Quality of life and psychological well-being in GH-treated, adult PWS patients: a longitudinal study

Background  Prader–Willi syndrome (PWS) is a congenital alteration of chromosome pair 15. It is characterized by short stature, muscular hypotonia, hyperphagia, obesity, behavioural and emotional disturbances, hypogonadism and partial Growth Hormone (GH) deficiency. The aim of this study was to asse...

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Veröffentlicht in:Journal of intellectual disability research 2007-04, Vol.51 (4), p.302-311
Hauptverfasser: Bertella, L., Mori, I., Grugni, G., Pignatti, R., Ceriani, F., Molinari, E., Ceccarelli, A., Sartorio, A., Vettor, R., Semenza, C.
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container_end_page 311
container_issue 4
container_start_page 302
container_title Journal of intellectual disability research
container_volume 51
creator Bertella, L.
Mori, I.
Grugni, G.
Pignatti, R.
Ceriani, F.
Molinari, E.
Ceccarelli, A.
Sartorio, A.
Vettor, R.
Semenza, C.
description Background  Prader–Willi syndrome (PWS) is a congenital alteration of chromosome pair 15. It is characterized by short stature, muscular hypotonia, hyperphagia, obesity, behavioural and emotional disturbances, hypogonadism and partial Growth Hormone (GH) deficiency. The aim of this study was to assess the long‐term effect of GH treatment on the psychological well‐being and Quality of Life (QoL) in an adult PWS group. Methods  A total of 13 PWS patients, their diagnosis confirmed by genetic tests, and their parents were recruited for this study. The participants were administered the 36‐Items Short Form Health Survey (SF‐36) and the Psychological General Well‐Being Index (PGWBI), for the assessment of QoL and psychological well‐being, at the beginning of GH treatment, and at following intervals of 6, 12 and 24 months. Modified versions of the same questionnaires were given to the parents. Results  Significant improvement with respect to the baseline was found, on both scales, in the evaluation of both physical and psychological well‐being, although the parents’ evaluation was less optimistic than that of the patients. Conclusion  Our findings suggest that the amelioration of QoL and psychological status is sustained in patients who continue GH treatment.
doi_str_mv 10.1111/j.1365-2788.2006.00878.x
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It is characterized by short stature, muscular hypotonia, hyperphagia, obesity, behavioural and emotional disturbances, hypogonadism and partial Growth Hormone (GH) deficiency. The aim of this study was to assess the long‐term effect of GH treatment on the psychological well‐being and Quality of Life (QoL) in an adult PWS group. Methods  A total of 13 PWS patients, their diagnosis confirmed by genetic tests, and their parents were recruited for this study. The participants were administered the 36‐Items Short Form Health Survey (SF‐36) and the Psychological General Well‐Being Index (PGWBI), for the assessment of QoL and psychological well‐being, at the beginning of GH treatment, and at following intervals of 6, 12 and 24 months. Modified versions of the same questionnaires were given to the parents. Results  Significant improvement with respect to the baseline was found, on both scales, in the evaluation of both physical and psychological well‐being, although the parents’ evaluation was less optimistic than that of the patients. Conclusion  Our findings suggest that the amelioration of QoL and psychological status is sustained in patients who continue GH treatment.</description><identifier>ISSN: 0964-2633</identifier><identifier>EISSN: 1365-2788</identifier><identifier>DOI: 10.1111/j.1365-2788.2006.00878.x</identifier><identifier>PMID: 17326811</identifier><identifier>CODEN: JIDREN</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adaptation, Psychological - drug effects ; Adult ; Adults ; Behavior Problems ; Biological and medical sciences ; Body Composition ; Chromosomes ; Congenital Impairments ; Emotional Disturbances ; Female ; Genetics ; Growth hormones ; growth-hormone therapy ; Hormones. Endocrine system ; Human Growth Hormone - therapeutic use ; Humans ; Intervals ; Longitudinal Studies ; Male ; Medical sciences ; Mental Retardation ; Metabolism ; Obesity ; Outcomes of Treatment ; Parent Attitudes ; Parents ; Patients ; Pharmacology. 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It is characterized by short stature, muscular hypotonia, hyperphagia, obesity, behavioural and emotional disturbances, hypogonadism and partial Growth Hormone (GH) deficiency. The aim of this study was to assess the long‐term effect of GH treatment on the psychological well‐being and Quality of Life (QoL) in an adult PWS group. Methods  A total of 13 PWS patients, their diagnosis confirmed by genetic tests, and their parents were recruited for this study. The participants were administered the 36‐Items Short Form Health Survey (SF‐36) and the Psychological General Well‐Being Index (PGWBI), for the assessment of QoL and psychological well‐being, at the beginning of GH treatment, and at following intervals of 6, 12 and 24 months. Modified versions of the same questionnaires were given to the parents. 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It is characterized by short stature, muscular hypotonia, hyperphagia, obesity, behavioural and emotional disturbances, hypogonadism and partial Growth Hormone (GH) deficiency. The aim of this study was to assess the long‐term effect of GH treatment on the psychological well‐being and Quality of Life (QoL) in an adult PWS group. Methods  A total of 13 PWS patients, their diagnosis confirmed by genetic tests, and their parents were recruited for this study. The participants were administered the 36‐Items Short Form Health Survey (SF‐36) and the Psychological General Well‐Being Index (PGWBI), for the assessment of QoL and psychological well‐being, at the beginning of GH treatment, and at following intervals of 6, 12 and 24 months. Modified versions of the same questionnaires were given to the parents. Results  Significant improvement with respect to the baseline was found, on both scales, in the evaluation of both physical and psychological well‐being, although the parents’ evaluation was less optimistic than that of the patients. Conclusion  Our findings suggest that the amelioration of QoL and psychological status is sustained in patients who continue GH treatment.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>17326811</pmid><doi>10.1111/j.1365-2788.2006.00878.x</doi><tpages>10</tpages></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library Journals Frontfile Complete; EBSCOhost Education Source
subjects Adaptation, Psychological - drug effects
Adult
Adults
Behavior Problems
Biological and medical sciences
Body Composition
Chromosomes
Congenital Impairments
Emotional Disturbances
Female
Genetics
Growth hormones
growth-hormone therapy
Hormones. Endocrine system
Human Growth Hormone - therapeutic use
Humans
Intervals
Longitudinal Studies
Male
Medical sciences
Mental Retardation
Metabolism
Obesity
Outcomes of Treatment
Parent Attitudes
Parents
Patients
Pharmacology. Drug treatments
Physical Health
Prader-Willi syndrome
Prader-Willi Syndrome - drug therapy
Prader-Willi Syndrome - psychology
Psychiatric Status Rating Scales - statistics & numerical data
Psychological Patterns
psychological well-being
Psychological wellbeing
Psychology
Quality of Life
Quality of Life - psychology
Questionnaires
Short forms
Surveys and Questionnaires
Time Factors
Treatment Outcome
Well Being
title Quality of life and psychological well-being in GH-treated, adult PWS patients: a longitudinal study
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