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1.
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   

2.
The purpose of this study was to assess the health-related quality of life (HRQoL) in a sample of Croatian university students and to determine its association with sociodemographic and lifestyle characteristics. The study was conducted on a random sample of 1750 students in Zagreb, Croatia. We used the 12-item Short-Form Health Survey (SF-12v2) and separate questions on sex, age, body mass index (BMI), settlement size, disposable income, cigarette consumption, alcohol consumption, and exercise frequency. The HRQoL scale on which Croatian students scored the highest was Physical Functioning. High mean scores were also found for other physical health measures, while the scores in mental health scales were somewhat lower. Male students scored significantly higher than females on all SF-12 scales (p?<?0.05). The regression analysis showed that Physical Component Summary score (PCS) is negatively related to BMI (partial r?=??0.09) and cigarette consumption (partial r?=??0.06), and positively related to alcohol consumption and exercise frequency (partial r?=?0.08, for both), while Mental Component Summary score (MSC) is positively related to BMI (partial r?=?0.07) and exercise frequency (partial r?=?0.10). Although HRQoL-scores for the Croatian students were higher than in the general population of Croatia and student populations in several other countries, there is still room for improvement, especially in the mental health aspect. In general, HRQoL was found to be significantly lower among females and smokers, but positively related with exercise frequency. In order to improve students’ HRQoL, university authorities should consider initiating health-promotion programs with emphasis on females, smokers and non-exercisers.  相似文献   

3.
Health-related quality of life (HRQOL) in substance abusers remains an area of inquiry in need of investigation. The few studies on the topic have found substance abuser HRQOL less than that of the general population. The present research compared 303 substance abusers in long-term residential therapeutic community treatment in New York with a general non-institutionalized adult sample from New York (N = 27,465) whose data were collected between 2002 and 2006 during the yearly administrations of the Behavioral Risk Factor Surveillance System (BRFSS), a state-based system of health surveys gathering data from upwards of 350,000 adults per year across all 50 states. One sample t-tests found that the in-treatment substance abusers reported significantly more physically and mentally unhealthy days over the past 30 days, as well as significantly more inactive days over the past 30 days due to illness.  相似文献   

4.
《Military psychology》2013,25(2):109-123
This study assessed health care requirements of men and women aboard U.S. Ngvy ships. It was hypothesized that shipboard women utilize more health care services than men and that these differences are greatest in occupational spe- cialties that traditionally have not been open to women. Data were collected periodically from 20 ships over the course of a year. Results indicated that the pattern of sex differences in health care utilization aboard Navy ships is similar to that of the nation as a whole. Shipboard women use health care resources at a significantly higher rate than men. The magnitude of the sex differences in shipboard health care use, however, appears to be less than that found in the civilian community. Results also demonstrated that women in nontraditional occupations visited sick call at a significantly higher rate than women in traditional occupations. Various theoretical implications are discussed.  相似文献   

5.
ABSTRACT

This study tested aspects of the Reserve Capacity Model (Gallo & Matthews, 2003 Gallo, L. C. and Matthews, K. A. 2003. Understanding the association between socioeconomic status and physical health: Do negative emotions play a role?. Psychological Bulletin, 129: 1051. [Crossref], [PubMed], [Web of Science ®] [Google Scholar]; Gallo, Penedo Espinosa de los Monteros, & Arguelles, 2009 Gallo, L. C., Penedo, F. J., Espinosa de los Monteros, K. and Arguelles, W. 2009. Resiliency in the face of disadvantage: Do Hispanic cultural characteristics protect health outcomes?. Journal of Personality, 77: 17071746. [Crossref], [PubMed], [Web of Science ®] [Google Scholar]) as a means of understanding disparities in health-related quality of life appraisals among Hispanic Americans. Questionnaire data were collected from 236 Hispanic participants, including measures of perceived discrimination, optimism, social support, symptoms of trait anxiety, and physical and mental health-related quality of life. Path analysis indicated direct, negative associations between perceived discrimination and both forms of health-related quality of life. Results also showed that these relationships were partially mediated by the reserve capacity variable of optimism and by symptoms of anxiety, though evidence for mediation by anxiety was stronger than for optimism. Findings suggest that perceived discrimination depletes intrapersonal reserves in Hispanic Americans, which, in turn, induces negative emotions. Implications for community-level interventions are discussed.  相似文献   

