Depressive, anxious and somatization symptoms and quality of life in stress-related disorders

  • Olga Čolović Institute of Mental Health, Belgrade, Serbia; Singidunum University, Department of Psychology, Belgrade, Serbia
  • Dušica Lečić-Toševski Institute of Mental Health; University of Belgrade, Faculty of Medicine; Serbian Academy of Sciences and Arts, Belgrade, Serbia
  • Vanja Mandić-Maravić Institute of Mental Health, Belgrade, Serbia
  • Oliver Tošković Faculty of Philosophy, Laboratory for Experimental Psychology, Belgrade, Serbia
Keywords: stress, psychological, quality of life, surveys and questionnaires, stress disorders, post-traumatic, depression, neurotic disorders, somatoform disorders,

Abstract


Background/Aim. Recent studies have shown a significant relation of the post-traumatic stress disorder and impairment of quality of life. The research on the relations of other stress-related disorders and quality of life is scarce. The aim of this research was to determine which symptoms within the stress-related disorders (depressive, anxious and somatization) have the strongest effect on the quality of life decrease. Methods. The study group comprised 80 subjects who have developed a certain stress-related disorder. The diagnosis was made based on the International Classification of Diseases (ICD-10) criteria. Manchester Short Assessment Quality of Life Scale (MANSA) and Symptom Check List-90 Revised (SCL-90-R) were administered. Results. The presence of all three types of symptoms (depressive, anxious or somatization) was in negative correlation with the quality of life, contributing to the variation of quality of life with 40%. Depressive symptoms had the greatest impact on the quality of life impairment. Conclusion. When it comes to stress-related disorders, the quality of life is mostly impaired by depressive symptoms. Target therapeutic interventions aimed at depressive symptoms might have a significant effect on the quality of life improvement in the person who developed stress-related disorders.

Author Biographies

Olga Čolović, Institute of Mental Health, Belgrade, Serbia; Singidunum University, Department of Psychology, Belgrade, Serbia
MD, MA, Head of psychotherapy department, Institute of mental health, Belgrade, Serbia; Assistant professor, Department of Psychology, Singidunum University, Belgrade, Serbia
Dušica Lečić-Toševski, Institute of Mental Health; University of Belgrade, Faculty of Medicine; Serbian Academy of Sciences and Arts, Belgrade, Serbia

MD, PhD, Professor of Psychiatry, School of Medicine, University of Belgrade, Serbia;

Corresponding Member, Serbian Academy of Sciences and Arts;

Director, Institute of Mental Health, Belgrade, Serbia

Vanja Mandić-Maravić, Institute of Mental Health, Belgrade, Serbia
MD, Department for psychotic disorders, Institute of Mental Health, Belgrade, Serbia
Oliver Tošković, Faculty of Philosophy, Laboratory for Experimental Psychology, Belgrade, Serbia
Psychologist, Associate Professor of Psychology, Faculty of Philosophy, Belgrade, Serbia

References

World Health Organization. The ICD-10 classification of men-tal and behavioral disorders: Clinical descriptions and diagnostic guidelines. Geneva: World Health Organization; 1992.

Bogic M, Ajdukovic D, Bremner S, Franciskovic T, Galeazzi GM, Kucukalic A, et al. Factors associated with mental disorders in long-settled war refugees: Refugees from the former Yugosla-via in Germany, Italy and the UK. Br J Psychiatry 2012; 200(3): 216−23.

Jankovic J, Bremner S, Bogic M, Lecic-Tosevski D, Ajdukovic D, Franciskovic T, et al. Trauma and suicidality in war affected communities. Eur Psychiatry 2013; 28(8): 514−20.

Lecic-Tosevski D, Draganic-Gajic S. The Serbian Experience. In: Lopez-Ibor JJ, Christodoulou GN, Maj M, Sartorius N, Okasha A, et al, editors. Disasters and mental health. Chichester: John Wiley & Sons,Wiley; 2004. pp. 247–55.

Priebe S, Bogic M, Ajdukovic D, Franciskovic T, Galeazzi GM, Ku-cukalic A, et al. Mental disorders following war in the Balkans: A study in 5 countries. Arch Gen Psychiatry 2010; 67(5): 518−28.

Rapaport MH, Clary C, Fayyad R, Endicott J. Quality-of-life im-pairment in depressive and anxiety disorders. Am J Psychiatry 2005; 162(6): 1171−8.

Čolović O. Burnout syndrome in physicians of various special-ties (general practioners, psychiatrists and surgeons) [disserta-tion]. Belgrade: Faculty of Medicine, University of Belgrade; 2009. (Serbian)

Baranyi A, Rösler D, Rothenhäusler H. Stress symptoms and health-related quality of life in patients after orthotopic liver transplantation. Z Psychosom Med Psychother 2012; 58(4): 417−28.

