Books by Carlota Las Hayas
En los últimos años se ha ido desarrollando en el campo de la psicología, un interés creciente po... more En los últimos años se ha ido desarrollando en el campo de la psicología, un interés creciente por identificar aquellas dinámicas presentes en el ser humano, que no sólo le ayudan a manejar y superar las dificultades y el sufrimiento que en ocasiones la vida plantea, sino que también permiten orientar la vida hacia sentimientos de plenitud, felicidad y bienestar. Es en este contexto en el que se ubican las colaboraciones que se recogen en este texto. Los contenidos aquí expuestos fueron presentados en el marco de unas Jornadas sobre Crisis, vulnerabilidad y superación, organizadas por el Departamento de Psicología de la Facultad de Ciencias Humanas y Sociales de la Universidad Pontificia Comillas. Al organizar unas Jornadas sobre estos contenidos se buscaba potenciar esa mirada de superación y afrontamiento, que está presente en el funcionamiento de muchas personas que viven situaciones difíciles y angustiosas y que son capaces de, en esos contextos, no dejar que las vivencias negativas les desborden, a la vez que promueven actitudes y acciones que les permiten salir fortalecidos y construir un día a día mas gratificante y placentero. Potenciar el bienestar y afianzar las fortalezas del ser humano es uno de los objetivos fundamentales de los profesionales del campo de la psicología. Creemos que las contribuciones recogidas en este volumen permiten avanzar en esa dirección, abriendo vías y proponiendo caminos.
Abstract: The measurement of health related quality of life (HRQL) is currently being used to com... more Abstract: The measurement of health related quality of life (HRQL) is currently being used to complement other, more objective or biological measurements such as body mass
index, blood analyses, etc. to evaluate a patient’s state of health. The results of these HRQL measurements provide information regarding the impact that an illness has on the lifestyle and quality of life of the patient who has it. Until 2006, HRQL measurements in eating disorders (EDs) were made by employing generic quality of life (QL) instruments or qualitative
techniques. The results of generic questionnaires show that patients with EDs present significantly lower QL levels than patients with other psychiatric disorders or somatic illnesses. The qualitative studies show that the greatest impact of the ED is found in the ability to interact socially with other people. The lack of instruments for measuring the impact of EDs on QL has
led researchers from various countries (USA, Canada, Australia, and Spain) to design four questionnaires aimed at measuring this HRQL directly in patients suffering from anorexia
nervosa (AN), bulimia nervosa (BN), binge-eating, or nonspecific eating disorders (EDNOS). These new, specific self-reports include measurements that previous ones did not evaluate as
specific symptoms of EDs, such as the importance of self-image or the specific impact of the ED on social relationships.
Papers by Carlota Las Hayas
Eating Behaviors
Objectives
To validate into Spanish the Wagnild and Young Resilience Scale – 25 (RS-25), asses... more Objectives
To validate into Spanish the Wagnild and Young Resilience Scale – 25 (RS-25), assess and compare the scores on the scale among women from the general population, eating disorder (ED) patients and recovered ED patients.
Method
This is a cross-sectional study. ED participants were invited to participate by their respective therapists. The sample from the general population was gathered via an open online survey. Participants (N general population = 279; N ED patients = 124; and N recovered ED patients = 45) completed the RS-25, the World Health Organization Quality of Life Scale-Brief Version and the Hospital Anxiety and Depression Scale. Mean age of participants ranged from 28.87 to 30.42 years old. Statistical analysis included a multi-group confirmatory factor analysis and ANOVA.
Results
The two-factor model of the RS-25 produced excellent fit indexes. Measurement invariance across samples was generally supported. The ANOVA found statistically significant differences in the RS-25 mean scores between the ED patients (Mean = 103.13, SD = 31.32) and the recovered ED participants (Mean = 138.42, SD = 22.26) and between the ED patients and the general population participants (Mean = 136.63, SD = 19.56).
Discussion
The Spanish version of the RS-25 is a psychometrically sound measurement tool in samples of eating disorder patients. Resilience is lower in people diagnosed with ED than in recovered individuals and the general population.
