WHOQOL BREF Research Articles

Mental Health During COVID-19 Lockdown in the United Kingdom.

The coronavirus disease (COVID-19) pandemic and related lockdown measures have raised important questions about the impact on mental health. This study evaluated several mental health and well-being indicators in a large sample from the United Kingdom (UK) during the COVID-19 lockdown where the death rate is currently among the highest in Europe. A cross-sectional online survey with a study sample that mirrors general population norms according to sex, age, education, and region was launched 4 weeks after lockdown measures were implemented in the UK. Measures included mental health-related quality of life (World Health Organization Quality-of-Life Brief Version psychological domain), well-being (World Health Organization Well-Being Index), depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder-7), perceived stress (Perceived Stress Scale-10), and insomnia (Insomnia Severity Index). Analyses of variances, Bonferroni-corrected post hoc tests, and t tests were applied to examine mental health indicators across different sociodemographic groups (age, sex, employment, income, physical activity, relationship status). The sample comprised n = 1006 respondents (54% women) from all regions of the UK. Approximately 52% of respondents screened positive for a common mental disorder, and 28% screened positive for clinical insomnia. Mean scores and standard deviations were as follows: Patient Health Questionnaire-9, mean = 9.0 ± 7.7; Generalized Anxiety Disorder-7, mean = 8.0 ± 6.5; Insomnia Severity Index, mean = 10.4 ± 7.0; Perceived Stress Scale-10, mean = 17.7 ± 7.9; World Health Organization Quality-of-Life Brief Version, mean = 58.6 ± 21.4; and World Health Organization Well-Being Index score, mean = 13.0 ± 6.0. Statistical analyses consistently indicated more severe mental health problems in adults younger than 35 years, women, people with no work, and people with low income (all p values < .05). Mental health indices also varied across UK regions. The prevalence of depressive, anxiety, and insomnia symptoms is significantly higher in the UK relative to prepandemic epidemiological data. Further studies are needed to clarify the causes for these high rates of mental health symptoms.

Effects of dehydroepiandrosterone on quality of life in premenopausal women with rheumatoid arthritis: A preliminary randomized clinical trial.

Chronic inflammation and subsequent use of glucocorticoids can lead to relative adrenocortical insufficiency in patients with rheumatoid arthritis (RA). Previously, adrenocortical hormone, dehydroepiandrosterone (DHEA) was shown as a potential therapy for autoimmune disorders. However, data regarding effects of DHEA in RA are limited. The aim of this study was to investigate the effects of DHEA on quality of life (QOL) in premenopausal rheumatoid arthritis patients. In this randomized double blinded, controlled trial 46 premenopausal rheumatoid arthritis patients were assigned to receive 50mg/d DHEA (23 patients) or placebo (23 patients) for 12weeks. Disease Activity Score of 28 joints - erythrocyte sedimentation rate (DAS28-ESR) questionnaire, visual analog score and swollen and tender joint counts (both 0-28) were used for assessment of disease activity. Persian-validated World Health Organization Quality of Life Brief version (WHOQOL BREF) questionnaire was used to assess quality of life. In comparison to the control group more improvement in QOL (P=.025) and environment health (P=.001) was observed in the DHEA group. After adjustment for age and disease duration DHEA was associated with more improvement in QOL (P=.01), psychological (P=.02) and physical health (P=.03). A trend toward a decrease in ESR was observed in DHEA group (P=.06). DAS was improved in both groups; however, there was no significant change in DAS28 between groups (P=.88). Frequency of adverse events albeit minor was similar in both groups. Our study supports a slightly superior effect of DHEA over placebo to improve QOL in premenopausal female patients with rheumatoid arthritis. We did not find improvement in DAS in the DHEA group over placebo.

Relationship quality and mental health during COVID-19 lockdown.

