Evaluation of quality of life in adults with chronic health conditions: the role of depressive symptoms

Background: There is a lack of studies seeking to elucidate the association of religiousness with quality of life, comparing sick and healthy people, regardless the type of disease and age group. Objective: To examine the association between: (1) presence of a chronic health condition and the importance given to spirituality/ religiousness/personal beliefs (SRPB); (2) presence of a chronic health condition and quality of life (QOL) adjusted for age, socioeconomic level and depressive symptoms; (3) QOL and importance given to SRPB, also adjusted for the same factors. Design: cross-sectional study. Participants: n = 241 consisted of 122 inand outpatients from a university hospital and 119 religious healthy subjects from community. Measurements: a) WHOQOL-100 (QOL); b) BDI (depressive symptoms); c) WHOQOL-SRPBi -scale of importance assigned to the facets of the Spirituality/Religiousness/Personal Beliefs Module of WHOQOL-100 to measure importance given to religiousness. Results: Patients in comparison to healthy subjects showed worse scores in most WHOQOL-100 domains. The patients' mean score of the WHOQOL-SRPBi was 97.2 compared to the healthy subjects' mean score = 92.9 (P = 0.03). After using a multiple regression model, the WHOQOL-SRPBi appears positively associated with the psychological, the social relationships, the environment, the SRPB domains and general QOL (beta = 0.17; beta = 0.12; beta = 0.11; beta = 0.72; beta = 0.10, respectively), when adjusted for age, SEL, BDI and the presence of a chronic health condition. Discussion: The more important is the SRPB for these people, the better is their QOL in most of their domains, independently of other factors involved. This finding may be taken into account when planning interventions to improve QOL of chronic health patients.

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“…Another important finding is the participation of depressive symptoms with negative correlations in all quality of life domains 26 .…”

Section: Resultsmentioning

confidence: 99%

Avaliação de qualidade de vida e importância dada a espiritualidade/religiosidade/ crenças pessoais (SRPB) em adultos com e sem problemas crônicos de saúde

Rocha

Fleck

2011

Rev. psiquiatr. clín.

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“…11,12 Few prospective studies have assessed HRQOL in CHC patients using detailed clinical and psychiatric approaches in combination with semi-structured interviews for psychiatric diagnosis. 13,14 Depressive symptoms have been extensively identified in adults with chronic health conditions, 15 and correlate negatively with HRQOL. Patients with CHC have a high prevalence of depressive disorders, 11,16 up to 70%, which is seven-fold higher than that found in the general population, independently of the degree of hepatic injury.…”

Section: Introductionmentioning

confidence: 99%

Depression rather than liver impairment reduces quality of life in patients with hepatitis C

Silva

Cunha

et al. 2015

Rev. Bras. Psiquiatr.

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Objective: Patients with chronic hepatitis C (CHC) have a poorer quality of life than those with other chronic liver diseases. However, some of the factors that determine health-related quality of life (HRQOL) in these patients, such as the degree of liver fibrosis, are still controversial. Therefore, the aim of the present study was to investigate the impact of CHC on HRQOL by conducting clinical, psychiatric, and sociodemographic evaluations. Methods: One hundred and twenty-four consecutive patients attending a referral center for hepatitis were evaluated using the Mini-International Neuropsychiatry Interview, the Hamilton Depression Rating Scale, the Hospital Anxiety and Depression Scale, and the Medical Outcomes Study 36-Item Short-Form Health Survey. Multiple linear regression analyses were used to quantify independent associations between HRQOL and the clinical, psychiatric, and sociodemographic variables of interest. Results: Reduced HRQOL was independently associated with major depressive disorder (MDD) and with elevated levels of alanine aminotransferase, but was not associated with hepatic cirrhosis. Conclusions: MDD rather than the grade of liver fibrosis was strongly associated with HRQOL impairment in patients with CHC. These findings highlight that, in patients with CHC, the psychological effects of the disease deserve more attention and the implementation of integrated medical, psychiatric, and psychological care may be helpful.

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“…Em nossa pesquisa, os trabalhadores com LER/ DORT e/ou LO, quando comparados à população saudável, apresentaram valores inferiores para os domínios psicológico e social, corroborando diversas pesquisas que abordam as consequências de doenças crônicas sobre a saúde mental e os aspectos sociais da vida dos indivíduos acometidos 25,[32][33][34][35][36] .…”

Section: Tabela 4 Comparação Dos Valores Médios Dos Estratos Das Variunclassified

Qualidade de vida de trabalhadores com LER/DORT e lombalgia ocupacional atendidos no Cerest de Guarulhos, São Paulo

Paula¹,

Buschinelli

Maeno

et al. 2016

Rev. bras. saúde ocup.

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Evaluation of quality of life in adults with chronic health conditions: the role of depressive symptoms

Cited by 22 publications

References 35 publications

Avaliação de qualidade de vida e importância dada a espiritualidade/religiosidade/ crenças pessoais (SRPB) em adultos com e sem problemas crônicos de saúde

Avaliação de qualidade de vida e importância dada a espiritualidade/religiosidade/ crenças pessoais (SRPB) em adultos com e sem problemas crônicos de saúde

Depression rather than liver impairment reduces quality of life in patients with hepatitis C

Qualidade de vida de trabalhadores com LER/DORT e lombalgia ocupacional atendidos no Cerest de Guarulhos, São Paulo

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