Keywords
resilience;
resilience scale;
eating disorders;
Spanish;
multi-group confirmatory factor analysis;
validation
Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.], 2014
Psychiatry research, 2013
Rehabilitation Psychology (in press, expected to be online in January-February 2014).
Assessment (In press), Nov 13, 2013
The Health-Related Quality of Life for Eating Disorder-Short questionnaire is one of the most sui... more The Health-Related Quality of Life for Eating Disorder-Short questionnaire is one of the most suitable existing instruments for measuring quality of life in patients with eating disorders. The objective of the study was to evaluate its reliability, validity, and responsiveness in a cohort of 377 patients. A comprehensive validation process was performed, including confirmatory factor analysis and a graded response model, and assessments of reliability and responsiveness at 1 year of follow-up. The confirmatory factor analysis confirmed the two second-order latent traits, social maladjustment, and mental health and functionality. The graded response model results showed that all items were good for discriminating their respective latent traits. Cronbach's alpha coefficients were high, and responsiveness parameters showed moderate changes. In conclusion, this short questionnaire has good psychometric properties. Its simplicity and ease of application further enhance its acceptability and usefulness in clinical research and trials, as well as in routine practice.
Australian Journal of Rehabilitation Counselling, Nov 7, 2013
"Acquired brain injury (ABI) causes numerous problems, including cognitive 10
and personality ch... more "Acquired brain injury (ABI) causes numerous problems, including cognitive 10
and personality changes, which can be quite stressful for caregivers. In this 11
study, we aimed to adapt an instrument to measure caregivers’ distress, the Rel- 12
ative Version of the Head Injury Behaviour Scale (HIBS; Godfrey et al., 2003) 13
to the Spanish language and to determine whether the positive aspects of care- 14
giving moderate the effects of the psychological problems of ABI on caregivers’ 15
distress. Moderation analyses indicated that positive aspects of caregiving involv- 16
ing one’s outlook on life reduced the association between psychological problems 17
and caregivers’ distress. The findings suggest that although the caregiver role is 18
a source of distress, this role can also become a source of satisfaction, actually 19
contributing to reducing caregivers’ distress. The importance of promoting the 20
positive aspects of caregiving in rehabilitation programmes is discussed."
Eye (Lond). , May 24, 2013
Collaborators (15)
Martínez-Tapias J, Aguayo E, Lacalle JR, Baré M, Andradas E, Blasco JA, Aro... more Collaborators (15)
Martínez-Tapias J, Aguayo E, Lacalle JR, Baré M, Andradas E, Blasco JA, Arostegui I, Elizalde B, Garai I, Aizpuru F, García S, Gonzalez N, Lafuente I, Aguirre U, Las Hayas C.
Abstract
PURPOSE:
The objective of this study is to analyse the relationship between sociodemographic characteristics of patients undergoing cataract extraction and their outcomes.
METHODS:
The method comprised a prospective cohort study of patients recruited from 17 hospitals of different areas of Spain. Data gathered before surgery included sociodemographic variables, visual acuity, and visual function (using the Visual Function Index-14). After surgery, we assessed visual acuity and visual function at 6 weeks and at 3 months, respectively. Multivariate multilevel analysis was performed to assess the relationship of sociodemographic variables with changes in visual acuity and function, analysing whether improvements surpassed the minimal clinically important differences (MCIDs).
RESULTS:
Multivariate analysis showed that for visual acuity, (i) older men had a lower odds ratio (OR) of surpassing the MCID (OR: 65-75 years, 0.64; >75 years, 0.51); (ii) those with primary (1.65) or secondary (1.41) education had higher ORs than those with no formal education; and (iii) those living in a residential home had a lower OR than men living alone (0.36). In women, we found that the higher the educational level, the greater the improvement in visual acuity (primary, 1.41; secondary, 1.76), whereas socially dependent women (0.70) were less likely to exceed the MCID. With regards to predictors related to achievement of an MCID in visual function, only dependency was associated with more improvement in men (OR: 1.39), whereas in women the educational level was the only predictor (primary: 0.72; secondary: 0.61).
