Showing 16 results for Quality of Life
Hossein Safizade, Simin Shamsi-Meymandi, Yalda Bani-Hashemi,
Volume 1, Issue 4 (12-2010)
Abstract
Background and Aim: Melasma is an acquired symmetrical brown hyperpigmentation of the face or neck. Melasma has been shown to have a significant emotional and psychologic distress on affected patients. Although this pigmentary disorder is more prevalent among women of reproductive age, the effect of melasma on quality of life in this population is unknown. The aim of this study was to evaluate health-related quality of life in patients with melasma attending to dermatology clinics in Kerman city, Iran.
Methods: A cross-sectional study was carried out by clinical examination and questionnaire on 200 patients with melasma. Melasma area and severity index (MASI), Dermatology Life Quality Index (DLQI) and Melasma Quality of Life Scale (MELASQOL) were used to assess melasma severity and quality of life.
Results: There were 200 women with mean age 31.86±6.42 years old (range: 18-55 years). The mean score of DLQI and MELASQOL were 6.90±4.48 and 40.24±14.95, respectively. In 113 (56.5%) patients, melasma had very large effect on their quality of life. There was a significant correlation between the scores of quality of life questionnaires and MASI (P<0.001). In DLQI scale the most frequent impairment was related to emotional well-being and based on MELASQOL questionnaire, embarrassment due to skin appearance had an important impact on quality of life.
Conclusion: This study revealed that physicians must consider the devastating psychosocial impact of pigmentary imperfections in addition to pharmacological and physical treatment.
Soodabeh Zandi, Simin Shamsi Meymandi, Sadegh Hasheminasab Gorji, Fatemeh Sabouri Shahrebabak,
Volume 2, Issue 3 (9-2011)
Abstract
Background and Aim: Psoriasis is a chronic, relapsing disease of the skin with psychological and somatic impacts that leads to substantial effects on the quality of life. The aim of this study was to determine the quality of life in psoriatic patients.
Methods: This cross-sectional study was conducted on 97 psoriatic patients in dermatology and PUVA clinic in Afzalipour hospital in Kerman from March 2009 to March 2010. Quality of life and disease severity were Dermatology Life Quality Index (DLQI) and Psoriasis Area Severity Index (PASI). Data analysis was done through conducting, chi-square and one-way AVONA tests and P<0.05 was considered as significant.
Results: 55.7% of patients were male and mean age of them was 35.3 years (range: 16-75 years). Psoriasis vulgaris was the most common type (76.3%), and arthropathy was seen in 3.1% of patients. The mean duration of the disease was 21 months (range: 11 months-30 years).The mean of DLQI score was 14.1(range: 1-29) and mean PASI score was 18.6 (range: 0.6-66.6). DLOI score correlated with severity of disease (PASI), marital status, and type of the disease (P<0.05).
Conclusion: Psoriasis has a severe negative impact on the quality of life of the patients. Therefore, supportive social and spiritual efforts are necessary to decrease these effects.
Mahsa Ghajarzadeh, Shahrbanoo Kheirkhah, Maryam Ghyiasi,
Volume 2, Issue 4 (12-2011)
Abstract
Background and Aim: Vitiligo is a chronic skin disease which is characterized by depigmented patches due to loss of melanocytes. On contrary of low physical impairment, vitiligo causes a lot of cosmetic problems which can lead to psychological problems. The aim of this study was to evaluate the quality of life and depression in Iranian patients with vitiligo, who were referred to Razi Hospital in 2009 and 2010.
Methods: From January 2009 until January 2010 one hundred vitiligo patients were randomly selected from outpatient clinic of Razi Hospital and asked to answer to the following valid and reliable instruments Beck Depression Inventory (BDI), SF-36 and Dermatology Life Quality Index (DLQI).
Results: The mean age ± standard deviation of the participants was 28.9±11.5 years and mean scores of BDI,SF-36 and DLQI of all patients were 15.9±11.8, 63.8±19.4 and 8.4±6.9 respectively. There was a significant relationship between DLQI scores and the duration of the disease (r=0.3, P<0.001) while there was no significant relationship between DLQI scores and age (r=0.1, P=0.2).
Conclusion: Evaluation of quality of life and depression in patients with vitiligo and consequences of the disease on patients' lives should be considered.
