English article: Therapeutic riding enhances quality of life and state of mind of children and juveniles with different psychiatric or medical disorders

2012 ◽  
Vol 4 (2) ◽  
Author(s):  
Andrea Beetz ◽  
Verena Grebe
CNS Spectrums ◽  
2013 ◽  
Vol 18 (1) ◽  
pp. 21-33 ◽  
Author(s):  
Alexandra S. Macy ◽  
Jonathan N. Theo ◽  
Sonia C. V. Kaufmann ◽  
Rassil B. Ghazzaoui ◽  
Paul A. Pawlowski ◽  
...  

Obsessive-compulsive disorder (OCD) has a profound impact with a high disease burden. In order to truly understand the scope of the effect OCD has on the patient population, one must take into account not only the relentless symptoms beleaguering the patients but also examine their overall ability to enjoy their life. Quality of life (QOL) assessments/improvements are becoming an increasingly important component of healthcare, especially in the mental health field. This review examines QOL in OCD, as well as the influence of comorbidities, and the impact that OCD treatment has on QOL. We searched MEDLINE/PUBMED and PsycINFO databases from 1980–2011 using keywords “obsessive compulsive disorder” OR “OCD” AND “quality of life” OR “QOL.” Fifty-eight studies meeting specific selection criteria were ultimately included in this review. The results show that QOL in OCD is significantly impaired when compared to QOL in the general population and in patients with other psychiatric and medical disorders. Likewise, QOL in OCD also appears to be largely affected by comorbid conditions, which should be taken into account when developing a treatment plan. Furthermore, QOL in OCD has been shown to improve with medications and with both individual and group psychotherapy, albeit not to the levels enjoyed by community norms. QOL assessment in both clinical and research settings is important to examine the disease burden, to monitor treatment effectiveness, and to determine full recovery from OCD. Treatment providers should strive to not only reach symptom abatement, but also to assure that patients have regained satisfaction and functioning in their daily lives.


Energies ◽  
2020 ◽  
Vol 13 (8) ◽  
pp. 2079 ◽  
Author(s):  
Ernesto Antonini ◽  
Vincenzo Vodola ◽  
Jacopo Gaspari ◽  
Michaela De Giglio

While indoor comfort represents a widely investigated research topic with relation to sustainable development and energy-demand reduction in the built environment, outdoor comfort remains an open field of study, especially with reference to the impacts of climate change and the quality of life for inhabitants, particularly in urban contexts. Despite the relevant efforts spent in the last few decades to advance the understanding of phenomena and the knowledge in this specific field, which obtained much evidence for the topic’s relevance, a comprehensive picture of the studies, as well as a classification of the interconnected subjects and outcomes, is still lacking. This paper reports the outcomes of a literature review aimed at screening the available resources dealing with outdoor thermal comfort, in order to provide a state-of-the-art review that identifies the main topics focused by the researchers, as well as the barriers in defining suitable indexes for assessing thermal comfort in outdoor environments. Although several accurate models and software are available to quantify outdoor human comfort, the evocated state of mind of the final user still remains at the core of this uncertain process.


2021 ◽  
Vol 15 (Supplement_1) ◽  
pp. S283-S283
Author(s):  
J Klaus ◽  
M Kretschmer ◽  
L Schulte ◽  
T Kaltenbach ◽  
L Rauschek ◽  
...  

Abstract Background Depression is a common comorbidity of Inflammatory Bowel Disease (IBD) which leads to deterioration of the state of disease. The physician needs to know which psychiatric and temperamental characteristics have to be met in order to adapt his treatment to depressive patients. Therefore we compared patients with elevated depressive scores to those with normal scores. Methods 291 IBD patients in 3 specialized IBD clinics in Germany (Ulm, Blaubeuren, Biberach) answered an anonymous questionnaire on their disease itself, on socio-demographic parameters and 6 psychological tests (HADS, STAI-S, STAI-T, FSozU, Neo-FFI, BL-R). Results The questionnaire was completed by 139 (47,3%) male and 155 (52,7%) female patients, 185 (63,4%) with Crohn’s disease and 107 (36,6%) with ulcerative colitis. 229 patients (79,0%) had a normal depression score (=NormD) (HADS-D), 59 (21,0%) had a borderline to very severe elevated score (elevated depression score = ElevD). We characterized ElevD patients with the aid of a personality test (Neo-FFI) as more neurotic (p<0.001), but less extroverted (p<0.001), open for experience (p=0.042), agreeable (p=0.004) and conscientious (p=0.001) than patients with NormD. The Hospital Anxiety and Depression Scale (HADS-D) revealed them as more anxious (p<0.001). This was confirmed by the State Trait Anxiety Inventory (STAI-S/-T) which showed ElevD patients to be more anxious as a state (p<0.001) and as a trait (p<0.001). Moreover patients with ElevD percieve their social support as little as seen in the FSozU (p<0.001). In addition there are lower scores in the Short Inflammatory Bowel Disease Questionnaire (SIBDQ) (p<0.001), the Complaints List (B-LR) (p<0.001) and the fact that most of the patients with ElevD had an active disease (43 (75,4%)) of the group. Conclusion IBD patients with an elevated depression score are more neurotic and less extroverted, open for experience, agreeable and conscientious than other patients. They are anxious and have little social support combined with many complaints and low quality of life. To improve their situation or to prevent it, the treating physician needs to be more sensitive to the patient’s state of mind and inquire more about their general complaints and especially their social support system so he is able to intervene and optimize the quality of life.


