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Mercier, Céline; Péladeau, Normand; Tempier, Raymond

doi:10.1023/a:1018790429573

Cited by 101 publications

(34 citation statements)

References 17 publications

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“…First, at the patient level, as in previous studies, socio-cultural and economic factors were associated with patient’s QoL in this sample: being female, having a lower educational level, being unemployed and belonging to an ethnic minority (i.e., Aymara) was associated with lower reports of QoL [26–28]. These results are also consistent with previous studies indicating that a higher level of education facilitates employment, thus improving patients’ level of income and QoL [29–32].…”

Section: Discussionmentioning

confidence: 58%

Caregiver’s quality of life and its positive impact on symptomatology and quality of life of patients with schizophrenia

Caqueo-Urízar

Alessandrini

Urzúa

et al. 2017

Health Qual Life Outcomes

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BackgroundAlthough the quality of life (QoL) experienced by patients with schizophrenia has been recognized, few studies have assessed the relationship between the caregivers’ QoL and patients’ QoL.MethodsThe study included 253 stabilized outpatients with schizophrenia and their caregivers from 3 Mental Health Services in Bolivia (N = 83), Chile (N = 85) and Peru (N = 85). Caregivers’ and patients’ QoL were respectively assessed using two specific QoL questionnaires (S-CGQoL and S-QoL 18). We collected socio-demographic information and clinical data. Multiple linear regressions were performed to determine which variables were associated with patient’s QoL. We tested the following hypothesis using structural equation modeling (SEM): caregivers’ QoL may have an indirect effect on patients’ QoL mediated by their influence of the severity of psychotic symptoms.ResultsIn the multivariate analysis, the caregivers’ QoL was not significantly associated with the patients’ QoL, except for one QoL dimension about relationship with family (Beta = 0.23). Among patients’ characteristics, being a woman and Aymara, having lower educational level, unemployment and severity of symptoms was significantly associated to a lower QoL. The SEM revealed a moderate significant association between caregivers’ QoL and psychotic symptoms severity (path coefficient = −0.32) and a significant association between psychotic symptoms severity and patients QoL (path coefficient = −0.40). The indirect effect of caregivers’ QoL on patients’ QoL was significant (mediated effect coefficient = 0.13).ConclusionImprovement of caregiver’s QoL may have a direct impact on the psychotic symptoms of patients and indirectly on patient’s QoL, confirming the need for ongoing family interventions in these regions.

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Section: Discussionmentioning

confidence: 58%

Caregiver’s quality of life and its positive impact on symptomatology and quality of life of patients with schizophrenia

Caqueo-Urízar

Alessandrini

Urzúa

et al. 2017

Health Qual Life Outcomes

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“…20,21 However, there is no significant difference in quality life between men and women. 22 With consideration of these findings, a structured equation model is presented in Table 4 showing the impact of facial paralysis and female sex on depression scores and the impact of facial paralysis on QOL scores. Results from sensitivity analysis for missing data using multiple imputation did not show significantly different outcomes; hence, the simpler model is presented.…”

Section: Resultsmentioning

confidence: 99%

Association Among Facial Paralysis, Depression, and Quality of Life in Facial Plastic Surgery Patients

