World Health Organization Quality Of Life Research Articles

Relationship exercise motivation levels on quality of life during retirement from elite sport

There is not much research examining the lives of athletes in retirement. This research aims to determine the level of training motivation in retirement, the quality of life in former athletes and the relationship between training motivation and quality of life in former athletes.The subjects in this research were retired athletes aged 25-60 years. The subjects involved in this research were 81 retired pencak silat athletes consisting of 42 men and 39 women.This research is a quantitative descriptive research with a survey approach. The instrument used in this research used the Exercise Regulations Questionnaire (BREQ-3) to determine the level of exercise motivation and The World Health Organization Quality of Life (WHOQOL)-BREF to determine quality of life. Questionnaires were distributed from November 25 2023 to January 5 2024. The data analysis technique uses simple correlation. The results show a significance value < 0.005, meaning it is correlated or related. The correlation value between motivation to exercise and quality of life is 0.974, the correlation value is > from r table. This means that there is a positive relationship between exercise motivation and quality of life. In this way, it can be concluded that the higher the motivation of retired athletes to train, the better the quality of life of former athletes. Keywords: training motivation, quality of life, former athlete, pencak silat, martialart.

A taste alteration-related scale assesses megestrol to improve chemotherapy-induced anorexia.

We evaluated the efficacy of megestrol in improving chemotherapy-related anorexia by analyzing the related scales of taste alteration. We conducted the current study on a group of advanced patients with cancer with two or more chemotherapy cycles. The chemotherapy-induced taste alteration scale (CiTAs) scale helped assess the megestrol effects on basic taste perception, aversive taste changes, unpleasant symptoms, and associated concerns. Furthermore, the Short Nutritional Assessment Questionnaire scale (SNAQ) helped measure the impact of megestrol on malnutrition likelihood in patients experiencing chemotherapy-induced anorexia. The World Health Organization Quality of Life (WHOQOL)-BREF Scale was used to evaluate the quality of life of participants, producing scores related to physical health, psychological well-being, environmental factors, and social relationships. The CiTAs scale assessment indicated that administering megestrol significantly enhanced taste perception among advanced patients with cancer undergoing chemotherapy. Notably, the megestrol group patients showed significantly higher Short Nutritional Assessment Questionnaire (SNAQ) scores than the control group. The megestrol group patients also exhibited higher physiological (PHYS) scores than their control group counterparts. However, this distinction was not statistically significant. The study findings indicate that patients who received megestrol demonstrated significantly higher scores in psychological (PSYCH) and environmental(ENVIR) domains than the control group. Furthermore, megestrol administration was associated with significantly elevated SOCIL and ENVIR levels in patients. The proficient efficacy evaluation of megestrol in enhancing appetite, mitigating malnutrition likelihood, and improving the quality of life of chemotherapy-induced anorexic patients can be achieved through taste-related scales.

A Descriptive Cross-Sectional Study Regarding Quality of Life among Medical Students During MBBS Course at Government Medical College and Rajindra Hospital, Patiala (Punjab)

Introduction: In order to prevent and treat the syndemic of lifestyle diseases and other non-communicablediseases, following healthy lifestyle and improving the overall quality of life is of utmost important. Healthylifestyle behaviours are positively and independently associated with academic achievement.[1] Hence this study is trying to estimate the quality of life of medical students at Government Medical College (Patiala), whose lifestyle will be percolated in turn into their family and field of practice.Aims and objectives: To evaluate the Quality of Life (QOL) and find association between QOL and academic achievements.Material and methods: A 26 item WHO QOL- BREF scale was used to collect data from 326 MBBS students from Government Medical College and Rajindra Hospital, Patiala.Results: Out of 326 MBBS students, 54% were female 46% were male. Majority of the students were hailing from urban area (93%) as compared to rural area(7%). The average scores in each domain of WHOQOL – BREF were 63.71 in Physical health domain, 61.51 in psychological domain, 57.91 in social relationship domain and 53.7 in environment domain. There was no significant association between academic scores and different domain scores of WHOQOL-BREF scale.Conclusion: Majority of the students perceived their quality of life to be good to very good (66%). 48% of students felt their health to be satisfied to very satisfied. The average score of WHOQOL BREF in physical and psychological domains were above 60 (63.71, 61.51 respectively), whereas it was less than 60 in social and environmental domain (57.91 and 53.7 respectively). There was no significant association between academic scores and different domain scores of WHOQOL-BREF scale.

