World Health Organization Quality Of Life-BREF Research Articles

Effect of Group Motivational Enhancement Therapy in Patients with Opioid Dependence (on Maintenance Treatment): Study Protocol of a Randomized Controlled Trial

Background: Relapse and treatment dropout are key challenges in opioid use disorder that need effective intervention strategies. Motivation enhancement therapy may be effective in improving opioid use disorder treatment outcomes. Objective: To assess the effectiveness of group motivational enhancement therapy (GMET) in patients with opioid dependence. Methods: It is an open-label, two-arm, parallel-group, randomized controlled trial (RCT). Participants include patients with opioid dependence and on opioid maintenance treatment, aged between 18 and 60 years. The intervention consists of six GMET sessions, each lasting about 45 minutes. Assessments will be conducted at four time points—baseline, six weeks, four months, and six months—using the Kessler psychological distress scale (K10), Recovery and Relapse Prevention Inventory Diagnostic (RAPID), WHO Quality of Life-BREF, Harm Reduction Self-Efficacy Questionnaire and Stage of Change Readiness and Treatment Eagerness Scale for drugs (SOCRATES 8D). Conclusion: The customized GMET approach tailored to the specific needs of the local population is expected to enhance the effectiveness and feasibility of the intervention and its implementation.

Quality of Life of Patients with Heart Failure Due to Myocardial Ischemia.

Heart failure caused by myocardial ischemia is a common cause encountered in clinical practice. A significant problem in heart failure is its progressive, unfavorable course and the associated increased frequency of repeated hospitalizations, as well as a significant deterioration in the functioning of patients, leading to their inability to function independently and a significant decline in the quality of life. This study aimed to assess the quality of life of patients with heart failure due to myocardial ischemia, considering the left ventricular ejection fraction, the number of "diseased" coronary arteries, co-occurring diseases, and cardiovascular risk factors. A total of 204 patients with decompensated heart failure due to chronic myocardial ischemia were included in this study and examined twice: A: on the first day of hospitalization; A': from 4 to 8 weeks. For the individual assessment of the quality of life, the WHOQOL-BREF (The World Health Organization Quality of Life - BREF) questionnaire was used. In the group of patients with heart failure in the decompensation stage a statistically significant positive relationship was observed between the number of comorbidities and the social domain (R(A) = 0.197; p(A) = 0.005), the number of diseased coronary arteries and the mental (R(A) = 0.184; p(A) = 0.184) and environmental (R(A) = 0.149; p(A) = 0.034) domains, left ventricular ejection fraction (LVEF%) and quality of life (R(A) = 0.235; p = 0.001) and satisfaction with health (R(A) = 0.235; p = 0.001) and somatic domain (R(A) = 0.194; p = 0.005). A similar result was observed among patients in the long-term follow-up. A statistically significant negative correlation was demonstrated in the mentioned group between the LVEF% value and the social domain (R(A) = -0.235; p = 0.001), as well as in the long-term follow-up (R(A') = -0.191, p = 0.026). The level of self-assessment of quality of life and satisfaction with health was statistically significantly higher among patients with heart failure in the long-term follow-up (3.20 ± 0.62) than in patients in the decompensation stage (1.98 ± 0.69). The quality of life of the examined patients with heart failure caused by chronic myocardial ischemia was poor, although it improved to average in the long-term follow-up. It was determined by left ventricular ejection fraction, the number of "diseased" coronary arteries, comorbidities, and risk factors.

Exploring the Quality of Life of University Students in Egypt: A Cross-Sectional Survey Using the World Health Organization Quality of Life-BREF (WHOQOL-BREF) Assessment.

To comprehensively assess the quality of life (QoL) of Egyptian university students. Cross-sectional online study. Online settings of university students from August to October 2023. University students aged 18-25 from various institutions in Egypt. Physical, psychological, social, and environmental domains of the World Health Organization Quality of Life-BREF (WHOQOL-BREF) scale. Statistical analyses were performed using SPSS version 27.0. Mann-Whitney and Kruskal-Wallis tests were used to detect significant associations while Spearman correlation was used for correlation analysis. A total of 1930 Egyptian university students were included. Students showed outperformance in the psychological health and social relationships domains, with medians of 58 ± 20.8 and 58 ± 25, respectively, compared to physical health with a median of 46 ± 17.8 and environmental health with a median score of 16.6 ± 21.9. Non-medical students reported higher QoL scores, particularly in physical, psychological, and social domains, compared to their medical counterparts (P-values <0.001, 0.007, and 0.002, respectively). No significant differences were observed between genders in any of the domains. Academic performance satisfaction significantly correlated with higher QoL scores across all domains (P < 0.001). This multi-center study sheds light on diverse aspects influencing QoL of Egyptian university students. The findings underscore the importance of addressing academic stressors, promoting health behaviors, and tailoring interventions based on students' academic backgrounds with larger and more representative samples.

