Pretreatment fertility counseling and fertility preservation improve quality of life in reproductive age women with cancer
The post-treatment quality of life (QOL) impacts of receiving precancer-treatment infertility counseling and of pursuing fertility preservation have not been described in large-scale studies of reproductive age women with cancer. In total, 1041 women who were diagnosed between ages 18 and 40 years responded to a retrospective survey and reported whether they received infertility counseling before cancer treatment and whether they took action to preserve fertility. Five cancer types were included: leukemia, Hodgkin disease, non-Hodgkin lymphoma, breast cancer, and gastrointestinal cancer. Validated QOL scales were used: the Decision Regret Score, the Satisfaction with Life Scale (SWLS), and the brief World Health Organization QOL questionnaire. Overall, 560 women (61%) who received treatment that potentially could affect fertility were counseled by the oncology team, 45 (5%) were counseled by fertility specialists, and 36 (4%) took action to preserve fertility. Pretreatment infertility counseling by a fertility specialist and an oncologist resulted in lower regret than counseling by an oncologist alone (8.4 vs 11.0; P < .0001). The addition of fertility preservation (6.6 vs 11.0; P < .0001) also was associated with even lower regret scores than counseling by an oncologist alone. Further improvements also were observed in SWLS scores with the addition of fertility specialist counseling (23.0 vs 19.8; P = .09) or preserving fertility (24.0 vs 19.0; P = .05). Receiving specialized counseling about reproductive loss and pursuing fertility preservation is associated with less regret and greater QOL for survivors, yet few patients are exposed to this potential benefit. Women of reproductive age should have expert counseling and should be given the opportunity to make active decisions about preserving fertility.
- Abstract
- 10.1016/j.fertnstert.2011.07.049
- Aug 30, 2011
- Fertility and Sterility
Improving quality of life for female cancer survivors: importance of pre-treatment oncology consultation
- Research Article
45
- 10.1371/journal.pone.0172779
- Feb 28, 2017
- PLOS ONE
ObjectiveTo identify coping strategies and socio-demographics impacting satisfaction with life and quality of life in Crohn’s disease (CD).Methods402 patients completed the Patient Harvey-Bradshaw Index, Brief COPE Inventory, Satisfaction with Life Scale (SWLS), Short Inflammatory Bowel Disease Questionnaire (SIBDQ). We performed structural equation modeling (SEM) of mediators of quality of life and satisfaction with life.ResultsThe cohort comprised: men 39.3%, women 60.1%; P-HBI 4.75 and 5.74 (p = 0.01). In inactive CD (P-HBI≤4), both genders had SWLS score 23.8; men had SIBDQ score 57.4, women 52.6 (p = 0.001); women reported more use of emotion-focused, problem-focused and dysfunctional coping than men. In active CD, SWLS and SIBDQ scores were reduced, without gender differences; men and women used coping strategies equally. A SEM model (all patients) had a very good fit (X2(6) = 6.68, p = 0.351, X2/df = 1.114, SRMR = 0.045, RMSEA = 0.023, CFI = 0.965). In direct paths, economic status impacted SWLS (β = 0.39) and SIBDQ (β = 0.12), number of children impacted SWLS (β = 0.10), emotion-focused coping impacted SWLS (β = 0.11), dysfunctional coping impacted SWLS (β = –0.25). In an indirect path, economic status impacted dysfunctional coping (β = –0.26), dysfunctional coping impacted SIBDQ (β = –0.36). A model split by gender and disease activity showed that in active CD economic status impacted SIBDQ in men (β = 0.43) more than women (β = 0.26); emotional coping impacted SWLS in women (β = 0.36) more than men (β = 0.14).ConclusionsGender differences in coping and the impacts of economic status and emotion-focused coping vary with activity of CD. Psychological treatment in the clinic setting might improve satisfaction with life and quality of life in CD patients.
- Research Article
8
- 10.1016/j.yebeh.2017.04.035
- Jul 5, 2017
- Epilepsy & Behavior
Factors affecting quality of life in Hungarian adults with epilepsy: A comparison of four psychiatric instruments.
- Research Article
56
- 10.1016/j.burns.2016.01.018
- May 20, 2016
- Burns
Satisfaction with life after burn: A Burn Model System National Database Study
- Research Article
42
- 10.1038/sj.ki.5001755
- Oct 1, 2006
- Kidney International
Satisfaction with care in peritoneal dialysis patients
- Abstract
1
- 10.1016/j.apmr.2003.08.066
- Oct 1, 2003
- Archives of Physical Medicine and Rehabilitation
Poster 42: Quality of life and satisfaction with life in people with spinal cord injury
- Research Article
3
- 10.4236/psych.2018.99132
- Jan 1, 2018
- Psychology
The present study explores the links among life history, reproductive strategy, autism-spectrum quotient, and quality of life. Our 235 participants (167 women and 68 men, aged 19 - 54) filled four instruments: Life History Survey (LHSurv), MINI-K, Autism-spectrum Quotient (AQ), and Satisfaction with Life Scale (SWLS). A cluster analysis was carried out in which the respondents’ answers to particular LHSurv items were used as variables in the clustering process. The next step in the analysis was to compare the delineated clusters with regard to three variables which were not included in cluster formation: the reproductive strategy (general Mini-K score), intensity of autistic traits (total AQ score) and life satisfaction level (general SWLS score). It was found that clusters formed on the basis of LHSurv results differ also in MINI-K, AQ and SWLS scores. The results show a link between such variables as reproductive strategy, autistic traits and quality of life. It seems that individuals who are raised with more financial and emotional support (including physical touch, from both parents and grandparents) end up with a slower life-history strategy, and more satisfied with their lives. These links are also reflected by individual life history, as revealed by the LHSurv instrument.