CONCLUSIONS:
This study found that patients with certain sociodemographic characteristics were less likely to experience an MCID in visual acuity or visual function after cataract surgery.
European Journal of Psychiatry, 2007
ABSTRACT Background and objectives: Various studies have found significant correlations between f... more ABSTRACT Background and objectives: Various studies have found significant correlations between feelings of shame and psychopathologies, as depression or eating disorders. Since some authors have shown an association between inhibition, neuroticism and ...
Quality of Life Research, 2009
Objective To evaluate and compare the quality of life (QOL) in patients with eating disorders (ED... more Objective To evaluate and compare the quality of life (QOL) in patients with eating disorders (ED) and general population, using the disease-specific Health-Related Quality of Life for Eating Disorders (HeRQoLED) questionnaire. Methods A total of 358 patients with ED completed the HeRQoLED questionnaire as well as the SF-12 and the Eating Attitudes Test (EAT-26) at baseline; 273 patients completed the same instruments after 1 year of multidisciplinary treatment. A total of 305 individuals recruited from the general population completed the HeRQoLED once. Comparison of means was used to assess change. Multivariate models were created to determine variables predictive of change in HeRQoLED scores. Results Patients with anorexia nervosa had higher baseline scores (indicating worse perception of QOL) on the HeRQoLED questionnaire and experienced smaller improvements than patients with other diagnoses after 1 year of treatment. After adjustment by relevant variables, body-mass index (BMI) and EAT-26 scores were associated with changes in QOL. SF-12 scores showed significant improvement in the physical health component but not in mental health. General population had lower baseline scores on the HeRQoLED. Conclusions As measured by the disease-specific HeRQoLED and generic instruments, QOL in patients with ED improved after 1 year of treatment, though it did not reach the values of the general population.
Journal of Health Psychology 18(6), 737 - 749, Jun 2013
"One of the few instruments to evaluate coping skills among patients with chronic illnesses is th... more "One of the few instruments to evaluate coping skills among patients with chronic illnesses is the Cuestionario
de Afrontamiento al Estrés para Pacientes Oncológicos (CAEPO), created initially for cancer patients. We
evaluate how well CAEPO applies to patients with non-cancer chronic illnesses. A total of 344 patients (115
with chronic hepatitis C, 120 with inflammatory bowel disease and 109 with recurrent vertigo) completed
the CAEPO. Exploratory factor analysis and Cronbach’s alpha provide only partial support for the seven
factors suggested by the original CAEPO. A streamlined version with fewer dimensions and items may be a
better solution for identifying coping strategies among these patients."
Eating Behaviors, Apr 1, 2012
"Abstract
Purpose
To assess motivation to change (Mch) of patients with an eating disorder (E... more "Abstract
Purpose
To assess motivation to change (Mch) of patients with an eating disorder (ED) and its relationship with quality-of-life (QoL) by comparing patient and psychiatrist perceptions.
Method
Patients (n = 358) with an ED completed the disease-specific Health-Related Quality of Life for Eating Disorders ( HeRQoLED) questionnaire, the Eatting Attitudes Test ( EAT-26) and the Short-Form Health Survey ( SF-12) at baseline; 273 completed them after 1 year of treatment. The relationship between health-related quality of life ( HRQoL) and the Mch stage was assessed using analysis of variance. Chi-square and Kappa statistical analysis assessed congruence in motivational change perception of the patients and psychiatrists.
Results
Higher patient-reported Mch was associated with higher HRQoL at the study beginning and end but not using the patient Mch as perceived by the psychiatrist. Initially, the patient and psychiatrist perceptions of Mch differed (kappa coefficient, -0.01); after 1 year they tended to converge (k = 0.34).
Conclusions
Higher Mch and higher QoL are positively associated. However, patient and psychiatrist perceptions of Mch and the relationship with QoL differ. After 1 year of treatment, these differences decreased.
Highlights:
► To assess the evolution of the motivation to change stage in eating disorder patients. ► There were differences between patient and psychiatrist perceptions. ► The quality of life improved after 1 year of treatment. ► A higher motivation to change was associated with a lower level of psychopathology.