Rezvan Talaee, Mohammadreza Moayeri, Tahereh Mazuchi, Seyed Alireza Moravveji, Mohaddese Ardestani,
Volume 3, Issue 3 (9-2012)
Abstract
Background and Aim: Quality of life is a broad concept that reflects an individual’s perspective on the level of life satisfaction experienced in a variety of situations including housing, recreation, environmental conditions, health and job. In this way it is a subjective measure that is affected by factors well beyond health status. To evaluate quality of life in patients with common pigmentation disorders such as vitiligo, melasma, and freckles refer to dermatologic clinics of Kashan University of medical sciences during 2010 and 2011.
Methods: In this cross sectional study, 142 patients with pigmentation disorders, older than 18 years old filled out Dermatology Life Quality Index (DLQI) questionnaire. DLQI questionnaire includes 10 questions regarding feelings, daily activities, leisure, job and education, personal relationship and treatment. Scoring was performed according to Finlay's guidelines. The data were analyzed with t, ANOVA and Pearson correlation tests. The higher the score, the greater the impairment of quality of life.
Results: The mean DLQI score was 5.64 (±5.03). The mean DLQI score in vitiligo was higher than other diseases. In this study score of quality of life in women, patients younger than 25 years old, patients with lesions on exposed areas, and single patients was higher than others, but there was not any significant relationship between quality of life and duration of disease, job, education level and place of residence.
Conclusion: This study showed that skin pigmentation disorders had a significant impact on all aspects of the quality of life, especially on socio-psychological aspect. Therefore, dermatologists should pay attention to the psychological effects of those diseases and try to decrease their extensions and disfigurating effects by various treatment modalities.
Akram Ansar, Leyla Jahangard, Pouyan Pahlevani, Bahman Rasouli, Saadat Torabian, Sahar Rasouli,
Volume 4, Issue 3 (9-2013)
Abstract
Background and Aim: Psoriasis vulgaris is a common chronic
dermatic disease impresses many aspects of patients’ life. Many clinical
researches focus on quality of life recently, to evaluate clinical
interventions and treatments. This study planned to recognize different aspects
of life in patients suffer psoriasis vulgaris.
Methods: This case-control study was performed on 100
patients suffer psoriasis vulgaris in 1391 year and 100 people who didn’t have
any specific disease as control group. Quality of life was measured by standard
quality of life questionnaire (SF-36) and data obtained were analyzed with chi
square and t tests.
Results: Average score of SF-36 in psoriasis patients group
65.05±15.51 was significantly less than control group 78.31±11.93 (P<0.001). Difference between patients and
control group was significant in all of aspects except physical and emotional
aspects (P<0.05).
Conclusion: According to the findings of this study, patients
with psoriasis vulgaris had a significantly lower quality of life, in
comparison with the control group. Therefore, these patients require special
attention and specific planning to improve and manage different aspects of
their lives.
Ameneh Yazdanfar, Mohammadreza Ahmadpanah, Zohre Kheradmand,
Volume 5, Issue 1 (3-2014)
Abstract
Background and Aim: Vitiligo and acne are common chronic skin diseases with cosmetic impacts affecting various aspects of quality of life. This research was done to study the quality of life in these patients and their related factors.
Methods: This cross-sectinal study was carried out on 132 patients with vitiligo and 136 patients with acne. The patients were asked to answer questionnaires including questions about their demographic and clinical information as well as questionnaire of Dermatology Life Quality Index (DLQI). SpSS version 16 was used to statistically describe and test the data.
Results: The mean±standard deviation (SD) ages of patients with vitiligo and acne, were 22.8±5.7 and 28.9±11.5 years, respectively. The proportions of female patients with vitiligo and acne were 54.5% and 83.8%, respectively. Patients were matched for age and gender. There was no statically significant differrence between the mean DLQI score and age, martial status, occupation, residence, education, age of onset of disease in neither group. Patients with more chronic vitiligo experienced significantly impaired quality of life (P=0.008). A statistically differrence was found between mean DLQI scores and clinical forms of vitiligo. The mean scores of patients with generalized type was higher than those with localized forms (P=0.032). Patients with severe acne experienced significantly impaired quality of life (P=0.002). The mean DLQI scores in vitiligo and acne were 6.75 and 7.05, respectively, but this differrence was not statistically significant (P=0.08). A statistically significant difference was found in two subgroup: in symptoms and feelings (P=0.002) and interpersonal relationships (P=0.02).
