The differential mediating effects of pain and depression on the physical and mental dimension of quality of life in Hong Kong Chinese adults

Wong, Wing Sze; Chan, Simon; Fung, Vivian B.K.; Fielding, Richard

doi:10.1186/1477-7525-8-1

Cited by 98 publications

(82 citation statements)

References 29 publications

(25 reference statements)

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“…In the current study, prevalence of Type D Personality was 45%, comparable to the 32%5 and 54%18 rates reported in previous studies of the Type D Personality in AF and higher than the prevalence reported in the general population of between 18% and 39% 21. Previous researchers have identified the Type D Personality as a predictor of suicidal ideation in a variety of populations, independent of demographic or socioeconomic variables22, 23 and independent of cardiovascular comorbidities 22.…”

Section: Discussionsupporting

confidence: 83%

“…The influence of the Type D Personality on cardiovascular disease prevalence and outcomes has been a particular focus of previous research 19, 20, 21. In the current study, prevalence of Type D Personality was 45%, comparable to the 32%5 and 54%18 rates reported in previous studies of the Type D Personality in AF and higher than the prevalence reported in the general population of between 18% and 39% 21.…”

Section: Discussionsupporting

confidence: 71%

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Psychological Distress and Suicidal Ideation in Patients With Atrial Fibrillation: Prevalence and Response to Management Strategy

Walters

Wick

Tan

et al. 2018

JAHA

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BackgroundAn association between atrial fibrillation (AF), anxiety, and depression is recognized, but the spectrum of psychological distress remains unclear. We aimed to characterize the severity and predictors of distress associated with AF in a tertiary population and its response to AF management.Methods and ResultsSeventy‐eight patients with symptomatic AF underwent evaluation, including of AF symptom severity, health‐related quality of life, psychological distress, suicidal ideation, and specific personality traits. Twenty participants underwent AF ablation and 58 were managed medically, with repeat assessments at 4, 8, and 12 months. Severe distress (Hospital Anxiety and Depression Scale score, ≥15/42) was identified in 27 of 78 (35%). Independent predictors were a personality marked by vulnerability to stress (Perceived Stress Scale: R 2, 0.54; β=0.7±0.1; t=7.8; P<0.001) and 1 marked by negativity/social inhibition (Type D Personality Scale: R 2, 0.47; β=0.7±0.1; t=6.7; P<0.001). Suicidal ideation was reported by 16 of 78 (20%) and was predicted by personality traits (Perceived Stress Scale score: R 2, 0.35; odds ratio, 1.22±0.06; P<0.001; Type D Personality Scale score: R 2, 0.48; odds ratio, 1.43±0.14; P<0.001). Effective AF ablation (median AF burden 1% [0–1%] over 12 months) was associated with significant reductions in distress (Hospital Anxiety and Depression Scale score, 13.9±1.8 to 4.3±1.8; P<0.05) and prevalence of suicidal ideation (30–5%; P=0.02).ConclusionsThere was a high prevalence of severe psychological distress (35%) and of suicidal ideation (20%) in a tertiary AF population, with personality traits predicting both. Effective AF ablation was associated with significant improvements, suggesting AF itself may be a treatable causative factor of distress.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 71%

Psychological Distress and Suicidal Ideation in Patients With Atrial Fibrillation: Prevalence and Response to Management Strategy

Walters

Wick

Tan

et al. 2018

JAHA

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“…Given the predominance of BVL patients in our study population, our mean score of 0.47 corroborated these findings. A mean HUI3 score of 0.47 is classified as severe disability by HUI3 criteria28 and corresponds to a similar level of QoL impairment as present in individuals suffering from Parkinson's disease (0.45)29 or untreated osteoarthritis (0.46) 30. Our study suggests that while vestibular loss may be overlooked as a benign chronic condition, it is associated with a pervasive negative impact on health‐related quality of life in older individuals.…”

Section: Discussionmentioning

confidence: 53%

Health‐related quality of life and economic burden of vestibular loss in older adults