Modern psychometric evaluation of Thai WHOQOL-BREF and its shorter versions in patients undergoing warfarin in Thailand: Rasch analysis

Rasch analysis was employed to investigate the psychometric properties of the World Health Organization Quality of Life-BREF (WHOQOL-BREF) and its shorter versions (EUROHIS-QOL-8 and WHOQOL-5) within the context of patients undergoing warfarin in Thailand. A group of 260 patients were recruited from three public hospitals and tasked with completing the WHOQOL-BREF questionnaire. Rasch analysis showed that the WHOQOL-BREF, structured into four-domain subtests, achieved a commendable fit to the Rasch model (χ2[16] = 12.26, p = 0.73), met the criterion of unidimensionality (7.31% significant t-tests; lower bound confidence interval, 4.66), and demonstrated satisfactory reliability (PSI = 0.87). The adoption of a subtest approach facilitated an acceptable fit to the Rasch model for each domain of the WHOQOL-BREF, except for the social domain. However, the presence of local dependency of the three-item social domain was detected, so the reliability was not reported. The WHOQOL-5 proved to be unidimensional, fitting the Rasch model acceptably, and had satisfactory reliability. Conversely, the EUROHIS-QOL-8 presented local dependency; thus, reliability was not reported. Consequently, the WHOQOL-BREF in its four-domain subtests is recommended for pre- and post-HRQoL measurements, whereas the WHOQOL-5 can effectively measure HRQoL levels in between-group analyses.

Effectiveness of a nurse-led family empowerment program to improve the quality of life among pregnant adolescents: A randomized controlled trial.

The present study examined the effects of a nurse-led family empowerment program on the quality of life of Palestinian pregnant adolescents. This was a randomized controlled trial with a two-group pre-/post-test design. The sample consisted of 58 pregnant adolescents recruited from six governmental primary health care clinics in Palestine. Participants were randomly allocated in equal numbers to either the control group (n = 29), which received routine care, or the experimental group (n = 29), which received both routine care and the study program. Data collection instruments included a demographic form and the WHO Quality of Life-BREF (WHOQoL-BREF). Data were collected twice: at 32 or 33 weeks' gestation to establish a baseline and at 36 or 37 weeks' gestation post-test. Statistical analyses were performed and included descriptive statistics, chi-square and t-tests. The study findings indicated a significant increase in the mean quality of life scores of the experimental group in the post-testcompared to the pre-test (P < 0.001). Additionally, pregnant adolescents in the experimental group demonstrated significantly higher post-test QoL scores than those in the control group (P < 0.001). The nurse-led family empowerment program emerges as a viable and efficacious alternative intervention for improving the quality of life among Palestinian pregnant adolescents. The study was registered with the NIH U.S. National Library of Medicine ClinicalTrials.gov on 01/09/2021 with the registration code NCT05031130. It can be accessed via this link: https://classic. gov/ct2/show/NCT05031130.

Quality of Life after Cataract Surgery.

Background: The impact of medical intervention on a patient's quality of life (QoL) is more and more important. Treatment success is defined not only in terms of the success of the procedure performed but also with regard to its impact on different areas of the patient's life. The aim of the study was to assess the QoL of patients after cataract surgery and identify factors that affect it. Methods: Between January and March 2018, a survey was carried out among 100 patients who had undergone cataract surgery with intraocular lens implantation at the 'Spektrum' Clinical Ophthalmology Centre in Wrocław. The World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire and Illness Acceptance Scale (AIS) were used. Results: Most respondents (67%) rated their overall health as very good. The median score on the AIS was 34 (31.5-39), indicating a high level of illness acceptance. There was no statistically significant relationship (p > 0.05) between sex and QoL nor between the level of illness acceptance and QoL. We found no statistically significant relationships between place of residence and QoL (p > 0.05) nor between place of residence and AIS. Conclusions: The respondents reported the highest QoL scores for the environment domain and the lowest QoL scores for the social relationships domain. QoL had a positive impact on illness acceptance among the study patients. Younger patients (aged 50 or under) reported significantly higher scores for all the domains of QoL. Being employed was found to be associated with better QoL and greater illness acceptance.

