD were independently associated with lower physical and mental health scores (p < 0.05). Score on BDI independently correlated with all dimensions of SF-36, indicating that greater depression levels are associated with lower levels of HRQOL. CONCLUSION The stage as well as awareness of arterial hypertension does not affect physical and mental health. The fact that arterial hypertension per se is not a symptomatic disease may explain these results at least in patients with uncomplicated hypertension.
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Affiliation(s)
- Vasiliki Katsi
- Cardiology Department, Hippokration Hospital, Athens, Greece
| | | | - Konstantinos Kontoangelos
- 1st Department of Psychiatry, National and Kapodistrian University of Athens, Eginition Hospital, Athens, Greece
| | - Pavlos Sakkas
- 1st Department of Psychiatry, National and Kapodistrian University of Athens, Eginition Hospital, Athens, Greece
| | | | - Costas Tsioufis
- 1st Department of Cardiology, National and Kapodistrian University of Athens, Athens, Greece
| | - Petros Nihoyannopoulos
- 1st Department of Cardiology, National and Kapodistrian University of Athens, Athens, Greece
| | | | - Dimitris Tousoulis
- 1st Department of Cardiology, National and Kapodistrian University of Athens, Athens, Greece
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Abstract
The analysis compared differing correlates of life satisfaction among three diverse population groups in Israel, examining background and health status variables, social environment factors, and activity indicators. Multiple regression analysis revealed that veteran Jewish-Israelis ( n = 2,043) had the largest set of predictors, the strongest of which was health status. Among Arab-Israelis ( n = 609), social visitation served as a significant base for life satisfaction. The predictors among the new immigrant group ( n = 751) reflected the search for social ties beyond the immediate family. The analysis underscores the universal basis of successful aging, especially the contribution of health status. However, it also clarifies that the specific components of some of the general categories of predictors work in different ways among different population groups.
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Affiliation(s)
- Howard Litwin
- Paul Baerwald School of Social Work and Social Welfare, The Hebrew University, Jerusalem, Israel.
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Rasu RS, Cline SK, Shaw JW, Hayes O, Agbor Bawa W, Cifaldi MA. Impact of JIA on parents' work absences. Rheumatology (Oxford) 2014; 54:1177-85. [PMID: 25504895 DOI: 10.1093/rheumatology/keu414] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2014] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVE Children with JIA have long-term morbidity and require extensive parental assistance. This study aimed to evaluate the impact of having a child with JIA on parents' missed work time, which can lead to decreased work productivity. METHODS The Truven Health MarketScan Commercial Database (2000-9) was accessed to identify a cohort of parents having a child with newly diagnosed JIA. For comparison, a cohort of parents having no children with JIA was identified and matched with the preceding cohort. Parents' work absences were analysed using descriptive statistics and multivariable regression. Estimates were weighted to be generalizable to the US employer-sponsored insurance population. RESULTS The study identified 108 parents having a child with newly diagnosed JIA (mean age 42.5 years), representing an estimated 3335 (weighted) parents nationally. Most of them were from the South (45%), male (71%) and employed in the transportation and utilities industry (58%). The demographic characteristics of the control cohort of parents were generally similar. Children with JIA (mean age 10.6 years) represented an estimated 3528 cases nationally. The mean number of reported missed work-time hours was 281.81 (s.e. 40.50) in a 9 year period for parents having a child with JIA compared with other parents 183.36 (28.55). Work-time loss was significantly related to having a child with JIA, sex and geographical region of residence. Parents having a child with JIA were 2.78 times more likely to report work-time loss [odds ratio (OR) 2.78 (95% CI 1.47, 5.26)] than those having no children with JIA. CONCLUSION Parents having a child with JIA report significant work-time loss compared with parents with no children having JIA, particularly during the year following the child's diagnosis.
