Positive functioning as an outcome in its own right.
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3551 to 3575 of 6,178Zhang Y, Chen X, Sun Y, Feng S, Wang F, Gu H, Jia H, Zhang Q, Ding W, Lu H, Zhang J (2023)MEDLINE-indexed journal, not yet read by usFrontiers in public health6 citations Relationship of widowhood with pulse pressure, fasting blood glucose, and mental health in older adults: a propensity matching score analysis.
Background: Transitioning from marriage to widowhood presents inevitable and significant challenges for many older adults. This study explored the impact of widowhood on a range of mental health outcomes, including pulse pressure and fasting blood glucose levels, among older adults in nursing homes.
Methods: This cross-sectional study utilized cluster random sampling to recruit participants, with data analyzed from 388 older Chinese adults. Psychosocial traits were assessed using the Perceived Social Support from Family scale (PSS-Fa) for family support, the Generalized Anxiety Disorder 7-item scale (GAD-7) for anxiety symptoms, and the 9-item Patient Health Questionnaire (PHQ-9) for depressive symptoms and suicidal ideation. Propensity score matching (PSM) was employed to control for confounding factors. A multivariate linear regression analysis was performed to explore the relationship…
matched on Mental Health (mesh), Mental Health (keyword), well-being (text)
Specific emotion and momentary emotion regulation in adolescence and early adulthood.
Emotion regulation (ER) is an important factor in resilience and overall well-being throughout development, and youth report increased variation in emotion and capacity for regulation across adolescence and early adulthood. Specific emotions may be associated with the use of different ER strategies, but much evidence exclusively collapses across negative and positive affect or may not reflect the daily experience of emotion and emotion regulation. The present study examined associations between the experience of unique positive and negative emotions and the use of common ER strategies in adolescence and early adulthood during daily life using ecological momentary assessment (EMA). The sample included 184 high school and college students (55% female, Mage = 17.88, SD = 1.25) who completed EMA surveys three times daily for 10 days (89% compliance). Participants reported on their recent emo…
matched on Happiness (mesh), well-being (text)
High doses of a national preschool program are associated with the long-term mitigation of adverse outcomes in cognitive development and life satisfaction among children who experience early stunting: a multi-site longitudinal study in Vietnam.
Background: Stunting (low height-for-age) is a marker of cumulative developmental disadvantage that can also contribute to impaired cognitive development and poor psychological wellbeing. Several interventions designed to preserve stunted children's developmental potential through increasing their cognitive stimulation have proven to be effective. However, their resource-intensive nature limits their sustainability and scalability in the low-and middle-income countries in which 98% of stunted children live. The current study had three aims: to identify the domains of developmental disadvantage associated with stunting at 5 years of age in the Vietnamese context; to examine the relationship between Vietnamese children's stunting status at 5 years of age, the dose of the national preschool program they received, and their cognitive skills and psychological well-being at 4 ages; and to dete…
matched on Personal Satisfaction (mesh), well-being (text)
Kotouček P, Enright R, Gregor Sorgerová S, Hunáková Ľ, Chlebcová V, Cholujová D, Jakubíková J, Mravec B, Naništová E, Paneková Ľ, Sedlák J (2023)MEDLINE-indexed journal, not yet read by usKlinicka onkologie : casopis Ceske a Slovenske onkologicke spolecnosti2 citations Neurobio-logy of multiple myeloma and its therapeutical use - results of the pilot study with a control arm.
Background: Myeloma cells, occupying a bone marrow niche, are influenced not only by neighbouring stroma cells but also by signals from the axons of sympathetic nervous system. The nervous system is directly involved in the process of myeloma progression. Among other cancers, patients with myeloma suffer the most difficult distress generating intensive adrenergic signals, causing its further progression. There is a question arising from these facts regarding whether psychological interventions, modulating a function of the nervous system, can further improve outcomes of myeloma treatments. We focus on interactions between myeloma cells and the nervous system.
Patients and methods: Twelve patients with monoclonal gamapathy of indetermined significance (MGUS) or myeloma have participated in this study; eight in the interventional arm with the intervention of forgiveness therapy and four in…
matched on Quality of Life (mesh), quality of life (text)
Skaria AP (2022)MEDLINE-indexed journal, not yet read by usThe American journal of managed care100 citations The economic and societal burden of Alzheimer disease: managed care considerations.