6.
The purpose of the current investigation was to assess interest in mental health services among parents of adolescent solid organ transplant recipients and the relationship between parent perceived need for mental health services and patient health-related quality of life (HRQOL). Sixty-three parents rated interest in receiving 10 mental health services, and patient HRQOL ratings were gathered from adolescent transplant recipients and their parents. Ninety-four percent of parents expressed some level of interest in at least one of the proposed services, with over 40 % indicating maximum interest. Parents’ perceived need for mental health services was inversely related to adolescent and parent reports of HRQOL on the behavior, mental health, family cohesion, and parental impact-emotional domains. Results suggest that parents of adolescent solid organ transplant recipients are interested in receiving mental health services for their families. Assessment of need for mental health services and HRQOL may inform the medical team of families requiring intervention.  相似文献   

7.
The current study proposed and tested a conceptual model of medical mistrust in a sample of African American men (N = 216) recruited primarily from barbershops in the Midwest and Southeast regions of the United States. Potential psychosocial correlates were grouped into background factors, masculine role identity/socialization factors, recent healthcare experiences, recent socioenvironmental experiences (e.g., discrimination), and healthcare system outcome expectations (e.g., perceived racism in healthcare). Direct and mediated relationships were assessed. Results from the hierarchical regression analyses suggest that perceived racism in healthcare was the most powerful correlate of medical mistrust even after controlling for other factors. Direct effects were found for age, masculine role identity, recent patient–physician interaction quality, and discrimination experiences. Also, perceived racism in healthcare mediated the relationship between discrimination experiences and medical mistrust. These findings suggest that African American men’s mistrust of healthcare organizations is related to personal characteristics, previous negative social/healthcare experiences, and expectations of disparate treatment on the basis of race. These findings also imply that aspects of masculine role identity shape the tone of patient–physician interactions in ways that impede trust building processes.  相似文献   

8.
Prostate cancer treatment presents multiple challenges that can negatively affect health-related quality of life (HrQoL), and that can be further compromised by maladaptive personality styles and psychological adjustment difficulties. This study examined the utility of a comprehensive psychosocial screening tool to identify psychosocial traits that prospectively predict HrQoL status among men treated for localized prostate cancer. The Millon Behavioral Medicine Diagnostic (MBMD) was administered to 66 men (M age = 68 years, 59% White) treated by either radical prostatectomy or radiotherapy along with standard measures of general and prostate-cancer-specific quality of life assessed at a 12-month follow-up. Higher scores on both summary MBMD Management Guides (Adjustment Difficulties and Psych Referral) and higher scores on personality styles characterized by avoidance, dependency, depression, passive aggressiveness, and self-denigration predicted lower HrQoL (β range = –.21 to –.50). Additionally, higher scores on the MBMD Depression, Tension-Anxiety, and Future Pessimism scales predicted lower HrQoL. Finally, higher scores on the MBMD Intervention Fragility and Utilization Excess scale also consistently predicted poorer mental and physical health functioning over time. These results point to the utility of the MBMD to help screen for potential impairments in mental and physical health functioning in men undergoing treatment for prostate cancer.  相似文献   

9.
Little is known about what factors affect the health-related quality of life (HRQoL) of adolescents and young adults (AYAs) with sickle cell disease (SCD), and how their HRQoL changes over time. This retrospective study included 87 AYAs attending a SCD Adolescent Clinic who completed a measure of HRQoL at each visit over the course of approximately 1.3 years. Results suggested that the following were associated with poorer physical HRQoL: being female, more healthcare utilization events, and presence of internalizing symptoms. Internalizing and externalizing symptoms were the only factors correlated with poorer psychosocial HRQoL. Generalized linear mixed models indicated that physical and psychosocial HRQoL improved among all participants during the assessment period, and those with externalizing behaviors reported faster improvement in physical HRQoL over time. AYAs with SCD may benefit from early mental health screening and intervention to optimize clinical care.  相似文献   

10.
This paper aims to examine whether life satisfaction and health-related quality of life (HRQoL) are simultaneously related, as well as to quantify the bias that occurs if simultaneity is not accounted for. The study sample consisted of 870 respondents, representative of the Spanish adult general population. Using a simultaneous equations system —with the satisfaction with life scale (SWLS) and the SF-6D index as outcome variables—, we found a simultaneous association between life satisfaction and HRQoL, although this relationship is heterogeneous in individual characteristics such as age and sex. More important, the fact of estimating the relationship between life satisfaction and HRQoL under a unidirectional approach severely underestimates the effect of life satisfaction on HRQoL and, to a lesser degree, the reverse direction effect. In consequence, policy decisions intended to improve satisfaction with life or HRQoL can be wrong if they rely on unidirectional estimates. Another relevant implication of this research is that, as a result of the simultaneous relationship between life satisfaction and HRQoL, not only health interventions may increase satisfaction with life, but also policies that improve life satisfaction can lead to positive side effects on HRQoL.  相似文献   