Keywords: motivation to change; eating disorders; quality of life"
Quality of life research, Volume 20, Issue 9 (2011), Page 1359-1369, 2011
"Abstract
PURPOSE:
To analyse health-related quality of life (HRQoL) and its associated socia... more "Abstract
PURPOSE:
To analyse health-related quality of life (HRQoL) and its associated social and clinical variables among a sample of caregivers of patients with eating disorders (ED).
METHODS:
It is a cross-sectional study involving 145 patients receiving outpatient treatment for an ED and 246 related caregivers. ED patients completed two self-administered questionnaires: the Health-Related Quality of Life in ED-short form and Eating Attitudes Test-26 questionnaires. Caregivers completed four self-administered questionnaires: the Short Form-12, Involvement Evaluation Questionnaire-EU version, Hospital Anxiety and Depression Scale and Anorectic Behaviour Observation Scale. Descriptive statistics, ANOVA, Chi-square and Fisher's exact test were applied to examine the inter-variable relationships.
RESULTS:
Caregivers had low scores on the mental health component of the SF-12 (P < 0.05). Low SF-12 scores were associated with a greater perceived care burden in the stress domains in interpersonal relationships (beta = -0.360, SE = 0.162, P = 0.029) and the need to urge their sick relatives to undertake healthful activities (beta = -0.340, SE = 0.155, P = 0.031).
CONCLUSIONS:
Low scores in the mental health domain of HRQoL among caregivers of patients with EDs indicate the need to pay particular attention to caregivers' emotional status, especially among mothers and partners.
PMID:
21373824
[PubMed - in process]"
Journal of clinical …, Jan 1, 2006
International Journal of …, Jan 1, 2009
OBJECTIVE:
The aim of this article is to provide a narrative review of empirical studies related... more OBJECTIVE:
The aim of this article is to provide a narrative review of empirical studies related to health-related quality of life (HRQOL) and eating disorders and to report recent changes in the measurement of HRQOL in eating disorders.
METHOD:
Twenty-five articles of central importance to the topic were identified in a systematic search of six databases. All articles were selected based on a consensus relevancy rating process. Key themes were extracted from the articles and validated by all authors.
RESULTS:
We identify six themes in the extant empirical literature.
DISCUSSION:
We discuss these six themes and review them in light of the fact that they are identified in studies using only generic measures of HRQOL. Four recently developed disease-specific HRQOL measures specific to patients with eating disorder are discussed.
Journal of clinical …, Jan 1, 2007
Avances en Salud …, Jan 1, 2010
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Books by Carlota Las Hayas
index, blood analyses, etc. to evaluate a patient’s state of health. The results of these HRQL measurements provide information regarding the impact that an illness has on the lifestyle and quality of life of the patient who has it. Until 2006, HRQL measurements in eating disorders (EDs) were made by employing generic quality of life (QL) instruments or qualitative
techniques. The results of generic questionnaires show that patients with EDs present significantly lower QL levels than patients with other psychiatric disorders or somatic illnesses. The qualitative studies show that the greatest impact of the ED is found in the ability to interact socially with other people. The lack of instruments for measuring the impact of EDs on QL has
led researchers from various countries (USA, Canada, Australia, and Spain) to design four questionnaires aimed at measuring this HRQL directly in patients suffering from anorexia
nervosa (AN), bulimia nervosa (BN), binge-eating, or nonspecific eating disorders (EDNOS). These new, specific self-reports include measurements that previous ones did not evaluate as
specific symptoms of EDs, such as the importance of self-image or the specific impact of the ED on social relationships.
Papers by Carlota Las Hayas
To validate into Spanish the Wagnild and Young Resilience Scale – 25 (RS-25), assess and compare the scores on the scale among women from the general population, eating disorder (ED) patients and recovered ED patients.
Method
This is a cross-sectional study. ED participants were invited to participate by their respective therapists. The sample from the general population was gathered via an open online survey. Participants (N general population = 279; N ED patients = 124; and N recovered ED patients = 45) completed the RS-25, the World Health Organization Quality of Life Scale-Brief Version and the Hospital Anxiety and Depression Scale. Mean age of participants ranged from 28.87 to 30.42 years old. Statistical analysis included a multi-group confirmatory factor analysis and ANOVA.
