Happiness, quality of life and their determinants among people with systemic sclerosis: a structural equation modelling approach
Abstract Background Patients’ objectives and experiences must be core to the study and management of chronic diseases, such as SSc. Although patient-reported outcomes are attracting increasing attention, evaluation of the impact of disease on the overall subjective well-being, equivalent to ‘happine...
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| Veröffentlicht in: | Rheumatology (Oxford, England) England), 2021-10, Vol.60 (10), p.4717-4727 |
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| creator | Santiago, Tânia Santos, Eduardo Duarte, Ana Catarina Martins, Patrícia Sousa, Marlene Guimarães, Francisca Azevedo, Soraia Ferreira, Raquel Miriam Guerra, Miguel Cordeiro, Ana Cordeiro, Inês Pimenta, Sofia Pinto, Patrícia Pinto, Ana Margarida Salvador, Maria João Silva, José António P da |
| description | Abstract
Background
Patients’ objectives and experiences must be core to the study and management of chronic diseases, such as SSc. Although patient-reported outcomes are attracting increasing attention, evaluation of the impact of disease on the overall subjective well-being, equivalent to ‘happiness’, is remarkably lacking.
Objectives
To examine the determinants of happiness and quality of life in patients with SSc, with emphasis on disease features and personality traits.
Methods
Observational, cross-sectional multicentre study, including 142 patients, with complete data regarding disease activity, disease impact, personality, health-related quality of life (HR-QoL) and happiness. Structural equation modelling was used to evaluate the association between the variables.
Results
The results indicated an acceptable fit of the model to the data. Perceived disease impact had a significant negative direct relation with HR-QoL (β = −0.79, P |
| doi_str_mv | 10.1093/rheumatology/keab083 |
| format | Article |
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Background
Patients’ objectives and experiences must be core to the study and management of chronic diseases, such as SSc. Although patient-reported outcomes are attracting increasing attention, evaluation of the impact of disease on the overall subjective well-being, equivalent to ‘happiness’, is remarkably lacking.
Objectives
To examine the determinants of happiness and quality of life in patients with SSc, with emphasis on disease features and personality traits.
Methods
Observational, cross-sectional multicentre study, including 142 patients, with complete data regarding disease activity, disease impact, personality, health-related quality of life (HR-QoL) and happiness. Structural equation modelling was used to evaluate the association between the variables.
Results
The results indicated an acceptable fit of the model to the data. Perceived disease impact had a significant negative direct relation with HR-QoL (β = −0.79, P < 0.001) and with happiness (β = −0.52, P < 0.001). Positive personality traits had a positive relation with happiness (β = 0.36, P = 0.002) and an important indirect association upon QoL (β = 0.43) and happiness (β = 0.23). Perceived disease impact is influenced by body image, fatigue and SSc-related disability to a higher degree (β = 0.6–0.7) than by disease activity (β = 0.28) or form (β = 0.17). Impact of disease had a much stronger relation with HR-QoL than with happiness.
Conclusions
The results suggest that treatment strategies targeting not only disease control but also the mitigation of relevant domains of disease impact (body image, fatigue, global disability) may be important to improve patients’ experience of the disease. The reinforcement of resilience factors, such as positive psychological traits, may also play a contributory role towards better patient outcomes.</description><identifier>ISSN: 1462-0324</identifier><identifier>EISSN: 1462-0332</identifier><identifier>DOI: 10.1093/rheumatology/keab083</identifier><identifier>PMID: 33521812</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Aged ; Cross-Sectional Studies ; Female ; Happiness ; Humans ; Latent Class Analysis ; Male ; Middle Aged ; Personality ; Quality of Life - psychology ; Resilience, Psychological ; Scleroderma, Systemic - psychology ; Severity of Illness Index</subject><ispartof>Rheumatology (Oxford, England), 2021-10, Vol.60 (10), p.4717-4727</ispartof><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For permissions, please email: journals.permissions@oup.com 2021</rights><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For permissions, please email: journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2989-d80888754c72b9aae26dff6e0332ab56f9b5e1f8ed0c597fecfb53c04ec8e2533</citedby><cites>FETCH-LOGICAL-c2989-d80888754c72b9aae26dff6e0332ab56f9b5e1f8ed0c597fecfb53c04ec8e2533</cites><orcidid>0000-0002-1562-4022 ; 0000-0001-7137-1202 ; 0000-0001-6128-2425 ; 0000-0003-0557-2377</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1584,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33521812$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Santiago, Tânia</creatorcontrib><creatorcontrib>Santos, Eduardo</creatorcontrib><creatorcontrib>Duarte, Ana Catarina</creatorcontrib><creatorcontrib>Martins, Patrícia</creatorcontrib><creatorcontrib>Sousa, Marlene</creatorcontrib><creatorcontrib>Guimarães, Francisca</creatorcontrib><creatorcontrib>Azevedo, Soraia</creatorcontrib><creatorcontrib>Ferreira, Raquel Miriam</creatorcontrib><creatorcontrib>Guerra, Miguel</creatorcontrib><creatorcontrib>Cordeiro, Ana</creatorcontrib><creatorcontrib>Cordeiro, Inês</creatorcontrib><creatorcontrib>Pimenta, Sofia</creatorcontrib><creatorcontrib>Pinto, Patrícia</creatorcontrib><creatorcontrib>Pinto, Ana Margarida</creatorcontrib><creatorcontrib>Salvador, Maria João</creatorcontrib><creatorcontrib>Silva, José António P da</creatorcontrib><title>Happiness, quality of life and their determinants among people with systemic sclerosis: a structural equation modelling approach</title><title>Rheumatology (Oxford, England)</title><addtitle>Rheumatology (Oxford)</addtitle><description>Abstract
Background
Patients’ objectives and experiences must be core to the study and management of chronic diseases, such as SSc. Although patient-reported outcomes are attracting increasing attention, evaluation of the impact of disease on the overall subjective well-being, equivalent to ‘happiness’, is remarkably lacking.