Quality of Life of Healthcare College Students in Riyadh, Saudi Arabia.

The aim of this study was to assess the quality of life (QOL) and its influencing factors among healthcare college students in Riyadh, Saudi Arabia. A cross-sectional study was conducted among healthcare students at King Saud University. A modified version of the Arabic World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire, including 25 questions, was used to assess students' QOL. Data were collected through an online survey and analyzed using IBM SPSS Statistics version 26 (IBM Corp., Armonk, NY). Descriptive and regression statistics were used. A total of 547 healthcare students completed the questionnaire during the data collection period. Of all the students, 39.7% were from applied medical college, 62.5% were females, 98.9% were single, and 91.8% were non-smokers. Regarding academic status, 58.3%did not participate in any extracurricular activity, 42.6% had an academic advisor, and 80.4%had a grade point average (GPA) higher than 4.1. The average QOL score across all domains was moderately good (60.30 ± 16.0), whereas the physical domain showed the poorest score (46.89 ± 14.8) while the environmental domain had the greatest score (68.04 ± 20.6). The environmental domain was the only domain that showed significant differences between healthcare colleges (p <0.001). Moreover, students who were male (p = 0.009), non-smokers (p = 0.023), reported living with family/friends (p =0.031), and from families with high monthly income (p < 0.001) had significantly higher environmental QOL scores than their counterparts. The study found that healthcare students had moderately good mean QOL scores. The environmental domain was the only QOL domain that showed significant differences between healthcare colleges with the greatest scoreamong medical college students. Gender, smoking status, residence status, and family monthly income were found to have a strong association with students' environmental QOL scores. Institutions need to focus on the regular measurement of students' QOL, which facilitates implementing strategies that can promote their overall QOL and subsequently positively impact their performance academically and practically.

Association of mental health with walking capacity in patients with claudication: a cross-sectional study

Objectives The purpose of this investigation was to verify the association between mental health (MH) indicators with walking capacity in patients with PAD. Methods Two hundred and forty-six patients with PAD and claudication symptoms participated in this study. Physical function was assessed objectively with the 6-min walk test (6MWT) and subjectively using the Walking Impairment Questionnaire (WIQ). MH was assessed by the World Health Organization Quality of Life-Bref (WHOQOL-Bref) (six questions were selected − 1, 2, 10, 16, 19, and 26). Patients were divided into tertile groups according to their composite z-score for mental health (Low MH, Middle MH, and High MH). Results The High MH group presented higher scores (p < 0.05) for the WIQ (distance = 26.8 ± 25.6, speed = 25.4 ± 17.3, and stairs = 33.6 ± 27.5), claudication onset distance (161.6 ± 83.6 m), and total walking distance (352.9 ± 79.6 m) compared to Low MH (WIQ distance = 14.8 ± 16.2, 17.7 ± 13.0, and stairs = 22.7 ± 20.7). Additionally, the High MH group presented a longer claudication onset distance (115.5 ± 70.5 m), and total walking distance in 6MWT (306.6 ± 83.2 m), and higher scores in the total walking distance compared to Middle MH (309.5 ± 93.6 m) (p < 0.05). Conclusion In patients with PAD, MH was positively associated with walking capacity. Based on these results, treatments that can improve mental health, through different mechanisms, can also positively influence the ability of these patients to walk.