Results
The two-factor model of the RS-25 produced excellent fit indexes. Measurement invariance across samples was generally supported. The ANOVA found statistically significant differences in the RS-25 mean scores between the ED patients (Mean = 103.13, SD = 31.32) and the recovered ED participants (Mean = 138.42, SD = 22.26) and between the ED patients and the general population participants (Mean = 136.63, SD = 19.56).
Discussion
The Spanish version of the RS-25 is a psychometrically sound measurement tool in samples of eating disorder patients. Resilience is lower in people diagnosed with ED than in recovered individuals and the general population.
Keywords
resilience;
resilience scale;
eating disorders;
Spanish;
multi-group confirmatory factor analysis;
validation
and personality changes, which can be quite stressful for caregivers. In this 11
study, we aimed to adapt an instrument to measure caregivers’ distress, the Rel- 12
ative Version of the Head Injury Behaviour Scale (HIBS; Godfrey et al., 2003) 13
to the Spanish language and to determine whether the positive aspects of care- 14
giving moderate the effects of the psychological problems of ABI on caregivers’ 15
distress. Moderation analyses indicated that positive aspects of caregiving involv- 16
ing one’s outlook on life reduced the association between psychological problems 17
and caregivers’ distress. The findings suggest that although the caregiver role is 18
a source of distress, this role can also become a source of satisfaction, actually 19
contributing to reducing caregivers’ distress. The importance of promoting the 20
positive aspects of caregiving in rehabilitation programmes is discussed."
Martínez-Tapias J, Aguayo E, Lacalle JR, Baré M, Andradas E, Blasco JA, Arostegui I, Elizalde B, Garai I, Aizpuru F, García S, Gonzalez N, Lafuente I, Aguirre U, Las Hayas C.
Abstract
PURPOSE:
The objective of this study is to analyse the relationship between sociodemographic characteristics of patients undergoing cataract extraction and their outcomes.
METHODS:
The method comprised a prospective cohort study of patients recruited from 17 hospitals of different areas of Spain. Data gathered before surgery included sociodemographic variables, visual acuity, and visual function (using the Visual Function Index-14). After surgery, we assessed visual acuity and visual function at 6 weeks and at 3 months, respectively. Multivariate multilevel analysis was performed to assess the relationship of sociodemographic variables with changes in visual acuity and function, analysing whether improvements surpassed the minimal clinically important differences (MCIDs).
RESULTS:
Multivariate analysis showed that for visual acuity, (i) older men had a lower odds ratio (OR) of surpassing the MCID (OR: 65-75 years, 0.64; >75 years, 0.51); (ii) those with primary (1.65) or secondary (1.41) education had higher ORs than those with no formal education; and (iii) those living in a residential home had a lower OR than men living alone (0.36). In women, we found that the higher the educational level, the greater the improvement in visual acuity (primary, 1.41; secondary, 1.76), whereas socially dependent women (0.70) were less likely to exceed the MCID. With regards to predictors related to achievement of an MCID in visual function, only dependency was associated with more improvement in men (OR: 1.39), whereas in women the educational level was the only predictor (primary: 0.72; secondary: 0.61).
CONCLUSIONS:
This study found that patients with certain sociodemographic characteristics were less likely to experience an MCID in visual acuity or visual function after cataract surgery.
de Afrontamiento al Estrés para Pacientes Oncológicos (CAEPO), created initially for cancer patients. We
evaluate how well CAEPO applies to patients with non-cancer chronic illnesses. A total of 344 patients (115
with chronic hepatitis C, 120 with inflammatory bowel disease and 109 with recurrent vertigo) completed
the CAEPO. Exploratory factor analysis and Cronbach’s alpha provide only partial support for the seven
factors suggested by the original CAEPO. A streamlined version with fewer dimensions and items may be a
better solution for identifying coping strategies among these patients."
