Predictive factors of quality of life in acquired brain injury

Background/ObjectiveThe sequelae and the disability and dependence that follow an acquired brain injury (ABI) may result in a significant reduction in the quality of life (QoL) of those affected. The objective was to assess the QoL of a sample of Spanish patients with an ABI and analyze the influence of certain sociodemographic and injury-related variables on their QoL. Method: The sample comprised 421 adults (60% male; M_age = 53.12; SD = 14.87). Professionals and relatives assessed the patients’ QoL through the CAVIDACE scale, an ABI-specific tool based on the eight-domain QoL model. Results: Univariate analyses showed statistically significant differences in the QoL scores in several sociodemographic (age, civil status, education level, prior employment status, type of home, level of supports, loss of legal capacity, recognized dependence, and degree of dependence) and injury-related (time since the injury, location of the injury, and presence of post-traumatic amnesia) variables. The multiple linear regression showed that loss of legal capacity, time since the injury, prior employment status, location of the injury, and degree of dependence were significant QoL predictors. Conclusions: These findings provide knowledge for the development of programs aimed at reducing the negative impact of ABI on QoL.     

The Japanese version of the overall assessment of the speaker’s experience of stuttering for adults (OASES-A-J): Translation and psychometric evaluation

PurposeThis study evaluates the psychometric performance of the Japanese version of the Overall Assessment of the Speaker’s Experience of Stuttering for Adults (OASES-A), a comprehensive assessment tool of individuals who stutter.MethodsThe OASES-A-J was administered to 200 adults who stutter in Japan. All respondents also evaluated their own speech (SA scale), satisfaction of their own speech (SS scale) and the Japanese translation version of the Modified Erickson Communication Attitude scale (S-24). The test-retest reliability and internal consistency of the OASES-A-J were assessed. To examine the concurrent validity of the questionnaire, Pearson correlation was conducted between the OASES-A-J Impact score and the S-24 scale, SA scale and SS scale. In addition, Pearson correlation among the impact scores of each section and total were calculated to examine the construct validity.ResultsThe OASES-A-J showed a good test-retest reliability (r = 0.81–0.95) and high internal consistency (α > 0.80). Concurrent validity was moderate to high (0.55–0.75). Construct validity was confirmed by the relation between internal consistency in each section and correlation among sections’ impact scores. Japanese adults showed higher negative impact for ‘General Information’, ‘Reactions to Stuttering’ and ‘Quality of Life’ sections.ConclusionThese results suggest that the OASES-A-J is a reliable and valid instrument to measure the impact of stuttering on Japanese adults who stutter. The OASES-A-J could be used as a clinical tool in Japanese stuttering field.     

The small improvement argument

It is commonly assumed that moral deliberation requires that the alternatives available in a choice situation are evaluatively comparable. This comparability assumption is threatened by claims of incomparability, which is often established by means of the small improvement argument (SIA). In this paper I argue that SIA does not establish incomparability in a stricter sense. The reason is that it fails to distinguish incomparability from a kind of evaluative indeterminacy which may arise due to the vagueness of the evaluative comparatives ‘better than,’ ‘worse than,’ and ‘equally as good as.’     

The Subjectivity Inherent in Objective Measures of Well-Being

Claims abound that GDP accounting ignores social and ecological problems and misrepresents social well-being. While GDP growth continues to be a policy priority in most countries, it is at best one objective among many in achieving humanity’s “ultimate purpose.” Yet revisions to the income accounts and alternative well-being indicators are also problematic, since they reinforce the illusion that social and ecological impacts on well-being are objectively measurable. Future policy must not only be informed to a greater extent by qualitative and multi-dimensional assessments, but must recognize that any rank-ordering of society’s ultimate ends cannot but be subjective.

Testing the Mediating Effect of the Quality of College Life in the Student Satisfaction and Student Loyalty Relationship

This study tests the mediating effect of the quality of college life (QCL) in the student satisfaction and student loyalty relationship. QCL refers to the degree of need satisfaction and the experiences that create a positive affect throughout college life. The QCL of students is conceptualized as a higher order construct that is composed of need satisfaction and affect balance. It has been hypothesized that student satisfaction with university services has a significant impact on QCL, which in turn positively influences student loyalty. The results from the survey of 228 college students largely supported the model. Both the managerial and policy implications of this study are discussed.

