AIM:To investigate the impact of chronic fatigue on disease-related worries in inflammatory bowel disease (IBD) and the potential multicolinearity between subjective questionnaires.METHODS:Patients in remission or wit...AIM:To investigate the impact of chronic fatigue on disease-related worries in inflammatory bowel disease (IBD) and the potential multicolinearity between subjective questionnaires.METHODS:Patients in remission or with mild-tomoderate disease activity completed the fatigue questionnaire (FQ),the rating form of IBD patient concerns (RFIPC),the Short-Form 36 (SF-36),and IBD questionnaire (N-IBDQ).In addition,clinical and epidemiological data were obtained.RESULTS:In total,140 patients were included;of which 92 were diagnosed with ulcerative colitis and 48 with Crohn's disease.The mean age of patients with chronic fatigue was 44.2 years (SD=15.8) and for non-fatigued patients was 44.7 years (SD=16.0).Chronic fatigued patients had clinically significantly increased levels of disease-related worries,as measured by Cohen's d effect size.Worries about having an ostomy bag,loss of bowel control,and energy levels were most prominent in both chronic fatigued and non-chronic fatigued IBD patients.Variance inflation factor (VIF) and tolerance indicated that there were no problematic multicolinearity among the FQ,RFIPC,SF-36 and N-IBDQ responses (VIF < 5 and tolerance > 2).CONCLUSION:Chronic fatigue is associated with increased levels of disease-related worries and concerns in IBD.Increased levels of worries were also associated with impaired health-related quality of life.展开更多
Controversy exists whether or not patient’s concerns regarding anesthetics can be reduced by face-to-face pre-assessment with an anesthetist. Thus we were looking at concerns patients had before and after such a cons...Controversy exists whether or not patient’s concerns regarding anesthetics can be reduced by face-to-face pre-assessment with an anesthetist. Thus we were looking at concerns patients had before and after such a consultation. Patient satisfaction was rated by a validated questionnaire. A four-staged Likert-scale was used to quantify the extent of patients concerns. The totaling 461 patients were overall highly satisfied. 448 patients had “nil” to “minimal” concerns. After the assessment, 106 patients stated their concerns had been lessened (p 0.001). Having gone through the anesthetic pre-assessment center, 99.1% of all patients reported no considerable concerns regarding anesthetics whatsoever. A high level of patient satisfaction does not constitute a low level of concerns patients may hold over anesthetics, although a pre-operative consultation mitigated these concerns by 23%, whilst for 9% of all patients this pre-assessment led to a higher level of concerns.展开更多
This paper reports on two studies using different measures of both Modern Health Worries (MHW) and the Personality Disorders (PDs) to establish the relationship between the two concepts. Study 1 used the PID-5 which i...This paper reports on two studies using different measures of both Modern Health Worries (MHW) and the Personality Disorders (PDs) to establish the relationship between the two concepts. Study 1 used the PID-5 which is a measure of maladaptive personality traits and the extended 40 item MHW scale. Study 2 used the original 28 item measure of MHW and PDs as measured by the Coolidge Axis-II Inventory—Short Form: SCATI. In study 1 a regression on the total MHW scale accounted for 14% of the variance: those who scored higher on Antagonism and Negative Affect had higher MHW scores. In the study 2 regressions showed four variables consistently related to MHW: sex (females with higher scores), optimism, political beliefs (left wing liberals with higher scores) and those with Cluster B personality disorders (dramatic, overly emotional, erratic). There was enough overlap in the two studies to conclude that various PDs mainly from Cluster B (Moving Against others) were modestly related to MHW as predicted. Limitations and implications are considered.展开更多
The authors study people’s worries about becoming victimized by events and conditions often blamed on“those up there”.Excessive worries are bad for people’s performance because they lead to risk avoidance and lowe...The authors study people’s worries about becoming victimized by events and conditions often blamed on“those up there”.Excessive worries are bad for people’s performance because they lead to risk avoidance and lower self-confidence.In two representative surveys conducted in Germany,it is found that victimization concerns are positively correlated with people’s gender,previous victimization,their estimated likelihood of being victimized,their fear of crime,their crime-avoidance behavior,their striving for tradition and security,and their negative attitudes toward crimes.Negative correlations are found for people’s education,their striving for universalism,and their social capital.When considering all predictors combined,people’s expected likelihood to become victimized is found to be the optimal predictor of victimization concerns.It is recommended that management concentrates on setting realistic levels of such risk estimates to avoid negative effects on people’s performance.展开更多