Catastrophes are known to have an impact on relationships as well as on mental health. This study evaluated differences in several mental health and well-being measures according to relationship quality during the Coronavirus Disease (COVID-19) pandemic and related lockdown measures. A cross-sectional online survey was launched four weeks after lockdown measures were implemented in Austria. Relationship quality was measured with the Quality of Marriage Index (QMI), and mental health measures included quality of life (WHO-QOL BREF psychological domain), well-being (WHO-5), depression (PHQ-9), anxiety (GAD-7), stress (PSS-10), and sleep quality (ISI). ANOVAs with Bonferroni-corrected post-hoc tests and Chisquared tests were applied. In all mental health scales, individuals with good relationship quality (n = 543) scored better than individuals with poor relationship quality (n = 190) or without relationship (n = 272). The odds ratios (OR) between the poor and good relationship quality groups were 3.5 for the PHQ-9, 3.4 for the GAD-7, and 2.0 for the ISI. Additionally, individuals without no relationship scored better on all scales than individuals with poor relationship quality (all p-values < .05). Relationship quality was related to mental health during COVID-19. The prevalence of depressive symptoms increased according to relationship quality from 13% up to 35%. Relationship per se was not associated with better mental health, but the quality of the relationship was essential. Compared to no relationship, a good relationship quality was a protective factor whereas a poor relationship quality was a risk factor.

Religiosidad, espiritualidad y calidad de vida en familiares de pacientes de oncología pediatrica en un hospital de referencia en el noreste de Brasil

Objetivo: caracterizar el perfil sociodemográfico y analizar la asociación entre religiosidad, espiritualidad, como elementos para enfrentar la enfermedad y calidad de vida en familiares de pacientes de oncología pediátrica de hospital de referencia. Método: estudio transversal descriptivo con metodología cuantitativa, realizado de 2017 a 2018. Datos fueron recolectados a través de Whoqol bref y la Escala de Coping Religioso/Espiritual Breve. Resultados: se entrevistó a 47 familiares, con perfil compuesto predominantemente por parientes femeninos, de 30 a 39 años, casados, madres con más de 1 hijo, residentes del interior del estado, con educación primaria incompleta, ingresos familiares de 1 a 3 salarios mínimos y religión protestante. Se observó que los ancianos y los que abandonaron su hogar para buscar mejores tratamientos tenían el peor índice de calidad de vida, mientras que las personas casadas y los jóvenes tenían la mejor. Las personas espiritualizadas demostraron ser más capaces de afrontar las adversidades, así como aquellas cuya frecuencia religiosa aparece regularmente. También se notó que la mayoría afirma que la religiosidad y espiritualidad son muy importantes, pero a pocas se les habló sobre ellas durante la atención médica. Conclusiones: para el público evaluado, la espiritualidad es un factor importante para hacer frente a situaciones estresantes, así como para proporcionar mejor calidad de vida a los familiares. Científicamente, la necesidad de más investigación sobre el tema es evidente, dado que el valor de las futuras contribuciones al campo de la salud es indudable.

Assessment and reliability of the World Health Organisation quality of life (WHO QOL-BREF) questionnaire in total hip replacement patients

BackgroundSeveral functional scoring tools are available to evaluate the outcomes of total hip replacements (THRs) for diseased or damaged hips. Majority of these scores were devised in western countries and their cross-cultural compatibilities are rarely demonstrated. The World Health Organisation quality of life (WHO QOL-BREF) questionnaire with 4 domains, is one of the best known multilingual instruments for such assessment. Its reliability has never been demonstrated for THRs and the present study was conceptualised for the same. MethodsTHRs done over 6 years were followed up retrospectively. Revision THRs and hemiarthroplasties were excluded. All the cases were done by a single senior arthroplasty surgeon. Clinical examination was done and questionnaires for WHO QOL-BREF and Harris Hip scores were given to the patients. ResultsThe number of patients included in the study was 96 with 115 operated hips. The average age of these patients was 41.40 years ranging from 17 to 80 years. There was strong male preponderance in our series of patients with 90 THRs. The mean score of domain 1 was 70.8 (SD 21.6), domain 2: 72.4 (SD 18.8), domain 3: 74.7 (SD 16.8) and domain 4: 75.4 (SD 14.8); showed significant functional improvement post THR in domain 2 (P = 0.0001), domain 3 (P = 0.0010) and domain 4(P = 0.0001), when compared to scores of general healthy population. Similarly, the scores were significantly improved in all domains as compared to cohorts of post-operative acetabular and hip fractures. The score was found to be a reliable tool with Cronbach’s alpha of 0.912 and strong correlation was present with the standard Harris hip scores (p = 0.000). ConclusionWHO QOL-BREF is a potent tool to assess the quality of life in patients undergoing THRs. It can be used as a single index of measurement and it is simple, reproducible and reliable.