IJCM_332A: Factors affecting quality of life among antenatal women seeking health care in tertiary care hospitals of Mangaluru

Background: QOL is defined as “individuals’ perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns.” Pregnancy is a physiological state associated with several emotional and physical changes, and the antenatal period is the moment of preparation of the woman for the childbirth and maternity. Thus, poor quality of life can have adverse effects on mother and the fetus. In order to develop methods to improve the quality of life of pregnant women, the factors affecting it should be understood; and our study aims at providing such understanding. Methodology: A hospital based Cross-sectional study of the pregnant women seeking antenatal health care in Government Lady Goschen Hospital and KMC, Attavar. The data collection was done from 14-03-16 to 31-03-16 using a questionnaire consisting of 4 parts-participant details, WHO QOL- BREF, QIDS and modified Kuppuswamy scale. Results: The study was done among 195 pregnant women, and the mean QOL-BREF score was found to be 73.60. 60.5% participants belonged to lower socioeconomic status, and had a lower QOL in physical, psychological and environmental domains. 54.6% participants showed symptoms of depression and had a lower QOL in physical domain. Other factors like parity, history of abortion and complications in the current pregnancy did not show a significant association with QOL score. Conclusion: The QOL of antenatal women seeking health care in tertiary health care setup was found to be good. The factors that significantly affected the quality of life were depression and lower socio-economic status. They had a negative impact on the quality of life.

The Effect of Vocational Training on Visually Impaired People's Quality of Life.

Quality of life (QOL) is frequently utilized in clinical medicine and research to assess a patient's health status and treatment effectiveness. This study investigates the impact of vocational training on the QOL of visually impaired individuals. We employed the brief Taiwan version of the World Health Organization QOL Questionnaire (WHOQOL-BREFTW) to assess four domains: physical, psychological, social, and environmental, using a nonequivalent pretest-posttest control group design. The experimental group participated in 6 months of vocational training, including life and career reconstruction. After completing the vocational training, the average QOL score for the experimental group was 3.34 ± 0.18, while the control group had a score of 3.10 ± 0.85. The generalized estimating equation (GEE) results revealed a notable improvement of 10.81 (1.10) in the posttest overall QOL scores compared to the pretest scores in the control group. Vocational training significantly improves the overall QOL for visually impaired individuals. It is noteworthy that the psychological, social relationship, and physical health domains of WHOQOL-BREF TW exhibited the most significant improvements. This emphasizes the following: 1. professional knowledge and technical learning can enhance the abilities of the visually impaired. 2. The improvement in QOL occurs primarily at physical, psychological, and social levels. These levels involve maintaining physical health, reducing dependence on medical care, and enhancing self-care abilities for life reconstruction. 3. Integrating electronics with directional action can help to mitigate the risks associated with outdoor activities.

Quality of Life of Parents and Patients with Biliary Atresia in Native Liver

Children with chronic conditions such as biliary atresia may experience several issues that affect their quality of life (QoL). Childhood chronic disease impacts family members and leads to family health impairment. Objective: This study aims to asses the QoL of parents and patients with biliary atresia. Methods and material: The assessment of parent and patient quality of life with biliary atresia was conducted using the Pediatric Quality of Life (PedsQL) parent report and the World Health Organization Quality of Life (WHOQoL).Multivariate linear regression was used for associated factors. This case-control study involved 38 children (0-24 months) with biliary atresia at the Dr. Soetomo General Academic Hospital Surabaya, which was conducted from June to July 2023. Data obtained showed that male and female prevalence was equal (50%). Age <6 months, mothers with high school education, family income >3 million rupiahs, normal nutritional status were frequently in patients with biliary atresia. Based on the WHOQoL questionnaire, the environment was the only domain that impacted the quality of life of the parents significantly (P= 0.005). However, no significant association with patients' QoL was found for the five domains of the PedsQL. The environment factor had a significant impact on the QoL of the patient's parents according to the results of the WHOQoL questionnaire (P= 0.005).

Investigating gender differences in quality of life and social support in patients with severe mental illnesses.