Quality of life and performance status after whipples surgery: experience from Sheikh Russel National Gastroliver Institute and Hospital

Background: Whipple surgery, or pancreaticoduodenectomy, is a complex surgical procedure often performed to treat pancreatic and periampullary cancers. Quality of life (QOL) and performance status are critical metrics for assessing post-operative outcomes. This study aimed to evaluate the QOL and performance status of patients after Whipple surgery in a tertiary care centre in Bangladesh. Methods: This cross-sectional study was conducted among 64 patients who underwent Whipple surgery at the Sheikh Russel National Gastroliver Institute and Hospital, Dhaka, Bangladesh between January 2021, and January 2023. The World Health Organization Quality of Life-BREF (WHOQOL-BREF) and Eastern Cooperative Oncology Group (ECOG) performance scales were used to assess QOL and performance status, respectively. Data were analyzed using descriptive and inferential statistics. Results: Most participants were aged between 43 and 53 years, with a mean age of 54.66 years, and were predominantly male (64.06%). Most participants rated their physical health (34.37%) and psychological state (37.50%) as "good." Most patients (57.81%) experienced uneventful post-operative recovery. About (34.37%) was "restricted in strenuous work." Chemotherapy negatively impacted physical health (r=-0.198, p=0.02). Conclusions: The findings indicate that most patients experienced favourable outcomes in both QOL and performance status following Whipple surgery. The results underscore the importance of holistic patient care and highlight potential areas for clinical improvement and future research.

Easing Panic: The Effect of an Online Psychoeducational Program on Panic Symptoms, Anxiety, and Quality of Life Among People Experiencing Panic Attacks

Panic attacks (PAs) are intense episodes of anxiety with severe physical symptoms that can impair an individual’s social and occupational functions. Psychoeducation, a structured educational intervention, aims to improve various health aspects, including mental disorders. Delivering psychoeducation via the Internet can overcome barriers to accessing mental health treatment. This study examined the effectiveness of online psychoeducation on panic symptoms, anxiety, and quality of life (QOL) among people experiencing PAs. In this quasi-experimental design, 157 participants with PAs were recruited, and 136 eligible participants were allocated to treatment and control groups. The treatment group received an eight-session online psychoeducational program over 8 weeks, while the control group received reading materials. Outcome variables, including panic symptoms, anxiety, and QOL, were measured at baseline, 1-week post-intervention, and at 8-week follow-up using the Panic Disorder Dimensional (PD-D) scale, the Generalized Anxiety Disorder (GAD-7) scale, and the World Health Organization Quality of Life-BREF (WHOQOL-BREF), respectively. In the treatment group, the split-plot ANOVA showed a significant reduction in panic symptoms [F(1, 98) = 18.86, p < 0.01] and anxiety [F(1, 98) = 18.241, p < 0.01] compared to the control group. However, the intervention did not significantly affect QOL [F(1, 98) = 0.278, MSE = 153.007, p > 0.05]. The online psychoeducational program effectively reduced panic symptoms and anxiety levels but did not significantly impact QOL. Internet-based interventions, including psychoeducation, can improve access to mental health treatment, potentially reducing the treatment gap and enhancing overall mental health outcomes.

The Global Burden of Chronic Obstructive Pulmonary Disease: Exploring the Social and Psychological Dimensions

Millions worldwide suffer from chronic obstructive pulmonary disease (COPD), a progressive and debilitating respiratory condition. Beyond its physical symptoms, COPD has significant social and psychological repercussions. This research examines the connections between smoking, depression, suicidal ideation, and the quality of life (QOL) in COPD patients. By analyzing these variables, we aim to enhance the understanding of the challenges faced by individuals with COPD and inform healthcare strategies and public policy. Using a purposive sampling technique, the study employed the PHQ-9 (Patient Health Questionnaire-9), Suicidal Ideation Attribute Scale, and WHOQOL-BREF (World Health Organization Quality of Life-BREF) to collect data. The results revealed a significant negative correlation between depression and quality of life (r = -.475**). Smoking was positively correlated with the severity of COPD as diagnosed by doctors (r = .542**). A longer duration of COPD was associated with a lower quality of life (r = -.268*). The study also found that males (m = 23.15, Sd = 9.5) exhibited a higher prevalence of suicidal ideation compared to females (t = 3.38, p = .001, m = 16.06, Sd = 9.26). Additionally, the age of individuals with COPD positively correlated with disease severity (r = .268) and duration of illness (r = .457**). These findings highlight the need for comprehensive healthcare approaches addressing both the physical and psychosocial dimensions of COPD, guiding public policy and healthcare regulations to better support affected individuals.