Agrawal

Pineault

Semenov

2017

Laryngoscope Investig Oto

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ObjectivesVestibular loss is a debilitating condition, and despite its high prevalence in older adults, the quality of life (QoL) burden of vestibular loss in older individuals has not been well‐studied. This report quantifies the impact on overall QoL and identifies domains of health most affected. We hypothesize vestibular loss will be associated with impairment in diverse domains of health‐related QoL.Study DesignProspective, case‐control study.MethodsA convenience sample of 27 patients age ≥60 years with vestibular physiologic loss was recruited from an academic neurotology clinic. The patients did not have any identifiable cause of their vestibular loss other than aging. The convenience sample was compared to an age‐matched cross‐sectional sample of the general US population (n = 1266). The main outcome was QoL measured by the Ontario Health Utilities Index Mark III (HUI3).ResultsCompared to the general population, patients with vestibular loss had significantly lower overall unadjusted HUI3 scores (−0.32, p < 0.001). Multivariate regression analysis showed vestibular loss was significantly associated with poorer performance in vision (−0.11 p < 0.0001), speech (−0.15, p < 0.0001), dexterity (−0.13, p < 0.0001), and emotion (−0.07, p = 0.0065). Adjusted aggregate HUI3 was also significantly lower for vestibular loss (−0.15, p = 0.0105). These QoL decrements resulted in an average loss of 1.30 Quality‐Adjusted Life Years (QALYs). When using a $50,000/QALY willingness‐to‐pay threshold, vestibular loss was associated with a $64,929 lifetime economic burden per affected older adult, resulting in a total lifetime societal burden of $227 billion for the US population ≥60 years of age.ConclusionsLoss of vestibular function with aging significantly decreases quality of life across multiple domains of well‐being. These QoL reductions are responsible for heavy societal economic burdens of vestibular loss, which reveal potential benefits of prompt diagnosis and treatment of this condition.Level of Evidence3

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“…The GAD-7 was originally created in English (Spitzer et al 2006) and then translated into Spanish (Garcia-Campayo et al 2010). Response options are on a four-point scale (from 0 = not at all to 3 = nearly every day ), and symptoms are evaluated as they have occurred over the prior two weeks.…”

Section: Methodsmentioning

confidence: 99%

The Psychometric Properties of English and Spanish Versions of the Life Orientation Test-Revised in Hispanic Americans

Pan

Mills

Fox

et al. 2017

J Psychopathol Behav Assess

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The Life Orientation Test-Revised (LOT-R) is a widely used measure of optimism and pessimism, with three positively worded and three negatively worded content items. This study examined the structural validity and invariance, internal consistency reliability, and convergent and divergent validity of the English and Spanish versions of the LOT-R among Hispanic Americans. A community sample of Hispanic Americans (N = 422) completed self-report measures, including the LOT-R, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7, in their preferred language of English or Spanish. Based on the literature, four structural models were tested: one-factor, oblique two-factor, orthogonal two-factor method effects with positive specific factor, and orthogonal two-factor method effects with negative specific factor. Baseline support for both of the English and Spanish versions was not achieved for any model; in all models, the negatively worded items in Spanish had non-significant factor loadings. Therefore, the positively worded three-item optimism subscale of the LOT-R was examined separately and fit the data, with factor loadings equivalent across language-preference groups. Coefficient alphas for the optimism subscale were consistent across both language-preference groups (αs = .61 [English] and .66 [Spanish]). In contrast, the six-item total score and three-item pessimism subscale demonstrated extremely low or inconsistent alphas. Convergent and divergent validity were established for the optimism subscale in both languages. In sum, the optimism subscale of the LOT-R demonstrated minimally acceptable to good psychometric properties across English and Spanish language-preference groups. However, neither the total score nor the pessimism subscale showed adequate psychometric properties for Spanish-speaking Hispanic Americans, likely due to translation and cultural adaptation issues, and thus are not supported for use with this population.

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The differential mediating effects of pain and depression on the physical and mental dimension of quality of life in Hong Kong Chinese adults

Cited by 98 publications

References 29 publications

Psychological Distress and Suicidal Ideation in Patients With Atrial Fibrillation: Prevalence and Response to Management Strategy

Psychological Distress and Suicidal Ideation in Patients With Atrial Fibrillation: Prevalence and Response to Management Strategy

Health‐related quality of life and economic burden of vestibular loss in older adults

The Psychometric Properties of English and Spanish Versions of the Life Orientation Test-Revised in Hispanic Americans

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