Purpose
To assess motivation to change (Mch) of patients with an eating disorder (ED) and its relationship with quality-of-life (QoL) by comparing patient and psychiatrist perceptions.
Method
Patients (n = 358) with an ED completed the disease-specific Health-Related Quality of Life for Eating Disorders ( HeRQoLED) questionnaire, the Eatting Attitudes Test ( EAT-26) and the Short-Form Health Survey ( SF-12) at baseline; 273 completed them after 1 year of treatment. The relationship between health-related quality of life ( HRQoL) and the Mch stage was assessed using analysis of variance. Chi-square and Kappa statistical analysis assessed congruence in motivational change perception of the patients and psychiatrists.
Results
Higher patient-reported Mch was associated with higher HRQoL at the study beginning and end but not using the patient Mch as perceived by the psychiatrist. Initially, the patient and psychiatrist perceptions of Mch differed (kappa coefficient, -0.01); after 1 year they tended to converge (k = 0.34).
Conclusions
Higher Mch and higher QoL are positively associated. However, patient and psychiatrist perceptions of Mch and the relationship with QoL differ. After 1 year of treatment, these differences decreased.
Highlights:
► To assess the evolution of the motivation to change stage in eating disorder patients. ► There were differences between patient and psychiatrist perceptions. ► The quality of life improved after 1 year of treatment. ► A higher motivation to change was associated with a lower level of psychopathology.
Keywords: motivation to change; eating disorders; quality of life"
PURPOSE:
To analyse health-related quality of life (HRQoL) and its associated social and clinical variables among a sample of caregivers of patients with eating disorders (ED).
METHODS:
It is a cross-sectional study involving 145 patients receiving outpatient treatment for an ED and 246 related caregivers. ED patients completed two self-administered questionnaires: the Health-Related Quality of Life in ED-short form and Eating Attitudes Test-26 questionnaires. Caregivers completed four self-administered questionnaires: the Short Form-12, Involvement Evaluation Questionnaire-EU version, Hospital Anxiety and Depression Scale and Anorectic Behaviour Observation Scale. Descriptive statistics, ANOVA, Chi-square and Fisher's exact test were applied to examine the inter-variable relationships.
RESULTS:
Caregivers had low scores on the mental health component of the SF-12 (P < 0.05). Low SF-12 scores were associated with a greater perceived care burden in the stress domains in interpersonal relationships (beta = -0.360, SE = 0.162, P = 0.029) and the need to urge their sick relatives to undertake healthful activities (beta = -0.340, SE = 0.155, P = 0.031).
CONCLUSIONS:
Low scores in the mental health domain of HRQoL among caregivers of patients with EDs indicate the need to pay particular attention to caregivers' emotional status, especially among mothers and partners.
PMID:
21373824
[PubMed - in process]"
The aim of this article is to provide a narrative review of empirical studies related to health-related quality of life (HRQOL) and eating disorders and to report recent changes in the measurement of HRQOL in eating disorders.
METHOD:
Twenty-five articles of central importance to the topic were identified in a systematic search of six databases. All articles were selected based on a consensus relevancy rating process. Key themes were extracted from the articles and validated by all authors.
RESULTS:
We identify six themes in the extant empirical literature.
DISCUSSION:
We discuss these six themes and review them in light of the fact that they are identified in studies using only generic measures of HRQOL. Four recently developed disease-specific HRQOL measures specific to patients with eating disorder are discussed.
index, blood analyses, etc. to evaluate a patient’s state of health. The results of these HRQL measurements provide information regarding the impact that an illness has on the lifestyle and quality of life of the patient who has it. Until 2006, HRQL measurements in eating disorders (EDs) were made by employing generic quality of life (QL) instruments or qualitative
techniques. The results of generic questionnaires show that patients with EDs present significantly lower QL levels than patients with other psychiatric disorders or somatic illnesses. The qualitative studies show that the greatest impact of the ED is found in the ability to interact socially with other people. The lack of instruments for measuring the impact of EDs on QL has
led researchers from various countries (USA, Canada, Australia, and Spain) to design four questionnaires aimed at measuring this HRQL directly in patients suffering from anorexia
nervosa (AN), bulimia nervosa (BN), binge-eating, or nonspecific eating disorders (EDNOS). These new, specific self-reports include measurements that previous ones did not evaluate as
specific symptoms of EDs, such as the importance of self-image or the specific impact of the ED on social relationships.
