The Influence of Body Mass Index on the Perceived Quality of Life during Pregnancy

Obesity contributes to various pregnancy complications and therefore, may compromise maternal quality of life. The study aim was to investigate the relationship between body mass index (BMI) and health-related quality of life (HRQoL) during pregnancy. Study involved every 6th woman who gave birth in the Clinic for Obstetrics and Gynecology Clinical Center of Serbia during the year 2010. Initial and end pregnancy BMIs were calculated for every woman. The parturients (604) completed the SF36 questionnaire (physical-PHC; mental-MHC; total quality of life-TQL), Beck’s Depression Inventory, Fatigue Severity Scale, Pregnancy Symptom Scale, Multidimensional Personal Support Scale, and Acceptance of Illness Scale. Before pregnancy most women had normal or decreased weight, while at the end of pregnancy the majority were overweight or obese (p?=?0.000). Initial and end pregnancy weights (p?<?0.05) and BMIs (p?<?0.05) were positively correlated with depression. Depression was significantly lower in overweight compared to mildly or morbidly obese women during pregnancy (p?<?0.05). Pregnancy weight change correlated negatively with PHC (p?=?0.029), and positively with fatigue (p?=?0.030), and symptoms (p?=?0.011). Of all BMI categories, morbidly obese women had the worst feeling of social support (p?<?0.05). Pregnancy symptoms were significantly less problematic in women with normal weight compared to overweight and obese women during pregnancy (p?<?0.05). Assessing the impact of all investigated parameters together, we established significant models for PHC (p?=?0.036), depression (p?=?0.030), and fatigue (p?=?0.038). Pregnant women should be advised to keep their gestational weight gain within the normal recommended range to have a good pregnancy outcome and HRQoL.     

Effects of lifestyles and the Mediterranean diet on elderly people’s quality of life according to gender / Efectos de los estilos de vida y la dieta mediterránea en la calidad de vida en personas mayores en función del género

Abstract

Health-related quality of life (HRQoL) has been associated with certain eating habits, such as the Mediterranean diet (MD) and lifestyles. However, the specific role of gender in this association is not yet known. The objective of this study was to analyse the relationship between the consumption of the MD essential foods and lifestyle (tobacco and alcohol consumption and exercise) with the HRQoL of 340 elderly people aged over 60 living in the Spanish Mediterranean area. The results show a better HRQoL in males. Compared to females, the lifestyles of males include a moderate consumption of alcohol and tobacco in addition to a greater frequency of physical activity. The predictive models of HRQoL were also different between males and females, as the influence of lifestyles and MD were greater in males. These results are clinically useful for the designing of programmes that promote successful ageing as they can be specified for sex.     

A Preliminary Investigation of Body Dissatisfaction and Eating Disorder Symptomatology with Bisexual Individuals

Body dissatisfaction and eating disorder symptomatology were examined in bisexual individuals (n?=?139 women, n?=?37 men) and compared to lesbian/gay (n?=?51 women, n?=?96 men) and heterosexual individuals (n?=?82 women, n?=?34 men) in a U.S. online sample. Age, body mass index (BMI), income, and exercise frequency served as covariates. MANCOVA results showed a significant gender by sexual orientation interaction and significant main effects of gender and sexuality. Univariate tests were used to explore multivariate results. ANCOVA results for body dissatisfaction showed a significant gender by sexual orientation interaction. Post-hoc comparisons revealed higher levels of body dissatisfaction among all groups compared to heterosexual men. ANCOVA results for eating disorder symptomatology showed a significant main effect of sexual orientation. Post-hoc comparisons revealed higher levels of eating disorder symptoms among bisexual compared to heterosexual individuals. For bisexual men, gay community involvement, maladaptive social comparison, drive for muscularity, self-esteem, gender role orientation, and body dissatisfaction were explored as predictors of eating disorder symptomatology while controlling for age, BMI, exercise frequency, and income in a hierarchical regression analysis. The same factors, minus body dissatisfaction, were explored as predictors of body dissatisfaction in bisexual men. For bisexual women, similar factors, with the exception of drive for muscularity, were explored. Drive for muscularity predicted body dissatisfaction and exercise frequency predicted eating disorder symptomatology in bisexual men. BMI and self-esteem predicted body dissatisfaction in bisexual women; gay community involvement and body dissatisfaction predicted eating disorder symptomatology.     