An android smartphone-based randomized intervention improves the quality of life in patients with type 2 diabetes in Mysore, Karnataka, India

Background and aimsAssociated with severe complications and morbidity, Diabetes Mellitus is a significant public health burden. The need for regular monitoring and adherence to treatment and lifestyle changes have a high impact on the quality of life of the patients. This study attempts to assess the effect of smartphone-based lifestyle modification intervention in the quality of life of patients with type 2 Diabetes through a randomized filed trial. MethodsA randomized field trial was performed among the patients attending the outpatient department of a tertiary care hospital in Mysuru city. A mobile application named DIAGURU, mainly focusing on the lifestyle modification and medication management was used for a period of 6 months from April 2019 to September 2019 by 150 patients in the intervention group while another 150 participants served as controls. The quality of life was assessed using the WHO QOL BREF questionnaire at the beginning of the study and after six months. ResultsThe change in the quality of life in a positive direction was significantly higher in the intervention group compared to the non-intervention group after six months. The differences in the change in scores of quality of life of participants recruited in intervention and non-intervention groups were statistically significant in all the four domains after the intervention with a p value < 0.001. ConclusionThe evidence generated in this study suggest that such technological approaches can be used as a public health measure to improve the quality of life of patients with type 2 Diabetes Mellitus.

The effect of age, gender, income, work, and physical activity on mental health during coronavirus disease (COVID-19) lockdown in Austria

BackgroundThe impact of Coronavirus disease (COVID-19) and the governmental restrictions on mental health have been reported for different countries. This study evaluated mental health during COVID-19 lockdown in Austria and the effect of age, gender, income, work, and physical activity. MethodsAn online survey was performed through Qualtrics® after four weeks of lockdown in Austria to recruit a representative sample regarding gender, age, education, and region. Indicators of mental health were quality of life (WHO-QOL BREF), well-being (WHO-5), depression (PHQ-9), anxiety (GAD-7), stress (PSS-10), and sleep quality (ISI). ResultsIn total, N = 1005 individuals were included (53% women). 21% scored above the cut off ≥10 points (PHQ-9) for moderate depressive symptoms, 119% scored above the cut-off ≥10 points (GAD-7) for moderate anxiety symptoms, and 16% above the cut-off ≥15 points (ISI) for clinical insomnia. ANOVAs, Bonferroni-corrected post-hoc tests, and t-tests showed highest mental health problems in adults under 35 years, women, people with no work, and low income (all p-values <.05). Comparisons with a large Austrian sample recruited within the ATHIS 2014 study showed increases of depression and decreases of quality of life in times of COVID-19 as compared to before COVID-19. ConclusionsDepressive symptoms (21%) and anxiety symptoms (19%) are higher during COVID-19 compared to previous epidemiological data. 16% rated over the cut-off for moderate or severe clinical insomnia. The COVID-19 pandemic and lockdown seems particularly stressful for younger adults (<35 years), women, people without work, and low income.

Quality of life among the mothers of mentally challenged children at special schools

Birth of the special child is a major shock for the parents and has distressing effects on social, family, psychological, emotional, economical and interpersonal relationship of the parents. Many factors can influence the quality of life of the parents with mentally challenged children in family. Objectives: (1) The present study is aimed to assess the quality of life among the mothers of mentally challenged children in selected special schools at Ernakulam, Kerala; (2)To determine the association between quality of life and selected demographical variables like age, education, occupation, type of family, area of living, number of children’s affected with disability, severity of disability.Methods: 30 mothers of mentally children who presented to the Navajeevan special school at Ernakulam from June to July 2019 were enrolled after getting informed consent and study approval. Demographic data of children and mothers in the study group by convenient sampling were entered into a proforma and the mothers were administered with WHO-QOL BREF Questionnaire to assess the Quality of life. Results: The study results were found that mothers had low to moderate Quality of life in all the domains, i.e., physical health, psychological health, social relationship, environmental health. Higher mean score was observed in the social relationship domain. When the educational status of the parent is higher, mothers reported a low Quality of life score, though no such difference was seen with the educational status, occupation of mothers or other variables. Conclusion: These finding must be taken into account in providing better and more specific supports and interventions for mothers to improving Quality of life. Social support and different coping strategies should be developed to respond positively to individual changing needs of mothers from the stress of having a child with disabilities.