Conclusion: The quality of lifves of patients were affecteded by the type of disease, its severity and its duration in both groups.
Lida Bahrami, Hamze Ahmadian, Gholamreza Eshghi,
Volume 5, Issue 3 (10-2014)
Abstract
Background and Aim: Vitiligo is a common skin disease and it is important to recognize and manage its social and psychological consequences. The aim of this study was to investigate the relationship between illness perception, depression and quality of life among vitiligo patients referred to the skin clinic of Farshchian Hospital in Hamedan.
Methods: This cross sectional study was conducted on the patients with vitiligo referred to the skin clinic of Farshchian Hospital during the first quarter of 2014. The study sample consisted of 100 patients (32 male and 68 female patients) with vitiligo who were selected using convenience sampling. Measurement tools included the Revised Illness Perception Questionnaire (IPQ-R), World Health Organization Quality of Life-BREF (WHOQOL-BREF), and Beck Depression Inventory-II (BDI-II). The data were analyzed using Pearson's correlation test.
Results: Illness perception have significant relationship with depression and quality of life in vitiligo patients. There was a significant difference in positive (P=0.031) and negative (P=0.002) illness perception scores between male and female vitiligo patients. Also, environmental dimension of quality of life in vitiligo patients was significantly different between men and women (P=0.031).
Conclusion: Evaluation of quality of life and depression in patients with vitiligo to reduce the adverse consequences of the disesase on patients' lives is recommended.
Yousof Fakour, Amir Houshang Ehsani, Saeedeh Mohammadi,
Volume 7, Issue 3 (10-2016)
Abstract
Background and Aim: Psoriasis is a common chronic skin disease with high morbidity and economic burden for patients and healthcare system. The goal of this study was to evaluate the impact of age, disease severity, and therapeutic regimen on the quality of life of the patients with psoriasis who were treated with biological drugs.
Methods: This cross-sectional study was conducted on 110 patients suffering from psoriasis whom were admitted to the psoriasis clinic in Razi Hospital, Tehran, Iran in 2015 and 2016. The Persian version of the Dermatology Life Quality Index (DLQI) questionnaire was used to evaluate patients' quality of lives. Using IBM SPSS Statistics (IBM Corp., Armonk, NY, USA) version 22, descriptive and inferential statistics methods were applied to summarize and present the collected data. Chi square test was used for making comparisons.
Results: Seventy-four male patients and 36 female patients were enrolled. The mean age of the participants was 38.8 (range: 18 to 73) years. DLQI scores had a normal distribution and a mean ± standard deviation (SD) equals to 6.51±6.66. The correlations between age and disease severity, quality of life and age, as well as quality of life and disease severity, and quality of life and treatment were not significant (P>0.05).
Conclusion: It seems that the quality of lives of the patients were not affected by the age, severity of the disease, and therapeutic regimen of biological drugs.
Sara Sharifipour, Mohammad Hassan Dvazdahemami, Maryam Bakhtiari, Abolfazl Mohamadi, Mohesn Saberi,
Volume 8, Issue 2 (7-2017)
Abstract
Background and Aim: Trichotillomania (hair pulling disorder) is a chronic disorder, characterized by frequent hair pulling leading to hair loss. This disorder despite having multiple physical, economic and social consequences, is less likely to be diagnosed and treated. In the present study, we investigated the efficacy of emotion regulation therapy (ERT) on symptom’s severity, anxiety, depression, stress and quality of life in individuals with trichotillomania.
Methods: Six patients were selected by available sampling method, and Massachusettes General Hospital (MGH-HPS) scale, Depression, Anxiety, Stress-DASS-21 scale, WHOQOL-26 Quality of Life questionnaire, and DERS Emotion Regulation questionnaire were used. Gross 8-session protocol (each session 90 minutes) was delivered on a weekly basis for each participant individually. Data were analyzed by visual analysis, percent of recovery, Freidman nonparametric test and Wilcoxon test.
Results: ERT lead to significant reduction in symptoms of hair pulling, depression, anxiety, stress, difficulty in regulating emotion and improved quality of life in patients with trichotillomania.