Associations of Quality of Life,Physical Activity and Mood States in Women with Breast Cancer Treated with Curative Intent

This study aims to investigate the associations between quality of life, physical activity and mood states in women with breast cancer. A total of 354 women (mean age, 51.74?±?8.63 years; body mass index (BMI), 28?±?5.67 kg/m²) completed the Baecke Physical Activity Questionnaire, Profile of Mood States (POMS), European Organisation for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30) and European Organisation for Research and Treatment of Cancer Breast Cancer-Specific Quality of Life Questionnaire (EORTC QLQ-BR23). Pearson’s correlation and multiple linear regressions were used to verify the relations between outcomes and independent variables. Correlations between scores on POMS, Baecke Physical Activity Questionnaire and global health status/quality of life subscale of EORTC QLQ-C30 found associations (p?<?0.01) between physical activity (r?=?0.191), vigour (r?=?0.333) and fatigue (r?=??0.433). Multiple linear regression analysis of the global health status/quality of life subscale of the EORTC QLQ-C30 showed significant differences for vigour (p?<?0.001), social function (p?=?0.003), side effects of systemic therapy (p?=?0.019), arm and breast symptoms (p?<?0.001) and Baecke physical activity score (p?=?0.006). Physical activity is an independent factor related to the quality of life in women with breast cancer. Understanding these variables may influence clinical decisions during treatment and allow positive interventions regarding symptoms, functions and lifestyle.     

Development and Validation of the Social Exercise and Anxiety Measure (SEAM): Assessing Fears, Avoidance, and Importance of Social Exercise

In two studies (N?=?416; N?=?118) examining responses from undergraduates, we developed the Social Exercise and Anxiety Measure (SEAM) and tested its factorial, convergent, and divergent validity. Our results demonstrate that the SEAM exhibits an excellent three factor structure consisting of the following subscales: Social Exercise Self-efficacy, Gym Avoidance, and Exercise Importance. In both studies, Social Exercise Self-efficacy correlated negatively, and Gym Avoidance correlated positively with social interaction anxiety, fear of scrutiny, and fear of negative evaluation. Exercise Importance correlated positively with frequency of exercise and frequency of public exercise. Implications for the mental and physical health of individuals with high levels of social anxiety are discussed.     

Students’ motivational responses toward school physical education and their relationship to general self-esteem and health-related quality of life

ObjectivesIn addition to encouraging a physically active lifestyle, the aims of school physical education (PE) also encompass the promotion and development of self-esteem and perceptions of health. Using self-determination theory [SDT; Deci, E.L., & Ryan, R.M. (1991). A motivational approach to self: Integration in personality. In: R.A. Dienstbier (Ed.), Nebraska symposium on motivation: Perspectives on motivation (Vol. 38, pp. 237–288). Lincoln, NE: University of Nebraska] as a conceptual framework, we examined three competing models specifying relations among motivational processes toward PE, students’ general self-esteem, and health-related quality of life (HRQoL).DesignA field correlational prospective design.MethodThree hundred British secondary school students (M age=13.51 years; SD=.76) responded to a multi-section inventory assessing their motivational processes toward school PE. One week later, data pertaining to general self-esteem and HRQoL were obtained.ResultsFollowing minor modifications, structural equation analysis showed the three competing models to provide excellent fit to the study data. All models showed (i) perceptions of autonomy support provided by the PE teacher to positively predict autonomy, competence, and relatedness, (ii) competence and autonomy to positively predict autonomous motivation toward PE, and (iii) direct paths from competence to general self-esteem and from relatedness to HRQoL. Model 1 showed autonomous motivation to positively predict general self-esteem, which in turn positively predicted HRQoL. Model 2 supported a positive path from autonomous motivation to HRQoL, with HRQoL positively predicting general self-esteem. Model 3 supported general self-esteem and HRQoL to be distinct, yet related, dependent variables that were positively predicted by autonomous motivation toward PE.ConclusionThese findings call for future work to examine the causal associations among motivational processes, self-esteem, and HRQoL. The theoretical contributions of SDT to such work are discussed.     

