Health> Vol.5 No.6B, June 2013

A longitudinal study of quality of life among people living with a progressive neurological illness

DownloadDownload as PDF (Size:158KB)  HTML    PP. 17-23  

ABSTRACT

This study investigated predictors of quality of life (QOL) of people with progressive neurological illnesses. Participants were 257 people with motor neurone disease (MND), Huntington’s disease (HD), multiple sclerosis (MS), or Parkinson’s. Participants completed questionnaires on two occasions, 12 months apart. There was an increase in severity of symptoms for people withMND, negative mood for people with HD and Parkinson’s, and social support satisfaction for people with MS. Regression analyses were conducted to determine predictors of QOL for each group. Predictor variables were length of illness, symptoms (physical symptoms, control over body, cognitive symptoms and psychological symptoms), mood, relationship satisfaction and social support. Predictors of QOL were severity of symptoms for people withMND, HD and MS; negative mood for people withMNDand Parkinson’s; and social support satisfaction for people with MS. These results demonstrate the importance of illness severity and mood in predicting QOL, but also indicate differences between illness groups. The limited role played by social support and relationship is a surprising finding from the current study.

Cite this paper

McCabe, M. and O’Connor, E. (2013) A longitudinal study of quality of life among people living with a progressive neurological illness. Health, 5, 17-23. doi: 10.4236/health.2013.56A2004.

