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Portilla-Tamarit I, Rubio-Aparicio M, Fuster-RuizdeApodaca MJ, Portilla-Tamarit J, Reus S, Portilla J. Health-Related Quality of Life in People with Advanced HIV Disease, from 1996 to 2021: Systematic Review and Meta-analysis. AIDS Behav 2024:10.1007/s10461-024-04298-y. [PMID: 38743382 DOI: 10.1007/s10461-024-04298-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/16/2024] [Indexed: 05/16/2024]
Abstract
The purpose of the study was to assess the effects of advanced HIV disease (AHD) on health-related quality of life (HRQoL) in PLHIV, the changes in HRQoL outcomes over the last 25 years, and the differences between countries according to level of economic development. We conducted a systematic review and meta-analysis. The search was conducted in PubMed and Web of Science using the terms: "health-related quality of life", "HQRoL", "HIV", "AIDS", "advanced HIV disease" and "low CD4 cells". Studies inclusion criteria were: adult population; initiated after 1996 and published before July 2021; clinical trials, cross-sectional, cohort, and case-control studies; studies analyzing the relationship between AHD and HRQoL; English or Spanish language. Standardized mean differences (d+) were calculated to estimate the effect size for the meta-analyses. Summary statistics were calculated using a random-effects model, and analyses of effect moderators, using mixed-effects models. The meta-analysis included 38 studies. The results indicated that HRQoL is worse in patients with AHD compared to those without. The main HRQoL domains affected were overall health perception and concern and physical and functional health and symptoms. We found a moderate impact for age and gender on some HRQoL domains. There were no differences in relation to socioeconomic inequities, country of residence, or time period analyzed. In conclusion, advanced HIV disease has a negative impact on health and well-being in PLHIV. Our results show that despite all the advances in antiretroviral treatments over the last 25 years, AHD persists as a source of extreme vulnerability, regardless of where PLHIV live.
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Affiliation(s)
- I Portilla-Tamarit
- Department of Health Psychology, University of Alicante, Alicante, Spain
- Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain
- Infectious Diseases Unit, Department of Internal Medicine, Alicante University General Hospital, Alicante, Spain
- Spanish AIDS Research Network, Carlos III Health Institute, Madrid, Spain
| | - M Rubio-Aparicio
- Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain.
- Department of Basic Psychology & Methodology, Faculty of Psychology and Speech Therapy, University of Murcia, Avda. Teniente Flomesta, 5, 30003, Murcia, Spain.
| | - M J Fuster-RuizdeApodaca
- Faculty of Psychology, National Distance Learning University (UNED), Madrid, Spain
- Spanish Interdisciplinary AIDS Society (SEISIDA), 28036, Madrid, Spain
| | - J Portilla-Tamarit
- Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain
- Infectious Diseases Unit, Department of Internal Medicine, Alicante University General Hospital, Alicante, Spain
- Spanish AIDS Research Network, Carlos III Health Institute, Madrid, Spain
| | - S Reus
- Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain
- Infectious Diseases Unit, Department of Internal Medicine, Alicante University General Hospital, Alicante, Spain
- Spanish AIDS Research Network, Carlos III Health Institute, Madrid, Spain
- Department of Clinical Medicine, Miguel Hernandez University, Elche, Alicante, Spain
| | - J Portilla
- Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain
- Infectious Diseases Unit, Department of Internal Medicine, Alicante University General Hospital, Alicante, Spain
- Spanish AIDS Research Network, Carlos III Health Institute, Madrid, Spain
- Department of Clinical Medicine, Miguel Hernandez University, Elche, Alicante, Spain
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Rencz F, Janssen MF. Time perspective profile and self-reported health on the EQ-5D. Qual Life Res 2024; 33:73-85. [PMID: 37682495 PMCID: PMC10784346 DOI: 10.1007/s11136-023-03509-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/23/2023] [Indexed: 09/09/2023]
Abstract
OBJECTIVES Time perspective (TP) is a psychological construct that is associated with several health-related behaviours, including healthy eating, smoking and adherence to medications. In this study, we aimed to examine the associations of TP profile with self-reported health on the EQ-5D-5L and to detect which domains display response heterogeneity (cut-point shift) for TP. METHODS We conducted a secondary analysis of EQ-5D-5L data from a representative general population sample in Hungary (n = 996). The 17-item Zimbardo Time Perspective Inventory was used to measure individuals' TP on five subscales: past-negative, past-positive, present-fatalist, present-hedonist and future. The associations between TP subscales and EQ-5D-5L domain scores, EQ VAS and EQ-5D-5L index values were analysed by using partial proportional odds models and multivariate linear regressions. RESULTS Respondents that scored higher on the past-negative and present-fatalist and lower on the present-hedonist and future subscales were more likely to report more health problems in at least one EQ-5D-5L domain (p < 0.05). Adjusting for socio-economic and health status, three EQ-5D-5L domains exhibited significant associations with various TP subscales (usual activities: present-fatalist and future, pain/discomfort: past-negative and future, anxiety/depression: past-negative, present-fatalist, present-hedonist and future). The anxiety/depression domain showed evidence of cut-point shift. CONCLUSIONS This study identified response heterogeneity stemming from psychological characteristics in self-reported health on the EQ-5D-5L. TP seems to play a double role in self-reported health, firstly as affecting underlying health and secondly as a factor influencing one's response behavior. These findings increase our understanding of the non-health-related factors that affect self-reported health on standardized health status measures.