Alzheimer disease (AD) is the most common cause of dementia and the sixth leading cause of death in the United States. Today, more than 6 million Americans are living with AD and that number is expected to increase to 13.8 million by 2060. The progressive debilitating nature of this illness and the absence of disease-modifying treatments contributes to a substantial economic and societal burden on the healthcare system. In 2022, the estimated healthcare costs associated with AD treatment were $321 billion, with costs projected to exceed $1 trillion by 2050. These cost-of-care projections are based on direct healthcare costs and are likely underestimated because indirect costs associated with AD treatment are usually not included. Indirect costs such as loss in productivity, diminished quality of life, and an increasing dependence on informal unpaid care provided by family caregivers augm…
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Brännström M, Dahm-Kähler P, Kvarnström N, Enskog A, Olofsson JI, Olausson M, Mölne J, Akouri R, Järvholm S, Nilsson L, Stigson L, Hagberg H, Bokström H (2022)MEDLINE-indexed journal, not yet read by usFertility and sterility42 citations Reproductive, obstetric, and long-term health outcome after uterus transplantation: results of the first clinical trial.
Objective: To evaluate reproductive, obstetric, and long-term health of the first completed study of uterus transplantation (UTx).
Design: Prospective.
Setting: University hospital.
Patient(s): Nine live donor UTx procedures were conducted and seven were successful. Donors, recipients, and children born were observed.
Intervention(s): In vitro fertilization was performed with embryo transfer (ET) of day 2 or day 5 embryos in natural cycles. Pregnancies and growth trajectory of the children born were observed. Health-related quality of life, psychosocial outcome, and medical health of donors and recipients were evaluated by questionnaires.
Main outcome measure(s): The results of in vitro fertilization, pregnancies, growth of children, and long-term health of patients were reported.
Result(s): Six women delivered nine infants, with three women giving birth twice (cumulative birth rates of …
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Longitudinal Associations Among Service Members' PTSD Symptoms, Partner Accommodation, and Partner Distress.
Romantic partners' accommodation of trauma survivors' posttraumatic stress disorder (PTSD) symptoms (e.g., participating in avoidance and safety behaviors, not expressing one's thoughts and feelings) is a putative mechanism linking PTSD symptoms and partner distress, but this hypothesis has never been empirically tested. The current study investigated this proposed within-couple mediation process from service members' PTSD symptoms to partners' depressive symptoms and relationship satisfaction through partner accommodation, as well as between-couple associations among these constructs and the possible moderating role of partners' conflict avoidance and helplessness (CAH) motivations for accommodating service members' PTSD symptoms. We examined these questions in 272 male service member/female civilian couples assessed four times over an 18-month period using the multiple-group version of…
matched on Personal Satisfaction (mesh), well-being (text)
Sabri MF, Said MA, Magli AS, Pin TM, Rizal H, Thangiah N, Ithnin M, Abdul Majid H, Ismail R, Su TT, Husniyah AR (2022)MEDLINE-indexed journal, not yet read by usInternational journal of environmental research and public health2 citations Exploring the Relationships of Financial Literacy and Financial Behaviour with Health-Related Quality of Life (HRQOL) among the Low-Income Working Population in Malaysia during the COVID-19 Pandemic.
This cross-sectional study examined the relationships of financial literacy (FL) and financial behaviour (FB) with health-related quality of life (HRQOL) during the COVID-19 pandemic among low-income working population (20-60 years old) in Malaysia. A self-administered questionnaire survey was used with HRQOL data were gathered using the EuroQol 5-Dimension 5-Level (EQ-5D-5L) tool. A generalised linear model was employed to examine the hypothesised relationships between the constructs. From 1186 respondents, the majority were employed (73.9%), had a monthly household income of less than RM 2500 (74.5%), and did not have any chronic medical conditions (74.5%). The mean (SD) values of FL, FB, and EQ-5D-5L were 5.95 (1.48), 22.08 (4.79), and 0.96 (0.10), respectively. The results of the adjusted model revealed lower age group, Malay ethnicity, Indian ethnicity, and increased FB score as sig…
matched on Quality of Life (mesh), quality of life (text)
Self-regulation and learning from failures: Probabilistic reversal learning task reveals lower flexibility persisting after punishment in procrastinators.
Procrastination is a self-regulation failure in which people irrationally delay intended actions which leads to lower performance, satisfaction from achievements, and quality of life. Trait procrastination is estimated to affect 15% to 20% of the total population, and previous studies have shown procrastination to be related to impulsivity, emotion dysregulation, and executive dysfunctions, making it a good nonclinical example of a self-regulation disorder. Our previous fMRI results revealed impaired error processing (lower error-related activity of the anterior cingulate cortex) and lack of ability to intensify executive-control during the punishment context (no increase in activity in prefrontal regions) in procrastinators. This led us to the question of whether procrastination is related to impaired learning on errors and punishments. Low (LP) and high (HP) procrastinating students to…
matched on Quality of Life (mesh), quality of life (text)
Smartphone use behavior and quality of life: What is the role of awareness?