- Research Article
2
- 10.7717/peerj.18709
- Dec 23, 2024
- PeerJ
Differentiating between traumatic and non-traumatic spinal cord injuries (NT-SCI) is critical, as these classifications may significantly impact patients' health outcomes and overall well-being, potentially resulting in differences in treatment protocols and therapeutic efficacy. This study aims to compare the quality of life (QoL) and satisfaction with life (SWL) among individuals with traumatic spinal cord injuries (T-SCI), NT-SCI, and the healthy population in China. A quantitative, cross-sectional survey was conducted between July and December 2020 in the Rehabilitation and Physiotherapy Department of Tongji Hospital, Hubei University of Science and Technology. The World Health Organization Quality of Life Brief Version (WHOQOL-BREF) and the Satisfaction with Life Scale (SWLS) were administered to evaluate QoL and subjective well-being (SWB). An independent t-test was performed to assess differences within the SCI population, while Pearson's correlation coefficient was utilized to explore relationships between the WHOQOL-BREF domains and the SWLS. Multiple linear regression analysis was applied to identify key determinants influencing World Health Organization Quality of Life (WHOQOL) domain scores and overall SWLS score. Participants with NT-SCI exhibited significant differences in overall health as measured by the WHOQOL-BREF domains compared to those with T-SCI (p < 0.05). Both the NT-SCI and T-SCI groups demonstrated lower mean scores across all four WHOQOL-BREF domains compared to healthy individuals. No significant differences were observed between the NT-SCI and T-SCI groups in the SWLS, although both groups scored lower than the healthy population. Additionally, SWB was moderately positively correlated with QoL (p < 0.01). Collectively, the predictor variables explained 22.28% of the variance in physical health, 6.43% in psychological health, 28.67% in social health, and 25.68% in environmental health. Furthermore, the independent variables accounted for approximately 22.67% of the variance in the SWLS. Individuals with NT-SCI experience significantly worse overall health outcomes compared to those with T-SCI, although both groups report QoL and life satisfaction than healthy individuals. No significant differences in life satisfaction were found between two groups. Additionally, SWB shows a moderate positive correlation with QoL, highlighting the close relationship between mental and physical health in SCI populations.
- Research Article
9
- 10.1007/s12646-020-00578-4
- Nov 21, 2020
- Psychological Studies
Although a growing body of research has examined the psychometric properties of the Satisfaction with Life Scale among late adolescent, adult, and older adult populations, there is a dearth of research examining the properties among middle adolescents across countries and cultures. This study therefore examined the psychometric properties—reliability, validity, temporal stability, and gender invariance—of the SWLS among a sample of middle adolescent students attending English-medium schools in the collectivist cultural setting of India. McDonald’s omega coefficient indicated that the SWLS scores showed evidence of reliability. The results of confirmatory factor analyses demonstrated the factorial validity of the SWLS scores. Bivariate correlational analyses provided support for the convergent and discriminant validity of the SWLS scores. The results of hierarchical multiple regression analyses revealed that the SWLS scores significantly and positively predicted engagement scores and overall school GPA, thereby demonstrating the predictive validity of the SWLS scores. The test–retest reliability coefficient demonstrated the temporal stability of the SWLS scores. The results of multigroup confirmatory factor analysis provided support for gender invariance in the SWLS scores. Taken together, the results show that the SWLS is a psychometrically sound measure appropriate for assessing subjective well-being among middle adolescents enrolled in English-medium schools in a collectivist culture.
- Research Article
16
- 10.1111/ped.14152
- Mar 1, 2020
- Pediatrics International
Working is an important concern in transitional care for adults with congenital heart disease (ACHD) because work connects people with society. Employment status is correlated with gender, but studies on patient employment by gender have rarely been conducted. This study therefore aimed to examine the employment status of ACHD by gender and to explore the factors influencing this status. In this study, 193 Japanese ACHD (mean age: men-33.62years, women-32.69years; 89 men, no students included) completed a questionnaire including questions about employment status, an evaluation of hindrances to employment, the Linear Analog Scale to assess quality of life (QOL), and the Satisfaction with Life Scale (SWLS). In the study sample, 13 of 89 (14.6%) men and 13 of 104 (12.5%) women did not have a job. These rates were higher than the national standard rates in Japan (men: 5.0%, women: 2.9%). Of these patients, only one man and one woman listed their illness as a reason for their unemployment. The factors thought to explain unemployment were age for men and disease severity for women (P < 0.05 for both). Unemployed patients had significantly lower QOL and SWLS scores. Most ACHD can join the workforce but a higher percentage of ACHD do not work and find it challenging to have a career compared with the general population. Moreover, because unemployed patients have low QOL and SWLS scores, obtaining work is crucial to enable these people to have mentally and emotionally stable and fulfilling lives.