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Affiliation(s)
- Fanni Rencz
- Department of Health Policy, Corvinus University of Budapest, 8 Fővám tér, Budapest, 1093, Hungary.
| | - Mathieu F Janssen
- Section Medical Psychology and Psychotherapy, Department of Psychiatry, Erasmus MC, Rotterdam, The Netherlands
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Martoni M, Fabbri M, Russo PM. The Italian Validation of the Zimbardo Time Perspective Inventory and Its Comparison with Three Time Perspective Inventories. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2590. [PMID: 36767952 PMCID: PMC9915386 DOI: 10.3390/ijerph20032590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/04/2022] [Revised: 01/20/2023] [Accepted: 01/29/2023] [Indexed: 06/18/2023]
Abstract
The Zimbardo time perspective inventory (ZTPI) is the most well-known and widely used measure of time perspective. However, the assessment of the psychometric properties of the ZTPI reveals several problems, and various short versions have been proposed to overcome these problems. In a large Italian sample (N = 2295; 1326 women; age range 18-74 years), the present study aimed to test a short version of the ZTPI (ZTPI-16) defined by high frequency items (i.e., "good" items), reviewing the items composition of previous alternative short versions of the scale. Beyond the assessment of the factorial structure of this new short ZTPI, we compared the ZTPI-16 to the original ZTPI (ZTPI-56) and another already validated version of the ZTPI in the Italian context, such as Zimbardo's Stanford time perspective inventory (ZTPI-22), the short version of the ZTPI (ZTPI-30), and the ZTPI-36 proposed analyzing the data from 24 countries. The results confirmed the psychometric problems of the ZTPI-56, whereas the ZTPI-16 reported adequate structural validity and reliability. Moderate-to-strong correlations between same temporal subscales in different ZTPI versions were also found. These data suggest that the review of the "good" items is a new direction in the development of ZTPI versions with good psychometric properties and comparable data among cultures.
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Affiliation(s)
- Monica Martoni
- Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, 40126 Bologna, Italy
| | - Marco Fabbri
- Department of Psychology, University of Campania “Luigi Vanvitelli”, 81100 Caserta, Italy
| | - Paolo Maria Russo
- Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, 40126 Bologna, Italy
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Carl E, Shevorykin A, Liskiewicz A. Methodological Investigation of Time Perspective Scoring and Quality of Life among Individuals with Multiple Sclerosis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:5038. [PMID: 35564432 PMCID: PMC9102034 DOI: 10.3390/ijerph19095038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Revised: 04/14/2022] [Accepted: 04/20/2022] [Indexed: 11/17/2022]
Abstract
Achieving and maintaining a high quality of life following the diagnosis of chronic illness has a positive impact on the experience of illness, including delayed disease progression and fewer relapses. Time perspective has shown promising relationships with quality of life, though studies using the construct in samples with chronic illness are sparse and methodologically heterogeneous. Participants (n = 123) were diagnosed with relapsing-remitting multiple sclerosis at least five years prior to enrollment and were beginning a new disease modifying therapy (DMT). The Zimbardo Time Perspective Inventory (ZTPI) and the World Health Organization Quality of Life (WHOQoL-100) assessment were administered at baseline and the WHOQoL-100 was administered six-weeks after starting the new DMT. This study investigated the utility of three common methods of scoring and interpreting ZTPI (balanced vs. deviation-from-balanced, categorical, and continuous scores) to predict change in quality of life. Independent sample t-tests revealed no difference in quality of life for balanced vs. deviation-from-balanced. One-way ANOVA revealed no difference in quality of life across time perspective categories. Linear regression analysis found that past-negative scores predicted decreases in all quality of life domains as well as overall score while present hedonistic scores predicted increases in psychological and overall quality of life.