The Quality of Life amongst Caregivers of Cancer Patients at Tertiary Care Centers in Lahore, Pakistan

&lt;p&gt;&lt;strong&gt;Background and Objective:&lt;/strong&gt; Cancer is a leading cause of death worldwide and is initiating an overburden in developing countries. A grave illness, such as cancer, not only affects lives of patients, but also the lives of their caregivers. A caregiver nurtures continuous support, responsibility, concern and care hence,undergoes immense psychological distress because of the fear of losing their loved one, thus affecting their own quality of life (QOL). The study aims to assess the QOL of caregivers of cancer patients by using the World Health Organization Quality of Life Instrument (WHOQOL BREF) Questionnaire.&lt;br /&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This cross-sectional study of caregivers of cancer patient&amp;rsquo;s was carried out at INMOL, MayoHospital, Jinnah Hospital and Children Hospital Lahore within 6 months in 2017. Interviews of 267 caregivers of diagnosed cancer patients were taken using WHOQOL BREF Questionnaire. Information was collected regarding QOL of caregivers and socio-demographic variables. Statistical Package for the Social Sciences (SPSS) software was used for data compilation and analysis hence taking P-value &amp;le;0.05 as significant.&lt;br /&gt;&lt;strong&gt;Results: &lt;/strong&gt;The study results suggest that several conditions obtain an impact on the QOL of caregivers. For all measures the higher the score calculated the better the QOL. The caregivers of cancer patients reported the lowest mean score (6.89 &amp;plusmn; 1.56) in general health and QOL. Caregiver&amp;rsquo;s low educational status, marriedstature, along-with their own current illness and health problems described lowest mean scores in QOL.&lt;br /&gt;&lt;strong&gt;Conclusion:&lt;/strong&gt; The results of this study provided information that caregivers revealed a low QOL. Therefore understanding of several aspects affecting the QOL of caregivers may assist in improving their ability to care for patients and themselves. Initiation of patient care training programs for caregivers would be helpful.&lt;/p&gt;

Comparison of Parenting Stress and Quality of Life among Mothers and Fathers of Intellectual Disability Children in Erode, Tamilnadu

The present study was undertaken to Compare Parenting stress and Quality of life among mothers and fathers of Intellectual disability children in Erode, Tamil Nadu. The present study was a cross-sectional (comparative) study. 60 couples having children aged between 2 and 18 diagnosed with ID based on Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM5) criteria formed the sample of this study. Case Study Schedule was used to get the needed information about the selected Parents of Mentally Challenged. The questionnaire was standardized questionnaire. It consists of 30 items, under 4 parts namely, Physiological, Emotional, Cognitive and Behavioral. The WHOQOL BREF questionnaire is used to assess the quality of life.9 Prior permission was obtained to use the Tamil version of the questionnaire. The WHOQOLBREF is an abbreviated version of the original WHOQOL- 100. Very high level of stress was observed in mothers and high levels of stress was observed in fathers. Quality of life was more or less same in both mothers and fathers. There is a moderate negative correlation between fathers stress score and QOL score. It means stress decreases their QOL increases. There is a moderate negative correlation between mothers stress score and QOL score. It means stress decreases their QOL increases. The study recommends further multi center studies for better understanding and to plan adequate interventions.

Modifiable provider-patient relationship factors and illness perceptions are associated with quality of life in survivors of cardiac arrest with good neurologic recovery