1999 ◽  
Vol 01 (06) ◽  
pp. 174-179 ◽  
Author(s):  
Molly R. Fortner ◽  
Kristine Brown ◽  
Indu M. Varia ◽  
Kenneth R. Gersing ◽  
Christopher O'Connor ◽  
...  

2016 ◽  
Vol 10 ◽  
pp. SART.S39192 ◽  
Author(s):  
John-Kåre Vederhus ◽  
Are Hugo Pripp ◽  
Thomas Clausen

Quality of life (QoL) in patients admitted to a general hospital was compared with those admitted to a detoxification unit for the treatment of substance use disorder (SUD). This study combines data from two separate data collections: a cross-sectional study in a general hospital unit (somatic sample, N = 519) and a follow-up study in a detoxification unit (SUD sample, N = 140). A total of 659 patients recruited during 2008–2013 were included in this study. All patients completed a generic QoL questionnaire at inclusion, and the SUD sample also completed it at the six-month follow-up. SUD patients experienced comparably low physical QoL and had significantly lower psychological, social, and existential QoL domain scores when compared with the somatic sample. Mental distress and having a SUD were the major factors explaining variations in QoL, with both influencing QoL negatively. In the SUD sample, QoL improved moderately at the six-month follow-up with less improvement for the domain relationship to a partner. To facilitate the recovery of SUD patients, clinicians must view their patients' situation holistically and invest efforts into the different life domains affected by poor QoL.


2021 ◽  
Vol 10 (8) ◽  
pp. 1591
Author(s):  
Vicente Alejandro March-Luján ◽  
Vicente Prado-Gascó ◽  
José María Huguet ◽  
Xavier Cortés ◽  
José María Paredes Arquiola ◽  
...  

Background. Patients with inflammatory bowel disease (IBD) have a high prevalence of emotional disturbances which worsen the symptoms of the disease. As a therapeutic alternative that is part of a comprehensive care alongside medication, the Bonny Method of Guided Imagery and Music (BMGIM) music-assisted therapy has achieved promising emotional improvements in patients with chronic diseases. The objective of the study was to determine the impact of a treatment based on a BMGIM group adaptation on patients with inflammatory bowel disease (IBD) and their emotional state, therefore analyzing state of mind, quality of life, anxiety, depression, immunocompetence as a marker of well-being, and levels of acute and chronic stress. Methods. Longitudinal, prospective, quantitative, and experimental study including 43 patients with IBD divided into an intervention group (22 patients), who received eight sessions over eight weeks, and a control group (21 patients). A saliva sample was taken from each patient before and after each session in order to determine cortisol and IgA levels. Similarly, a hair sample was taken before the first and after the last session to determine the cumulative cortisol level. All molecules were quantified using the ELISA immunoassay technique. In addition, patients completed several emotional state questionnaires: HADS, MOOD, and CCVEII. Results. An improvement was observed in the following states of mind: sadness, fear, anger, and depression. No significant effect was observed in state of mind in terms of happiness or anxiety, in the levels of cortisol in hair, and in patients’ perceived quality of life. A reduction in cortisol was observed in saliva, although this did not significantly affect the IgA titer. Conclusions. BMGIM seems to improve the emotional state of patients with IBD.


