Health-related quality of life among Israeli Arabs diagnosed with depression: the role of illness representations, self-stigma, self-esteem, and age

Abo-Rass, Fareeda; Shinan-Altman, Shiri; Werner, Perla

doi:10.1016/j.jad.2020.05.125

Cited by 11 publications

(8 citation statements)

References 49 publications

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“…In a comparative study conducted previously in Israel, depression was found to be more common among Israeli Arabs than among Israeli Jews, by a factor of two and a half (Kaplan et al, 2010). Additionally, Israeli Arabs diagnosed with depression reported lower levels of HRQoL (Abo-Rass et al, 2020b), a finding that aligns with studies showing that individuals with depression from minority groups report lower levels of HRQoL (Daly et al, 2010; Trivedi et al, 2006). Moreover, although culture plays an important role in forming cognitive IRs (Diefenbach & Leventhal, 1996), to the best of our knowledge, only one qualitative study has assessed cognitive IRs among Israeli Arabs diagnosed with depression (Abo-Rass et al, 2020a).…”

Section: Introductionsupporting

confidence: 75%

“…Nevertheless, as far as we know, only one study has examined the relationship between cognitive IRs and HRQoL among people diagnosed with depression. Findings from this study indicated that negative cognitive IRs were significantly correlated with lower levels of HRQoL (Abo-Rass et al, 2020b). However, this study used an overall index for cognitive IRs.…”

Section: Introductionmentioning

confidence: 75%

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Cognitive illness representations among Israeli Arabs diagnosed with depression and their relationship with health-related quality of life

Abo-Rass

Werner

Shinan-Altman

2021

Int J Soc Psychiatry

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Background: The number of studies that have assessed cognitive illness representations among people diagnosed with depression, and their relationship to health outcomes, has clearly grown. Nevertheless, the relationship between cognitive illness representations and health-related quality of life (HRQoL) has received very little research attention. Aims: This study examined cognitive illness representations, based on the self-regulation model (SRM), and the contribution of each dimension of these cognitive illness representations to health-related quality of life (HRQoL) among Israeli Arabs diagnosed with depression. Methods: A convenience sample of 160 Israeli Arabs with depression completed measures of cognitive illness representations (identity, timeline, consequences, personal control, treatment control, and coherence), HRQoL, and sociodemographic and health characteristics. Results: Participants reported high levels of negative perceptions in the identity, timeline, and consequences dimensions, and moderate levels in the dimensions of personal control, treatment control, and coherence. Also, participants reported low levels of HRQoL. Identity, consequences, and coherence were found to be the main determinants of HRQoL. Conclusion: This study underlines the crucial role of the identity, consequences, and coherence dimensions in the HRQoL of individuals diagnosed with depression. The findings indicate that clinical interventions targeting cognitive illness representations of individuals with depression, and in particular identity, consequences, and coherence, might be helpful in improving the HRQoL of this population.

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Section: Introductionsupporting

confidence: 75%

Section: Introductionmentioning

confidence: 75%

Cognitive illness representations among Israeli Arabs diagnosed with depression and their relationship with health-related quality of life

Abo-Rass

Werner

Shinan-Altman

2021

Int J Soc Psychiatry

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“…The age of the patients also differed between the clusters, with FIP represented by the oldest group of patients. This is consistent with the literature on somatic conditions) [ 74 ] and mental conditions [ 75 ], with older patients declaring negative illness perception (in cognitive and emotional terms) and lower quality of life compared to younger patients.…”

Section: Discussionsupporting

confidence: 92%

How I see is how I feel. Identification of illness perception schema and its association with adaptation outcomes in multiple sclerosis – a 5-year prospective study

Różycka

2021

PLoS ONE

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The aim of the study was to assess the role of illness perception in adaptation to chronic disease among patients with relapsing-remitting multiple sclerosis (RRMS). The differences between the obtained configurations of the illness perception components during four measurements and the model of predictions of the values of adaptation indicators, i.e. depression, anxiety and quality of life during subsequent measurements, were analyzed. Illness representation was assessed at baseline via the Illness Representation Questionnaire–Revised. The adaptation indicators–anxiety, depression (measured by HADS) and quality of life (measured by MSIS-29) were measured at baseline and three more times over a five-year period. The k-means cluster analysis (with two-way and repeated measures ANOVA) was conducted in a group of 90 patients (48.89% women and 51.11% men). Subsequently, the mean values of depression, anxiety, physical and psychological quality of life were compared between the clusters using the Kruskall-Wallis test. Finally, a cross-lagged panel modeled for HADS and MSIS-29 subscales in each measurement occasion (T1-T4). Three different illness perception clusters (Anxious, Realistic and Fatalistic Illness Perception named AIP, RIP and FIP) were composed which differentiated the depression, anxiety, quality of life level and age. FIP showed the lowest adaptation outcomes with small differences between AIP and RIP. It was also significantly characterized by the highest age. The positive adaptation indicators were related to the RIP cluster. The model presented rather satisfactory fit (χ2(48) = 81.05; CFI = .968; TLI = .925; SRMR = .050) with slightly inflated RMSEA = .087 (90%CI .053-.120). Based on initial measurements of individual characteristics, it was possible to predict the functioning of patients after several years. For patients with AIP, the covariance of anxiety and depression was significant, for patients with RIP–depression and anxiety, and for patients with FIP–depression. In addition, each of the variables was a predictor of subsequent measurements in particular time intervals, illustrating the dynamics of changes. Results highlight that illness perceptions formed at the beginning of RRMS are important for the process of adaptation to the disease. Moreover, they showed the differences between the adaptation outcomes supporting the idea that a cognitive representation might be important for the level of psychological functioning.

