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Psychological Factors in Chronic Edema: A Case-Control Study
Lymphatic research and biology, 2017-09, Vol.15 (3), p.252-261
[Peer Reviewed Journal]
ISSN: 1539-6851 ;EISSN: 1557-8585 ;DOI: 10.1089/lrb.2017.0022 ;PMID: 28937923
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Title:
Psychological Factors in Chronic Edema: A Case-Control Study
Author:
Moffatt, Christine J
;
Aubeeluck, Aimee
;
Franks, Peter J
;
Doherty, Debra C
;
Mortimer, Peter
;
Quere, Isabelle
Subjects:
Adaptation, Psychological
;
Adult
;
Aged
;
Aged, 80 and over
;
Case-Control Studies
;
Chronic Disease
;
Cost of Illness
;
Edema - diagnosis
;
Edema - epidemiology
;
Edema - etiology
;
Edema - psychology
;
Female
;
Health Surveys
;
Humans
;
Male
;
Mental Health
;
Middle Aged
;
Quality of Life
;
Social Support
Is Part Of:
Lymphatic research and biology, 2017-09, Vol.15 (3), p.252-261
Description:
To examine psychological health and perceived social support in patients with chronic edema (CE). A random sample of 107 patients with CE was group matched for age and gender with 102 community controls. The cases had swelling of the arm (38%) and leg (61%) and midline swelling (14%). Cases were more likely to be single or divorced/separated (p = 0.041) and have reduced mobility (p < 0.001). They had significantly poorer overall health related quality of life (HRQoL), in particular physical functioning (p = 0.003); role physical (p < 0.001); general health (p = 0.026); vitality (p = 0.015); social function (p = 0.007); and role emotional (p = 0.041). EQ5-D health index scores were significantly reduced in cases by 13 points (p = <0.001, 95% confidence interval 5.8, 21.6). Cases had similar sized social networks to the control group (5.8 vs. 6.6 p = 0.49), but had lower total perceived social support scores (67.8 vs. 76.1 p = 0.018). CE patients used significantly fewer coping strategies (COPE scale) than controls with regard to the following: active coping (p = 0.024); planning (p < 0.001); and use of instrumental support (p = 0.006). Significantly higher levels of coping were used in restraint (p = 0.031), positive reinterpretation and growth (p < 0.001); acceptance (<0.001); denial (p < 0.001); mental disengagement (p < 0.001); behavioral disengagement (<0.001); substance abuse (p = 0.010); and humor (p < 0.001). Patients with CE have poorer health and greater impact on many aspects of HRQoL. Perceived social support is reduced. Deficits in social function combined with perceived reduction in support, and reduced mental health and emotional scores indicate the risk of psychological issues. Systems of care should offer an environment to address these issues.
Publisher:
United States
Language:
English
Identifier:
ISSN: 1539-6851
EISSN: 1557-8585
DOI: 10.1089/lrb.2017.0022
PMID: 28937923
Source:
MEDLINE
Alma/SFX Local Collection
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