Conclusion: ERT significantly improves emotional problems and symptoms of hair pulling in the patients with trichotillomania. As a result, this treatment can be used as an effective treatment for this disorder.
Hamid Kharatzadeh, Abolfazl Mohammadi, Fariba Jaffary, Sayed Mohsen Hoseini,
Volume 9, Issue 2 (7-2018)
Abstract
Background and Aim: Vitiligo is a prevalent depigmentaling skin disorder, which has a great impact on the quality of life of patients. The purpose of this study was to investigate the relationship of quality of life of these patients with self-compassion and experiential avoidance.
Methods: In this analytical cross-sectional study, Self-Compassion Scale (SCS), Second Edition of Acceptance and Action Questionnaire (AAQ-II), and Vitiligo Quality of Life Index (VitiQoL) were completed by 105 patients with vitiligo (49.5% male) who were selected through available sampling method. The data were analyzed using descriptive statistics, Pearson correlation coefficient, t-test, ANOVA and covariance analysis.
Results: The average of quality of life score of the participants in the study was 32.14. There was a significant relationship (P<0.01) of the quality of life scores with the scores of experiential avoidance (R=0.28), self-judgment (R=0.36), isolation (R=0.52) and extreme identification (R=0.42). After removing the confounding effect of the variables on each other, the relationship of quality of life score with the location of the lesion (P=0.04) and isolation score (P=0.001) was significant.
Conclusion: Self-compassion and experiential avoidance play an important role in the quality of life of patients with vitiligo, and targeting these two components through psychological treatments can be effective in improving the quality of life of these patients.
Sara Hashemi, Aliakbar Yahyaee,
Volume 9, Issue 3 (10-2018)
Abstract
Background and Aim: Skin cancer is the most common malignancy in the world with high morbidity. The aim of this study was to determine the effect of stress inoculation training on quality of life and life expectancy in patients with skin cancer.
Methods: This research was a semi experimental study with pre test - post test - follow up assessment in experimental and control group. The study population consisted of all male patients with skin cancer at Negah Clinic Center in Saveh during the year 2017. Thirty patients were recruited by randomization followed by random allocation dividing them into two groups of 15 subjects. The training included 6 weekly sessions and subjects were asked to fill quality of life and life expectancy questionnaires both at the beginning and end of the coarse. Data was analyzed using ANOVA with repeated measure.
Results: There was a significant difference in life expectancy between the experimental group and control group (P<%001). Furthermore, similar significant difference was found between two groups regarding quality of life.
Conclusion: Stress inoculation training can be used as a valuable and practical intervention in patients with skin cancer,which leads to a significant improvement both in quality of life and life expectancy.
Shirin Irani,
Volume 10, Issue 2 (8-2019)
Abstract
Background and Aim: Schema modes include specific schemata and coping styles which are activated in emotional situations. They create formation of behavioral patterns compatible with their own schemata. The purpose of this study was to predict the quality of life in vitiligo patients according to their schema modes.
Methods: In this descriptive-correlational study,170 vitiligo patients were selected by simple random sampling method. They filled Schema Modes Inventory and brief form of the World Health Organization`s Quality of Life questionnaire. The data were analyzed using descriptive statistics, Pearson correlation coefficient, and stepwise regression.
Results: The results of the analysis of the Pearson correlation coefficient revealed that quality of life was related to all schema modes except detached self-soother mode. Happy child and healthy adult schema modes had a significant positive relationship with quality of life, while the other schema modes (except detached self-soother) had a significant negative relationship with quality of life in vitiligo patients. Also, the results of stepwise regression showed that vulnerable child, detached protector, compliant surrender and happy child schema modes had the strongest effect in predicting the quality of life, respectively.
Conclusion: Regarding the importance of the role of schema modes in quality of life in vitiligo patients, offering psychotherapies such as schema therapy seems necessary.
Azin Ayatollahi, Elnaz Iraji, Alireza Firooz, Seyed Ebrahim Eskandari, Ali Farzanegan, Azam Fattahi,
Volume 10, Issue 2 (8-2019)
Abstract
Onychomycosis is a common nail disorder. If left untreated, it may cause nail deformity and nail plate dystrophy. Since nails have aesthetic importance, onychomycosis may have some impact on quality of life by causing a change in the appearance of nail and/or nail dystrophy and by interfering with fine activities carried out by hand. The aim of this review is to evaluate the quality of life in patients with onychomycosis.