Objectives
To examine the determinants of happiness and quality of life in patients with SSc, with emphasis on disease features and personality traits.
Methods
Observational, cross-sectional multicentre study, including 142 patients, with complete data regarding disease activity, disease impact, personality, health-related quality of life (HR-QoL) and happiness. Structural equation modelling was used to evaluate the association between the variables.
Results
The results indicated an acceptable fit of the model to the data. Perceived disease impact had a significant negative direct relation with HR-QoL (β = −0.79, P < 0.001) and with happiness (β = −0.52, P < 0.001). Positive personality traits had a positive relation with happiness (β = 0.36, P = 0.002) and an important indirect association upon QoL (β = 0.43) and happiness (β = 0.23). Perceived disease impact is influenced by body image, fatigue and SSc-related disability to a higher degree (β = 0.6–0.7) than by disease activity (β = 0.28) or form (β = 0.17). Impact of disease had a much stronger relation with HR-QoL than with happiness.
Conclusions
The results suggest that treatment strategies targeting not only disease control but also the mitigation of relevant domains of disease impact (body image, fatigue, global disability) may be important to improve patients’ experience of the disease. The reinforcement of resilience factors, such as positive psychological traits, may also play a contributory role towards better patient outcomes.</description><subject>Aged</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Happiness</subject><subject>Humans</subject><subject>Latent Class Analysis</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Personality</subject><subject>Quality of Life - psychology</subject><subject>Resilience, Psychological</subject><subject>Scleroderma, Systemic - psychology</subject><subject>Severity of Illness Index</subject><issn>1462-0324</issn><issn>1462-0332</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkDtPwzAQxy0E4v0NEPLIQKkfceqwoYqXhMQCc-Q459bgxMF2hLrx0XHVghiZ7ob_4-6H0BklV5RUfBqWMHYqeecXq-k7qIZIvoMOaVGyCeGc7f7urDhARzG-EUIE5XIfHXAuGJWUHaKvBzUMtocYL_HHqJxNK-wNdtYAVn2L0xJswC0kCJ3tVZ8iVp3vF3gAPzjAnzYtcVzFBJ3VOGoHwUcbr7HCMYVRpzEohyFHJ-t73PkWnLPZn2uDV3p5gvaMchFOt_MYvd7dvswfJk_P94_zm6eJZpWsJq0kUsqZKPSMNZVSwMrWmBLWn6pGlKZqBFAjoSVaVDMD2jSCa1KAlsAE58foYpObaz9GiKnubNT5GNWDH2PNCllQIWakzNJiI9X5lxjA1EOwnQqrmpJ6zb7-y77ess-2823D2HTQ_pp-YGfBdCPw4_C_yG9-LJm8</recordid><startdate>20211002</startdate><enddate>20211002</enddate><creator>Santiago, Tânia</creator><creator>Santos, Eduardo</creator><creator>Duarte, Ana Catarina</creator><creator>Martins, Patrícia</creator><creator>Sousa, Marlene</creator><creator>Guimarães, Francisca</creator><creator>Azevedo, Soraia</creator><creator>Ferreira, Raquel Miriam</creator><creator>Guerra, Miguel</creator><creator>Cordeiro, Ana</creator><creator>Cordeiro, Inês</creator><creator>Pimenta, Sofia</creator><creator>Pinto, Patrícia</creator><creator>Pinto, Ana Margarida</creator><creator>Salvador, Maria João</creator><creator>Silva, José António P da</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1562-4022</orcidid><orcidid>https://orcid.org/0000-0001-7137-1202</orcidid><orcidid>https://orcid.org/0000-0001-6128-2425</orcidid><orcidid>https://orcid.org/0000-0003-0557-2377</orcidid></search><sort><creationdate>20211002</creationdate><title>Happiness, quality of life and their determinants among people with systemic sclerosis: a structural equation modelling approach</title><author>Santiago, Tânia ; Santos, Eduardo ; Duarte, Ana Catarina ; Martins, Patrícia ; Sousa, Marlene ; Guimarães, Francisca ; Azevedo, Soraia ; Ferreira, Raquel Miriam ; Guerra, Miguel ; Cordeiro, Ana ; Cordeiro, Inês ; Pimenta, Sofia ; Pinto, Patrícia ; Pinto, Ana Margarida ; Salvador, Maria João ; Silva, José António P da</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2989-d80888754c72b9aae26dff6e0332ab56f9b5e1f8ed0c597fecfb53c04ec8e2533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Happiness</topic><topic>Humans</topic><topic>Latent Class Analysis</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Personality</topic><topic>Quality of Life - psychology</topic><topic>Resilience, Psychological</topic><topic>Scleroderma, Systemic - psychology</topic><topic>Severity of Illness