Severe mental illnesses (SMIs), including schizophrenia and bipolar disorder affect patients significantly. Gender has been identified as a key factor influencing the experience of SMIs with notable disparities in prevalence, symptoms, and treatment outcomes. Additionally, the quality of life (QoL) and social support for patients with SMIs can vary based on gender. This study examined gender differences in QoL and social support of patients with SMIs. Participants include 170 outpatients with schizophrenia and bipolar disorder at Shafa Hospital (2021). QoL and social support were assessed using World Health Organization QoL (WHOQOL-BREF) questionnaire and Medical Outcomes Study Social Support Survey (MOS-SSS), respectively. Group differences were analyzed using t-test or Mann-Whitney U test, and two-way multivariate analyses of variance explored the effect of gender and disease type. It was indicated that females with schizophrenia reported higher QoL than males, but the opposite was observed for bipolar disorder. Gender differences in social support were not significant among schizophrenia patients, nor between the two patient groups. However, women with bipolar disorder and multiple hospitalizations experienced lower social support and QoL compared to men. Additionally, more hospitalizations were associated with decreased QoL in both genders with schizophrenia. Findings suggest the need for gender- specific interventions and support policies to enhance QoL and social support in patients with SMI.

Faktor Internal Yang Berhubungan Dengan Kualitas Hidup Penderita Diabetes Melitus

Type 2 Diabetes Mellitus is a chronic disease that can significantly impair the quality of life. Individuals with this condition often experience physical and mental disturbances, affecting their activities, medical therapy, rest, and pain perception, all of which are dimensions of quality of life. Factors that can influence the quality of life of individuals with Diabetes Mellitus include their level of knowledge about the disease, economic status, and duration of illness. This study aims to investigate the internal factors related to the quality of life of individuals with Diabetes Mellitus at the Janti Public Health Center in Malang. The research design employed is descriptive correlational with a cross-sectional approach. The study sample consists of 93 respondents selected using purposive sampling. Data analysis was conducted using ANOVA, with the instruments used are the World Health Organization Quality of Life (WHOQOL)-BREF and the Diabetes Knowledge Questionnaire (DKQ24). The analysis results indicate a significant correlation between knowledge (p=0.003 0.05), economic status (p=0.007 0.05), duration of illness (p=0.008 0.05) to the quality of life. The most influential factor is the duration of illness, as respondents who have been suffering for more than 10 years tend to feel that their activities are disrupted by Diabetes Mellitus and may develop complications in other organs, significantly affecting their quality of life. This study can serve as a reference for further scholarly development, thereby facilitating ongoing exploration of factors associated with quality of life.

Efficacy of whole system ayurveda management protocol in major depressive disorder- A randomized controlled clinical trial

BackgroundMajor Depressive Disorder (MDD) is one of the common depressive disorder. MDD has high comorbidity and has greater implications on quality of life. Whole system Ayurveda management protocol (WSAP) is explored for it's possible role in management of MDD. ObjectiveTo evaluate the efficacy of Whole system Ayurveda management protocol on Major Depressive Disorder. Material and MethodsStudy was a randomized controlled trial. Total 50 patients of MDD meeting the DSM V criteria, age group 20–70 years of either sex participated in the study. They were randomly divided into two groups, control group received Escitalopram 10 mg twice a day and Ayurveda group was on WSAP. Interventions were for 60 days. Assessments were done through various clinical parameters like Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HARS), Brief psychiatric rating scale (BPRS), Pittsburgh Sleep Quality Index (PSQI), WHO Quality of Life- BREF (WHOQOL-BREF), Clinical Global Improvement scale (CGI), UKU Side effect scale. Assessments during intervention was on every 15th day. ResultsStudy showed that Ayurveda group produced significant outcome improvement compared to control group in HDRS (p = 0.01), HARS (p = 0.03), PSQI (p = 0.03), WHOQOL-Bref (p < 0.001) and UKU side effect scale (p = 0.02). Both the group showed improvements in all the parameters except in WHOQOL-Bref where Ayurveda group only showed improvements (p < 0.001). Effect size showed large effect in WHOQOL-Bref. Mild side effects were reported in control group and none in Ayurveda group. ConclusionWSAP was effective in management of MDD and had better side effect profile. Further studies needed.