Seyedmajid Ghazanfari, Jamshid Jamali, Azadeh Saki, Mohammadreza Noras, Roshanak Salari, Ali Khorsand Vakilzade, Farzane Sharifipour,
Volume 10, Issue 3 (11-2019)
Abstract
Background and Aim: Pruritus is one of the most common problems of chronic kidney diseases. Different treatment modalities, while extending the life span of patients, can lead to changes in their lifestyle, health status and ultimately change their quality of life (QOL). Understanding the different aspects of patients' QOL leads to better services provided by health care teams to improve the patients' QOL. The aim of this study was to evaluate the quality of life of hemodialysis patients with uremic pruritus in Mashhad in 1396 with a view to Iranian Medicine.
Methods: This descriptive-analytical study was performed on 52 patients. Data collection was done by the World Health Organization QOL and researcher-made demographic Questionnaire and SPSS 16 software was used for data analysis.
Results: The mean age of patients was 51.73 years and mean duration of dialysis was 41.42 months. Total score of life quality was 56. The lowest and highest scores were seen in physical and environmental dimensions. There was an inverse significant relationship between some aspects of QOL with hemoglobin and creatinine and a direct significant relationship with age, diabetes, hypertension and hyperlipidemia (P<0.005).
Conclusion: Hemodialysis patients' QOL is lower than others and several factors can improve it. Special attention to the individual characteristics of hemodialysis patients can be helpful in predicting their basic needs.
Misagh Norouzi, Hamidtaher Neshat Doust, Fariba Jafari,
Volume 14, Issue 2 (8-2023)
Abstract
Background and Aim: The aim of this study was to determine the effectiveness of psychotherapy based on improving quality of life on depression and self-esteem in women with vitiligo.
Methods: The present study was a quasi-experimental study (Pre-test - post-test with follow-up and control group). The statistical population of this study included all women with vitiligo skin disease referred to Isfahan Dermatology and Leishmaniasis Research Center , among which, 20 people were selected by available sampling method and randomly assigned to experimental and control groups (10 people for each group). Both groups completed Beck Depression Inventory (1996) and Rosenberg Self-Esteem (1965) Questionnaires as a pre-test and after completing eight sessions of psychotherapy based on improving quality of life (one 90-minute session per week for eight weeks), the post-test was performed again and one month later for the control and experimental groups. The collected data were analyzed using repeated measures analysis of variance in SPSS 23 software.
Results: Based on the findings of repeated measures analysis of variance, it was found that psychotherapy based on improving quality of life reduced the average depression scores and increased the self-esteem of women with vitiligo.
Conclusion: Considering that psychotherapy based on improving the quality of life has an effect on depression and self-esteem in women with vitiligo, so teaching this therapeutic approach is recommended as an effective intervention method to reduce depression and improve the self-esteem of women with vitiligo.
Parvaneh Delkabadi, Sara Hashemi,
Volume 15, Issue 2 (8-2024)
Abstract
ackground and Aim: Vitiligo, as one of the most common skin pigment production disorders has significant psycho-social consequences for patients, so it is important to discover the variables affecting mental health in these patients. present study aims to consider mediating role of internalized shame in the relationship between cognitive avoidance and interpersonal difficulties in predicting the quality of life of vitiligo patients.
Methods: The current research was of a descriptive correlation type. The statistical population of the research consisted of all the people referred to Razi Hospital in Tehran who were suffering from vitiligo. 170 people purposefully selected based on the inclusion criteria. In this research, Sexton and Dagas cognitive avoidance, Barkham's interpersonal problems, World Health Organization's quality of life, and Cook's internalized shame questionnaires were used. Data analysis was done by Pearson correlation coefficient test, regression analysis and path analysis using SPSS 26 and PLS software.
Results: The results showed that the internal shame in the relationship between interpersonal problems and quality of life was recognized as a relative mediating variable. The path of cognitive avoidance with quality of life and internal shame as a mediating variable was not significant with a significance level of less than 0.05.
Conclusion: Mental health professionals can play an important role by considering the role of internal shame in helping vitiligo patients to overcome challenges, improve their mental health and well-being.