How does smartphone use behavior affect quality of life factors? The following work suggests new insights into smartphone use behavior, mainly regarding two contradicting smartphone modes of use that affect quality of life in opposite ways. The Aware smartphone mode of use reflects an active lifestyle, while the Unaware mode of use reflects the use of the smartphone in conjunction with other activities. Using data from 215 individuals who reported their quality of life and smartphone use habits, we show that high levels of smartphone use in the Unaware mode of use have a significant negative effect on the quality of life. However, the results show a mild positive effect when the individual uses the smartphone in an aware mode of use. We identify three latent factors within the quality-of-life construct and measure the effect of the different smartphone modes of use on these quality-of-li…
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Sleep and Phelan-McDermid Syndrome: Lessons from the International Registry and the scientific literature.
Background: Sleep is essential to maintaining a healthy life. Sleep disturbances among individuals with neurodevelopmental disorders are not well studied, affecting their early detection and treatment. Sleep disturbances in individuals with Phelan-McDermid Syndrome (PMS) are among the primary concerns reported by parents. However, little research has been aimed at addressing their concern.
Methods: The purpose of this investigation was to identify and quantify specific sleep disturbances in people with PMS by analyzing data collected by the PMS Foundation International Registry.
Results: The registry shows that 284 out of 384 (73.4%) individuals with confirmed chromosome 22q13 deletions or SHANK3 pathogenic variants have a sleep disturbance. The prevalence of sleep disturbances increases with age with 56% reporting a sleep disturbance in the 0-3 year age group and 90% reporting these dis…
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A network psychometric validation of the Children Oral Health-Related Quality of Life (COHQoL) questionnaire among Aboriginal and/or Torres Strait Islander children.
In Australia, research evidence has shown that Aboriginal and/or Torres Strait Islander children experience a higher burden of oral health diseases compared to other non-Indigenous children. The impact of oral health diseases on children's functional and psychosocial outcomes led to the development of several instruments to evaluate child oral health-related quality of life (COHQoL), such as the Parental-Caregiver Perception Questionnaire (P-CPQ) and the Family Impact Scale (FIS). However, the psychometric properties of these instruments have been evaluated only in Western cultures and have not been investigated for Aboriginal children in Australia. The current study aimed to examine the psychometric properties of the short-forms P-CPQ and FIS for Aboriginal and/or Torres Strait Islander children aged 2-3 years. Data were collected from the South Australian Aboriginal Birth Cohort (SAABC…
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Leaving Past Adversities Behind: Gratitude Intervention Compensates for the Undesirable Effects of Past Time Perspectives on Negative Affect.
Both gratitude and savoring the moment are considered to be well-established "well-being boosters" (WBBs). Each of them has a salient temporal reference: Gratitude is past-related, whereas savoring the moment refers to the present. The temporal match-mismatch model posits that time perspectives (TPs) moderate the effects of WBBs on well-being if they refer to the same temporal frame (e.g., gratitude and Past-Positive). Our study tested whether TPs moderate the effects of two positive interventions on positive affect (PA) and negative affect (NA). The participants (N = 174 individuals, 73% women) completed measures of TPs, PA, and NA, followed by a brief intervention of gratitude (N = 86) or savoring (N = 88). Subsequently, they completed the PA/NA measures again. Both interventions significantly decreased NA but did not foster PA. The magnitude of the shift in NA in the gratitude conditi…
matched on Personal Satisfaction (mesh), well-being (text)
Satisfied yet striving: Gratitude fosters life satisfaction and improvement motivation in youth.
Could 10 min of gratitude per week have the potential to change the trajectories of young students' lives? With over 1,000 ninth- and tenth-grade students, we tested whether a simple 4-week classroom-based gratitude intervention would prompt increases in well-being and motivate students to become better people and attain better grades. Over the course of 1 month, students were assigned to spend 10 min each week writing gratitude letters to their parents, teachers, coaches, or friends and completing additional gratitude-related reflection activities or to try to become more organized each week by listing their daily activities and reflecting on the obstacles and benefits (control). Importantly, relative to controls, students in the gratitude conditions reported greater LS and motivation to improve themselves and maintained these levels throughout the semester. This sustained self-improvem…
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The Couple Relationship Scale: A brief measure to facilitate routine outcome monitoring in couple therapy.