Living with autism: Quality of life assessment for young adults with autism in Saudi Arabia

Quality of life (QoL) impacts the future health outcomes of people with Autism Spectrum Disorders (ASD). Past research, although limited, has shown that people with ASD often experience a lower quality of life. Yet, there's not much research focusing on the quality of life of young adults with autism, especially in Saudi Arabia, where it appears no studies have assessed the QoL of adults with autism. This study aims to evaluate and compare the quality of life between young adults with ASD and those without (a control group) in Saudi Arabia to pinpoint areas that could be improved. The study included 439 participants, with 107 being adults with autism and 332 without (a 1:3 ratio). An Arabic translation of the World Health Organization (WHO) QoL short version (WHOQOL-BREF) was used for assessment. The average age of participants with ASD was 24.82 years, with the average age for diagnosis and starting treatment being around 7.4 and 8.28 years, respectively. Those with ASD reported a significantly lower quality of life (1.68) in all areas compared to the control group (3.96), especially in social relationships (average score=27.01). A negative correlation was found between the age at diagnosis and at starting treatment with overall QoL, suggesting that a delay in diagnosis is associated with a lower quality of life. The study reveals that adults with ASD in Saudi Arabia have a lower QoL in all areas compared to the general population, indicating that early diagnosis and intervention could improve their quality of life. These results emphasize the need for policy changes to better support individuals with ASD in improving their quality of life.

Association between prolonged stress caused by COVID-19 pandemic and earthquakes and quality of life, anxiety, depression, psychoactive substances, and problematic alcohol use in adult Croatian population.

The prolonged stress experience caused by the COVID-19 pandemic and two earthquakes led to increased alcohol and psychoactive substance use (PSU) accompanied by a decrease in mental wellbeing and quality of life (QoL) in the Croatian population. Our aim was to determine the relationship between alcohol and PSU and mental health outcomes including anxiety and depression, and QoL. A cross-sectional online survey conducted from September 30 to October 27, 2021, included 1,118 Croatian adults (220 men and 898 women; mean age, 35.1 ± 12.3 years) recruited through non-probabilistic convenience sampling. The survey consisted of a self-reported questionnaire on PSU, the CAGE Alcohol Questionnaire, the Hospital Anxiety Depression Scale, and the World Health Organization Quality of Life (WHOQoL)-BREF. Structural equation modeling was used to evaluate the association between PSU, problematic alcohol use (PAU), mental health outcomes, and QoL. The model demonstrated a good fit and indicated that PSU increase, PAU, and anxiety and depression symptoms significantly explained all QoL domains (p < 0.001 for all). Both PSU increase and PAU during prolonged stress were directly associated with decreased QoL. These relationships were also indirectly mediated through increased anxiety and depression symptoms. These results showed the need to direct public health interventions and treatment interventions during and after long-term stress (pandemics and earthquakes) to reduce the negative impact on substance use and QoL by reducing depression and anxiety, which ultimately may contribute to better wellbeing and rapid recovery of individuals affected by prolonged stress.

Individualized Homeopathic and Organopathic Supportive Management of Sickle Cell Disorder: A Case Series of Six Patients from a Particularly Vulnerable Tribal Group in India.

Sickle cell disorder (SCD) is a hereditary blood disease characterized by an abnormality in the oxygen-carrying protein hemoglobin present in red blood cells. Genetic abnormality causes these cells to become sickle-shaped, with shorter lifespan. Vaso-occlusive crisis is a major symptom of SCD: it is a sudden and severe episode of pain, and occurs when sickle-shaped cells block blood flow. This blockage can lead to tissue damage, inflammation and pain. This case series aims to observe the clinical outcomes from prescribing individualized homeopathic medicines along with organopathic supportive medicine in the management of SCD through the analysis of case studies of six patients from a particularly vulnerable tribal group (PVTG) in India that manifests genetic predisposition for the disease. The patients were administered individualized homeopathic and organopathic supportive medicines, after a comprehensive door-to-door survey and subsequent screening, conducted between October 2020 and May 2023 in the Dindori and Mandla districts of the central Indian state, Madhya Pradesh. Clinical symptoms, laboratory parameters including hemoglobin, along with scores from a visual analogue scale (VAS) for pain and from the World Health Organization Quality of Life (WHOQoL) Questionnaire, were determined. Individualized homeopathic and organopathic supportive management led to improvements in clinical symptoms for all six patients. Laboratory test results showed a statistically significant increase in hemoglobin level associated with treatment. The VAS for pain indicated decreased pain frequency and severity. WHOQoL scores also improved, indicating enhanced well-being for each patient. No adverse effects were reported during treatment. This study suggests that individualized homeopathic medicine and organopathic supportive management have a beneficial role in managing SCD and may be valuable in the context of PVTGs in India. To establish a more comprehensive understanding of its efficacy, further studies should involve larger cohorts to allow for a thorough evaluation, including comparative analyses with standard therapies.