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Affiliation(s)
- Ellen Carl
- Roswell Park Comprehensive Cancer Center, Buffalo, NY 14203, USA; (A.S.); (A.L.)
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Fritsch A, Cuervo-Lombard C. Échelle de temporalité : validation française d’une version courte de la Zimbardo Time Perspective Inventory (ZTPI). PSYCHOLOGIE FRANCAISE 2021. [DOI: 10.1016/j.psfr.2021.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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de Oliveira DC, Oliveira DS, Cecilio HPM, Apostolidis T, da Silva Coqueiro R. Time perspective and associated factors in Brazilians living with HIV. ACTA ACUST UNITED AC 2019; 28:580-586. [PMID: 31070973 DOI: 10.12968/bjon.2019.28.9.580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND a person's time perspective can be an important variable for the understanding of behaviours that interfere with the quality of life of people living with HIV. AIMS to analyse the relationships between socio-demographic, clinical, and behavioural variables and the time perspective in Brazilians living with HIV. METHODS a cross-sectional study was conducted with a convenience sample of 281 people living with HIV in Brazil. The time perspective was evaluated using the Zimbardo Temporal Perspective Inventory (ZTPI-25). RESULTS the main findings indicate that people living with HIV are more oriented towards a future and positive past perspective, and that socio-demographic, clinical, and behavioural factors may influence the different temporal perspective constructs in people living with HIV. CONCLUSION health professionals can use the results of the present study to support strategies that encourage individuals living with HIV to self-care and lead healthier lives.
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Affiliation(s)
- Denize Cristina de Oliveira
- Full Professor, Adjunct Coordinator and Professor of the Graduate Programme in Nursing, and Professor of the Graduate Programme in Social Psychology, Universidade do Estado do Rio de Janeiro; Researcher 1A, National Council for Scientific and Technological Development, Brazil
| | - Daniela Sousa Oliveira
- Professor, Universidade do Estado da Bahia, PhD Student in the Graduate Programme in Nursing, Universidade do Estado do Rio de Janeiro, Brazil
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[Time perspective and quality of life in rectal cancer patients: An exploratory study]. Bull Cancer 2019; 106:447-460. [PMID: 31010631 DOI: 10.1016/j.bulcan.2019.03.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Revised: 01/23/2019] [Accepted: 03/14/2019] [Indexed: 11/24/2022]
Abstract
The impact of rectal cancer on patient quality of life has been investigated but no research has yet examined the impact of time perspective in the assessment of quality of life of rectal cancer patients. Our goal is to explore the links between quality of life and time perspective and the role of time perspective as a determinant of quality of life. Data were collected from 69 patients who completed a questionnaire comprising a specific measure of quality of life (FACT-C), a measure of time perspective (ZTPI), a measure of emotional distress (HADS) and a collection of socio-demographic and medical data. Regression analyses revealed that present fatalist, past positive and future time perspective predicted quality of life. Present fatalist time perspective seemed to have a deleterious impact on specific measure of rectal cancer quality of life. Present fatalist and future time perspective predicted a better emotional quality of life whereas past positive predicted a worse emotional quality of life. These results suggest the importance of considering time perspective as a determinant of psychological quality of life in order to improve the QoL of patients.