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Affiliation(s)
- Rafia S Rasu
- School of Pharmacy, University of Kansas, Lawrence, KS, Global Health Economics and Outcomes Research, AbbVie, North Chicago, IL and School of Pharmacy, University of Missouri-Kansas City, Kansas City, MO, USA
| | - Stephanie K Cline
- School of Pharmacy, University of Kansas, Lawrence, KS, Global Health Economics and Outcomes Research, AbbVie, North Chicago, IL and School of Pharmacy, University of Missouri-Kansas City, Kansas City, MO, USA
| | - James W Shaw
- School of Pharmacy, University of Kansas, Lawrence, KS, Global Health Economics and Outcomes Research, AbbVie, North Chicago, IL and School of Pharmacy, University of Missouri-Kansas City, Kansas City, MO, USA
| | - Oscar Hayes
- School of Pharmacy, University of Kansas, Lawrence, KS, Global Health Economics and Outcomes Research, AbbVie, North Chicago, IL and School of Pharmacy, University of Missouri-Kansas City, Kansas City, MO, USA
| | - Walter Agbor Bawa
- School of Pharmacy, University of Kansas, Lawrence, KS, Global Health Economics and Outcomes Research, AbbVie, North Chicago, IL and School of Pharmacy, University of Missouri-Kansas City, Kansas City, MO, USA
| | - Mary A Cifaldi
- School of Pharmacy, University of Kansas, Lawrence, KS, Global Health Economics and Outcomes Research, AbbVie, North Chicago, IL and School of Pharmacy, University of Missouri-Kansas City, Kansas City, MO, USA
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Woloski-Wruble AC, Oliel Y, Leefsma M, Hochner-Celnikier D. Sexual activities, sexual and life satisfaction, and successful aging in women. J Sex Med 2010; 7:2401-10. [PMID: 20384946 DOI: 10.1111/j.1743-6109.2010.01747.x] [Citation(s) in RCA: 114] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
INTRODUCTION Sexuality for women at all ages is a vital aspect of life satisfaction and is based upon continuing growth, development, and adaptation. The successful aging model includes physical, mental/emotional, and social well-being. There is no known published literature on the topic of sexual activities of older women and its implications on life and sexual satisfaction. AIM To investigate the sexual activities of older women in Israel, their levels of sexual satisfaction and life satisfaction, and to examine the relationship between the level of sexual activities, sexual satisfaction, and life satisfaction. MAIN OUTCOME MEASURE Components of the Derogatis Sexual Functioning Inventory, and the Life Satisfaction Index. METHODS A descriptive, correlational study guided by the theory of "successful aging" by Havighurst (1961) was conducted using a convenience sample of 127 women who attended a menopause clinic for routine and follow up care. RESULTS The research findings described older women as being involved in varied, though limited, sexual activities. There was no significant relationship discovered between the number of sexual activities and age. The level of sexual satisfaction of the studied sample was found to be above the mean score. Most of the women reported good sexual/intimate communication with their partners. Women were not satisfied with the limited variety in their sex life. Women reported a high level of life satisfaction. Ultimately, a positive significant correlation was discovered between sexual satisfaction and level of current sexual activity, and between sexual satisfaction and life satisfaction. CONCLUSIONS Older women are interested in continuing their sexual activities. It is a component of life satisfaction. The desire for sexual variety suggested an important area for patient education. Couple communication was deemed a priority. Health providers should include sexual health issues in their discussions with clients of all ages.
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Affiliation(s)
- Anna C Woloski-Wruble
- The Henrietta Szold Hadassah Hebrew University School of Nursing, Faculty of Medicine, Jerusalem, Israel.
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Abstract
The purpose of this inquiry was to test a path model that explains how sociodemographic background characteristics, functional health state, social network structure, and extent of activity affect well-being among elderly Arab Israelis, a population in transition from an agrarian to a modern culture. Using data from a national survey, the study revealed that respondents' morale was negatively associated with functional disability and positively associated with social network and activity level. Disability was predicted by lower income and education, older age, and female gender. Activity level was predicted by low disability, male gender, education, and social network. The study results provide support for the contention that the path to successful aging is universal. However, the results also suggest that within the general path to a good old age one can find culturally unique characteristics. In the case of older Arab Israelis, these included belonging to community- and family-oriented network structures and engaging in socially oriented activity.