Routine outcome monitoring (ROM) is an important component of evidence-based practice. To implement ROM in their practice, couple therapists need a brief measure that can quickly assess the relevant aspects of a couple's relationship. The Couple Relationship Scale (CRS) is a 10-item measure of relational functioning that assesses emotional intimacy, commitment, trust, safety, cohesion, acceptance, conflict, physical intimacy, overall happiness, and personal well-being. Three studies examined the initial psychometric properties of the CRS. Study One used a sample of 300 individuals to examine the concurrent validity, factor structure, and reliability of the CRS. In Study Two, 53 individuals completed the CRS twice to establish test-retest reliability. In Study Three, 214 distressed individuals and 135 non-distressed individuals were used to identify a clinical cutoff and reliable change i…
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Haag K, Du Toit S, Skeen S, Steventon Roberts K, Chideya Y, Notholi V, Sambudla A, Gordon S, Sherr L, Tomlinson M (2022)MEDLINE-indexed journal, not yet read by usPsychology, health & medicine17 citations Predictors of COVID-related changes in mental health in a South African sample of adolescents and young adults.
The COVID-19 pandemic has substantially affected the lives of young people living in sub-Saharan Africa (SSA), leading to poorer short-term mental health outcomes. However, longitudinal data investigating changes in mental health from pre-COVID levels and their predictors are lacking. Our longitudinal sample comprised N = 233 young people (mean age: 17.8 years at baseline, 55.6% female) living in a deprived neighbourhood near Cape Town, South Africa. Symptoms of depression (PHQ-9), anxiety (GAD-7) and alcohol use (AUDIT) were assessed during two waves of data collection, pre-pandemic (2018/19) and via phone interviews in June to October 2020, during South Africa's first COVID wave and subsequent case decline. Latent change score models were used to investigate predictors of changes in mental health. Controlling for baseline levels, we found increases in depression and anxiety but not alc…
matched on Mental Health (mesh), Mental Health (keyword), well-being (text)
Psychosocial Problems in Relation to Spiritual Orientation and Religious Coping Among Oncology Muslim Patients.
Background: Patients generally turn to religion and spirituality when coping with the diagnosis and treatment of chronic diseases.
Objective: The aim of this study was to assess psychosocial problems in relation to spiritual orientation and religious coping among Muslim oncology patients.
Methods: This cross-sectional, correlational study enrolled 406 oncology inpatient participants. Participants completed the Distress Thermometer, the Religious Coping Styles Scale, the Spiritual Orientation Scale, and the The Functional Assessment of Cancer Therapy - General Quality of Life Scale.
Results: As the spiritual orientation levels of the participants increased, use of a positive religious coping strategy also increased and distress levels decreased. In addition, general perceived quality of health increased as spiritual orientation levels and positive religious coping strategy use increased. …
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Post-Migration Stressors and Health-Related Quality of Life in Refugees from Syria Resettled in Sweden.
The link between post-migration stressors and mental ill health is well documented in refugees resettled in high-income host countries, but the consequences of these stressors on refugees' health-related quality of life (HRQoL) are less known. This study examined the association between post-migration stressors and HRQoL among Syrian adult refugees resettled in Sweden using a preference-based value set obtained from the general Swedish population. A total of 1215 Syrian adults, ages 18-64 years, granted residency in Sweden, responded to a postal questionnaire in 2016 regarding various aspects of their resettlement. The European Quality of Life Five Dimensions Five Level (EQ-5D-5L) questionnaire was used to assess HRQoL through an EQ-5D-5L index score (range; 0=dead to 1=full health). The index score was preference weighted using a Swedish population value set. Predictors were four self-r…
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Development of a novel intervention to improve sleep and pain in patients undergoing total knee replacement.
Background: Up to 20% of patients experience long-term pain and dissatisfaction after total knee replacement, with a negative impact on their quality of life. New approaches are needed to reduce the proportion of people to go on to experience chronic post-surgical pain. Sleep and pain are bidirectionally linked with poor sleep linked to greater pain. Interventions to improve sleep among people undergoing knee replacement offer a promising avenue. Health beliefs and barriers to engagement were explored using behaviour change theory. This study followed stages 1-4 of the Medical Research Council's guidance for complex intervention development to develop a novel intervention aimed at improving sleep in pre-operative knee replacement patients.
Methods: Pre-operative focus groups and post-operative telephone interviews were conducted with knee replacement patients. Before surgery, focus group…
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Family burden of hospital-managed pediatric atopic dermatitis: A nationwide registry-based study.
Background: Parents of children with atopic dermatitis (AD) report reduced quality of life and higher stress level, which could increase risk of psychiatric and pain disorders, and medication use.
Methods: By use of Danish national registries, we identified family members of all first-born Danish children born between 1 January 1995 and 31 December 2013 with a hospital diagnosis of AD, matched them 1:10 with family members of children without AD, and followed the cohorts over time.