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Fumaz CR, Larrañaga-Eguilegor M, Mayordomo-López S, Gómez-Martínez S, González-García M, Ornellas A, Fuster Ruiz de Apodaca MJ, Remor E, Ballester-Arnal R. Health-related quality of life of people living with HIV infection in Spain: a gender perspective. AIDS Care 2019; 31:1509-1517. [PMID: 30917676 DOI: 10.1080/09540121.2019.1597959] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Studies exploring gender differences in health-related quality of life (HRQOL) of people living with HIV/AIDS (PLWHA) are scarce and contradictory. This study evaluated gender differences in HRQOL of 744 PLWHA with median (IQR) age 44 (37-48) years and HIV infection diagnosed 12 (5-20) years earlier. Results showed important differences between genders (p < .05). Better male physical health was related to being employed, not having economic worries, not receiving psychological support, not having injected drugs in past, low negative mood HIV-related, low HIV illness representation and internalized stigma, and high body image satisfaction and health behavior. For women, variables were fewer years since HIV diagnosis and low enacted stigma-personal experience of rejection. Mentally, variables in men were being employed, not having injected drugs, having a stable partner, high health behavior, use of problem-solving coping, personal autonomy and personal meaning. In women, better mental health was related to high CD4 cells, self-esteem and body image satisfaction, and negative mood HIV-related. Men and women coincided in absence of past opportunistic infections being related to better physical and mental health, and absence of side effects for physical health and low HIV-related stress and HIV illness representation for mental health. Our results highlight the need for detailed study of gender differences that identify the bio-psycho-socio inequalities that affect HRQOL.
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Affiliation(s)
- Carmina R Fumaz
- HIV Unit, Germans Trias i Pujol University Hospital - Lluita contra la Sida Foundation , Barcelona , Spain.,Facultad de Medicina - Universitat Autònoma de Barcelona , Barcelona , Spain
| | | | | | - Sandra Gómez-Martínez
- Facultad de Ciencias de la Salud - Universitat Jaume I de Castelló , Castelló de la Plana , Spain
| | - Marian González-García
- HIV Unit, Germans Trias i Pujol University Hospital - Lluita contra la Sida Foundation , Barcelona , Spain
| | - Arelly Ornellas
- HIV Unit, Germans Trias i Pujol University Hospital - Lluita contra la Sida Foundation , Barcelona , Spain
| | | | - Eduardo Remor
- Facultad de Psicología, Universidad Autónoma de Madrid , Madrid , Spain
| | - Rafael Ballester-Arnal
- Facultad de Ciencias de la Salud - Universitat Jaume I de Castelló , Castelló de la Plana , Spain
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Abstract
OBJECTIVE Fixed incentives have been largely unsuccessful in improving adherence to antiretroviral medication. Therefore, we evaluate whether small incentives based on behavioral economic theory can increase adherence to antiretroviral medication among treatment-mature adults in Kampala, Uganda. DESIGN A randomized control trial design tests whether providing small incentives based on either attending timely clinic visits (intervention group 1) or achieving high medication adherence (intervention group 2) can increase antiretroviral adherence. Antiretroviral adherence is measured by medical event monitoring system (MEMS) caps. METHODS Overall, 155 HIV-infected men and women age 19-78 were randomized into one of two intervention groups and received small prizes of US $1.50 awarded through a drawing conditional on either attending scheduled clinic appointments or achieving at least 90% antiretroviral adherence. The control group received the usual standard of care. RESULTS Preliminary results based on pooling the intervention groups showed individuals receiving incentives were 23.7 percentage points more likely to achieve 90% antiretroviral adherence compared with the control group [95% confidence interval (CI), 6.7-40.7%]. Specifically, 63.3% (95% CI, 52.9-72.8%) of participants in the pooled intervention groups maintained at least 90% mean adherence during the first 9 months of the intervention, compared with 39.6% (95% CI, 25.8-54.7%) in the control group. CONCLUSION Small prize incentives resulted in a statistically significant increase in antiretroviral adherence. Although more traditional fixed incentives have not produced the desired results, these findings suggest that small incentives based on behavioral economic theory may be more effective in motivating long-term adherence among treatment-mature adults.