Comparison of clinic and demographic characteristics in vestibular migraine and migraine only patients

Background &amp; Objective: The relationship between vertigo and migraine has been known for a long time. Many migraine patients are accompanied by vertigo. The term vestibular migraine (VM) is a clinical entity defined recently. Treatments for migraine only (MO) and VM patients differ partially. Therefore, it is essential to distinguish between these two clinical conditions. This study aims to reveal the clinical and demographic differences between MO and VM and determine the factors that will help diagnose and manage VM. Method: A total of 80 patients, 40 diagnosed with MO according to ICHD-3 and 40 diagnosed with VM, who applied to the Neurology clinic of a tertiary hospital between January and July 2023, were included in this prospective study. The patients’ ages, genders, education levels, medical and family history, migraine duration, migraine onset age, migraine attack frequency, and medication use were recorded. All patients completed a battery of questionnaires, including the Migraine Disability Assessment (MIDAS), Headache Impact Test (HIT-6), Visual Analog Scale (VAS), World Health Organization Quality of Life-Bref (WHOQOL-BREF), Dizziness Handicap Inventory (DHI), Activities-Specific Balance Confidence Scale (ABCS), and Beck Depression Inventory (BDI). Results: Patients with VM experienced significantly more sleep disturbances, depressive symptoms, movement disorders, imbalance, menstruation-related headaches, and aura compared to those with migraine MO. In contrast, MO patients reported more throbbing headaches and a better response to analgesics. Conclusion: MO and VM patients have distinct clinical characteristics. Recognizing these basic differences has important clinical benefits, allowing for precise diagnosis and treatment of VM.

The relationship of blood pressure and self care behavior on the quality of life in elderly

Background: Several factors, including blood pressure and self-care behavior, influence quality of life in the elderly. Self-care behavior involves taking action to improve and maintain one's health. This study aimed to determine whether there was a relationship between blood pressure and self-care behavior on the quality of life of the elderly in Bali. Methods: This study used an analytical observational design with a cross-sectional approach. The sampling technique used was consecutive sampling. Data was collected by measuring blood pressure with a sphygmomanometer, while self-care behavior and quality of life were measured using a questionnaire instrument WHO Quality of Life-BREF for quality of life and exercise self care agency scale for self care. This study was conducted in Pejeng Village, Tampaksiring District, Gianyar Regency, on April 7, 2023, in the Pejeng 1 State Elementary School classroom. Results: Based on the non-parametric Spearman rho analysis test, the values obtained were p = 0.016 and 0.018 (p&lt;0.05) and the coefficient r = 0.361 and 0.356. Based on the R test, the values obtained are r = 0.612 and r square = 0.375. Based on the T-test, the values of t = 2.180 and 3.331, t table = 2.01954, and p = 0.035 and 0.002. Based on the multicollinearity test, the variance inflation factor value is 1.159. The tolerance value in this study is 0.863. Conclusion: There was a relationship between blood pressure and self-care behavior on the quality of life of the elderly in Bali.

Navigating the complexities of care: exploring quality of life among parents-caregivers of children with neurological impairments in Bulgaria

ABSTRACT This study delves into the quality of life (QoL) experiences of parents caring for children with neurological impairments in Bulgaria. Employing the World Health Organization Quality of Life-BREF (WHOQOL-BREF) instrument, a cross-sectional analysis was conducted on parents of neurologically impaired children (n = 52) and parents of healthy children (n = 43). The study uncovers the intricate interplay of physical, psychological, social, and environmental dimensions that contribute to caregivers’ well-being. Despite the challenges parents of neurologically impaired children face, including the delicate balance between caregiving and employment, financial strains, and the need for culturally sensitive support services, they demonstrate remarkable adaptive capacities. The findings advocate for a multifaceted approach in addressing the challenges to improve the overall QoL for parents nurturing children with disabilities in Bulgaria.