AimTo evaluate associations between provider-patient communication, readiness for discharge, and patients’ illness perceptions with post-arrest quality of life (QoL). MethodsWe distributed an online survey to survivors of cardiac arrest who were members of the Sudden Cardiac Arrest Foundation. Survivors completed the Questionnaire for the Quality of Provider-Patient Interactions (QQPPI), Readiness for Hospital Discharge Scale (RHDS), and the Brief Illness Perception Questionnaire (B-IPQ). When completing the QQPPI and RHDS, survivors were asked to think back to their hospitalization and discharge. QoL domains (physical, psychological, social) were measured via the WHO-QOL BREF. Three multiple regression models examined associations between QQPPI, RHDS, and B-IPQ scores with QoL domains, adjusted for age, sex, months since arrest, self-reported understanding of cardiac arrest and potential post-arrest symptoms at discharge, self-reported memory at discharge, and functional status as defined by the Lawton Instrumental Activities of Daily Living scale. ResultsA total of 163 survivors (mean age: 50.1 years, 50.3% women, 95.5% white, mean time since arrest: 63.9 months) provided complete survey data. More threatening illness perceptions (β: -0.45, p ​< ​0.001) and lower readiness for discharge (β: 0.21, p ​= ​0.01) were associated with worse physical QoL. More threatening illness perceptions (β: -0.47, p ​< ​0.001) was associated with worse psychological QoL. More threatening illness perceptions (β: -0.28, p ​= ​0.001) and poor provider-patient communication (β: 0.35, p ​< ​0.001) were associated with worse social QoL. ConclusionsModifiable provider-patient relationship factors and illness perceptions were associated with quality of life in survivors of cardiac arrest with good neurologic recovery.

4226 Poor provider-patient communication, lack of readiness for discharge, and perceived illness threat are associated with quality of life after survival from cardiac arrest

OBJECTIVES/GOALS: Studies have shown that cardiac arrest survivors have poor quality of life (QoL) secondary to neurologic injury. We hypothesized that poor provider-patient communication, lack of readiness for discharge, and perceived illness threat would be associated with QoL in cardiac arrest survivors. METHODS/STUDY POPULATION: We distributed an online survey to the Sudden Cardiac Arrest Foundation listserv. Survivors completed the Questionnaire for the Quality of Provider-Patient Interactions (QQPPI), Readiness for Hospital Discharge Scale (RHDS), and the Brief Illness Perception Questionnaire (B-IPQ). When completing the QQPPI and RHDS, survivors were asked to think back to their hospitalization and discharge. QoL domains (physical, psychological, social) were measured via the WHO-QOL BREF. Three multiple regression models examined associations between QQPPI, RHDS, and B-IPQ scores with QoL domains, adjusted for age, sex, months since arrest, and understanding of arrest and post-arrest symptoms at discharge. RESULTS/ANTICIPATED RESULTS: A total of 163 survivors (mean age 50.1 years, 50.3% women) provided complete survey data. Greater perceived illness threat (β: −.45, p &lt; .001) and lower readiness for discharge (β: .22, p = .01) were associated with worse physical QoL; greater perceived illness threat (β: −.45, p &lt; .001) was associated with worse psychological QoL; and greater perceived illness threat (β: −.3, p &lt; .001) and poor provider-patient communication (β: .35, p &lt; .001) were associated with worse social QoL. Our models explained 48%, 43%, and 30% of the variance in physical, psychological, and social QoL, respectively (p &lt; .001). DISCUSSION/SIGNIFICANCE OF IMPACT: In-hospital interactions and perceived illness threat have important ramifications for cardiac arrest survivors attempting to return to daily life. Discussions regarding cardiac arrest sequelae, expectations, and specific treatment options during hospitalization could impact future QoL.

Quality of Life, Stressful Life Events and Pathways to Care among Patients with Common Mental Disorders in Primary Health Care

Context: Stressful life events have an impact on common mental disorders. It is also essential to assess the quality of life and pathway of care to mental health to provide a comprehensive picture of these disorders and plan community mental health services. Aims: This study was done to assess the quality of life and stressful life events among patients diagnosed with common mental disorders. We also assessed the pathways to mental health care. Settings and Design: A2 stage cross-sectional study was conducted- first stage of screening followed by 2nd stage of detailed assessment among diagnosed patients in a rural community in Karnataka, South India Method and Material: Patients diagnosed with CMDs were assessed using WHO QOL BREF scale, Presumptive Stressful Life events scale and Pathway to care study pack. Statistical Analysis Used: Descriptive data was analyzed as proportion and pathway to care is presented as diagrammatic representation. Anovaand correlation coefficients were used to assess determinants of quality of life and the role of life events respectively. Results: Financial loss or problems were the most common life events. Mean social relationship domain score was significantly lower and stressful life events in the past 1 year was significantly higher in females. Overall QOL, work capacity, social relationship and environmental domain scores were significantly higher among those who had sought some form of care. Stressful life events experienced ever in lifetime was positively correlated with HAM D score and significant somatic symptoms. Delay after seeking care from general practitioner was much lower compared to other systems of care. Conclusions: QOL and stressful life events were significantly associated with gender. Care seeking in the past had led to improvement of quality of life among the patients.