- Research Article
33
- 10.1016/j.psychres.2014.08.036
- Sep 3, 2014
- Psychiatry Research
Changes in quality of life following group CBT for anxiety and depression in a psychiatric outpatient clinic
- Research Article
14
- 10.1186/s40557-018-0260-x
- Aug 2, 2018
- Annals of Occupational and Environmental Medicine
BackgroundOccupational injuries increase burden on society as well as personal health. Low satisfaction with life may not only increases the risk of occupational injuries directly, but also influences other factors that increase the risk of occupational injury. Along with previous studies on the risk of occupational injury, we sought to explore the relationship between satisfaction with life and occupational injury.MethodsThe study participants were 6234workers health screened at a university hospital in Incheon. Information on occupational injury and satisfaction with life scale (SWLS) was obtained in a self-report format. Participants were allocated to one of four SWLS groups; the dissatisfied group, the slightly dissatisfied group, the slightly satisfied group, and the satisfied group. The analysis was performed using the chi-square test primarily and by logistic regression adjusted for potential confounders.ResultsIn men, the un-adjusted and adjusted odds ratios (ORs) of low satisfaction with life (SWLS< 20) were 1.98(CI1.55–2.53) and 1.81(CI 1.41–2.32), respectively. When the SWLS were divided into four groups, the adjusted ORs of the slightly satisfied (20–25), slightly dissatisfied(15–19), and dissatisfied(≤14) groups were 1.21, 1.72, and 2.70, respectively. That is ORs tended to increase linearly with decreasing SWLS score (p for trend < 0.001). In women, this relation was of borderline significance at best.When subjects were dichotomized based on SWLS scores, for males, the cured and adjusted RRs of occupational injury in the low satisfaction with life group were1.91 (95% CI: 1.50–2.42) and 1.66 (95% CI: 1.30–2.13), and for females, the adjusted-RR was marginally significant (1.67; 95% CI: 0.93–2.99).When subjects were divided into four groups by SWLS scores, adjusted RRs tended to increase linearly with decreasing SWLS score for males (slightly satisfied: 1.18, 95% CI: 0.77–1.82; slightly dissatisfied: 1.65, 95% CI: 1.08–2.52; dissatisfied: 2.22, 95% CI: 1.44–3.42; p for trend < 0.001) and for females (slightly satisfied: 1.17, 95% CI: 0.42–3.30; slightly dissatisfied: 1.56, 95% CI: 0.56–4.36; dissatisfied: 2.38, 95% CI: 0.84–6.74; p for trend = 0.040).ConclusionsThis study suggests that the risk of occupational injury was higher in workers not satisfied with life, and indicates attention to satisfaction with life may promote the health of workers.
- Research Article
260
- 10.1016/0191-8869(91)90094-r
- Jan 1, 1991
- Personality and Individual Differences
The satisfaction with life scale (SWLS): Psychometric properties in a non-psychiatric medical outpatients sample
- Research Article
72
- 10.1016/j.maturitas.2013.04.007
- May 14, 2013
- Maturitas
Sexual function, satisfaction with life and menopausal symptoms in middle-aged women
- Research Article
6
- 10.14744/nci.2023.77910
- Jan 1, 2023
- Northern Clinics of Istanbul
The main purpose of treatment and management in chronic mental disorders is to improve the quality of life (QOL). Hopelessness indicates a significant cognitive vulnerability that is associated with suicide risk. It is important for clinicians to have information about their patients' life satisfaction and spirituality. This study was conducted to determine hopelessness and life satisfaction in patients who received service from a community mental health center (CMHC). This cross-sectional study was conducted with patients diagnosed with psychosis (n=66) and bipolar disorder (n=24) according to Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5) criteria, at a community mental health center serving in a hospital located in eastern Turkiye. Data was collected by a psychiatrist between January and May 2019 with face-to-face interviews, using a questionnaire, Beck Hopelessness Scale (BHS) and Satisfaction with Life Scale (SWLS). In the study, it was found that the mean BHS and SWLS scores of the patients did not differ significantly between the diagnosis groups (p>0.05). A moderately negative correlation was found between the patients' mean BHS and SWLS scores (rs=-0.450, p<0.001). In addition, it was determined that the hopelessness level of the secondary school graduates was low (p<0.05), the mean BHS score increased as the age and time from diagnosis of the patients increased (p<0.001), and there was a low negative correlation between the time from diagnosis and the mean SWLS score (rs: -0.208; p<0.05). In this study, it was found that the hopelessness level of the patients was low, their life satisfaction was moderate, and as the hopelessness level increased, their life satisfaction decreased. In addition, it was determined that the hopelessness and life satisfaction levels of the patients did not differ by to the diagnosis groups. It is extremely important for mental health professionals to consider aspects such as hope and life satisfaction, which are key in the recovery of patients.