Concepts of Rehabilitation and Quality of Life: Their Continuity and Differences in Modern Approaches

Wasserman, L. I.; Gromov, S. A.; Mikhailov, Vladimir; Lynnik, S.D.; Flerova, I.L.

doi:10.1080/00207411.2002.11449541

Cited by 5 publications

(4 citation statements)

References 3 publications

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“…Wasserman et al . () proposed that a person's subjective assessment of their quality of life is largely determined by their attitude towards health and the understanding this gives a person when they are faced with illness. Therefore, if a person's assessment of the quality of their life is influenced by their understanding of good health and well‐being, this will be impacted by their awareness of residual symptoms and the perceived effect of these on their health and well‐being.…”

Section: Discussionmentioning

confidence: 99%

Symptoms, functioning and quality of life after treatment in a residential sub-acute mental health service in Australia

Thomas

Rickwood

Brown

2015

Health Soc Care Community

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The aim of this study was to assess clients' and service providers' perspectives on changes in mental health after an admission to a residential recovery-focused, sub-acute service, in Australia. Clients were either step-up clients, entering the service directly from the community, or step-down clients who were transitioning from an inpatient unit to home. During the 30-month period of data collection (August 2011 to January 2014) all clients (N = 102) were invited to participate in the longitudinal study and 41 clients consented to be involved (38% response rate). At admission and exit, participants completed the Behaviour and Symptom Identification Scale (Basis-32) and service providers completed the Life Skills Profile-16 and Health of the Nations Outcome Scales. Follow-up data 3 months after exit were available for 12 clients, including the Basis-32 and a self-report measure of quality of life (Assessment of Quality of Life 8-dimension). Both client groups reported positive improvements between admission and exit in the areas of relation to self and others, psychosis, daily living and presence of depression or anxiety symptoms. Service providers reported gains for clients in the areas of self-care, level of symptoms and presence of social problems. At 3 months, clients generally reported positive quality of life, although there was no significant change in symptoms and functioning. This study demonstrates that after an admission to a sub-acute service, step-up clients experience an improvement in their symptoms and functioning, have avoided a hospital admission and are well enough to return home. Step-down clients also experience further improvements in their symptoms and functioning, indicating that the service has assisted them in their transition to independent living after a hospital admission. Sub-acute residential units provide a continuation of care for inpatients preparing to return home, and people with a mental health problem living in the community who experience an escalation in symptoms and prefer an alternative to hospital.

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Section: Discussionmentioning

confidence: 99%

Symptoms, functioning and quality of life after treatment in a residential sub-acute mental health service in Australia

Thomas

Rickwood

Brown

2015

Health Soc Care Community

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“…Происходят личностные изменения. Безусловно, это является критическим моментом в жизни пожилых людей [28], тем более они хуже адаптируются к новым условиям пребывания, что связано со снижением адаптационных возможностей, снижением логической памяти, угасанием рефлексов, снижением концентрации внимания, сознательного контроля и приводит к значительному ухудшению качества жизни. Как правило, это проявляется в первые три года пребывания пациентов в стационаре [29].…”

Section: ;19(2):25-31unclassified

Situation with regard to the delivery of assistance to the elderly population at the present stage of healthcare development

Дмитриева

2022

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“…A comprehensive approach to the person suffering from this disease guarantees greater success in diabetes management and the patient's psychosocial adjustment. However, the effectiveness of such an approach is dependent on the clear comprehension of complex interrelationships between variables of different levels, their cause-effect relations and the development of adequate intervention methods (Wasserman, Gromov, Mikhailov, Lynnik, & Flerova, 2002). Such comprehension implies an in-depth study of psychosomatic and somatopsychic relationships in DM.…”

Section: Diabetes Mellitus As a Multidimensional Biopsychosocial Problemmentioning

confidence: 99%

“…It may be concluded that, in many patients, revealed affective (depressive and anxiety) symptoms are the result of poor adjustment to the disease, contributed to by general social frustration (including a low level of social support) and increased stress in combination with insufficient coping ability or the preference of unconstructive coping strategies (Wasserman, et al, 2002).…”

Section: Psychosocial Issues In Diabetes Mellitusmentioning

confidence: 99%

Diabetes Mellitus as a Model of Psychosomatic and Somatopsychic Interrelationships

Wasserman

Трифонова

2006

Span. J. Psychol.

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The article reviews research on the problem of interrelationship between different physical and psychosocial factors in type 1 diabetes mellitus (DM1). The authors consider methodological principles of health-related quality of life (HRQoL) assessment in DM1 patients and stress the need for an integrated biopsychosocial approach to the management of the disease. DM1 is a chronic metabolic disease with an absolute requirement for insulin replacement therapy. The stress-inducing nature of DM1 is associated with its unexpected and dramatic manifestation in juvenile years, life-threatening nature of severe hypo-/hyperglycaemias and long-term complications, with the burden of diabetes self-management, threat of work disability, employment and career problems etc. These features of DM1 increase the likelihood of the development of anxiety and depressive disorders, which, in turn, may negatively influence the course of diabetes and in particular, diabetes self-care. This necessitates early diagnosis of emotional and behavioral disturbances in DM1 using self-report instruments as well as clinical assessment. Evidence suggests that active problem-focused coping behavior and adequate social support promote adherence to diabetes regimes and may act as a buffer against negative effects of the disease on HRQoL in DM1 patients. The core element in the HRQoL structure is personal disease picture (as opposed by objective clinical picture) -the cognitive-affectivebehavioral complex reflecting the patient's personal perception of the disease. Examination of the personal disease picture and attitude towards the ailment in DM1 patients may help to improve understanding of the mechanisms of poor adjustment. Problems in disease adjustment can be detected also by diabetes-specific HRQoL assessment. The measures of HRQoL can be applied as screening instruments useful in increasing the effectiveness of patient-provider interactions and diabetes care. Keywords: diabetes mellitus, psychosocial factors, disease adjustment, health-related quality of life, psychological assessmentEl artículo revisa la investigación del problema de la interrelación entre diferentes factores físicos y psicosociales en la diabetes melitus tipo 1 (DM1). Los autores consideran los principios de la evaluación de la calidad de vida relacionada con la salud (CVRS) en pacientes de DM1 y ponen de manifiesto la necesidad de un abordaje biopsicosocial integrado del manejo de la enfermedad. La DM1 es una enfermedad metabólica crónica con una necesidad absoluta de terapia de reemplazo de insulina. La naturaleza estresante de la DM1 se asocia con su aparición inesperada y dramática durante los años de juventud, la naturaleza peligrosa de las hipo e hiperglucemias y las complicaciones a largo plazo, con la carga del auto-cuidado de la diabetes, la amenaza de discapacidad laboral, problemas de empleo y carrera, etc. Estas características de la DM1 aumentan la probabilidad de desarrollar trastornos de ansiedad y depresivos que, a su vez, pueden afectar negativamente el curso ...

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Concepts of Rehabilitation and Quality of Life: Their Continuity and Differences in Modern Approaches

Cited by 5 publications

References 3 publications

Symptoms, functioning and quality of life after treatment in a residential sub-acute mental health service in Australia

Symptoms, functioning and quality of life after treatment in a residential sub-acute mental health service in Australia

Situation with regard to the delivery of assistance to the elderly population at the present stage of healthcare development

Diabetes Mellitus as a Model of Psychosomatic and Somatopsychic Interrelationships

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