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Affiliation(s)
- Howard Litwin
- Paul Baerwald School of Social Work and Social Welfare, The Hebrew University, Mount Scopus, Jerusalem, 91905-IL, Israel.
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A Client-centered Counseling Approach for Motivating Older Adults Toward Physical Activity. TOPICS IN GERIATRIC REHABILITATION 2005. [DOI: 10.1097/00013614-200507000-00005] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Roca-Cusachs A, Badia X, Dalfó A, Gascón G, Abellán J, Lahoz R, Varela C, Velasco O. [Relationship between clinical and therapeutic variables and health-related quality of life in patients with hypertension. MINICHAL Study]. Med Clin (Barc) 2003; 121:12-7. [PMID: 12812703 DOI: 10.1016/s0025-7753(03)74112-8] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
BACKGROUND AND OBJECTIVE Our objective was to evaluate, through the health related quality of life (HRQoL) questionnaire MINICHAL, the influence of socio-demographic, clinical and therapeutic variables on health related quality of life of hypertensive patients. PATIENTS AND METHOD An observational, prospective and multi-center study was carried out in hypertensive patients who were either starting or undergoing a modification of antihypertensive treatment. A total of three visits was done: a baseline visit and two follow-up visits at one and six months. At all three visits, several socio-demographic, clinical and therapeutic variables were recorded and HRQoL was measured using the MINICHAL questionnaire, the Spanish version of the Psychological General Well-Being Index, and a single question about the change in general health status. The objective was to evaluate the impact of these variables on HRQoL. RESULTS 736 patients with hypertension were evaluated. In the multivariate analysis, gender, number of concomitant diseases, degree of hypertension, organ damage and educational level were all variables displaying a relation with HRQoL. After 6 months of treatment intensification, an improvement of HRQoL was observed. Moreover, a positive correlation was observed between the degree of reduction of blood pressure (BP) and heart rate and HRQoL improvement, especially in the State of mind dimension. CONCLUSIONS In hypertension, a better BP control has a positive influence on HRQoL. As several clinical variables are negatively correlated with HRQoL, specific interventions are needed to correct modifiable factors.
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Affiliation(s)
- Alex Roca-Cusachs
- Unidad de Hipertensión. Servicio de Medicina Interna. Hospital de la Santa Creu i Sant Pau. Barcelona. Spain.
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Roca-Cusachs A, Dalfó A, Badia X, Arístegui I, Roset M. Relation between clinical and therapeutic variables and quality of life in hypertension. J Hypertens 2001; 19:1913-9. [PMID: 11593114 DOI: 10.1097/00004872-200110000-00028] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE Study the relation between quality of life (QoL) and various clinical, therapeutic and sociodemographic variables in treated hypertensive patients. MATERIAL AND METHODS A prospective study was carried out in 92 primary care centres in Spain. A total of 269 hypertensive patients were selected and 106 healthy normotensive individuals were included as controls. At the time of inclusion a wide range of clinical variables was documented. QoL was assessed at baseline and 1 month after the intensification of antihypertensive therapy, using a self-administered, specific hypertension, 56-item questionnaire in addition to the generic EuroQoL-5D. RESULTS QoL was poorer among the hypertensive subjects than among the normotensive individuals, even adjusting for the differences observed between the groups (age, sex, education and working status). The same was found with the EuroQol-5D. In the hypertensive subjects, after applying a multiple regression equation, only four variables significantly retained their negative impact on QoL: sex (female), greater organ damage and higher heart rate and weight. After the intensification of antihypertensive therapy with irbesartan, QoL improved significantly. Neither the presence of side-effects during the month of follow-up, nor the degree of BP reduction showed a significant impact on QoL, although the latter came close to statistical significance. CONCLUSIONS Hypertensive patients have significantly poorer QoL than normotensive subjects, even with adjustment for differences. In hypertensives, QoL is affected by some clinical variables that might help us to identify those with worse QoL. Intensification of antihypertensive therapy produced a positive impact on QoL.
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Affiliation(s)
- A Roca-Cusachs
- Internal Medicine Department, Santa Creu i Sant Pau Hospital, Barcelona, Spain.
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