Self-Esteem and Its Relationship to Mental Health and Quality of Life in Adults with Cystic Fibrosis

Abstract

Research from the general population indicates an important role for self-esteem in mental health, but limited research in this area exists in the cystic fibrosis (CF) literature. This study aimed to explore the predictive value of self-esteem and health-related quality of life (HRQoL) in mental health symptoms in adults with CF. Seventy-four participants, recruited online, completed the Clinical Outcomes in Routine Evaluation-Outcome Measure 34 (CORE-OM), Rosenberg Self-esteem Scale and Cystic Fibrosis Questionnaire-Revised (CFQ-R). Comparably high levels of self-esteem were found, but HRQoL was lower than previous research. Thirty percent of participants scored within the clinical range for mental health difficulty. Hierarchical regression, controlling for gender, explored the value of four CFQ-R subscales (physical, social, emotional and role functioning) and self-esteem in predicting CORE-OM total score. Gender accounted for 8.2% of the variance in mental health scores while the five independent variables accounted for a further 73.0% of variance. Of the five variables, CFQ-R emotional functioning and self-esteem were significant predictors of mental health symptoms. Results are discussed in relation to clinical implications and potential uses for internet technologies to promote socialisation.

The 1-Minute Sit-to-Stand Test in Adults With Cystic Fibrosis: Correlations With Cardiopulmonary Exercise Test, 6-Minute Walk Test, and Quadriceps Strength

“…5 Our findings are in line with this study and extend this association to measures of selfesteem, which is also compromised in CF. 30 These findings underline the importance of a high level of peak aerobic capacity as a contributor to psychological and sociological well-being. We found that both STS repetitions and 6MWD, even when expressed as a product of body weight, had only minor positive associations with HRQOL and self-esteem.…”

Cystic fibrosis lung environment and Pseudomonas aeruginosa infection

“…Spiritual factors interestingly have been shown to contribute positively on treatment adherence in CF patients [193]. Social behavior factors such as self-esteem and social stigma can also be associated with pulmonary function in CF [194]. Studies have demonstrated the prevalence of anxiety and depression in patients with CF and their parents to be as high as 30%, significantly higher than in the general population [195, 196].…”

<b>The impact of the quality of life perception on the self-esteem of physically active adults

“…The results are similar to those of Standage and Gillison (2007), who found, through three different models of structural equations, that SE is able to predict health-related QL, that is, the QL positively predicted the overall SE, and that both are distinct but related variables. As far as it is known, these seem to be the quantitative indications that there is a bidirectionality in the relation between the QL and SE, given the predominance existent in the literature that treats SE as a predictor of the QL, without considering a possible feedback (Kuehner & Buerger, 2005;Novato et al, 2008;García-Martinez et al, 2012;Platten et al, 2013;Manhas, 2014;Joseph et al, 2014).…”

“…SE is the individual own appraisal, which describes his/her positive and negative views (Freire & Tavares, 2011 (Lachman & Weaver, 1998); on the other hand, a lower SE regards unemployment, less integration with the community, impaired physical health, and a general decrease in functionality (Laferrier et al, 2015). The literature on the relations between SE and QL has been based on the study of self-esteem as a requirement, a predictive factor of better levels of quality of life (Kuehner & Buerger, 2005;Standage & Gillison, 2007;Novato, Grossi, & Kimura, 2008;García-Martinez, De Paz, & Márquez, 2012;Platten, Newman, & Quayle, 2013;Manhas, 2014;Joseph, Royse, Benitez, & Pekmezi, 2014).…”