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La conscience autonoétique dans les métastases cérébrales : regards croisés sur le voyage mental dans le temps. PSYCHO-ONCOLOGIE 2016. [DOI: 10.1007/s11839-016-0563-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Gomes Neto M, Conceição CS, Ogalha C, Brites C. Aerobic capacity and health-related quality of life in adults HIV-infected patients with and without lipodystrophy. Braz J Infect Dis 2015; 20:76-80. [PMID: 26707972 PMCID: PMC9425419 DOI: 10.1016/j.bjid.2015.11.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2015] [Revised: 10/09/2015] [Accepted: 11/02/2015] [Indexed: 10/28/2022] Open
Abstract
INTRODUCTION HIV infection and its therapy which can affect their aerobic capacity and health-related quality of life of patients. OBJECTIVE We conducted a cross-sectional study to determine if aerobic capacity and health related quality of life was decreased in HIV-infected patients receiving highly active antiretroviral therapy and comparing patients with and without lipodystrophy. RESEARCH DESIGN AND METHODS HIV-infected patients older than 18 years, and in current use of highly active antiretroviral therapy drugs, were evaluated for blood count, fasting total cholesterol, high density lipoprotein, triglycerides, glucose, HIV viral load and CD4/CD8 counts, body composition, peak oxygen consumption (peak VO2) and metabolic equivalent. Health related quality of life was assessed by using Short Form-36 (SF-36). Statistical analysis was carried out using SPSS version 20.0. RESULTS A total of 63 patients with mean age of 43.1±6.4 years were evaluated, of these 34 (54%) had lipodystrophy. The average peak VO2 (31.4±7.6mLkg(-1)min(-1)) was significantly lower (p<0.01) than expected values (37.9±5.6mLkg(-1)min(-1)) according to the characteristics of the patients. The lipodystrophy group presented with a significant difference in muscle mass, body fat, peak VO2 and metabolic equivalent and in functional capacity domains of SF-36. CONCLUSION Aerobic capacity values were reduced in HIV-infected patients under highly active antiretroviral therapy when compared to predicted values. Lipodystrophy was associated with reduced aerobic capacity and higher frequency of metabolic syndrome. Lifestyle modification should be a priority in the management of chronic HIV disease.
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Affiliation(s)
- Mansueto Gomes Neto
- Departamento de Biofunção, Curso de Fisioterapia, Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil; Programa de Pós-graduação em Medicina e Saúde da Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil.
| | - Cristiano Sena Conceição
- Departamento de Biofunção, Curso de Fisioterapia, Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil
| | - Cecília Ogalha
- Programa de Pós-graduação em Medicina e Saúde da Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil
| | - Carlos Brites
- Programa de Pós-graduação em Medicina e Saúde da Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil
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Linnemayr S, Stecher C. Behavioral Economics Matters for HIV Research: The Impact of Behavioral Biases on Adherence to Antiretrovirals (ARVs). AIDS Behav 2015; 19:2069-75. [PMID: 25987190 DOI: 10.1007/s10461-015-1076-0] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Behavioral economics (BE) has been used to study a number of health behaviors such as smoking and drug use, but there is little knowledge of how these insights relate to HIV prevention and care. We present novel evidence on the prevalence of the common behavioral decision-making errors of present-bias, overoptimism, and information salience among 155 Ugandan HIV patients, and analyze their association with subsequent medication adherence. 36 % of study participants are classified as present-biased, 21 % as overoptimistic, and 34 % as having salient HIV information. Patients displaying present-bias were 13 % points (p = 0.006) less likely to have adherence rates above 90 %, overoptimistic clients were 9 % points (p = 0.04) less likely, and those not having salient HIV information were 17 % points (p < 0.001) less likely. These findings indicate that BE may be used to screen for future adherence problems and to better design and target interventions addressing these behavioral biases and the associated suboptimal adherence.
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Dany L, Roussel P, Laguette V, Lagouanelle-Simeoni MC, Apostolidis T. Time perspective, socioeconomic status, and psychological distress in chronic pain patients. PSYCHOL HEALTH MED 2015; 21:295-308. [DOI: 10.1080/13548506.2015.1062900] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Bakiono F, Ouédraogo L, Sanou M, Samadoulougou S, Guiguemdé PWL, Kirakoya-Samadoulougou F, Robert A. Quality of life in people living with HIV: a cross-sectional study in Ouagadougou, Burkina Faso. SPRINGERPLUS 2014; 3:372. [PMID: 25089255 PMCID: PMC4117860 DOI: 10.1186/2193-1801-3-372] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/14/2014] [Accepted: 07/15/2014] [Indexed: 11/10/2022]
Abstract
HIV/AIDS is a leading cause of death in most of sub-Saharan countries. HIV/AIDS impact on the quality of life of persons living with HIV in Burkina Faso hasn't been well documented. The aim of the study was to assess the quality of life in persons living with HIV and its associated factors. A cross-sectional study was conducted in Ouagadougou. 424 persons living with HIV were included in the study according to their status with regard to Highly Active Anti Retroviral Treatment: 115 were not yet under treatment, 21 started the treatment within the three months preceding the enrolment and 288 were under treatment for at least 12 months. The quality of life was assessed through the WHOQOL HIV-BREF. Statistical comparisons were made using Mann Whitney U test, Kruskal-Wallis H test, Pearson's khi2 or Fisher's exact test. Correlations were appreciated using Spearman's rho. Logistic regression was used to examine associations between the quality of life scores and sociodemographic or clinical variables. The mean global score of quality of life in all patients was 82.4. Better scores were recorded in the spiritual domain and worst scores in the environmental domain. Men had a higher global score than women (p < 0.001). Illiteracy was significantly associated with a lower quality of life (p = 0.001). Patients having support for medical treatment had a significantly better quality of life (p < 0.01). In multivariate analysis, being a man, having a support for medical care, getting older and self-perceived as healthy, were associated with a global score of quality of life higher than 77, that corresponds to the mid-range of the score in our data. These findings suggest the importance of the socio-psychological support and of a good environment in order to improve the quality of life of people living with HIV, especially in women, in younger and in those having no support for medical care. In the environmental domain, actions of HIV services providers should focus on better accessibility to social and health care, promotion of income-generating activities especially for women and youth living with HIV.
