What are the determinants of quality of life in people with cervical dystonia?

Ben-Shlomo, Yoav, Camfield, Laura ORCID: https://orcid.org/0000-0002-0165-9857 and Warner, Tom (2002) What are the determinants of quality of life in people with cervical dystonia? Journal of Neurology, Neurosurgery and Psychiatry, 72. pp. 608-614. ISSN 1468-330X

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Background: Little is known about the quality of life in patients with cervical dystonia, although pain and depression are relatively common. Objective: To test the hypothesis that an individual’s ability to cope with the disease will modify the association of intrinsic, extrinsic, and disease related factors with quality of life. Methods: Patients with cervical dystonia diagnosed by a movement disorder specialist were recruited from seven European countries. Data on quality of life (SF-36), measures of coping, and intrinsic, extrinsic, and disease related factors were collected by a self completed postal questionnaire. Results: 289 patients (101 men and 188 women), mean age 55 years, completed the questionnaire. Both physical and mental quality of life scores were predicted by self esteem and self deprecation, educational level, employment status, social support, response to botulinum toxin, disease severity, social participation, stigma, acceptance of illness, anxiety, and depression. In multivariable analyses, the strongest predictors were anxiety and depression. Severe depression was associated with a 19.1 point decrement in the physical summary score (95% confidence interval, -31.7 to -6.6; p = 0.003); however, disease duration and severity remained predictors. Conclusions: Care for patients with cervical dystonia must not only focus on reducing the severity of the dystonia but also on the psychological wellbeing of the patient. Interventions aimed at treating depression or anxiety, especially of a cognitive nature, may have a large impact on improving quality of life.

Item Type: Article
Uncontrolled Keywords: sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Faculty \ School: Faculty of Social Sciences > School of International Development
University of East Anglia > Faculty of Science > Research Centres > Tyndall Centre for Climate Change Research
Depositing User: Laura Camfield
Date Deposited: 30 Mar 2011 10:41
Last Modified: 24 Oct 2022 03:12
URI: https://ueaeprints.uea.ac.uk/id/eprint/24927

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