Nellis

Ishii

Byrne

et al. 2017

JAMA Facial Plast Surg

169

127

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IMPORTANCE Though anecdotally linked, few studies have investigated the impact of facial paralysis on depression and quality of life (QOL).OBJECTIVE To measure the association between depression, QOL, and facial paralysis in patients seeking treatment at a facial plastic surgery clinic.DESIGN, SETTING, PARTICIPANTS Data were prospectively collected for patients with all-cause facial paralysis and control patients initially presenting to a facial plastic surgery clinic from 2013 to 2015. The control group included a heterogeneous patient population presenting to facial plastic surgery clinic for evaluation. Patients who had prior facial reanimation surgery or missing demographic and psychometric data were excluded from analysis.MAIN OUTCOMES AND MEASURES Demographics, facial paralysis etiology, facial paralysis severity (graded on the House-Brackmann scale), Beck depression inventory, and QOL scores in both groups were examined. Potential confounders, including self-reported attractiveness and mood, were collected and analyzed. Self-reported scores were measured using a 0 to 100 visual analog scale. RESULTSThere was a total of 263 patients (mean age, 48.8 years; 66.9% were female) were analyzed. There were 175 control patients and 88 patients with facial paralysis. Sex distributions were not significantly different between the facial paralysis and control groups. Patients with facial paralysis had significantly higher depression, lower self-reported attractiveness, lower mood, and lower QOL scores. Overall, 37 patients with facial paralysis (42.1%) screened positive for depression, with the greatest likelihood in patients with House-Brackmann grade 3 or greater (odds ratio, 10.8; 95% CI, 5.13-22.75) compared with 13 control patients (8.1%) (P < .001). In multivariate regression, facial paralysis and female sex were significantly associated with higher depression scores (constant, 2.08 [95% CI, 0.77-3.39]; facial paralysis effect, 5. 98 [95% CI,]; female effect, 1.95 [95% CI, 0.65-3.25]). Facial paralysis was associated with lower QOL scores (constant, 81.62 [95% CI,]; facial paralysis effect, −16.06 [95% CI,).CONCLUSIONS AND RELEVANCE For treatment-seeking patients, facial paralysis was significantly associated with increased depression and worse QOL scores. In addition, female sex was significantly associated with increased depression scores. Moreover, patients with a greater severity of facial paralysis were more likely to screen positive for depression. Clinicians initially evaluating patients should consider the psychological impact of facial paralysis to optimize care.LEVEL OF EVIDENCE 2.

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“…National-level studies investigating gender effect on the subjective perception of QoL in general population [40], patients with different mental disorders [41], and patients with PTSD [14] showed that gender had no effect on the QoL self-assessment. Our results may indicate that the mental disorder in their husbands (PTSD) might be directly associated with QoL in the wives of war veterans.…”

Section: Discussionmentioning

confidence: 99%

Quality of life of Croatian veterans' wives and veterans with posttraumatic stress disorder

Peraica

Vidović

Petrović

et al. 2014

Health Qual Life Outcomes

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BackgroundPosttraumatic stress disorder (PTSD) has a great impact on a patient’s quality of life (QoL). People in long-term contact with a person suffering from PTSD, such as family members, may also consequently develop various emotional problems.MethodsWe investigated whether chronic combat PTSD is related to lower QoL of veterans’ wives. The study included 164 veterans with PTSD, 281 PTSD veterans’ wives, 115 healthy non-veterans’ wives and 223 men without PTSD. All participants were assessed for psychiatric morbidity (Mini International Neuropsychiatric Interview) and measures of QoL (World Health Organization Quality of Life Questionnaire – short form). In veterans, the symptoms were evaluated using Clinician Administered PTSD Scale (CAPS).ResultsThe pattern of differences between the study groups was similar across all QoL domains. Men without PTSD had the highest scores, followed by women who were not married to PTSD patients (significantly different across all four QoL domains). PTSD veterans’ wives tended to had lower scores than either of these groups. Significant differences between PTSD veterans’ wives and women who were not married to PTSD patients were observed in three (out of four) QoL domains: psychological health, Z = 2.907, P = 0.022; social relationships, Z = 3.285, P = 0.006; and environmental domain, Z = 5.317, P < 0.001. The lowest scores were recorded in PTSD veterans (significantly lower than PTSD veterans’ wives in every domain except environmental). The wives who reported to be ill at the time tended to have lower scores across all four domains (P < 0.05) (low to moderate correlation; physical health, ρ = −0.56; psychological health, ρ = −0.42; social relationships, ρ = −0.30; environmental, ρ = −0.33), as well as those who sometimes in their lives they sought professional help due to having problems with their husband (P < 0.05) (very low to low correlation; physical health, ρ = −0.37; psychological health, ρ = −0.38; social relationships, ρ = −0.30; environmental, ρ = −0.15).ConclusionOur results indicate the negative impact of husband’s chronic PTSD on overall QoL, psychological health, social relations, and environmental area of QoL of veteran’s wives. Assessment of QoL may be important during the intervention and planning of specific treatment and rehabilitation programs for the families of war veterans.

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Untitled

Cited by 101 publications

References 17 publications

Caregiver’s quality of life and its positive impact on symptomatology and quality of life of patients with schizophrenia

Caregiver’s quality of life and its positive impact on symptomatology and quality of life of patients with schizophrenia

Association Among Facial Paralysis, Depression, and Quality of Life in Facial Plastic Surgery Patients

Quality of life of Croatian veterans' wives and veterans with posttraumatic stress disorder

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