An Exercise Program Improves Health-Related Quality of Life of Workers

Low back problems are associated with decreased quality of life. Specific exercises can improve quality of life, resulting in better professional performance and functionality. The purpose of this study was to evaluate the effect of following a 21-month exercise program on the quality of life of warehouse workers. The population included 557 male warehouse workers from a food distribution company in Oporto, Portugal. Upon application of the selection criteria, 249 workers were deemed eligible, which were randomized into two groups (125 in the intervention group and 124 in the control group). Then, subjects were asked to volunteer for the study, the sample being formed by 229 workers (112 in the intervention group and 117 in the control group). All subjects completed the SF-36 questionnaire prior to beginning the program and on the 11th and 21st months following it. The exercises were executed in the company facilities once a day for 8?min. Data were analyzed using SPSS? 17.0 for Windows?. After 11?months of following the exercise program, there was an increase in all scores for the experimental group, with statistically significant differences in the dimensions physical functioning (0.019), bodily pain (0.010), general health (0.004), and rolephysical (0.037). The results obtained at the end of the study (21?months) showed significant improvements in the dimensions physical functioning (p?=?0.002), rolephysical (p?=?0.007), bodily pain (p?=?0.001), social functioning (p?=?0.015), role-emotional (p?=?0.011), and mental health (p?=?0.001). In the control group all dimensions showed a decrease in mean scores. It can be concluded that the implementation of a low back specific exercise program has changed positively the quality of life of warehouse workers.     

The structure of coping styles: a comparative study of croatian sample

The primary aim of this study was to develop a Croatian inventory for assessing coping strategies that people use when under stress. As a basis for this inventory, a translation of the multidimensional coping inventory (COPE) by Carver, Scheier and Weintraub (1989) was used. The second purpose was to compare the results of the original version of the COPE with the translated Croatian version. Three additional scales (Humour, Turning to Religion, and Drug and Alcohol Use) were also analysed. The results were obtained using a sample consisting of undergraduate students (N=403) from the University of Rijeka, Croatia. When comparing the original version of the COPE inventory with the Croatian version, a similar factor structure emerged. The differences obtained are interpreted by taking into account different sociocultural and economic conditions in Croatia and the USA. Copyright © 1999 John Wiley & Sons, Ltd.     

Hope as a Moderator of the Associations Between Common Risk Factors and Frequency of Substance Use Among Latino Adolescents

Ample research suggests that delinquency, depressive symptoms, and peer substance use are common risk factors associated with adolescent substance use. However, the factors that may help to buffer the deleterious effects of these risk factors on adolescent substance use, such as hope, have yet to be examined. The current study evaluated hope as a moderator of the associations between these common risk factors and frequency of substance use (alcohol, tobacco, and marijuana) in a sample of Latino high school students (M _age ?=?16.14 years, SD?=?1.30; 55 % female). Findings indicated that the influence of delinquency on frequency of tobacco and marijuana use depended on levels of hope, with delinquency only positively associated with frequency of use when levels of hope were low. Additionally, hope moderated the association between depressive symptoms and alcohol use, such that depressive symptoms were only positively associated with frequency of alcohol use when levels of hope were low. Results and their implications for intervention are reviewed.     

Exercise can improve physical self perceptions in adolescents with low motor competence

Adolescents with low motor competence have diminished perceptions of their physical self and tend to avoid physical activities. This study examined the outcomes of an exercise intervention that focused on improving aerobic fitness, strength, and self-perceptions in the physical domain in adolescents with poor motor coordination. The sample included 35 adolescents with low motor competence, comprising boys (n = 25) and girls (n = 10) ranging in age from 13 to 17 years, who attended two sessions per week in the 13 week exercise intervention study (AMP it up). Physical self-perceptions were measured before and after the intervention using the Physical Self Perception Profile and Perceived Importance Profile. Significant improvements in perceived Physical Condition, Attractive Body and Physical Strength sub domain scores were identified between pre and post-test. Adjusting for age, gender, BMI and attendance, regression analyses revealed that Attractive Body was the strongest predictor of Physical Self Worth at pre-test, joined by Physical Condition at post-test. This exercise intervention had a positive impact on adolescent physical self-perceptions, in particular males, with improvements in those sub domains specifically related to the exercise program. Changes in specific aspects of Physical Self Worth can be facilitated by exercise interventions, after a relatively short period of time, in adolescents with poor motor coordination.     

