Quality of life, caregiver burden and mental health disorders in primary caregivers of patients with Cirrhosis

2020 ◽  
Vol 40 (12) ◽  
pp. 2939-2949
Author(s):  
Atul Hareendran ◽  
Krishnadas Devadas ◽  
Srijaya Sreesh ◽  
Tharun Tom Oommen ◽  
Jijo Varghese ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Caregiver Burden ◽  
Primary Caregivers ◽  
Mental Health Disorders ◽  
Health Disorders

Predicting health-related quality of life in people living with HIV in Nepal: mental health disorders and substance use determinants

AIDS Care ◽  
2017 ◽  
Vol 29 (9) ◽  
pp. 1137-1143 ◽  
Author(s):  
Khem N. Pokhrel ◽  
Vidya D. Sharma ◽  
Akira Shibanuma ◽  
Kalpana G. Pokhrel ◽  
Linda B. Mlunde ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Mental Health Disorders ◽  
People Living With Hiv ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Health Disorders ◽  
Living With Hiv

scholarly journals Mind It: Increasing Rate of Mental Health Disorders in Hospitalized Sickle Cell Patients

Blood ◽  
2018 ◽  
Vol 132 (Supplement 1) ◽  
pp. 4689-4689
Author(s):  
Nauman Siddiqui ◽  
Amandeep Godara ◽  
Amber Afzal ◽  
Mohammad Saud Khan ◽  
Satish Munigala ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Hospital Stay ◽  
Sickle Cell ◽  
Length Of Hospital Stay ◽  
Mental Health Disorders ◽  
National Inpatient Sample ◽  
Median Length ◽  
Health Disorders

Abstract Introduction: The number of patients with sickle cell disease (SCD) approaches 100,000 in US after adjusting for early mortality (Hassell Am J Prev Med 2010). Management of SCD and its complications require frequent access to healthcare system lifelong, thus impacting patients' quality of life and cost of healthcare. Chronic pain inducing illnesses are known to increase susceptibility to mental health disorders (Rayner Pain 2016). Psychosocial disorders are common in this population and impact the course of hospitalization, however we have limited published data in this area. Hence, we performed a large retrospective study utilizing the National Inpatient Sample (NIS) data to evaluate the prevalence of mental health disorders in hospitalized sickle cell patients, and their influence on length of hospitalization. Methods: We identified hospitalized sickle cell patients using ICD 9 codes (282.5,282.6X -282.6X ) in the National Inpatient Sample (NIS) database. Similarly, ICD-9 codes were used to identify patients with mental health disorders of interest. The demographics and length of hospital stay of patients with and without mental health disorders were then compared. Surveyfreq was used to calculate proportions and surveymeans was used to calculate median length of stay and hospital charges. Cochran-Armitage test was used for analyzing trends. We used chi-square for categorical data frequency, P value of < 0.05 was considered statistically significant. All analysis was performed using SAS 9.4. Results: We identified a total of 1,349,701 hospitalizations for sickle cell patients between 2003-2014, of which 221,279 (16%) had associated mental health disorders. Mood disorders were most common (40%), followed by substance abuse (28%) and anxiety disorder (16%) (Table 1). Over the timeline of our study, we found a longitudinal trend towards higher prevalence of mental health disorders in hospitalized sickle cell patients (Figure 1). There was higher prevalence of mental health disorders among patients aged between 21-40 years (24%). No difference in the rate of mental health disorders was noted in patients admitted with or without acute sickle cell pain episode. Median length of hospital stay (LOS) was 4 days in patients with mental health disorders (95% CI 4.04-4.12) compared to 3 days in those without (95% CI 3.17-3.20). Conclusion: The prevalence of mental health disorders in hospitalized sickle cell patients has been gradually increasing from 2003 to 2014 and approaches 16% overall. The length of hospital stay is longer for the individuals with these disorders than those without hence, increasing the cost of health care and reducing patient satisfaction. Therefore, early recognition and intervention for mental health disorders is paramount to promote quality of life and reduce health care costs. This demands for a multidisciplinary approach to provide better access to mental health resources to this population in the outpatient setting. Disclosures No relevant conflicts of interest to declare.

The Impact of Multiple Comorbid Mental Health Disorders on Health-related Quality of Life Following ACDF

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
John J. Mangan ◽  
Madeline Tadley ◽  
Srikanth N. Divi ◽  
Justin D. Stull ◽  
Dhruv K.C. Goyal ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Mental Health Disorders ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Health Disorders ◽  
The Impact

scholarly journals Quality of Life Benefits of Urban Rooftop Gardening for People With Intellectual Disabilities or Mental Health Disorders

2020 ◽  
Vol 17 ◽  
Author(s):  
Margarita Triguero-Mas ◽  
Isabelle Anguelovski ◽  
Judith Cirac-Claveras ◽  
James Connolly ◽  
Ana Vazquez ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Intellectual Disabilities ◽  
Mental Health Disorders ◽  
People With Intellectual Disabilities ◽  
Health Disorders

Health-Related Quality of Life and Caregiver Burden among Peritoneal Dialysis Patients and Their Family Caregivers in Japan

2003 ◽  
Vol 23 (2_suppl) ◽  
pp. 200-205 ◽  
Author(s):  
Setsuko Shimoyama ◽  
Orie Hirakawa ◽  
Keiko Yahiro ◽  
Toshimi Mizumachi ◽  
Andrea Schreiner ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Peritoneal Dialysis ◽  
Family Caregivers ◽  
Caregiver Burden ◽  
Short Form ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Objective Recent studies have found that patients with chronic renal failure suffer from depression and other symptoms of decreased mental health. However, little is know about caregiver burden and mental health among patients’ families. In the present study, we examined the relationship in Japan between peritoneal dialysis (PD) patients and caregivers with regard to health-related quality of life (HRQOL) and caregiver burden. Method In March of 2002, we recruited 60 subjects—26 patients on continuous ambulatory peritoneal dialysis (CAPD), and 34 caregivers—from a PD patient support group in southern Japan. We used the Kidney Disease Quality of Life Short Form (KDQOL-SF) and the Medical Outcomes Study Short Form 36 (SF-36) to measure HRQOL. We used the Zarit Burden Interview (ZBI) to measure caregiver burden. Data was also collected on each patient's duration of illness, treatment modality, age, sex, and medical history. All data were collected by mail surveys. Results Mean age of the PD patients was 48.2; mean age of the caregivers was 46.6. Mean caregiver burden on the ZBI was 14.1, which is considerably lower than that reported among caregivers for patients with dementia or stroke. Caregivers and patients both rated their general health and vitality among the lowest of the eight dimensions on the KDQOL-SF. In addition, patients scored lower than a normative population in all dimensions and significantly lower than caregivers in the dimensions of role physical functioning, role emotional functioning, and social functioning. Compared to national normative data for their age group, caregivers scored substantially lower in general health, vitality, and mental health. Conclusions Patients on CAPD are at risk for social role dysfunction, and their caregivers are at risk for decreased mental health. Further research is needed to identify interventions that can improve the HRQOL of CAPD patients and their family caregivers.

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