Quality of life and coping strategies of outpatients with a depressive disorder in maintenance therapy – a cross-sectional study

Abstract

BackgroundThe quality of life (QoL) is a multidimensional view that represents all aspects of patient well-being in various areas of patient life. Specific coping strategies may be connected to both the QoL and the severity of mental disorder. The aim of this investigation was to examine the relationship between the QoL and the coping strategies of outpatients with a depressive disorder.MethodsEighty-two outpatients, who met the criteria of the International Classification of Diseases, Tenth Revision, for a depressive disorder, were enrolled in the cross-sectional study. Data on sociodemographic and clinical variables were obtained from the medical records. Individuals filled the following standardized questionnaires: Quality of Life Satisfaction and Enjoyment Questionnaire, Stress Coping Style Questionnaire, and Clinical Global Impression. Multiple regression analyses with backward elimination were performed to discover the most influential factors contributing to QoL.ResultsThe participants with a depressive disorder showed an overuse of negative coping strategies, especially escape tendency and resignation. A positive self-instruction strategy was used by the patients less often. The coping strategies were significantly associated with the QoL. A more frequent use of positive coping strategies had a positive association with the QoL. The main factors related to QoL were the subjective severity of the disorder, employment, and positive coping strategies.ConclusionThe study confirmed the relationship between QoL and the coping strategies of outpatients with a depressive disorder.

<p>Quality of life, self-stigma, and coping strategies in patients with neurotic spectrum disorders: a cross-sectional study</p>

“…We also confirmed this hypothesis in our previous study in schizophrenia, where QoL and severity of disorder were significantly related as well 70. Also, in another study, Q-LES-Q total and most Q-LES-Q domains correlated negatively with subjective and objective evaluation of the severity of the disorder in patients with depression 42…”

“…Other critical psychological variables that have a substantial impact on QoL are coping strategies 22,42,43. Coping is a mental process of dealing with distress in different ways, with different approaches to the stressful situation, based on the individual’s resources.…”

Association between probable posttraumatic stress disorder and quality of life in emergency service workers: a mediation analysis using a third potential model with both in parallel and in series effects; a cross-sectional study

“…Most of the stress-coping strategies in the present study directly predicted mental health state in QOL, and more maladaptive coping strategies, including Self-distraction, Self-blame, and Behavioral disengagement, indicated worse mental health and QOL. Holubova et al reported that participants with mental disorders tend to engage in negative rather than positive coping (adaptive) strategies, and that negative coping (maladaptive) strategies are likely to be associated with lower QOL [65]. Maladaptive coping, which negatively affects QOL, involves Self-distraction, Substance use, Behavioral disengagement, Denial, Self-blame, and Venting.…”

“…Maladaptive coping, which negatively affects QOL, involves Self-distraction, Substance use, Behavioral disengagement, Denial, Self-blame, and Venting. In contrast, adaptive coping, which improves QOL, involves Acceptance, Active coping, Planning, Positive reframing, Humor, Religion, the Use of emotional support, and the Use of instrumental support [65][66][67]. It is possible that Japanese emergency service workers tend to engage in maladaptive coping, and stress-coping might worsen QOL in rescue workers with PTSD.…”

Development of a New Rumination Scale

“…Mental rumination is a disease, according to International Classification of Diseases -11 th edition (World Health Organization, 2020), coded as MB24.E Mental rumination and it represents mental preoccupation with negative events, negative personal characteristics, or failures. Mental rumination means sinking into thoughts over and over a problem, thinking over and over about a stressful event, a stressful situation (Emmett et al, 2019;Gassling et al, 2012;Heim, 1995), presence of intrusive thoughts (Hörlesberger, 2016), obsessive thoughts on what has happened (Emmett et al, 2019;Harzer & Ruch, 2015), constant rethinking of the problem without reaching a clear conclusion and solution, aimless thinking about the problem (Heim, 1995;Heim et al, 1991), excessive persistence (Balcar et al, 2011;Holubova et al, 2018) and perseveration in thoughts, rethinking repeatedly a stressful event (Balcar et al, 2011;Gassling et al, 2012;Holubova et al, 2018), constant thinking about the situation so that the person cannot be distracted from it (Emmett et al, 2019;Harzer & Ruch, 2015), the person finds it difficult to think of something else (Götz, 2003). Rumination is expressed as repetitive negative thoughts about own negative emotional experiences, and reflections on their causes, consequences, and symptoms (Dzhambov et al, 2019).…”