Association of categorical diagnoses and psychopathologies with quality of life in patients with depression, anxiety, and somatic symptoms: A cross-sectional study

ObjectiveMajor depressive disorder (MDD), anxiety disorders, and somatic symptom disorder (SSD) are associated with quality of life (QoL) reduction. This cross-sectional study investigated the relationship between these conditions as categorical diagnoses and related psychopathologies with QoL, recognizing their frequent overlap. MethodsWe recruited a total of 403 clinical patients and healthy individuals, administering diagnostic interviews based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. QoL and psychopathologies were assessed using the WHO Quality of Life-BREF (WHOQOL-BREF) and several self-administered questionnaires, respectively. Multiple linear regression analyses examined the associations between psychiatric diagnoses, psychopathologies, and QoL. ResultsSSD and MDD were independently associated with impaired global (β = −0.318 and − 0.287) and all QoL domains (β = −0.307, −0.150, −0.125, and − 0.133, in physical, psychological, social, and environmental domains respectively for SSD; β = −0.278, −0.344, −0.275, and − 0.268 for MDD). The Beck Depression Inventory-II score showed pervasive associations with QoL (β = −0.390, −0.408, −0.685, −0.463, and − 0.420, in global, physical, psychological, social, and environmental domains). The Patient Health Questionnaire-15 and Health Anxiety Questionnaire scores were associated with global (β = −0.168 and − 0.181) and physical (β = −0.293 and − 0.121) QoL domain, while the Cognitions About Body and Health Questionnaire score was only associated with environmental QoL domain (β = −0.157). ConclusionSSD and MDD were independently associated with QoL impairment. Depressive symptoms were associated with all QoL domains, whereas somatic symptom burden and health anxiety primarily affected the physical QoL domain. Clinicians should consider concomitant psychopathologies when managing patients with depression, anxiety, or somatic symptoms.

Comparative Evaluation of the Effectiveness of Adductor Canal Block versus Conservative Treatment for the Management of Anteromedial Knee Pain in Knee Osteoarthritis: A Prospective Study

Abstract Context: Knee osteoarthritis (KOA) is the most common type of lower extremity osteoarthritis (OA), with pain being the predominant symptom, leading to significant morbidity and impaired quality of life. Objectives: This study was designed to ascertain the effectiveness of ultrasound-guided adductor canal block (ACB), ensuing functional improvement and change in the quality of life in KOA patients with anteromedial knee pain and compare it with conservative treatment. Materials and Methods: A total of 196 patients were recruited for this trial and initially treated conservatively with oral analgesics and exercise. At the end of 2 and 4 weeks from the inclusion date, they were offered a crossover to the intervention with ACB for the saphenous nerve. The outcome measures, such as Visual Analogue Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, Timed Up and Go test, number of analgesics ingested per day and World Health Organization Quality of Life-BREF (WHOQoL-BREF) scores, were recorded at pre-decided time points. Results: After multiple structured follow-ups, 76 and 86 patients were analysed in the intervention and conservative groups, respectively. The two groups had no significant differences in the demographic and clinical patterns. The intervention group showed improvements in VAS (at week 2) (P &lt; 0.05), WOMAC and the number of analgesics ingested per day (weeks 2 and 4) (P &lt; 0.05). At ‘week 8’ follow-up, most patient outcomes including physical health and psychological domains of WHOQoL-BREF scores were better for conservative group (P &lt; 0.05). The rest of the outcome measures were comparable for both groups at all time points. No adverse events were reported. Conclusion: This study suggests that ACB is effective only for a short duration and does not offer any significant advantage over conservative management in the long run.

The Day After: The Longitudinal Effect of COVID-19 Lockdown on Quality of Life of University Students and the Moderator Role of Mindfulness.

Background: The COVID-19 lockdown has been a major stressor for the general population, posing a considerable threat to quality of life (QoL), particularly among university students. Existing research highlights the protective role of dispositional mindfulness (DM) in mitigating stressors; however, its influence on moderating the impact of COVID-19 on QoL remains unknown. We used a longitudinal design to assess the QoL of undergraduate students before and after the COVID-19 lockdown, while also examining the potential moderating effect of DM on this impact. Methods: One hundred eleven Spanish undergraduate students were recruited in 2019, and 103 were followed-up in 2020. Instruments comprised a demographic questionnaire, the World Health Organization Quality of Life BREF (WHOQOL-BREF) inventory to assess QoL, and the Five Facets Mindfulness Questionnaire (FFMQ) to assess DM. Results: Analyses revealed statistically significant differences between the two time points in WHOQOL-BREF: Psychological, Social Relationships, and Environmental. Moderation analyses revealed that the impact of COVID-19 on WHOQOL-BREF Psychological scores was moderated by FFMQ-Observe and FFMQ-Non-judging. Conclusions: The COVID-19 lockdown resulted in a reduction of QoL among undergraduate students, yet this impact was moderated by DM. Specifically, present moment attention to experience (observe) and non-judgmental awareness attenuated the impact of COVID-19 on psychological well-being. Future research should focus on evaluating the protective role of preventive interventions designed to increase DM among undergraduate students.