TRIBES OF TELANGANA: NUTRITIONAL STATUS, HEALTH CONDITIONS AND QUALITY OF LIFE - A STUDY OF ADILABAD DISTRICT

Introduction: Indias agricultural output has recently been self-sufficient; the issue of malnutrition still exists and is still regarded as one of the most important problems. The quality-of-life index is a composite criterion used in public health management and policy analysis to assess the well-being of communities or groups of people based on a variety of social, physical, psychological, and economic characteristics. Methodology: The study was conducted in Adilabad district of Telangana state with an aim of assessing nutritional level and its influence on tribal quality of life. The study adopted a cross-sectional descriptive research design with cluster sampling technique of probability sampling method and the sample size of the current study is 379. The tools including Sociodemographic data sheet, Mini Nutritional Assessment scale and WHO Quality of life. Results: The study findings show the statistically positive correlation between nutritional level and quality of life domains such as physical, psychological, environmental quality of life and social relationships. Conclusion: The study findings indicating the influence of nutritional level on tribal quality of life. It is important to addressing nutritional deficits among the tribal and it is evidence to understand how the quality of life has been increasing in tribal who has good nutritional levels. KEYWORDS: Tribal, Nutrition, quality of life

Impact of congenital heart disease on personality disorders in adulthood.

Adults with congenital heart disease (ACHD) constitute an ever-growing patient population characterized by high risks for cardiovascular- and mental disorders. Personality disorders (PDs) are associated with adverse physical and mental health. Studies assessing PD prevalence in ACHD are lacking. PD point prevalence was assessed in 210 ACHD by Structured Clinical Interview for Axis-II Personality Disorders (SCID-II) and compared to meta-analytical data from the general population. Depression and anxiety were measured by self-report (Hospital Anxiety and Depression Scale, HADS) and clinician-rating (Montgomery-Åsberg depression rating scale, MADRS). Childhood maltreatment was assessed with the Childhood Trauma Questionnaire and quality-of-life (QOL) with the World Health Organization QOL Scale. PD prevalence was markedly higher in ACHD compared to general population (28.1% vs. 7.7%). Particularly borderline (4.8% vs. 0.9%) and cluster C (i.e. anxious or fearful; 17.1% vs. 3.0%) PDs were overrepresented. PD diagnosis was associated with a surgery age ≤12 years (χ²(1)=7.861, φ=.195, p=.005) and higher childhood trauma levels (U=2583.5, Z=-3.585, p<.001). ACHD with PD reported higher anxiety (HADS-A: U=2116.0, Z=-5.723, p<.001) and depression (HADS-D: U=2254.5, Z=-5.392, p<.001; MADRS: U=2645.0, Z=-4.554, p<.001) levels and lower QOL (U=2538.5, Z=-4.723, p<.001). PDs, particularly borderline- and cluster C, are significantly more frequent in ACHD compared to general population and associated with depression, anxiety and decreased QOL. Data from the general population suggest an association with adverse cardiometabolic and mental health. To ensure guideline-based treatment, clinicians should be aware of the increased PD risk in ACHD.

The impact of geriatric syndromes on quality of life among older people living with HIV in Kampala, Uganda.