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Affiliation(s)
- Fidèle Bakiono
- Pôle Epidémiologie et Biostatistique, Institut de Recherche Expérimentale et Clinique (IREC), Faculté de Santé Publique, Université catholique de Louvain, Clos Chapelle-aux-Champs 30, Brussels, 1200 Belgium
| | - Laurent Ouédraogo
- Unité de Formation et de Recherche en Sciences de la santé, Université de Ouagadougou, Ouagadougou 03, 03 BP 7021 Kragujevac, Burkina Faso ; Institut Régional de Santé Publique de Ouidah, Ouidah, BP 384 Bénin
| | - Mahamoudou Sanou
- Unité de Formation et de Recherche en Sciences de la santé, Université de Ouagadougou, Ouagadougou 03, 03 BP 7021 Kragujevac, Burkina Faso
| | - Sékou Samadoulougou
- Pôle Epidémiologie et Biostatistique, Institut de Recherche Expérimentale et Clinique (IREC), Faculté de Santé Publique, Université catholique de Louvain, Clos Chapelle-aux-Champs 30, Brussels, 1200 Belgium
| | | | - Fati Kirakoya-Samadoulougou
- Pôle Epidémiologie et Biostatistique, Institut de Recherche Expérimentale et Clinique (IREC), Faculté de Santé Publique, Université catholique de Louvain, Clos Chapelle-aux-Champs 30, Brussels, 1200 Belgium
| | - Annie Robert
- Pôle Epidémiologie et Biostatistique, Institut de Recherche Expérimentale et Clinique (IREC), Faculté de Santé Publique, Université catholique de Louvain, Clos Chapelle-aux-Champs 30, Brussels, 1200 Belgium
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Quality of life and time perspective in inflammatory bowel disease patients. Qual Life Res 2013; 22:2721-36. [DOI: 10.1007/s11136-013-0399-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/21/2013] [Indexed: 01/22/2023]
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Baroin A, Chopard G, Siliman G, Michoudet C, Vivot A, Vidal C, Mokadym H, Lavier A, Berger Ė, Rumbach L, Rude N. Validation of a new quality of life scale related to multiple sclerosis and relapses. Qual Life Res 2012; 22:1943-54. [DOI: 10.1007/s11136-012-0334-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/30/2012] [Indexed: 10/27/2022]
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Lessard L. [Temporal perspectives: understanding them to take them into account for our health promotion interventions]. Glob Health Promot 2012; 19:67-73. [PMID: 24802789 DOI: 10.1177/1757975912453846] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Résumé La modification des habitudes de vie pour adopter des comportements sains repose notamment sur la capacité des individus et des populations à estimer les conséquences à long terme des gestes accomplis aujourd’hui. Cette capacité peut cependant varier d’une personne à l’autre, notamment en raison des perspectives temporelles (PT) adoptées. Les PT réfèrent à la tendance d’une personne ou d’un groupe de personnes à orienter ses décisions en fonction d’une vision tournée vers le passé, le présent ou le futur. Cet article vise à démystifier le concept de PT et à comprendre leur construit, afin d’identifier différentes façons d’en tenir compte dans les interventions en promotion de la santé. L’influence des PT sur la santé est principalement liée à leur capacité d’agir sur la motivation des personnes à adopter et à maintenir certains comportements. Une attention particulière doit être portée aux personnes et aux populations dont les PT sont orientées vers le présent. Elles présenteraient un plus grand risque d’adopter des comportements délétères et seraient susceptibles d’être moins sensibles aux messages qui visent la modification de ces comportements que les personnes qui adoptent une PT orientée vers le futur. En ce qui concerne leur construit, les PT sont le fruit de différentes dynamiques psychologiques et des facteurs individuels (âge, sexe, état de santé) et environnementaux (milieu familial, statut socioéconomique, éducation, culture). Parmi les moyens présentés pour tenir compte des PT dans les interventions en promotion de la santé figurent la mise en valeur des avantages à court terme d’un changement de comportement qui vise des bénéfices à long terme pour la santé, la modulation de l’intensité du soutien à l’empowerment des communautés en fonction des PT adoptées et la permutation d’une PT orientée vers le présent vers une PT orientée vers le futur.