2005 ◽  
Vol 20 (3) ◽  
pp. 205-212 ◽  
Author(s):  
Dag Isacson ◽  
Kerstin Bingefors ◽  
Lars von Knorring

AbstractAimThe aim of this study was to evaluate the impact of depression on quality of life in the general population by studying its effects on i) health-related quality of life (HRQoL), ii) health state utilities, and iii) the burden of disease in the population according to age, sex, marital status, education, economy and employment.MethodsCross-sectional survey in the County of Uppsala, Sweden. A statistical sample of the general population aged 20–64 years (N = 4506) was used. Information on current state of depression was obtained by self-report. HRQoL was measured using Short Form 36 (SF-36). The time trade-off (TTO) method was used to measure health state utilities. The decrease of total health state utilities associated with depression in the population was used as a measure of burden of disease.ResultsDepression was reported by 4.0% of the population. Those with depression scored significantly lower (P < 0.001) than those without on all eight of the SF-36 domains. The depressed group also rated their health state utilities significantly lower than the others: 0.796 versus 0.933 (P < 0.001). In the multivariate analysis of decrease in utilities with various medical disorders, depression was associated with the greatest decrease (–0.090, P < 0.001). Persons with depression accounted for 10.9% of the total decrease in utilities in the whole population, but this proportion varied according to the specific subgroup. For example, 16.4% and 8.6% of the total burden of disease was linked to depression among single and married people, respectively. The corresponding figures for those with the lowest and highest incomes were 15.0% and 7.9%, respectively. Among the unemployed, persons reporting depression accounted for 15.3% of the decrease in utilities in contrast to 4.9% among the employed.ConclusionsDepression has a strong impact on the quality of life and total disability in the general population. Further, the impact of depression is unevenly distributed in the population.


1997 ◽  
Vol 12 (4) ◽  
pp. 194-198 ◽  
Author(s):  
P Bech

SummaryMajor depression is one of the medical disorders in which quality of life instruments have most often been applied. It is important to distinguish between disease-dependent scales (ie, scales measuring the symptoms of major depression, such as the Beck Depression Inventory) and generic scales (ie, scales measuring self-reported states without reference to a specific disorder, such as the WHO well-being scale). The empirical use of generic scales for quality of life major depression has indicated that they can predict relapse and compliance. In the future, more trials comparing the different treatments with cost-effectiveness vs quality of life in major depression are required.


2021 ◽  
Vol 12 (3) ◽  
pp. 1833-1839
Author(s):  
Tejal Patel ◽  
Aashi Bhatnagar ◽  
Junneshwar Bidve ◽  
Ashwin Kshirsagar ◽  
Satyam Bhodaji ◽  
...  

Amid rise in Covid-19 cases throughout the world including India. So study was initiated to find out the impact on different domains of health. A self-administered questionnaire was prepared, which consist of questions pertaining to the change in physical and mental health along with the quality of life during the lockdown period and was distributed through Google forms. During the survey, a total of 663 responses were collected, of which 604 responses were analyzed. Out of responses that were calculated, the physical health of 370 participants (61.30%) was improved, physical health of 111 (-18.40%) participants has deteriorated and the remaining 123 (20.30%) participants barely changed. The mental health of 274 (-45.30%) participants was declined, 201 (33.20 %) respondents tried to maintain a healthy mental state while 129 (29.30%) members maintained a peaceful state of mind. The quality of life of 290(48%) was adversely affected, 218 (36%) participants were able to maintain a healthier lifestyle, and their quality of life increased, while 96 (15.8%) remained unchanged. Quality of life is most negatively hampered whereas there is improved physical health status in the adult population. All the 3 components are Physical and Mental health along with Quality of life was affected due to Covid-19 related lockdown but out of these, physical health was 61.3% positively affected while mental health and QOL were deteriorated by 45% and 48% respectively.


Author(s):  
Natasha Lepore ◽  
Lawrence Yau

My name is Natasha Lepore and I am a 4th year student in the Honours Specialization in Medical Sciences program. I started volunteering at SARI Therapeutic Riding six years ago. I got involved with this organization because of my desire to make a difference in the community. SARI is a therapeutic horse riding centre whose mission is to improve the physical, social, and emotional well-being of children and youth with special needs. My experiences with SARI has complemented my understanding of various diseases and disabilities that I have learned about in university. However, SARI has also shown me the importance of approaching the treatment of certain diseases in a more holistic fashion. Specifically, my experiences at SARI have demonstrated that Hippotherapy is an effective approach to improving the quality of life of children with disabilities.


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