Quality of life among Syrian patients with war-related lower limb amputation at the Military Hospital in Lattakia

PurposeTo describe the quality of life(QOL) of Syrian people with lower limb amputation after the war. MethodsA cross-sectional study conducted at the Military Hospital in Lattakia, from May to August 2019. A convenience sample of 65 adult males who had previously undergone amputation of a lower limb was included in this study. Participants’ data were collected including age, marital status, employment, time since amputation, level of amputation, type of amputation and the use of assistive devices. The QOL was measured using the World Health Organization Quality of Life Brief Version (WHO QOL-BREF). Data analysis was done by using SPSS version 20. ResultsForty (61.5%) of subjects were between age of 40–60. Below knee and unilateral lower-limb amputees formed the highest number 52 (80.0%) and 51 (78.5%) respectively. The mean scores of environment, physical health, psychological, and social relationships domains of QOL were 15.86, 15.18, 14.66, and 6.64, respectively. There were statistically significant differences in various domains of QOL between groups with different status of employment, financial support, amputated lower limb, duration since amputation, and cause of amputation (P < 0.05). ConclusionThere is a need to pay attention to experiences and the quality of life among Syrian patients with war-related amputation.

Changes in the quality of life following surgery for hyperhidrosis

Hyperhidrosis is characterized by diaphoresis that is unrelated to the physiological thermo- regulatory requirements of the body. Primary hyperhidrosis is caused by an idiopathic overactivity of the sympathetic nervous system and can affect the axillae, in more than half of the cases, palms, soles and face. As a result, patients may develop psychologic disorders, such as anxiety and depression, or experience impaired quality of life (QOL). Set of indicators were therefore introduced to describe the relationship between QOL post-surgery for hyperhidrosis and daily life. Recently a World Health Organization study group developed a questionnaire made of 100 question ranging from physical, psychological, environmental and spiritual aspects (WHOQOL0-100); this has been followed by a shorter one (WHOQOL BREF) easier to be completed maintaining the same standard of psychometric assessment. This is made of 26 questions covering the same aspects as the WHOQOL-100 representing however a generic tool to assess QOL. Nevertheless there are other QOL indicators that have to be considered when assessing the impact of primary hyperhidrosis (PH) and postoperative status following surgery for PH.

The Impact of Bina Keluarga Lansia Program on the Quality of Life of Elderly in Sleman, Yogyakarta

Indonesian government, through BKKBN, has joined to promote healthy life in the elderly in the community. Bina Keluarga Lansia (BKL) programme was established to fulfil elderly need through a family-based approach. This study is aimed to evaluate the programme with the examination of the quality of life of its members, including the elderly and their family member. We used a cross-sectional method using WHO-QOL BREF questionnaire to assess the quality of life and another questionnaire to enlist the involvement on the BKL activities. This study was conducted in 2018, at four BKL groups across Sleman Regency. Further analysis was conducted with gaussian mix models to adjust for the cluster effect from sampling method. Our 103 respondents with 68 family members and 35 elderly generally have a good quality of life on four dimensions of WHO-QOL BREF. We found that BKL activities statistically significant associated with better QoL, especially in Social Domain and Psychological Domain. Activities that were specifically associated with better QoL was health education on elderly resilience and art/music activities. Other activities that show borderline association was business activities. BKL programme has shown an association with better QoL, thus any successful activities should be maintained or improved, and other less influential activities should be reviewed and customised with local needs.