To validate into Spanish the Wagnild and Young Resilience Scale – 25 (RS-25), assess and compare the scores on the scale among women from the general population, eating disorder (ED) patients and recovered ED patients.
Method
This is a cross-sectional study. ED participants were invited to participate by their respective therapists. The sample from the general population was gathered via an open online survey. Participants (N general population = 279; N ED patients = 124; and N recovered ED patients = 45) completed the RS-25, the World Health Organization Quality of Life Scale-Brief Version and the Hospital Anxiety and Depression Scale. Mean age of participants ranged from 28.87 to 30.42 years old. Statistical analysis included a multi-group confirmatory factor analysis and ANOVA.
Results
The two-factor model of the RS-25 produced excellent fit indexes. Measurement invariance across samples was generally supported. The ANOVA found statistically significant differences in the RS-25 mean scores between the ED patients (Mean = 103.13, SD = 31.32) and the recovered ED participants (Mean = 138.42, SD = 22.26) and between the ED patients and the general population participants (Mean = 136.63, SD = 19.56).
Discussion
The Spanish version of the RS-25 is a psychometrically sound measurement tool in samples of eating disorder patients. Resilience is lower in people diagnosed with ED than in recovered individuals and the general population.
Keywords
resilience;
resilience scale;
eating disorders;
Spanish;
multi-group confirmatory factor analysis;
validation
and personality changes, which can be quite stressful for caregivers. In this 11
study, we aimed to adapt an instrument to measure caregivers’ distress, the Rel- 12
ative Version of the Head Injury Behaviour Scale (HIBS; Godfrey et al., 2003) 13
to the Spanish language and to determine whether the positive aspects of care- 14
giving moderate the effects of the psychological problems of ABI on caregivers’ 15
distress. Moderation analyses indicated that positive aspects of caregiving involv- 16
ing one’s outlook on life reduced the association between psychological problems 17
and caregivers’ distress. The findings suggest that although the caregiver role is 18
a source of distress, this role can also become a source of satisfaction, actually 19
contributing to reducing caregivers’ distress. The importance of promoting the 20
positive aspects of caregiving in rehabilitation programmes is discussed."
Martínez-Tapias J, Aguayo E, Lacalle JR, Baré M, Andradas E, Blasco JA, Arostegui I, Elizalde B, Garai I, Aizpuru F, García S, Gonzalez N, Lafuente I, Aguirre U, Las Hayas C.
Abstract
PURPOSE:
The objective of this study is to analyse the relationship between sociodemographic characteristics of patients undergoing cataract extraction and their outcomes.
METHODS:
The method comprised a prospective cohort study of patients recruited from 17 hospitals of different areas of Spain. Data gathered before surgery included sociodemographic variables, visual acuity, and visual function (using the Visual Function Index-14). After surgery, we assessed visual acuity and visual function at 6 weeks and at 3 months, respectively. Multivariate multilevel analysis was performed to assess the relationship of sociodemographic variables with changes in visual acuity and function, analysing whether improvements surpassed the minimal clinically important differences (MCIDs).
RESULTS:
Multivariate analysis showed that for visual acuity, (i) older men had a lower odds ratio (OR) of surpassing the MCID (OR: 65-75 years, 0.64; >75 years, 0.51); (ii) those with primary (1.65) or secondary (1.41) education had higher ORs than those with no formal education; and (iii) those living in a residential home had a lower OR than men living alone (0.36). In women, we found that the higher the educational level, the greater the improvement in visual acuity (primary, 1.41; secondary, 1.76), whereas socially dependent women (0.70) were less likely to exceed the MCID. With regards to predictors related to achievement of an MCID in visual function, only dependency was associated with more improvement in men (OR: 1.39), whereas in women the educational level was the only predictor (primary: 0.72; secondary: 0.61).