Results: Mothers of children with hospital-managed AD had higher risk of filling a prescription for medications for depression, anxiety, pain and sleep problems, and of consulting a psychologist, but most associations disappeared after full adjustment. Siblings had higher risk of receiving a diagnosis for adjustment disorder, and fathers showed increased risk of filling a prescription for pain medication and o…
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Outcomes as experienced by older patients after hospitalisation: satisfaction, acceptance, frustration and hope-a grounded theory study.
Background: outcomes of hospitalisation are often described in quantitative terms. It is unknown how older frail patients describe their own outcomes.
Objective: to discover how older frail persons describe their own hospitalisation outcomes and the meaning of these outcomes for their daily lives.
Design: Constructivist Grounded Theory approach.
Participants: frail older people discharged from hospital.
Methods: Open interviews in the participant's home. Transcripts were coded inductively according to the Constructivist Grounded Theory approach.
Results: Twenty-four interviews were conducted involving 20 unique participants. Although for some participants hospitalisation was just a ripple, for others, it was a turning point. It could have positive or negative impacts on outcomes, including remaining alive, disease, fatigue/condition, complaints, daily functioning, social activities and i…
matched on Personal Satisfaction (mesh), well-being (text)
The effect of COVID-19 pandemic-related financial challenges on mental health and well-being among US older adults.
Background: Despite profound financial challenges during the COVID-19 pandemic, there is a gap in estimating their effects on mental health and well-being among older adults.
Methods: The National Health and Aging Trends Study is an ongoing nationally representative cohort study of US older adults. Outcomes included mental health related to COVID-19 (scores averaged across eight items ranging from one to four), sleep quality during COVID-19, loneliness during COVID-19, having time to yourself during COVID-19, and hopefulness during COVID-19. Exposures included income decline during COVID-19 and financial difficulty due to COVID-19. Propensity score weighting produced covariate balance for demographic, socioeconomic, household, health, and well-being characteristics that preceded the pandemic to estimate the average treatment effect. Sampling weights accounted for study design and non-res…
matched on Mental Health (mesh), Mental Health (keyword), well-being (text)
Couple Communication Behaviors During Sexual and Nonsexual Discussions and Their Association with Relationship Satisfaction.
The quality of communication between romantic partners has consistently been found to be associated with relationship well-being and stability. Studies on sexual and nonsexual communication, however, have typically assessed communication skills and behaviors using self-report measures. The use of observational methods has several advantages, including the ability to capture and allow for the independent coding of both partners' communication behaviors. With few exceptions, research applying observational methods has not distinguished between sexual and nonsexual communication behaviors. In the present study, we asked 126 young, mixed-sex couples to engage in sexual and nonsexual conflict discussions. The two 7-min discussions were videotaped and rated by trained coders on nine behavioral dimensions using an adaptation of the specific affect coding system (Gottman & Krokoff, 1989) and the…
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Professional wellbeing and turnover intention among child therapists: a comparison between therapists trained and untrained in Trauma-Focused Cognitive Behavioral Therapy.
Background: Poor professional wellbeing and job turnover is challenging for child mental health clinics and despite an increasing interest in implementing evidence-based practices (EBPs) in mental health services, little is known about if and how using EBPs may influence therapists' professional wellbeing and turnover intention. To investigate this, we compare the average level of compassion satisfaction, burnout, secondary traumatic stress, and turnover intention between therapists trained in an EBP (Trauma-Focused Cognitive Behavioral Therapy - TF-CBT) and untrained therapists. We also explore the prevalence of and the associations between these personal and organizational outcomes.
Method: In this cross-sectional study, the data is collected from a national sample of 373 therapists 5 years after an implementation program began (i.e., in the sustainment phase). The variables were measu…
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Health-related quality of life and chronic wound characteristics among patients with chronic wounds treated in primary care: A cross-sectional study in Singapore.
Chronic wounds commonly decrease patients' quality of life. Understanding how chronic wounds impact a patient's health-related quality of life (HRQoL) is important for healthcare service delivery and treatment management. This study explored HRQoL among patients suffering from chronic wounds and investigated associations with patients' socio-demographics and wound characteristics. Two hundred and thirty-three patients across six primary care clinics were assessed and responded to a survey that collected information on socio-demographic, wound characteristics, and HRQoL using the EQ-5D-5L instrument. Data were analysed by descriptive statistics and generalised linear models. The mean age of patients was 61.2 (SD: 14.6) years; 68.2% were males; and 61.8% were of Chinese origin. Arterial ulcers had the greatest negative impact on HRQoL related to mobility, self-care, pain/discomfort and anx…
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