References

[1] Tamparo, C.D, and Lewis, M.A. (2005) Diseases of the human body. 4th Edition, FA Davis Company, Philadelphia.
[2] Quarrell, O. (2004) Huntington’s disease: The facts. Oxford University Press, New York.
[3] Burnfield, A. (2004) Need to know multiple sclerosis. Harcourt Education, Oxford.
[4] Oxtoby, M., Williams, A. and Iansek, R. (2002) Parkinson’s at your fingertips. Flinders University, Adelaide.
[5] Behari, M., Srivastava, A.K. and Pandey, R.M. (2005) Quality of life in patients with Parkinson’s disease. Parkinsonism and Related Disorders, 11, 221-226. doi:10.1016/j.parkreldis.2004.12.005
[6] Helder, D.I., Kaptein, A.A., van Kempen, G.M., van Houwelingen, J.C. and Roos, R.A. (2001) Impact of Huntington’s disease on quality of life. Movement Disorders, 16, 325-330. doi:10.1002/mds.1056
[7] McCabe, M.P. and McKern, S. (2002) Quality of life and multiple sclerosis: Comparison between people with multiple sclerosis and people from the general population. Journal of Clinical Psychology in Medical Settings, 9, 287-295. doi:10.1023/A:1020734901150
[8] Engle, G.L. (1997) The need for a new medical model: A challenge for biomedicine. Science, 196, 129-135. doi:10.1126/science.847460
[9] Sarafino, C.P. (1998) Health psychology: Biopsychosocial interactions. John Wiley and Sons, New York.
[10] Cooper, N., Stevenson, C. and Hale, G. (1996) The biopsychosocial model. In: Cooper, N., Stephenson, C. and Hale, G., Eds., Integrating Perspectives on Health, St. Emmundsburg Press Ltd., Suffolk.
[11] Gulick, E. (1997) Correlates of quality of life among persons with multiple sclerosis. Nursing Research, 46, 305- 311. doi:10.1097/00006199-199711000-00002
[12] Hemmett, L., Holmes, L., Barnes, M. and Russell, N. (2004) What drives quality of life in multiple sclerosis? QJM: International Journal of Medicine, 97, 671-676. doi:10.1093/qjmed/hch105
[13] Provinciali, L., Ceravolo, M.G., Bartolini, M., Logullo, F. and Danni, M.A. (1999) A multidimensional assessment of multiple sclerosis: Relationships between disability domains. Acta Neurologica Scandinavica, 100, 156-162. doi:10.1111/j.1600-0404.1999.tb00731.x
[14] Slawek, J., Derejko, M. and Lass, P. (2005) Factors affecting the quality of life of patients with idiopathic Parkinson’s disease—A cross-sectional study in an outpatient clinic attendees. Parkinsonism and Related Disorders, 11, 465-468. doi:10.1016/j.parkreldis.2005.04.006
[15] Reuther, M., Spottke, E.A., Klotsche, J., Riedel, O., Peter, H., Berger, K., Athen, O., Kohne-Volland, R. and Dodel, R.C. (2007) Assessing health-related quality of life in patients with Parkinson’s disease in a prospective longitudinal study. Parkinsonism and Related Disorders, 13, 108-114. doi:10.1016/j.parkreldis.2006.07.009
[16] McCabe, M.P. (2005) Mood and self-esteem of persons with multiple sclerosis following an exacerbation. Journal of Psychosomatic Research, 59, 161-166. doi:10.1016/j.jpsychores.2005.04.010
[17] Beal, C.C., Stuifbergen, A.K. and Brown, A. (2007) Depression in multiple sclerosis: A longitudinal analysis. Archives of Psychiatric Nursing, 21, 181-191. doi:10.1016/j.apnu.2007.02.008
[18] Phillips, L.J. and Stuifbergen, A.K. (2008) The influence of positive experiences on depression and quality of life in persons with multiple sclerosis. Journal of Holistic Nursing, 26, 41-48. doi:10.1177/0898010107301870
[19] McCabe, M.P. (2006) A longitudinal study of coping strategies and quality of life among people with multiple sclerosis. Journal of Clinical Psychology in Medical Setting, 13, 367-377. doi:10.1007/s10880-006-9042-7
[20] Winter, Y., von Campenhausen, S., Popov, G., Reese, J.P., Balzer-Geldsetzer, M., Kukshina, A., Zhukova, T.V., Bertschi, N., Botzel, K., Gusev, E., Oertel, W.H., Dodel, R. and Guekht, A. (2010) Social and clinical determinants of quality of life in Parkinson’s disease in a Russian cohort study. Parkinsonism and Related Disorders, 16, 243- 248. doi:10.1016/j.parkreldis.2009.11.012
[21] WHOQOL Group (1998) Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28, 551-558. doi:10.1017/S0033291798006667
[22] Curran, S.L. Andrykowski, M.A. and Studts, J.L. (1995) Short form of the profile of mood states (POMS-SF): Psychometric information. Psychological Assessment, 7, 80-83. doi:10.1037/1040-3590.7.1.80
[23] McNair, D.M., Lorr, M. and Droppleman, L.F. (1992) Profile of mood states manual. Educational and Industrial Testing Service, San Diego.
[24] Hendrick, S.S., Dicke, A. and Hendrick C. (1998) The relationship assessment scale. Journal of Social and Personal Relationships, 15, 137-142. doi:10.1177/0265407598151009
[25] Hendrick, S.S. (1988) A generic measure of relationship satisfaction. Journal of Marriage and Family, 50, 93-98. doi:10.2307/352430
[26] Sarason, I.G., Levine, H.M., Basham, R.B. and Sarason, B.R. (1983) Assessing social support: The social support questionnaire. Journal of Personality and Social Psychology, 44, 127-139. doi:10.1037/0022-3514.44.1.127
[27] Sarason, I.G., Sarason, B.R., Shearin, E.N. and Pierce, G.R. (1987) A brief measure of social support: Practical and theoretical implications. Journal of Social and Personal Relationships, 4, 497-510. doi:10.1177/0265407587044007
[28] McCabe, M.P., Firth, L. and O’Connor, E. (2009) Mood and quality of life among people with progressive neurological illnesses. International Journal of Health Psychology, 9, 21-35.
[29] Goldsmith, C. (2001) Neurological disorders. The amazing brain. Blackbirch Press Inc., Woodbridge.
[30] Gauthier, A., Vignola, A., Calvo, A., Cavallo, E., Moglia, C., Sellitti, L., Mutani, R. and Chió, A. (2007) A longitudinal study on quality of life and depression in ALS patient-caregiver couples. Neurology, 68, 923-926. doi:10.1212/01.wnl.0000257093.53430.a8
[31] Greene, T. and Camicioli, R. (2007) Depressive symptoms and cognitive status affect health-related quality of life in older patients with Parkinson’s disease. Journal of American Geriatrics Society, 55, 1888-1890. doi:10.1111/j.1532-5415.2007.01384.x
[32] Karlsen, K.H., Tandberg, E., Arsland, D. and Larsen, J.P. (2000) Health related quality of life in Parkinson’s disease: A prospective longitudinal study. Journal of Neurology, Neurosurgery and Psychiatry, 69, 584-589. doi:10.1136/jnnp.69.5.584
[33] Holicky, R. and Charlifu, S. (1999) Ageing and spinal cord injury: The impact of spousal support. Disability and Rehabilitation, 21, 250-257. doi:10.1080/096382899297675
[34] Cohen, J., Cohen, P., West, S.G. and Aiken, L.S. (2003) Applied multiple regression/correlation analysis for the behavioral sciences. Lawrence Erlbaum Associates, Mahurah.

comments powered by Disqus

Copyright © 2014 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.