Distress and quality of life characteristics associated with seeking surgical treatment for stress urinary incontinence.
*Health Status; *Quality of Life; Adult; Aged; Female; Humans; Middle Aged; Patient Acceptance of Health Care/*psychology; Severity of Illness Index; Stress/classification/psychology/*surgery; Urinary Incontinence
BACKGROUND: Current research focuses on three variables in evaluating the impact of stress urinary incontinence (SUI) on daily living: severity of incontinence, distress or bother resulting from incontinence, and effect on health related quality of life (HRQoL). Understanding the impact of these variables is important as they are the driving force behind women seeking surgical treatment. Given the importance of HRQoL in determining need for treatment, as well as evaluating treatment success, this review provides an assessment of the degree to which HRQoL is impaired in women seeking surgical treatment. METHODS: PubMed searches for the terms "quality of life and distress and urinary incontinence" and "quality of life and bother and urinary incontinence" were performed with limits of English, human and female subjects through May 2008. All studies using validated instruments were included. No time limit was placed on the search. RESULTS: Of 178 articles retrieved, 21 met the inclusion criteria, and 17 reported methods of scoring. The studies used the Urogenital Distress Inventory (UDI) and the Incontinence Impact Questionnaire (IIQ). Wide ranges of mean and individual levels of severity of symptoms, UDI and IIQ scores were seen among women seeking surgical treatment. Fourteen studies reported baseline and post-surgical treatment distress and QoL data. Statistically significant improvements between baseline and post-surgical UDI and IIQ scores were reported in 12 studies. Reported cure rates ranged from 46% to 97%. Satisfaction with the procedure was reported in 4 studies and ranged from 84% to 91%. A minority of studies reported the relationship between reduction in symptoms and change in HRQoL. CONCLUSION: HRQoL is the main reason women seek surgical treatment for incontinence and surgical treatment leads to a significant improvement in mean HRQoL scores. Assessment of HRQoL has proved less useful in identifying why individual women seek treatment for incontinence. Preliminary work has begun to characterize the interaction between severity of symptoms, distress or bother resulting from these urinary symptoms, impact on HRQoL, and treatment seeking behavior, but further research is needed. Greater standardization in the reporting of results of distress or bother and HRQoL would allow for comparison across studies.
Gil Karen M; Somerville Amber M; Cichowski Sara; Savitski Jennifer L
Health and quality of life outcomes
2009
2009-02
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1186/1477-7525-7-8" target="_blank" rel="noreferrer noopener">10.1186/1477-7525-7-8</a>
The Help-Seeking Experiences of Parents of Children with a First-Episode of Psychosis.
*Help-Seeking Behavior; Adolescence; Adolescent; Adolescents and young adults; Adult; Affective Disorders; Child Behavior; Diagnostic Errors; Early Intervention; Families; Female; First episode psychosis; Health Services Accessibility; Help Seeking Behavior – Ohio; Human; Humans; Interviews as Topic; Male; Ohio; Parental Attitudes; Parents; Parents – Psychosocial Factors; Parents/*psychology; Pathways to treatment; Patient Acceptance of Health Care/*psychology; Professional Development; Psychosocial; Psychotic – In Adolescence; Psychotic Disorders/diagnosis/*psychology/therapy; Qualitative Studies; Semi-Structured Interview; Support; Treatment Delay; Young Adult
The objective was to understand the experiences of parents as they sought psychological and specialized medical services for a loved one having a first episode of psychosis. The research method was qualitative and the data gathering was done through semi-structured interviews. Eleven parents of eight adolescent or young adult children consented to be interviewed. Data from these interviews were coded and sorted. Parents reported that many of their encounters resulted in delays in accessing treatment. These encounters were characterized by misattributions of the child's behavior, poor advice, misdiagnosis, disbelief in the seriousness of the child's condition, and an unwillingness to share information. But parents also reported that encounters with other individuals were characterized by helpful advice, emotional support, and suggestions as to how to access early intervention services. Encounters with many professionals were generally not helpful to parents. These encounters served as roadblocks to accessing proper treatment for their child. More publicity, outreach, and education are recommended in the professional community.
Skubby David; Bonfine Natalie; Tracy Hattie; Knepp Kristen; Munetz Mark R
Community mental health journal
2015
2015-11
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1007/s10597-015-9877-1" target="_blank" rel="noreferrer noopener">10.1007/s10597-015-9877-1</a>