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“…Several studies have also shown that HRQoL is related to self-stigma in clinical samples. 54–57 In this sense, low levels of HRQoL were significantly associated with cognitive deficits and negative emotions, high levels of self-stigma and low levels of self-esteem among people diagnosed with depression, 54 as well as impaired psychological well-being, self-esteem, and autonomy in people with schizophrenia. 58 , 59 Self-stigma and quality of life may have a bidirectional relationship and focusing on some specific areas of quality of life (such as autonomy through self-empowerment approaches) may also improve the effectiveness of programmes that reduce the impact of self-stigma on the quality of life of subjects with schizophrenia.…”

Section: Introductionmentioning

confidence: 99%

“… 58 , 59 Self-stigma and quality of life may have a bidirectional relationship and focusing on some specific areas of quality of life (such as autonomy through self-empowerment approaches) may also improve the effectiveness of programmes that reduce the impact of self-stigma on the quality of life of subjects with schizophrenia. 54 While this association has been addressed in different clinical populations, studies examining this relationship in MSM with HIV are scarce.…”

Section: Introductionmentioning

confidence: 99%

Cognitive Functioning and Its Relationship with Self-Stigma in Men with HIV Who Have Sex with Men: The Mediating Role of Health-Related Quality of Life

Ruiz‐Robledillo¹,

Clement‐Carbonell²,

Ferrer‐Cascales³

et al. 2021

PRBM

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Introduction The human immunodeficiency virus (HIV) stills remains a serious public health problem. HIV acquisition has several negative health consequences, such as a cognitive deterioration or health-related quality of life (HRQoL) impairment. Although these negative consequences could be directly related to a significant increase in self-stigma in this population, few previous studies have analysed the possible associations between these variables. This is especially the case in specific groups of people living with HIV, such as men who have sex with men who could be at a greater risk of stigmatisation. The main aim of the present study was to evaluate the association between cognitive functioning, HRQoL and self-stigma in a group of men with HIV who have sex with men. Methods The present study was conducted in the Infectious Diseases Unit of the General University Hospital of Alicante (Spain). The final sample was composed of 70 participants who passed the inclusion and exclusion criteria. All were men with HIV who had sex with men and the sample’s mean age was 45 years. Each participant completed questionnaires on HRQoL and HIV self-stigma. Moreover, they completed an online cognitive assessment through the previously validated platform for cognitive evaluation CogniFit, Inc. Results The obtained results showed a significant association between memory functioning impairment, lower levels of HRQoL and higher HIV self-stigma scores. Hence, HRQoL, in the mental summary domain, was shown to be a significant mediator in the relationship between low memory performance and higher HIV self-stigma. Discussion Neurocognitive impairment could decrease HRQoL in men with HIV who have sex with men, and hence, reinforce the idea widespread in society that having HIV holds serious consequences. This fact, together with the reduced cognitive abilities to fight against their own self-stigma could represent plausible explanations of the obtained results. In this sense, intervention strategies, oriented towards reducing cognitive impairment, such as those based on cognitive training, and other psychological interventions to promote HRQoL could be effective approaches to prevent the negative effects of HIV self-stigma in this population.

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Health-related quality of life among Israeli Arabs diagnosed with depression: the role of illness representations, self-stigma, self-esteem, and age

Cited by 11 publications

References 49 publications

Cognitive illness representations among Israeli Arabs diagnosed with depression and their relationship with health-related quality of life

Cognitive illness representations among Israeli Arabs diagnosed with depression and their relationship with health-related quality of life

How I see is how I feel. Identification of illness perception schema and its association with adaptation outcomes in multiple sclerosis – a 5-year prospective study

Cognitive Functioning and Its Relationship with Self-Stigma in Men with HIV Who Have Sex with Men: The Mediating Role of Health-Related Quality of Life

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