Quality Of Life Male Prisoners Based on Age and Education: Preliminary Studies

Prisoners in the correctional area are faced with unexpected situations and conditions. Prisoners ability to solve problems will affect the level of quality of life (QOL). However, research that focused on QOL levels based on age and education is not yet available, so this research is essential. This study applied a cross-sectional design with systemic random sampling and purposive sampling techniques. QoL measurements were carried out at 120 male prisoners using WHOQOL BREF instruments that have been tested as valid and reliable. The study was conducted in one of the Prisons in Central Java Province in September 2019. Inclusion criteria were no family visits, occupation of prisons for less than 18 months, general crime, and no cognitive impairment. The results showed that male prisoners with late adulthood and high school education had higher QOL mean rates of 88.5 and 87.6. The conclusion is the level of QOL related to age and high education.

Quality life of PROLANIS participants using WHOQOL BREF Indonesian version: A community in primary health care

This study aimed to determine the quality of life experienced by prolanis participants using the WHOQOL-BREF Indonesian version. Prolanis is a program designed by Social Health Insurance Administration that is integrated with the management model of chronic diseases due to the high prevalence cases of chronic disease in the community. This research was analytic observational with a cross-sectional design by exhaustive sampling technique. These instruments use WHOQOL-BREF and prolanis guidance. The samples were 86 patient which divided into two locations, that was 37 respondents from Tamamaung Primary Health Care (Puskesmas) and 49 respondents from Dahlia Puskesmas. Data collected were analyzed by chi-square statistical test to find out the association of the four domains quality of life between activeness participations and rest patterns. Based on the analysis, the results of the general quality of life of prolanis participants in both Puskemas was not different (p-value=0.276) While the health satisfaction variable has a difference with p-value=0.000. Most of the prolanis participants have a high QoL score in some facets of every domain in the WHOQOL-BREF questionnaire, but collectively results do not show an association between 4 domain quality of life to activeness participants and rest patterns.

Prevalence of premenstrual syndrome and quality of life among health science college student

&lt;p&gt;Premenstrual syndrome (PMS) is a set of affective, behavioral and physical symptoms with appear in the luteal phase that could affect productivity and quality of life. PMS in adolescents could affect academic performance, such as a decreasing in concentration, failed the exam and absenteeism in the class. The objective was to evaluate the prevalence of PMS and determine its effect on quality of life among female health science students. This cross-sectional study was conducted between July-September 2017 on nursing female students of Health Science Collage “Karya Husada Semarang”, Central a Java, Indonesia. Students were enrolled 207 from first to fourth grade using WHOQOL–BREF form to determine quality of life. Inclusion criteria were having regular menstrual cycles (21-35 days) at least three period. Descriptive analysis and Mann Whitney tests were used for statistical analyses. The prevalence of PMS was found to be 60.8%. Physical health, psychological, social relationship, and environment domain were significantly higher in females with PMS (for each one P &amp;lt; 0.05).&lt;/p&gt;

Health-related quality of life of Pakistani adolescents with type 1 diabetes and their parents

To assess the health-related quality of life of Pakistani adolescents with type 1 diabetes mellitus and their parents. This cross-sectional study of adolescents with T1DM and their parents was conducted at Baqai Institute of Diabetology and Endocrinology, a tertiary care hospital, Karachi Pakistan from April 2017 to September 2018. Diabetes Quality of Life for Youths (DQOLY) questionnaire (assess possible problems in six dimensions of impact) and WHO QOL-BREF instrument was used to assess quality of life of adolescents with type 1 diabetes and their parents respectively. The data was entered and analyzed using IBM Statistical Package for Social Sciences version 20. Adolescents with T1DM had adverse impact on their quality of life (QOL); overall QOL score was found 20.76 ± 0.83, the maximally reported adverse impact was related to symptoms of diabetes 24.35 ± 1.92 and impact of treatment 24.59 ± 2.12. Females had more adverse impact on QOL score, i.e. 22.49 ± 1.2 (p value = 0.015). Adverse effect on QOL score is strongly correlated with increasing age (p value = 0.006). Overall QOL score of parents/care takers was 56.3 ± 0.98. The worst overall QOL score was noted to be of care takers 53.75 ± 3.4 followed by mothers 54.52 ± 1.25 and fathers 60.56 ± 1.61 respectively (p value = 0.015); the environment domain was associated with statistically significance adverse impact on QOL of mothers (p value = 0.008). It is imperative for health care professionals to be aware of the effect of diabetes on QOL as timely screening is important for better health care outcomes.