Photographic Assessment of Change in Trichotillomania: Psychometric Properties and Variables Influencing Interpretation

Although photographic assessment has been found to be reliable in assessing hair loss in Trichotillomania, the validity of this method is unclear, particularly for gauging progress in treatment. The current study evaluated the psychometric properties of photographic assessment of change in Trichotillomania. Photographs showing hair loss of adults with Trichotillomania were taken before and after participating in a clinical trial for the condition. Undergraduate college students (N?=?211) rated treatment response according to the photos, and additional archival data on hair pulling severity and psychosocial health were retrieved from the clinical trial. Photographic assessment of change was found to possess fair reliability (ICC?=?0.53), acceptable criterion validity (r?=?0.51), good concurrent validity (r?=?0.30–0.36), and excellent incremental validity (ΔR ²?=?8.67, p?<?0.01). In addition, photographic measures were significantly correlated with change in quality of life (r?=?0.42), and thus could be considered an index of the social validity of Trichotillomania treatment. Gender of the photo rater and pulling topography affected the criterion validity of photographic assessment (partial η ²?=?0.05–0.11). Recommendations for improving photographic assessment and future directions for hair pulling research are discussed.     

Mindfulness Among Genetic Counselors Is Associated with Increased Empathy and Work Engagement and Decreased Burnout and Compassion Fatigue

Genetic counselors experience high rates of compassion fatigue and an elevated risk for burnout, both of which can negatively impact patient care and retention in the profession. In other healthcare professions, mindfulness training has been successfully used to address similar negative psychological sequelae and to bolster empathy, which is the foundation of our counseling work. We aimed to assess associations between mindfulness and key professional variables, including burnout, compassion fatigue, work engagement, and empathy. Data were collected via an anonymous, online survey that included validated measures of mindfulness and these key professional variables. The survey was completed by 441 genetic counselors involved in direct patient care. Half of the respondents (50.1%) reported engaging in yoga, meditation, and/or breathing exercises. Mindfulness was positively correlated with work engagement (r?=?0.24, p?<?0.001) and empathy (as measured through four subscales: perspective taking (r?=?0.15, p?=?0.002), empathic concern (r?=?0.11, p?=?0.03), fantasy (r?=???0.11, p?=?0.03) and personal distress (r?=???0.15, p?=?0.001)). Mindfulness was negatively correlated with compassion fatigue (r?=???0.48, p?<?0.001) and burnout (r?=???0.50, p?<?0.001). Given these findings, mindfulness training may be a valuable addition to graduate and continuing education for genetic counselors. The integration of mindfulness into the genetic counseling field will likely improve professional morale and well-being, while promoting workforce retention and bolstering the relational and counseling aspects of our clinical work.     

Personality,Perceived Occupational Stressor,and Health-Related Quality of Life Among Chinese Judges

Personality is hypothesized to have direct and indirect effects on health-related quality of life (HRQoL) through the mediating role of perceived occupational stressors. This hypothesized model was tested with Chinese judges, individuals characterized by high occupational stress. In this cross-sectional study, 330 judges undergoing professional training at the Shandong Judge Training Institute completed questionnaires assessing their personality (Big Five Inventory, BFI), perceived occupational stressors (Occupational Role Questionnaire, ORQ), and HRQoL (Medical Outcomes Study Short-Form Health Survey, SF-36). The proposed model was tested using structural equation modelling (SEM) approaches. The SEM analysis showed a good fit of the data to the hypothesized model(x ²/df = 1.52, P?P?Neuroticism also had a negative indirect effect (?0.18, P?P?P?相似文献   

Spherical model of interests in Croatia

In order to analyze the validity of spherical model of interests in Croatia, three Croatian samples of primary school students (N = 437), secondary school students (N = 540) and university students (N = 630) were administered a translated version of the Personal Globe Inventory (PGI, [Tracey, T.J.G. (2002). Personal Globe Inventory: Measurement of the spherical model of interest and competence beliefs Monograph. Journal of Vocational Behavior 60, 113–172.]). Three aspects of model validity were analyzed: the three-dimensional underlying structure of interest items, spherical arrangement of interest scales and accurate gender mean differences in interests. Principal component analysis confirmed the existence of three substantial factors underlying interest items, whose orientation and meaning is moderately related to theoretical one. Randomization test firmly approved the spherical representation of interest scales and its structural stability across different age and gender groups. Gender differences in interest were close to previous findings and logical expectations. Results have shown firm evidences of validity and gender and age universality of spherical model in Croatian adolescent and young adult samples.     