基金Supported by Oslo University Hospital Akerstfold HospitalTrustFerring Pharmaceuticals
文摘AIM:To investigate the impact of chronic fatigue on disease-related worries in inflammatory bowel disease (IBD) and the potential multicolinearity between subjective questionnaires.METHODS:Patients in remission or with mild-tomoderate disease activity completed the fatigue questionnaire (FQ),the rating form of IBD patient concerns (RFIPC),the Short-Form 36 (SF-36),and IBD questionnaire (N-IBDQ).In addition,clinical and epidemiological data were obtained.RESULTS:In total,140 patients were included;of which 92 were diagnosed with ulcerative colitis and 48 with Crohn's disease.The mean age of patients with chronic fatigue was 44.2 years (SD=15.8) and for non-fatigued patients was 44.7 years (SD=16.0).Chronic fatigued patients had clinically significantly increased levels of disease-related worries,as measured by Cohen's d effect size.Worries about having an ostomy bag,loss of bowel control,and energy levels were most prominent in both chronic fatigued and non-chronic fatigued IBD patients.Variance inflation factor (VIF) and tolerance indicated that there were no problematic multicolinearity among the FQ,RFIPC,SF-36 and N-IBDQ responses (VIF < 5 and tolerance > 2).CONCLUSION:Chronic fatigue is associated with increased levels of disease-related worries and concerns in IBD.Increased levels of worries were also associated with impaired health-related quality of life.
文摘Controversy exists whether or not patient’s concerns regarding anesthetics can be reduced by face-to-face pre-assessment with an anesthetist. Thus we were looking at concerns patients had before and after such a consultation. Patient satisfaction was rated by a validated questionnaire. A four-staged Likert-scale was used to quantify the extent of patients concerns. The totaling 461 patients were overall highly satisfied. 448 patients had “nil” to “minimal” concerns. After the assessment, 106 patients stated their concerns had been lessened (p 0.001). Having gone through the anesthetic pre-assessment center, 99.1% of all patients reported no considerable concerns regarding anesthetics whatsoever. A high level of patient satisfaction does not constitute a low level of concerns patients may hold over anesthetics, although a pre-operative consultation mitigated these concerns by 23%, whilst for 9% of all patients this pre-assessment led to a higher level of concerns.
文摘This paper reports on two studies using different measures of both Modern Health Worries (MHW) and the Personality Disorders (PDs) to establish the relationship between the two concepts. Study 1 used the PID-5 which is a measure of maladaptive personality traits and the extended 40 item MHW scale. Study 2 used the original 28 item measure of MHW and PDs as measured by the Coolidge Axis-II Inventory—Short Form: SCATI. In study 1 a regression on the total MHW scale accounted for 14% of the variance: those who scored higher on Antagonism and Negative Affect had higher MHW scores. In the study 2 regressions showed four variables consistently related to MHW: sex (females with higher scores), optimism, political beliefs (left wing liberals with higher scores) and those with Cluster B personality disorders (dramatic, overly emotional, erratic). There was enough overlap in the two studies to conclude that various PDs mainly from Cluster B (Moving Against others) were modestly related to MHW as predicted. Limitations and implications are considered.
文摘The authors study people’s worries about becoming victimized by events and conditions often blamed on“those up there”.Excessive worries are bad for people’s performance because they lead to risk avoidance and lower self-confidence.In two representative surveys conducted in Germany,it is found that victimization concerns are positively correlated with people’s gender,previous victimization,their estimated likelihood of being victimized,their fear of crime,their crime-avoidance behavior,their striving for tradition and security,and their negative attitudes toward crimes.Negative correlations are found for people’s education,their striving for universalism,and their social capital.When considering all predictors combined,people’s expected likelihood to become victimized is found to be the optimal predictor of victimization concerns.It is recommended that management concentrates on setting realistic levels of such risk estimates to avoid negative effects on people’s performance.