A Study on Suicidal Intent, Quality of Life, Medical and Psychiatric Comorbidity in Cancer Patients at a Tertiary Care Hospital in Puducherry

Background- Cancer is now widely recognised as a new epidemic globally which accounts for nearly 10 million deaths in year 2020. Aims and Objectives-The aim of the study was to estimate suicidal ideation among cancer patients and to evaluate the association between suicidal intent with the quality of life, medical and psychiatric comorbidities. Methods-The study group included 70 cancer patients who were surgically treated in the Department of Surgical Oncology in a tertiary care hospital in South India. The sample size was calculated using Open Epi Version 3.0. Sampling was done using consecutive sampling method. The study was conducted from March 2021 to September 2022. A socio-demographic information form, HADS (Hospital Anxiety Depression Scale), Beck Suicide Intent Scale and WHO-QOL BREF (WHO Quality of Life BREF) were used. Results- In our study 12.9% reported having attempted suicide in the recent past, 18.6% scored abnormal on anxiety scale and 40% scored depression level on HADS. Conclusions- Cancer patients are at increased risk of developing many psychiatric illnesses including anxiety, depression and suicidal attempts. The QOL of cancer patients are affected by these psychiatric comorbidities. Timely assessment and intervention can improve their QOL and also reduce the risks of suicide. There is a significant correlation between anxiety, depression and suicide attempt. Keywords: Suicide, Anxiety, Quality of Life, Cancer .

The Effect of Academic Burnout and Quality of Life in Adolescents’ Career Indecisiveness

Career decisions during adolescence are crucial and challenging. Most adolescents experience career indecisiveness, including dilemma, pressure, confusion, and difficulties which causes them to delay or leave their choices to others. Previous studies examined career indecision related to personality factors, social support, and school career programs. Aim of this study to examine the relationship and effect of academic burnout and quality on life towards career indecisiveness in adolescents. This quantitative study involved 575 adolescents in the Greater Jakarta area, which were selected through random sampling techniques. Data were collected by using google form questionnaires through a link. In this stage, the instrument consists of the Student Burnout Inventory, The WHO Quality of Life BREF, and The Career Indecisiveness Scale. Data were analyzed with multiple correlations and regression tests. The results showed that both academic burnout and quality of life have moderate correlations and effect in adolececnts’ career indecisiveness at 18.3%. The psycho-emotional dimension was a role in predicting academic burnout and quality of life, meanwhile the lack of information was a major problem for adolescents’ career indecisiveness. Keywords: adolescent, academic burnout, quality of life, career indecisiveness

Perceived mental illness stigma and self stigma among persons treated for psychotic disorders

IntroductionStigma related to mental health has serious impact on persons suffering from psychiatric disorders and on their families. Self-stigma occurs when people with mental health problems internalize public attitudes, negative beliefs and stereotypes associated with psychiatric disorders. Stigma and self-stigma can affect every aspect of life and result in discrimination, social exclusion, feelings of low self-esteem, shame, guilt, and can postpone seeking help.ObjectivesTo examine perceived stigma and self-stigma of people treated for psychotic disorders.MethodsWe will include male and female patients older than 18 years of age, diagnosed with psychotic disorders, treated as outpatients. Assessment will include sociodemographic data, Internalized Stigma of Mental Illness Inventory – 9-item Version (ISMI-9) * to measure internalized stigma of mental illness, The perceived devaluation-discrimination (PDD) scale to measure perceived stigma, the World Health Organisation Quality of Life-BREF (WHOQOL-BREF) questionnaire, and Clinical Global Impression Scale (CGI).ResultsWe will analyse differences in ISMI and PDD scales in patients treated for psychotic disorders.ConclusionsUnderstanding self-stigma and societal stigma associated with mental health is crucial in creating programs aimed at well-being of persons treated for psychotic disorders.Disclosure of InterestNone Declared