Older people living with HIV (OPWH) often have lower quality of life (QoL) compared to general population. Measuring their QoL is an important step in HIV care to ensure they have long healthy lives. This study aimed to evaluate the quality of life and its associated factors among people living with HIV aged 60 years and above in Uganda. We used a cross-sectional analysis of older people living with HIV (OPWH) enrolled in a prospective cohort from December 2020 - December 2021. Quality of life was assessed using the World Health Organisation QoL OLD instrument (WHOQOL-OLD). Linear regression model was used to determine associated factors. Of the 500 participants enrolled, 51.2% were men and their median age was 64 years (IQR: 62 - 68). WHOQOL-OLD mean score (SD) was 90.1 (8.3) out of 120. Factors that increased overall QoL were (Coefficient [95% Confidence Interval]): being male 2.35 (1.21 - 3.73), having an income of ≥$1 1.30 (-0.16 - 2.76) and paradoxically having more than 2 non-communicable diseases 0.69 (-0.76 - 2.14) in the past, present and future domain of QoL. Those that decreased QoL in the overall and various domains included: an increasing number of geriatric syndromes, depression, pre-frailty, frailty, malnutrition, and low physical function. Our findings suggest that financial stability contributed to good QoL while geriatric syndromes decreased QoL for OPWH. Integrating the screening and management of geriatric syndromes into HIV care has the potential to improve the overall QoL of OPWH.

Assessment of Psychological Well Being and Quality Of life among Fishermen Community in a select Edrural Community Area, Chengalpattu District, Tamil Nadu

Background: Fishermen community is a group of people geographically located in the coastal areas and have theirown way of life and a distinctive culture, A variety of stressors that have an effect on physical and mental health areexperienced by commercial fishermen. However, there is limited research on the level of mental ill‐health amongfishers and In certain monsoon season mostly, fishermen cannot go to the sea due to bad weather condition,Because of this, fisherman typically have low-quality jobs that are dependent on the weather. When we look atthe association between various stressor categories and psychological distress, we see that fishers who perceive“traditional risks” and “modern uncertainties” as being more intensely are more likely to experience psychologicaldistress.Objectives\aim: To assess the psychological wellbeing among fishermen community, To assess the quality oflife among fishermen community, To find out the association between the psychological wellbeing and quality oflife among fishermen community with their selected demographic variables, To find out the correlation betweenpsychological wellbeing and quality of life among fishermen community.Materials and Methods: Quantitative descriptive research approach was used in this study.140 fishermenwere selected by using randomized sampling technique in kokilamedu, Chengalpattu district. A valid studyquestionnaire was used to collect data on socio-d emographic characteristics of fishermen, psychological wellbeingwas assessed by using genral health questionnaire and quality of life was assesses by using WHO QOL BREF scaleamong fishermen community.Results: The study shows that most of the fishermen were not affect with mental illness (98.6%) whereas remaining1.4%were affect with mental illness, majority of the fishermen were had average quality of life (94.3%) whereas5.7%of fisherman had good quality of life. Conclusion: Assessment on psychological wellbeing and quality oflife among fishermen shows that most of the fishermen were not affect with mental illness and the most of thefishermen had average quality of life.

Quality of life following a maternal near-miss event during the COVID-19 pandemic at a tertiary care center in South India.

To assess the quality of life (QoL) in women following a maternal near-miss event and to assess the women's attitude towards future fertility and their contraceptive choices. A cross-sectional observational study was conducted in Government Medical College, Kozhikode, India among women who had experienced a near-miss event (n = 50) between January 1, 2020 and May 31, 2021 during the peak of the COVID-19 pandemic. The QoL was assessed using the WHO Quality of Life, BREF Version, questionnaire, which was administered to the consenting participants over phone. Information regarding desire for future fertility, contraceptive choices, and urogenital symptoms was also collected. A comparison between the short-term and long-term effects on the QoL was also done. A maternal near-miss event was not found to adversely affect the overall quality of life in the present study. The scores in all the four domains-physical, psychological, social relationships, and environmental-suggested good QoL, although greater variability in values were observed in the physical and psychological domains. The influence in these two domains was more pronounced following a perinatal loss and following prolonged physical morbidities. There was no difference in short- and long-term QoL following a maternal near miss (MNM). The MNM did not influence the contraceptive choices and there was no subsequent pelvic floor dysfunction in most women. MNM was not found to adversely affect the overall subsequent QoL in the present study. There was no difference in short- and long-term QoL following a MNM. Studies carried out over a longer period of time with a control group would yield more information.

Chronic pain among older adults and its impact on satisfaction with social participation: development and validation of the "Instrument to Assess Older Adults' Social Participation". A descriptive quantitative study.