Mezzich J, Ustun TB. Epidemiology, Quantitative and experi-mental methods in psychiatry. In: Sadock BJ, Sadock VA, edi-tors. Kaplan & Sadock's Comprehensive Textbook of Psychiatry. 8th ed. Philadelphia: Lipincot Williams & Wilkins. 2005. p. 656−72

WHOQOL Group. Measuring Quality of Life: The Develop-ment of the World Health. WHOQOL. Organization Quality of Life Instruments. Geneva: World Health Organization; 1993.

Chávez LM, Canino G, Negrón G, Shrout PE, Matías-Carrelo LE, Aguilar-Gaxiola S, et al. Psychometric properties of the Spanish version of two mental health outcome measures: World Health Organization Disability Assessment Schedule II and Lehman's Quality Of Life Interview. Ment Health Serv Res 2005; 7(3): 145−59.

Lehman AF. Instruments for measuring quality of life in mental illnesses. In: Katschnig H, Freeman H, Sartorius N, editors. Quali-ty of Life in Mental Disorders. Chichester: John Wiley & Sons; 1997. p. 79−95.

Cramer V, Torgersen S, Kringlen E. Quality of life and anxiety disorders: A population study. J Nerv Ment Dis 2005; 193(3): 196−202.

Quilty LC, Van AM, Mancini C, Oakman J, Farvolden P. Quality of life and the anxiety disorders. J Anxiety Disord 2003; 17(4): 405−26.

Tosevski DL, Milovancevic MP. Stressful life events and physical health. Curr Opin Psychiatry 2006; 19(2): 184−9.

Schneier FR. Quality of life in anxiety disorders. In: Katschnig H, Freeman H, Sartorius N, editors. Quality of Life in Mental Disorders. Chichester: John Wiley & Sons; 1997. p. 149−65.

Langlieb AM, Guico-Pabia CJ. Beyond symptomatic improve-ment: Assessing real-world outcomes in patients with major depressive disorder. Prim Care Companion J Clin Psychiatry 2010; 12(2): pii: PCC.09r00826.

Ruggeri M, Warner R, Bisoffi G, Fontecedro L. Subjective and ob-jective dimensions of quality of life in psychiatric patients: A factor analytical approach: The South Verona Outcome Project 4. Br J Psychiatry 2001; 178(3): 268−75.

Trivedi MH, Rush A, Wisniewski SR, Warden D, McKinney W, Downing M, et al. Factors associated with health-related quality of life among outpatients with major depressive disorder: A STAR*D report. J Clin Psychiatry 2006; 67(2): 185−95.

Eguchi M, Noda Y, Nakano Y, Kanai T, Yamamoto I, Watanabe N, et al. Quality of life and social role functioning in Japanese pa-tients with panic disorder. J Nerv Ment Dis 2005; 193(10): 686−9.

Beard C, Weisberg RB, Keller MB. Health-related Quality of Life across the anxiety disorders: Findings from a sample of primary care patients. J Anxiety Disord 2010; 24(6): 559−64.

Eren I, Erdi O, Sahin M. The effect of depression on quality of life of patients with type II diabetes mellitus. Depress Anxiety 2008; 25(2): 98−106.

Garcia TW, Veiga JP, Motta LD, Moura FJ, Casulari LA. De-pressed mood and poor quality of life in male patients with chronic renal failure undergoing hemodialysis. Rev Bras Psiquiatr 2010; 32(4): 369−74.

Priebe S, Huxley P, Knight S, Evans S. Application and results of the Manchester Short Assessment of Quality of Life (MANSA). Int J Soc Psychiatry 1999; 45(1): 7−12.

Derogatis LR. SCL-90–R: Administration, scoring and proce-dures manual II (rev.) Towson, MD: Clinical Psychometric Re-search; 1983.

Starčević V. States of fear in clinical practice. Belgrade: Institute for Textbook Publishing and Teaching Aids; 1997. (Serbian)

Araújo AX, Berger W, Coutinho ES, Marques-Portella C, Luz MP, Cabizuca M, et al. Comorbid depressive symptoms in treat-ment-seeking PTSD outpatients affect multiple domains of quality of life. Compr Psychiatry 2014; 55(1): 56−63.

Morina N, Ajdukovic D, Bogic M, Franciskovic T, Kucukalic A, Lecic-Tosevski D, et al. Co-occurrence of major depressive episode and posttraumatic stress disorder among survivors of war: How is it different from either condition alone. J Clin Psychiatry 2013; 74(3): 212−8.

American Psychiatric Association. Diagnostic and statistical manual of mental health Disorders. 5th ed. Washington DC: American Psychiatric Association; 2013.

Brett E. The classification of posttraumatic stress disorder. In: van der Kolk BA, McFarlane AC, Weisaeth L, editors. Traumatic stress. New York: The Guilford Press; 1996. p. 117−29.

Herman JL. Complex PTSD: A syndrome in survivors of pro-longed and repeated trauma. J Trauma Stress 1992; 5(3): 377−91.

Published
2017/10/27
Section
Original Paper