Gender differences in health-related quality of life in people with severe mental illness

Colillas-Malet, Ester; Prat, Gemma; Espelt, Albert; Juvinyà, Dolors

doi:10.1371/journal.pone.0229236

Cited by 13 publications

(9 citation statements)

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“…Broadening the picture, gender-specific differences have been emphasized for conceptualizations of patients' presenting difficulties, treatment plans, and mental and medical healthcare pathways [34][35][36][37]. Overall, available evidence suggests that women tend to report higher HRQoL impairments in the context of psychological [38][39][40] or medical difficulties [41,42]. For chronic tinnitus, similar patterns emerged with women describing higher levels of emotional tension, psychological distress, and functional impairment [43][44][45][46], although these findings remain inconclusive [47,48].…”

Section: Introductionmentioning

confidence: 99%

Health-Related Quality of Life, Depressive Symptoms, Anxiety, and Somatization Symptoms in Male and Female Patients with Chronic Tinnitus

Boecking¹,

Biehl²,

Brüeggemann³

et al. 2021

JCM

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Objective: To investigate the joint impact of tinnitus-related distress (TRD), anxiety, depressive symptoms, and other somatization symptoms on health-related quality of life (HRQoL) in female vs. male patients with chronic tinnitus. Method: Three-hundred-and-fifty-two patients with chronic tinnitus completed audiological testing and a psychological assessment battery that comprised—among other measures—German versions of the Tinnitus Questionnaire, Hospital Anxiety and Depression Scale, Somatic Symptom Scale-8, and Health-Related Quality of Life scale. Descriptive analyses examined associations as well as within- and between-gender differences of the measured variables. Gender-specific serial indirect effects analyses aimed to explain the impact of TRD on HRQoL through psychological processes, notably anxiety, depressive symptoms, and somatization symptoms. Results: Both female and male patients yielded lower mental than physical HRQoL and negative associations between the measured psychological variables and HRQoL. Compared to male patients, female patients reported higher levels of tinnitus-related- and wider psychological distress, other somatization symptoms (e.g., headaches), and impairments in mental and physical HRQoL. For each gender, depressive symptoms, anxiety, and somatization symptoms fully mediated the effect of TRD on mental and physical HRQoL. A double-dissociation revealed an interaction of somatization symptoms and depression on the TRD-HRQoL association in women, and of somatization symptoms and anxiety in men. Conclusions: In patients with chronic tinnitus, psychological constructs account for reported impairments in both mental and physical HRQoL. To improve patients’ HRQoL, treatment conceptualizations should consider gender-specific psychological expressions of low mood or anxiety.

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Section: Introductionmentioning

confidence: 99%

Health-Related Quality of Life, Depressive Symptoms, Anxiety, and Somatization Symptoms in Male and Female Patients with Chronic Tinnitus

Boecking¹,

Biehl²,

Brüeggemann³

et al. 2021

JCM

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“…No gender differences appeared on any of the investigated variables, which is noteworthy as some research shows, for example, that women with mental illness rate their quality of life at a lower level than men do [ 51 ]. Although no study reporting worse quality of life for men could be found, there is also research that indicates an absence of gender differences [ 42 ].…”

Section: Discussionmentioning

confidence: 88%

Work experiences, resources, and beliefs among vulnerable subgroups of mental health care users

Eklund

Jansson

Eklund

et al. 2021

WOR

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BACKGROUND: People with mental illness may have difficulties related to work and employment, especially if they experience additional difficult life situations. OBJECTIVE: To explore how subgroups with mental illness and additional adversities perceived their situation with respect to work and employment prospects. METHODS: Three subgroups were included, exposed to an additional difficult life situation: i) psychosis interrupting their career development at young age (n = 46), ii) having a history of substance use disorder (SUD) (= 57) or iii) having recently immigrated (n = 39). They responded to questionnaires addressing sociodemographics, work-related factors, everyday activity, and well-being. A professional assessed their level of functioning and symptom severity. RESULTS: The young people with psychosis had a low education level, little work experience, the poorest worker role resources, and a low level of functioning, but a high quality of life. The SUD group had the fewest work experiences, were the least satisfied with work experiences, and had the lowest activity level, but had the least severe psychiatric symptoms. The immigrant group had severe psychiatric symptoms, but high ratings on work experiences, work resources, and activity level. CONCLUSIONS: Each group presented unique assets and limitations pertaining to work and employment, suggesting that they also needed unique support measures.

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“…In the current study, the QoL domains affected by MBDs were not related to gender, although they were associated with increased age. A Spanish study that evaluated the QoL of people with severe mental illness identified that women’s overall mean QoL in the physical component was significantly lower than that of men, and that the factors associated with QoL also differed by gender 33 .…”

Section: Discussionmentioning

confidence: 99%

Quality of life and factors associated among public university employees retired due to disabilities

Moreira

Martins

Robazzi

et al. 2023

Rev. Latino-Am. Enfermagem

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Objective: to analyze quality of life and factors associated among public university employees retired due to disabilities. Method: a cross-sectional study conducted with a sample of public university employees retired due to disabilities. A characterization questionnaire and the World Health Organization Quality of Life - Disabilities instrument were applied via telephone or online contacts from November 2019 to September 2020. The associated factors were verified through multiple linear regression. Results: of the 80 retirees due to disability, 15% were professors and 85% had a technical-administrative career. As for the factors associated with Quality of Life, continuous medication use (βadj: -0.25; p=0.02) and problems in the nervous system (βadj: -0.21; p<0.05) were associated with the Overall domain; continuous medication use (βadj: -0.23; p=0.04), to the Physical domain; smoking (βadj: -0.21; p<0.05) and mental and behavioral disorders (βadj: -0.21; p<0.01), to the Psychological domain; smoking (βadj: -0.46; p<0.01) and respiratory (βadj: -0.21; p=0.03) and circulatory (βadj: -0.21; p=0.03) problems, to the Social domain; smoking (βadj: -0.33; p<0.01) and problems in the nervous system (βadj: -0.22; p=0.04), to the Environmental domain; mental and behavioral disorders, to the Disabilities module (βadj: -0.29; p<0.01) and to the Discrimination domain (βadj: -0.21; p<0.05); and smoking (βadj: -0.32; p<0.01) and problems in the nervous system (βadj: -0.20; p<0.05), to the Inclusion domain. The Autonomy domain did not present any association. Conclusion: the retirees under study presented impaired Quality of Life.

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Gender differences in health-related quality of life in people with severe mental illness

Cited by 13 publications

References 50 publications

Health-Related Quality of Life, Depressive Symptoms, Anxiety, and Somatization Symptoms in Male and Female Patients with Chronic Tinnitus

Health-Related Quality of Life, Depressive Symptoms, Anxiety, and Somatization Symptoms in Male and Female Patients with Chronic Tinnitus

Work experiences, resources, and beliefs among vulnerable subgroups of mental health care users

Quality of life and factors associated among public university employees retired due to disabilities

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