Personal and environmental contextual factors as mediators between functional disability and quality of life in adults with serious mental illness: a cross-sectional analysis

Sánchez, Jennifer; Müller, Verônica Regina; Chan, Fong; Brooks, Jessica; Iwanaga, Kanako; Tu, Wei-Mo; Umucu, Emre; Crespo-Jones, Mileidy

doi:10.1007/s11136-018-2006-1

Cited by 19 publications

(13 citation statements)

References 50 publications

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“…However, there are complex relations between social factors, and loneliness in serious mental illness (SMI) (39). For example, although endogenous symptoms appear to be the strongest determinants of quality of life in people with serious mental illness (SMI), (40), this is mediated by support from family and friends (40,41). It is possible that their illness already exerts a severe baseline restriction on their quality of life, and therefore the effects of the pandemic are judged less severe in this context.…”

Section: Discussionmentioning

confidence: 99%

The Differential Impact of Lockdown Measures Upon Migrant and Female Psychiatric Patients – A Cross-Sectional Survey in a Psychiatric Hospital in Berlin, Germany

et al. 2021

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The COVID-19 pandemic could have major effects on already vulnerable individuals with psychiatric disorders. It is important to assess how different patient groups respond to stress related to the pandemic, and what additional factors influence it, including family-related stress, migration background, and sex. We conducted a survey in a sample of 294 psychiatric patients in a large outpatient clinic in Berlin, measuring level of distress in relation to COVID-19 lockdown as well as family-related distress. We also measured potential influencing factors such as media consumption and medical support. In the migration background group, we found that women had more lockdown related psychological distress than men. This was not apparent in those patients with a German background. We found that females were more strongly affected by family-related distress, particularly those with a migration background. People with PTSD were most strongly affected by family-related distress, whereas people with psychotic disorders and addiction reported the least distress. There were no effects of media consumption. There were no differences in ability to abide by the lockdown related restrictions across diagnoses. Our results support earlier findings on differential vulnerability of diagnostic groups to these stressors. Thus, clinicians can optimize treatment by taking family-related stressors into account particularly for females and people with a migrant background.

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Section: Discussionmentioning

confidence: 99%

The Differential Impact of Lockdown Measures Upon Migrant and Female Psychiatric Patients – A Cross-Sectional Survey in a Psychiatric Hospital in Berlin, Germany

et al. 2021

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“…This result indicated that older adult's social interactions with friends and family mediated the linkage between hearing loss, a common sensory impairment in older adults, and their physiological or psychological health [53,54]. Social engagement or social connectedness, which may increase emotional exchange and companionship, have consistently been associated with health-related quality of life [55,56]. Social exchanges or interactions can reduce feelings of being isolated or abandoned [57,58].…”

Section: Discussionmentioning

confidence: 99%

The role of social engagement in the association of self-reported hearing loss and health-related quality of life

Gao

Yao

2020

BMC Geriatr

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Background Hearing loss is highly prevalent and associated with reduced well-being in older adults. But little is known about the role of social factors in the association of hearing difficulty and its health consequences. This study aims to examine the association between self-reported hearing loss and health-related quality of life (HRQoL, consisted of physical and mental component summary, PCS and MCS), and to investigate whether social engagement mediates this association. Method Data on 4035 older adults aged 60 years or above from a cross-sectional nationally representative database in China were obtained to address this study. HRQoL was measured by the Short Form 12 Health Survey (SF-12). Hearing loss was defined by a dichotomized measure of self-reported hearing difficulty, which has been proved to be sensitive and displayed moderate associations with audiometric assessment in elderly population. Social engagement was measured by the Index of Social Engagement Scale. Bootstrap test was applied to test for the significance of the mediating role of social engagement. Results Self-reported hearing loss was found negatively associated with HRQoL in older adults, and hearing loss was much more related to reduced mental well-being. Social engagement played a partial mediating role in the association of hearing loss and HRQoL. Social engagement account for 4.14% of the variance in the change of PCS scores and 13.72% for MCS, respectively. Conclusion The study lends support to the hypothesis that hearing loss is associated with aging well beings, and the use of hearing aid or proper social engagement intervention may improve the quality of life among the elderly.

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“…The measurement of social support required the use of a questionnaire developed by House and Kahn (1085). This consisted of 24 questions, in 4 parts, within the domains of social (1,3,5,7,9,11), information (2,4,6,8,10,12), instrumental (13,15,17,19,21,23) and valuation support (14,16,18,20,22,24). In addition, respondents' adaptation mechanisms were measured by the use of an adaptation response questionnaire ideated by Nursalam, encompassing social, spiritual and psychological responses.…”

Section: Significance For Public Healthmentioning

confidence: 99%

“…Family is a major support system that provides direct care to healthy people, as well as schizophrenia patients. 4 Previous researches have shown the practice of self-care in about 70% of ten families, which involves making the patient available for treatment, providing supervision while taking medications, and engaging the individual with activities. Specifically, family support includes the provision of emotional, informational, instrumental and research assistance by the client’s relatives, in order to maintain a therapeutic regime.…”

Section: Introductionmentioning

confidence: 99%

Family Support and Adaptation Mechanisms of Adults Outpatients with Schizophrenia

Widiyawati

Yusuf²,

Devy

et al. 2020

Journal of Public Health Research

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Background: The presence of psychotic symptoms in adults’ with schizophrenia need an increase in family control and support to prevent the risk of aggressive behavior. However, the issue of whether psychotic symptoms hold any clinical relevance in relatively stable outpatient samples has not been established. The purpose of this study, therefore, was to identify the relationship between family supports and adaptation mechanisms of adults’ outpatients with schizophrenia. Design and methods: The study design involves quantitative research and descriptive correlation, attained through purposive sampling approach. 101 samples were obtained from the population of schizophrenia outpatients. The questionnaires of House & Kahn were used as an instrument to evaluate family support, while Nursalam questionnaires were used to access adaptation skills. Results: Findings from Spearman’s rho test showed P<0.005, indicating the provision of high family support, while patients were highly adaptive to the symptoms of schizophrenia. Conclusions: This study indicates the positive influence of family support on the adaptability of schizophrenia outpatients, hence there is need for relatives to provide good level of support, in order to facilitate adaptability.

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Personal and environmental contextual factors as mediators between functional disability and quality of life in adults with serious mental illness: a cross-sectional analysis

Cited by 19 publications

References 50 publications

The Differential Impact of Lockdown Measures Upon Migrant and Female Psychiatric Patients – A Cross-Sectional Survey in a Psychiatric Hospital in Berlin, Germany

The Differential Impact of Lockdown Measures Upon Migrant and Female Psychiatric Patients – A Cross-Sectional Survey in a Psychiatric Hospital in Berlin, Germany

The role of social engagement in the association of self-reported hearing loss and health-related quality of life

Family Support and Adaptation Mechanisms of Adults Outpatients with Schizophrenia

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