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Affiliation(s)
- Lily Lessard
- Université du Québec à Rimouski (campus Lévis), Lévis (Québec), Canada
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Canavarro MC, Pereira M. Factor structure and psychometric properties of the European Portuguese version of a questionnaire to assess quality of life in HIV-infected adults: The WHOQOL-HIV-Bref. AIDS Care 2011; 24:799-807. [DOI: 10.1080/09540121.2011.630362] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Affiliation(s)
- Maria C. Canavarro
- a Faculty of Psychology and Educational Sciences , University of Coimbra , Coimbra , Portugal
| | - Marco Pereira
- b Foundation for Science and Technology (SFRH/BPD/44435/2008), Institute of Cognitive Psychology, Vocational and Social Development , University of Coimbra , Coimbra , Portugal
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Pereira M, Canavarro MC. Gender and age differences in quality of life and the impact of psychopathological symptoms among HIV-infected patients. AIDS Behav 2011; 15:1857-69. [PMID: 21431413 DOI: 10.1007/s10461-011-9928-8] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
The purpose of this study was to determine gender and age differences and interaction effects on the quality of life (QoL) domains in a sample of Portuguese HIV-positive patients, and to examine to what degree psychopathological symptoms are associated with QoL in addition to sociodemographic and clinical variables. The sample consisted of 1191 HIV-positive patients, and measures included the WHOQOL-HIV-Bref and the Brief Symptom Inventory. Controlling for clinical status, there was a significant effect of gender on QoL. Women reported lower scores of Psychological and Spirituality QoL. Younger patients reported higher scores on Physical and Level of Independence domains. Age by gender interactions emerged on all domains of QoL except on the Level of Independence domain. Overall, women over 45 years old showed lower QoL scores. Psychopathological symptoms contributed significantly to the variance of all QoL domains. Gender differences in the association of HIV infection with QoL and psychopathological symptoms seemed to be modulated by age. Understanding gender and age differences (and their interaction) may provide potentially useful information for planning interventions to improve QoL and mental health among people infected with HIV/AIDS, especially among older women.
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Wagner AC, Hart TA, Mohammed S, Ivanova E, Wong J, Loutfy MR. Correlates of HIV stigma in HIV-positive women. Arch Womens Ment Health 2010; 13:207-14. [PMID: 20372948 DOI: 10.1007/s00737-010-0158-2] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2008] [Accepted: 02/06/2010] [Indexed: 12/01/2022]
Abstract
We examined the variables associated with HIV stigma in HIV-positive women currently living in Ontario, Canada. Based on previous literature, we predicted that variables of social marginalization (e.g., ethnicity, income, education), medical variables (e.g., higher CD4 count, lower viral load), and increased psychological distress would be associated with higher perceived HIV stigma among HIV-positive women. One hundred fifty-nine HIV-positive women between the ages of 18 and 52 in Ontario completed self-report measures of the aforementioned variables. Women were recruited through 28 AIDS service organizations, eight HIV clinics, and two community health centers. In multiple regression analyses, for women born in Canada, lower educational level and higher anxiety were associated with higher HIV stigma. For women born outside of Canada, having been judged by a physician in Canada for trying to become pregnant was associated with higher HIV stigma. For HIV-positive women born outside of Canada, negative judgment by a physician regarding intentions to become pregnant should be addressed to reduce perceived HIV stigma and vice versa. Health care providers should be trained in the provision of sensitive and effective health care for women living with HIV, especially when providing reproductive health care.
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Affiliation(s)
- Anne C Wagner
- Department of Psychology, Ryerson University, 105 Bond Street, Toronto, ON M5B 1Y3, Canada.