Quality of Life in Male Osteoporosis Decreases as the Number of Fracture Increases

We would like to evaluate quality of life (QL) using validated indexes (QUALEFFO, SF-36) in non-hospitalised osteoporotic men. We have also compared QL in primary or secondary osteoporosis and we have evaluated QL according to the number of fractures. 142 men aged 18 to 80 years (60.3 ± 12.8 years) completed these questionnaires at least 2 months after a fracture. Among them, 81.6% had osteoporosis with fractures and 58% had 2 or more vertebral fractures. Osteoporosis was primary in 52% of cases. The decrease in quality of life due to osteoporotic fractures in men appears comparable to that caused by post menopausal osteoporosis. The impairment of QL concerns all ITEMs ie pain, mobility, social activities, mental functiun, health perception. The primary or secondary nature of the osteoporosis does not influence the decrease in quality of life. Quality of life decreases as the number of fractures increases.     

How Does Residents’ Satisfaction with Community Services Influence Quality of Life (QOL) Outcomes?

Grzeskowiak et al. [Journal of Regional Analysis and Policy 33(2):1–36, 2003] conducted a study that empirically tested a model that integrates the relationships among determinants and outcomes of residents’ satisfaction with community services. We build on their model in attempt to explain how residents’ satisfaction with community services influence satisfaction with the community at large (community well-being) and satisfaction with life (quality of life). Specifically, we hypothesized and empirically demonstrated for the most part that satisfaction with a variety of community services (e.g., services related to housing, education, government, healthcare, employment, religion, public safety, retailing, transportation, and leisure) affect satisfaction with the community and life overall through satisfaction in a variety of life domains (e.g., family, social, leisure, health, financial, cultural, consumer, work, spiritual, and environmental domains).     

Different Associations of Health Related Quality of Life with Pain,Psychological Distress and Coping Strategies in Patients with Irritable Bowel Syndrome and Inflammatory Bowel Disorder

The primary aim of this study was to measure psychological distress, pain severity, health related quality of life (QOL) and pain coping strategies in patients with irritable bowel syndrome (IBS) and ulcerative colitis (UC). A second aim was to determine the influence of somatic and psychological variables on health related QOL. Eighty-eight IBS and 66 UC patients completed the Irritable Bowel Syndrome Quality of Life Questionnaire (IBSQOL), Pain Severity Scale of West Haven Yale Multidimensional Pain Inventory (WHYMPY), Symptom Checklist-90-R (SCL-90-R) and Coping Strategies Questionnaire (CSQ). T-tests and GLM Analysis of Covariance were used for statistical analysis. IBS patients had significantly higher levels of psychological distress, pain severity and maladaptive pain coping strategies (catastrophization), and lower QOL than UC patients. Variance of QOL in IBS was explained for the most part by catastrophization (15%), then by psychological distress (8%), and for the less part by pain severity (5%). In UC, pain severity explained 21%, psychological distress 8%, and catastrophization 3% of the variance of QOL. These results suggest there are differences between IBS and UC patients in the role of physical and psychological factors in QOL and emphasize the importance of cognitive processes in IBS.     

Quality of Life in Pediatric Cancer Patients: The Relationships Among Parents’ Characteristics,Children’s Characteristics,and Informant Concordance

As advancements in the treatment of childhood cancer have resulted in increasing survival rates, the psychosocial functioning of child patients has become an increasingly important issue. In this pilot study, we investigate the relationships among parents’ characteristics, children’s characteristics, and the quality of life experienced by children who are diagnosed with cancer. Forty-seven mothers, sixteen fathers, and nineteen children completed measures about their own psychological functioning as well as measures about the children’s quality of life. Mothers’ ratings of their children’s quality of life were correlated positively with the ratings provided by both fathers and the children themselves. In addition, significant relationships were found between mothers’ depression and parenting stress and children’s quality of life as well as between mothers’ and fathers’ anxiety and children’s quality of life. Finally, using regression analyses, mothers’, fathers’, and children’s ratings of their own characteristics predicted significantly their ratings of the children’s quality of life. The importance of examining the psychological characteristics of family members when assessing the quality of life of children who are diagnosed with cancer is discussed.