Patterns of Change in Mental Health Status During the First Two Years of Spousal Bereavement

Background: The systemic lupus erythematosus (SLE) patients oftentimes suffer from both physical and psychosocial challenges that may lead to low health-related quality of life (HRQoL). However, limited research has been done in this area. Objective: To examined mental health status and HRQoL among SLE patients in Thailand. Materials and Methods: The present study was a cross-sectional study conducted at the rheumatology clinic of four major hospitals in Thailand. The paper-based questionnaire consisted of demographic, health history such as depression, anxiety, stress Scale (DASS-21), and the Rosenberg self-esteem scale (RSE), and the disease-specific Lupus Quality of Life scale (LupusQoL). Depending on the variable’s level of measurement such as categorical or continuous, Spearman’s Rho or Pearson’s product moment correlation coefficients were used to explore the relationships among the variables. Hierarchical multiple regression was used to identify the predictors of LupusQoL. Results: Among the 387 participants, many might have experienced depression, anxiety, and stress (30%, 51%, and 29%, respectively). Self-esteem among the participants was good (31.8 out of 40). All eight domains of LupusQoL were affected with intimate relationship domain being impacted the most. The overall LupusQoL was significantly associated with the number of prescribed medications (r=–0.23), depression (r=–0.70), anxiety (r=–0.58), stress (r=–0.67), and self-esteem (r=0.59), p<0.001. Significant predictors of the overall LupusQoL were mental health status (depression, anxiety, and stress) and self-esteem, F (3, 81)=43.10, p<0.001, adjusted R²=0.60. Conclusion: SLE patients should be holistically assessed in both physical and psychological aspects. In addition to proper medical treatments, healthcare providers should use a multidisciplinary team approach to resolve the patients’ psychosocial issues, which in turn, may increase the patients’ quality of life. Self-care education may be necessary to help the patients manage the condition and decrease the number of medications. Keywords: Mental health, Quality of life, SLE, Thailand

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TATUS KESEHATAN MENTAL PASIEN GOUT ARHTRITIS DI KOTA TOMOHON

Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-ilmu Keperawatan, Analis Kesehatan dan Farmasi ◽

10.36465/jkbth.v19i2.501 ◽

2019 ◽

Vol 19 (2) ◽

pp. 226

Author(s):

Desi Desi

Keyword(s):

Mental Health ◽

Health Status ◽

Physical Health ◽

Quantitative Research ◽

Survey Methods ◽

Physical Symptoms ◽

Study Data ◽

Mental Health Status ◽

Physical Health Problems ◽

Descriptive Approach

Gout Arthritis is a disease known as gout, but in certain conditions this disease can cause physical symptoms that are not visible to some people. When there are problems with physical health, other health aspects will also have an impact. The same is true for patients diagnosed with Gout Arthritis, not only physical aspects but can affect other aspects, especially when having physical symptoms such as tofi. Mental health is a condition where there is a balance between emotional, behavioral and cognitive. This is the basis of the importance of maintaining mental health for someone who does not have physical health problems and for someone who has a disease such as Gout Arthritis patients. The purpose of this study was to find out how mental health status in Gout Arthritis patients in Tomohon City. Quantitative research using a descriptive approach was used in this study. Data collection used survey methods with questionnaires. The results showed that the majority of respondents had adequate mental health (80.6%). Based on the results of the study, it was concluded that mental health status in Gout Arthritis patients in Tomohon City was at a sufficient level. These influenced by himself and the environment around them.

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