We aimed to develop and validate a practical instrument to assess older adults' satisfaction with their social participation (SP). This methodological validation study was conducted at a public higher education institution. A two-phase study was designed, developed, and validated to assess older adults' satisfaction with their SP. In the first phase, we conceptualized SP and developed an "instrument to assess older adults' satisfaction with their SP (IAPSI)," as approved by a committee of specialists, pre-tested, and partially validated. Second, we determined the IAPSI's reproducibility using Cronbach's alpha to measure internal consistency, Pearson's and Spearman's coefficients to measure correlations, the Bland-Altman plot and intraclass correlation coefficient (ICC) to measure reproducibility. We also generated a receiver operating characteristic (ROC) curve. 102 older adults (mean age, 87.29) participated in the first phase. Moderate internal consistency (Cronbach's alpha 0.7) and significant moderate correlations with quality of life by World Health Organization Quality of Life (WHOQOL)-bref and by WHOQOL-old social domains (Pearson's coefficients 0.54 and 0.64, respectively; P < 0.001) were found. The ROC curve indicated an IAPSI score of 17 as the threshold for the impact of pain on satisfaction with SP (83.3% sensitivity and 88.9% specificity, P < 0.001). In the second phase, 56 older adults (between 81 and 90 years old) participated. We found adequate intra- and inter-observer reproducibility for the IAPSI (ICC 0.96 and 0.78, respectively). We have developed a practical instrument with appropriate psychometric properties to assess older adults' satisfaction with their SP.

Perceived Work Stress and Quality of Life Among Bankers in Southwest Nigeria.

Work-related stress is the response people may have when presented with work demands and pressures that are not matched to their knowledge and abilities and challenge their ability to cope. The World Health Organization (WHO) defines quality of life (QOL) as individuals' perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards, and concerns. This study aimed to determine the pattern of perceived work stress and its impact on the QOL of bankers in Ado-Ekiti, Southwest Nigeria. This was a cross-sectional study conducted among three hundred and two bankers in Ado-Ekiti, Ekiti State. The single-stage study obtained data on the socio-demographics, work history, and medical history of respondents with the socio-demographic questionnaire. The perception of work stress by the respondents was assessed with the Perceived Stress Scale (PSS-10), and the QOL was assessed with the WHO QOL Brief Version (WHOQOL-BREF). Fifty-seven (18.9%) had a low perception of stress, 233 (77.1%) had a moderate perception of stress, and 12 (4.0%) had a high perception of stress. In this study, an association was found between perceived work stress and social relationship domain of QOL. This study showed that there is a high prevalence of moderately perceived work stress among bankers. It also showed a significant association between perceived work stress and QOL.

Occurrence and Correlates of Domestic Violence among Asian Patients with Alcohol Use Disorder Seeking Treatment for Cessation

ObjectiveAlcohol use disorder (AUD) has significant social and economic consequences in addition to health implications. Alcohol and drug use are linked to violence, particularly intimate partner violence and domestic violence. Identifying the characteristics of individuals with AUD and a history of domestic violence is important. Our study aimed to investigate differences between AUD patients with and without domestic violence. MethodsThis retrospective study examined the medical records of individuals diagnosed with AUD participating in a central Taiwan alcohol treatment program from 2019 to 2020. Utilizing the Cut down, Annoyed, Guilty, and Eye-opener questionnaire (CAGE), Alcohol Use Disorders Identification Test (AUDIT), Brief Michigan Alcoholism Screening Test (MAST), Beck Depression Inventory (BDI), Beck's Anxiety Inventory (BAI), World Health Organization Quality of Life (WHOQOL), and a question on suicidal ideation, we collected data on diverse variables, including a history of domestic violence. A total of 136 individuals were included in the analysis. ResultsTwenty participants had a history of domestic violence, while 116 did not. Those with a history of domestic violence had significantly higher MAST scores, lower quality of life, and higher caregiver burden compared to those without a history of domestic violence. They also had a higher proportion of adverse consequences related to alcohol use and higher suicidal ideation scores. ConclusionsIt is important to assess the risk of domestic violence in individuals with AUD, particularly those with higher MAST scores. Questions 4 and 10 of the MAST, which relate to adverse consequences of alcohol use, such as losing friends or being arrested for drunk driving, could serve as warning questions for domestic violence. Further research is needed to assess the efficacy of interventions in reducing domestic violence risk in individuals with AUD.