11.
The value of attachment theory (Ainsworth, Blehar, Waters, & Wall, 1978) in describing parental relationships of late adolescents (N = 139) in trade and technical school programs was explored. Overall, students described positive attachments to parents, viewing them both as facilitating their autonomy and as being available as a source of emotional support. Male students who were attending schools farther away from their parents' homes described their parental attachments more positively than did students who attended schools closer to their parents' homes. Parental facilitation of autonomy was associated with self-reports of assertion for female students.  相似文献   

12.
13.
This study aimed to determine the relationship between religious practice and health-related quality of life in adolescent girls in Tabriz, Iran, 2014–2015. This cross-sectional study was conducted on 520 female students who were selected using the random sampling method. Religious practice and health-related quality of life questionnaires were used for data collection. Multivariate linear regression analysis showed a significant relationship between health-related quality of life and received religious support, religiosity, father’s and mother’s education, father’s occupation, family economic status, and the number of children. It is necessary to find ways to further promote religious practices in adolescents and ultimately their quality of life.  相似文献   

14.
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.  相似文献   

15.
16.
There is a growing body of research devoted to the examination of character strengths as conceptualized by Values-In-Action (VIA) strengths classification system. However, there remains a dearth of research examining generic strengths use and its relationship with well-being, health-related quality of life (HRQOL), and VIA character strengths. In this crosssectional study, 135 undergraduate university students completed measures of strengths use, subjective well-being (SWB), self-esteem, self-efficacy, and HRQOL, and endorsed five top VIA strengths. Results revealed strengths use is a unique predictor of SWB, but not HRQOL. The VIA strengths of hope and zest were significant positive predictors of life satisfaction. The most commonly-endorsed VIA strengths were: love, humor, kindness, social intelligence, and open-mindedness. The least-endorsed VIA strengths were: leadership, perseverance, wisdom, spirituality, and self-control. Overall, results suggest an important link between generic strengths use and specific VIA strengths and their impact on SWB.  相似文献   

17.
Based on experimental research on helping and survey findings on drunk driving intervention, we selected 28 variables for study that might relate to informal intervention in a drunk driving situation. We tested six hypotheses by categorizing the 28 variables into personal (12), relationship (4), situational (5), and individual response (7) aspects. Bivariate correlations and multivariate logistic regression analyses were performed between these 28 predictor variables and intervention for 303 college students (192 females and 111 males). Three personal, one relationship, three situational, and four individual responses in situation variables were correlated significantly with intervention. Four significant predictors emerged in the stepwise logistic regression equation: knowing the driver well; having a conversation that encouraged the respondent to intervene; perceiving the driver as needing help; and the respondent's feeling able to intervene. All hypotheses received at least some confirmation in these results, but noteworthy discrepancies from expectations emphasize the need to appreciate differences between studies of helping behavior in the laboratory and this natural form of helping behavior.  相似文献   

18.
Increasing emphasis is being placed on the evaluation of health-related quality of life. However, there is no consensus on the definition of this concept and as a result there are a plethora of existing measurement instruments. Head-to-head comparisons of the psychometric properties of existing instruments are necessary to facilitate evidence-based decisions about which instrument should be chosen for routine use. Therefore, an individualised instrument (the modified Patient Generated Index (PGI)), a generic instrument (the Short Form 36) and a disease-specific instrument (the Quality of Life after Myocardial Infarction questionnaire) were administered to patients with ischaemic heart disease ( n = 117) and the evidence for the validity, reliability and sensitivity of each instrument was examined and compared. The modified PGI compared favourably with the other instruments but none of the instruments examined provided sound evidence for sensitivity to change. Therefore, any recommendation for the use of the individualised approach in the routine collection of health-related quality of life data in clinical practice must be conditional upon the submission of further evidence to support the sensitivity of such instruments.  相似文献   

19.
20.
Routine assessment of health-related quality of life (HRQoL) can be time consuming and burdensome for a person with stroke. Therefore the aim of this study was to develop and test a brief instrument for assessing HRQoL among people with stroke. The Quality of Life after Stroke Scale (QLASS) was constructed from items within the Quality of Life Index-Stroke Version and the Chronic Respiratory Disease Questionnaire. It was administered to 92 people with stroke at three points in time: immediately after discharge from hospital, 6 months and 12 months later. Results suggest that the QLASS has 19 items which represent three factors: emotional functioning, mastery and fatigue which correlate with valid measures of health status and activities of daily living. The QLASS is proposed as a brief, valid HRQoL tool for use among people with stroke.  相似文献   

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