Index</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Santiago, Tânia</creatorcontrib><creatorcontrib>Santos, Eduardo</creatorcontrib><creatorcontrib>Duarte, Ana Catarina</creatorcontrib><creatorcontrib>Martins, Patrícia</creatorcontrib><creatorcontrib>Sousa, Marlene</creatorcontrib><creatorcontrib>Guimarães, Francisca</creatorcontrib><creatorcontrib>Azevedo, Soraia</creatorcontrib><creatorcontrib>Ferreira, Raquel Miriam</creatorcontrib><creatorcontrib>Guerra, Miguel</creatorcontrib><creatorcontrib>Cordeiro, Ana</creatorcontrib><creatorcontrib>Cordeiro, Inês</creatorcontrib><creatorcontrib>Pimenta, Sofia</creatorcontrib><creatorcontrib>Pinto, Patrícia</creatorcontrib><creatorcontrib>Pinto, Ana Margarida</creatorcontrib><creatorcontrib>Salvador, Maria João</creatorcontrib><creatorcontrib>Silva, José António P da</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Rheumatology (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Santiago, Tânia</au><au>Santos, Eduardo</au><au>Duarte, Ana Catarina</au><au>Martins, Patrícia</au><au>Sousa, Marlene</au><au>Guimarães, Francisca</au><au>Azevedo, Soraia</au><au>Ferreira, Raquel Miriam</au><au>Guerra, Miguel</au><au>Cordeiro, Ana</au><au>Cordeiro, Inês</au><au>Pimenta, Sofia</au><au>Pinto, Patrícia</au><au>Pinto, Ana Margarida</au><au>Salvador, Maria João</au><au>Silva, José António P da</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Happiness, quality of life and their determinants among people with systemic sclerosis: a structural equation modelling approach</atitle><jtitle>Rheumatology (Oxford, England)</jtitle><addtitle>Rheumatology (Oxford)</addtitle><date>2021-10-02</date><risdate>2021</risdate><volume>60</volume><issue>10</issue><spage>4717</spage><epage>4727</epage><pages>4717-4727</pages><issn>1462-0324</issn><eissn>1462-0332</eissn><abstract>Abstract
Background
Patients’ objectives and experiences must be core to the study and management of chronic diseases, such as SSc. Although patient-reported outcomes are attracting increasing attention, evaluation of the impact of disease on the overall subjective well-being, equivalent to ‘happiness’, is remarkably lacking.
Objectives
To examine the determinants of happiness and quality of life in patients with SSc, with emphasis on disease features and personality traits.
Methods
Observational, cross-sectional multicentre study, including 142 patients, with complete data regarding disease activity, disease impact, personality, health-related quality of life (HR-QoL) and happiness. Structural equation modelling was used to evaluate the association between the variables.
Results
The results indicated an acceptable fit of the model to the data. Perceived disease impact had a significant negative direct relation with HR-QoL (β = −0.79, P < 0.001) and with happiness (β = −0.52, P < 0.001). Positive personality traits had a positive relation with happiness (β = 0.36, P = 0.002) and an important indirect association upon QoL (β = 0.43) and happiness (β = 0.23). Perceived disease impact is influenced by body image, fatigue and SSc-related disability to a higher degree (β = 0.6–0.7) than by disease activity (β = 0.28) or form (β = 0.17). Impact of disease had a much stronger relation with HR-QoL than with happiness.
Conclusions
The results suggest that treatment strategies targeting not only disease control but also the mitigation of relevant domains of disease impact (body image, fatigue, global disability) may be important to improve patients’ experience of the disease. The reinforcement of resilience factors, such as positive psychological traits, may also play a contributory role towards better patient outcomes.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>33521812</pmid><doi>10.1093/rheumatology/keab083</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-1562-4022</orcidid><orcidid>https://orcid.org/0000-0001-7137-1202</orcidid><orcidid>https://orcid.org/0000-0001-6128-2425</orcidid><orcidid>https://orcid.org/0000-0003-0557-2377</orcidid></addata></record> |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Aged Cross-Sectional Studies Female Happiness Humans Latent Class Analysis Male Middle Aged Personality Quality of Life - psychology Resilience, Psychological Scleroderma, Systemic - psychology Severity of Illness Index |
| title | Happiness, quality of life and their determinants among people with systemic sclerosis: a structural equation modelling approach |
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