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Guthrie LC, Butler SC, Ward MM. Time perspective and socioeconomic status: a link to socioeconomic disparities in health? Soc Sci Med 2009; 68:2145-51. [PMID: 19394738 DOI: 10.1016/j.socscimed.2009.04.004] [Citation(s) in RCA: 86] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2008] [Indexed: 10/20/2022]
Abstract
Time perspective is a measure of the degree to which one's thinking is motivated by considerations of the future, present, or past. Time perspective has been proposed as a potential mediator of socioeconomic disparities in health because it has been associated with health behaviors and is presumed to vary with socioeconomic status. In this cross-sectional community-based survey of respondents recruited from hair salons and barber shops in a suburb of Washington DC, we examined the association between time perspective and both education level and occupation. We asked participants (N=525) to complete a questionnaire that included three subscales (future, present-fatalistic, and present-hedonistic) of the Zimbardo Time Perspective Inventory. Participants with more formal education and those with professional occupations had higher scores on the future time perspective subscale, and lower scores on the present-fatalistic subscale, than participants with less formal education or a non-professional occupation. Present-fatalistic scores were also higher among participants whose parents had less formal education. Present-hedonistic scores were not associated with either education level or professional occupation. Time perspective scores were not independently associated with the likelihood of obesity, smoking, or exercise. In this community sample, future time perspective was associated with current socioeconomic status, and past-fatalistic time perspective was associated with both current and childhood socioeconomic status.
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Affiliation(s)
- Lori C Guthrie
- National Institutes of Health, Bethesda, MD 20892, United States
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Spire B, Marcellin F, Cohen-Codar I, Flandre P, Boue F, Dellamonica P, Raffi F, Norton M, Ngo Van P, Delfraissy JF. Effect of Lopinavir/Ritonavir Monotherapy on Quality of Life and Self-Reported Symptoms among Antiretroviral-Naive Patients: Results of the MONARK Trial. Antivir Ther 2008. [DOI: 10.1177/135965350801300405] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Background Standard-of-care for HIV-infected patients consists of combining three antiretroviral drugs. However, other therapeutic strategies could be beneficial given long-term toxicity and quality of life (QOL) issues associated with taking multiple antiretroviral drugs for many years. In the prospective, open label, randomized, pilot monotherapy antiretroviral Kaletra® (MONARK) trial among antiretroviral-naive patients, lopinavir/ritonavir (LPV/r) monotherapy was found to be less suppressive for HIV RNA than a standard triple-drug therapy of LPV/r plus zidovudine/lamivudine (on-treatment analysis after 48 weeks). We present data from the MONARK trial concerning QOL and patient-reported symptoms. Methods Patient-reported symptoms were collected at baseline and at weeks 4, 12, 24 and 48 using a list of 22 symptoms. QOL was assessed at baseline, week 24 and week 48 using the six-domain World Health Organization QOL short form questionnaire for HIV-infected individuals including an evaluation of global health perception. Results Patients treated with the standard triple-drug therapy reported significantly more symptoms over 48 weeks of treatment than patients treated with LPV/r monotherapy (incidence rate ratio [95% confidence interval] 1.3 [1.1, 1.6] P=0.001 and 1.4 [1.2, 1.7] P=0.0004 for the total number of symptoms and the number of symptoms causing discomfort, respectively). No baseline differences and no significant changes were observed in the six QOL scores. The percentage of patients with a positive perception of their global health status increased significantly in the monotherapy arm from 32% at baseline to 67% at week 48 ( P<0.0001). Conclusions These results suggest that the number of self-reported symptoms could be used as a treatment-sensitive measure of patients’ well-being in clinical trials.
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Affiliation(s)
- Bruno Spire
- INSERM U912 ‘Economic & Social Sciences, Health Systems & Societies’, Marseilles, France
- IRD, UMR-S912, Faculté de Médecine, Aix-Marseilles Université, Marseilles, France
- Southeastern Health Regional Observatory (ORS-PACA), Marseilles, France
| | - Fabienne Marcellin
- INSERM U912 ‘Economic & Social Sciences, Health Systems & Societies’, Marseilles, France
- IRD, UMR-S912, Faculté de Médecine, Aix-Marseilles Université, Marseilles, France
- Southeastern Health Regional Observatory (ORS-PACA), Marseilles, France
| | | | | | - Francois Boue
- A Beclere Hospital, Université Paris-Sud 11, Clamart, France
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