Gender-specific Normative Misperceptions of Risky Sexual Behavior and Alcohol-related Risky Sexual Behavior

This research examined gender-specific perceptions of risky sexual behavior norms among college students and their relationship with one’s own sexual behavior. We expected that students would misperceive the risky sexual behavior of their peers and that these perceptions would positively relate to their sexual behavior. Undergraduate students from the United States (N?=?687; 57.6% female) completed measures assessing perceived sexual behavior, sexual behavior, and other behaviors (e.g., marijuana use, alcohol consumption). Findings demonstrated that students perceived that others engaged in more risky sexual behavior than they do and that perceived norms were positively associated with one’s own behavior. The incorporation of personalized normative feedback regarding risky sexual behavior into brief interventions aimed at reducing risky sexual behavior is discussed.     

Path analysis of exercise treatment-induced changes in psychological factors leading to weight loss

Physical activity may affect weight loss largely through psychological pathways associated with eating changes, especially in obese individuals whose caloric expenditure through exercise is typically small. Direct testing of this is, however, lacking. Previously sedentary adults (N?=?114; 77% female; M _age?=?43.3 years), with a minimum body mass index (BMI) of 35?kg/m² (M _BMI?=?42.0?kg/m²), participated in a 24-week treatment of cognitive-behavioural exercise support and nutrition information. A path model based on tenets of social cognitive and self-efficacy theory was constructed. It was expected that improvements in self-efficacy, physical self-concept, body satisfaction and mood associated with the exercise treatment would predict changes in self-regulation and increased physical activity. It was also hypothesised that improvements in self-efficacy and self-regulation for appropriate eating would transfer from these relationships and predict weight loss. After three theoretically viable paths were added based on modification indices, structural equation modelling indicated a good fit with the data, χ ²(16)?=?20.53, p?=?0.20; RMSEA?=?0.05; SRMR?=?0.06; CFI?=?0.97; TLI?=?0.95. Associations of psychological effects linked to exercise programme participation with predictors of appropriate eating and weight loss were found, and may inform theory, research and treatments.     

The roles of exercise tolerance and resilience in the effect of physical activity on emotional states among college students

Background/objectiveNegative emotional states, such as depression, anxiety, and stress challenge health care due to their long-term consequences for mental disorders. Accumulating evidence indicates that regular physical activity (PA) can positively influence negative emotional states. Among possible candidates, resilience and exercise tolerance in particular have the potential to partly explain the positive effects of PA on negative emotional states. Thus, the aim of this study was to investigate the association between PA and negative emotional states, and further determine the mediating effects of exercise tolerance and resilience in such a relationship.MethodIn total, 1117 Chinese college students (50.4% female, M_age=18.90, SD=1.25) completed a psychosocial battery, including the 21-item Depression Anxiety Stress Scale (DASS-21), the Connor-Davidson Resilience Scale (CD-RISC), the Preference for and Tolerance of the Intensity of Exercise Questionnaire (PRETIE-Q), and the International Physical Activity Questionnaire short form (IPAQ-SF). Regression analysis was used to identify the serial multiple mediation, controlling for gender, age and BMI.ResultsPA, exercise intensity-tolerance, and resilience were significantly negatively correlated with negative emotional states (Ps<.05). Further, exercise tolerance and resilience partially mediated the relationship between PA and negative emotional states.ConclusionsResilience and exercise intensity-tolerance can be achieved through regularly engaging in PA, and these newly observed variables play critical roles in prevention of mental illnesses, especially college students who face various challenges. Recommended amount of PA should be incorporated into curriculum or sport clubs within a campus environment.     

Biopsychosocial and Physical Correlates of Middle School Boys’ and Girls’ Body Satisfaction

Boys (n?=?629) and girls (n?=?659) in grades 6 through 8 in the U.S. completed self-report measures of pubertal development, weight pressures, internalization, social appearance comparison, self-esteem, depression, and physical self-concept, and objective measures of cardiorespiratory fitness and BMI. Regression analyses revealed that gender moderated the strength of the relationships between the variables and body satisfaction (girls—Adj. R ²?=?.49; boys—Adj. R ²?=?.20), though BMI, pressures, physical self-concept, and self-esteem were related significantly for each gender. Girls were most affected by pressures related to weight loss, whereas gaining weight and musculature was most salient for boys. Future research needs to examine longitudinally how these variables contribute to the development of body satisfaction.