CONCLUSIONS:
This study found that patients with certain sociodemographic characteristics were less likely to experience an MCID in visual acuity or visual function after cataract surgery.
de Afrontamiento al Estrés para Pacientes Oncológicos (CAEPO), created initially for cancer patients. We
evaluate how well CAEPO applies to patients with non-cancer chronic illnesses. A total of 344 patients (115
with chronic hepatitis C, 120 with inflammatory bowel disease and 109 with recurrent vertigo) completed
the CAEPO. Exploratory factor analysis and Cronbach’s alpha provide only partial support for the seven
factors suggested by the original CAEPO. A streamlined version with fewer dimensions and items may be a
better solution for identifying coping strategies among these patients."
Purpose
To assess motivation to change (Mch) of patients with an eating disorder (ED) and its relationship with quality-of-life (QoL) by comparing patient and psychiatrist perceptions.
Method
Patients (n = 358) with an ED completed the disease-specific Health-Related Quality of Life for Eating Disorders ( HeRQoLED) questionnaire, the Eatting Attitudes Test ( EAT-26) and the Short-Form Health Survey ( SF-12) at baseline; 273 completed them after 1 year of treatment. The relationship between health-related quality of life ( HRQoL) and the Mch stage was assessed using analysis of variance. Chi-square and Kappa statistical analysis assessed congruence in motivational change perception of the patients and psychiatrists.
Results
Higher patient-reported Mch was associated with higher HRQoL at the study beginning and end but not using the patient Mch as perceived by the psychiatrist. Initially, the patient and psychiatrist perceptions of Mch differed (kappa coefficient, -0.01); after 1 year they tended to converge (k = 0.34).
Conclusions
Higher Mch and higher QoL are positively associated. However, patient and psychiatrist perceptions of Mch and the relationship with QoL differ. After 1 year of treatment, these differences decreased.
Highlights:
► To assess the evolution of the motivation to change stage in eating disorder patients. ► There were differences between patient and psychiatrist perceptions. ► The quality of life improved after 1 year of treatment. ► A higher motivation to change was associated with a lower level of psychopathology.
Keywords: motivation to change; eating disorders; quality of life"
PURPOSE:
To analyse health-related quality of life (HRQoL) and its associated social and clinical variables among a sample of caregivers of patients with eating disorders (ED).
METHODS:
It is a cross-sectional study involving 145 patients receiving outpatient treatment for an ED and 246 related caregivers. ED patients completed two self-administered questionnaires: the Health-Related Quality of Life in ED-short form and Eating Attitudes Test-26 questionnaires. Caregivers completed four self-administered questionnaires: the Short Form-12, Involvement Evaluation Questionnaire-EU version, Hospital Anxiety and Depression Scale and Anorectic Behaviour Observation Scale. Descriptive statistics, ANOVA, Chi-square and Fisher's exact test were applied to examine the inter-variable relationships.
RESULTS:
Caregivers had low scores on the mental health component of the SF-12 (P < 0.05). Low SF-12 scores were associated with a greater perceived care burden in the stress domains in interpersonal relationships (beta = -0.360, SE = 0.162, P = 0.029) and the need to urge their sick relatives to undertake healthful activities (beta = -0.340, SE = 0.155, P = 0.031).
CONCLUSIONS:
Low scores in the mental health domain of HRQoL among caregivers of patients with EDs indicate the need to pay particular attention to caregivers' emotional status, especially among mothers and partners.
PMID:
21373824
[PubMed - in process]"
The aim of this article is to provide a narrative review of empirical studies related to health-related quality of life (HRQOL) and eating disorders and to report recent changes in the measurement of HRQOL in eating disorders.
METHOD:
Twenty-five articles of central importance to the topic were identified in a systematic search of six databases. All articles were selected based on a consensus relevancy rating process. Key themes were extracted from the articles and validated by all authors.
RESULTS:
We identify six themes in the extant empirical literature.
DISCUSSION:
We discuss these six themes and review them in light of the fact that they are identified in studies using only generic measures of HRQOL. Four recently developed disease-specific HRQOL measures specific to patients with eating disorder are discussed.