The Correlates of Quality Of Life among Jordanian Patients with Major Depressive Disorder

Ahmad Rayan^1, and Maryam Husnee Mahroum²

¹Psychiatric and Mental Health Nursing, Zarqa University

²Clinical Nurse Specialist, Psychiatric Outpatient Clinic at King Abdullah University Hospital

Cite this paper:
Ahmad Rayan and Maryam Husnee Mahroum. The Correlates of Quality Of Life among Jordanian Patients with Major Depressive Disorder. Research in Psychology and Behavioral Sciences. 2016; 4(2):28-33. doi: 10.12691/rpbs-4-2-3

Abstract

Background: Despite the increasing rates of patients diagnosed with major depression in Jordan, there is little knowledge available about the factors associated with quality of life (QOL) among this population in particular. This knowledge is needed to implement relevant supporting programs to improve their quality of life. Purpose: This study aims to assess the level of quality of life among Jordanian patients with major depressive disorder, and to examine the possible relationship between quality of life and other factors (demographic variables, stigma of mental illness, and severity of depressive symptoms) in this population. Methodology of the Study: A descriptive correlational design was used. A convenience sample of 161 Jordanian outpatients suffering from Major Depression Disorder (MDD) completed the study. Participants completed the demographic questionnaire, the Center for Epidemiologic Studies Depression Scale (CES-D), Percieved Devaluation-Discrimination Scale, and Medical Outcomes Study 36-item Short Form (SF-36). Results: Participants reported poor QOL in all domains. Age, income, stigma toward mental illness, and severity of depressive symptoms were significantly correlated with QOL among the study sample. Multiple hierarchical regression analysis revealed that the severity of depressive symptoms is the strongest correlate of QOL, which accounted for 24% additional variance above and beyond the 18% variance accounted for by all other variables. Conclusion: This is the first study to assess QOL in an Arab population with major depression. Replication of the current study in other Arab samples is emphasized. Psychotherapy and other interventions are still needed even after the acute symptoms of the clinical depression are remitted.

Keywords:
quality of life major depression Jordan stigma

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References:

[1]	Al-Modallal, H. (2010). Screening Depressive Symptoms in Jordanian Women: Evaluation of the Center for Epidemiologic Studies-Depression Scale (CES-D), Issues in Mental Health Nursing, 31:537-544.
[2]	Årdal, G., Lund, A., & Hammar, Å. (2013). Health-related quality of life in recurrent major depressive disorder-A 10-year follow-up study. Nordic journal of psychiatry, 67(5), 339-343.‏
[3]	Aydemir, Ö., Ergün, H., Soygür, H., Kesebir, S., & Tulunay, C. (2009). Major depresif bozuklukta yaşam kalitesi: kesitsel bir çalışma. Türk Psikiyatri Dergisi, 20(3), 205-212.‏
[4]	Bonicatto, S., Dew, M., Zaratiegui, R., Lorenzo, L., & Pecina, P. (2001). Adult outpatients with depression: worse quality of life than in other chronic medical diseases in Argentina. Soc. Sci.Med. 52, 911-919.
[5]	Bair, M. J., Robinson, R. L., Eckert, G. J., Stang, P. E., Croghan, T. W., & Kroenke, K. (2004). Impact of pain on depression treatment response in primary care. Psychosomatic medicine, 66(1), 17-22.‏
[6]	Boulos, M., Murray, B., Corrigan, B., Wortsman, J., Black, S., & Swartz, R. (2013). Restless Legs Syndrome Is Associated with Lower Quality of Life and Depression in Acute Phase TIA/Minor Stroke (P05. 025). Neurology,80(Meeting Abstracts 1), P05-025.‏
[7]	Brazier, J., Harper, R., Jones, N., O'Cathain, A., Thomas, J., Usherwood, T., Westlake, L. (1992). Validating the SF-36 health survey questionnaire: new outcome measure for primary care. British Medical Journal, 305, 160-164.
[8]	Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psycholog, 84(4), 822-848.
[9]	Caracci, G., & Mezzich, J. E. (2001). Culture and urban mental health.Psychiatric Clinics of North America, 24(3), 581-593.
[10]	Carmody, J., & Baer, R. A. (2009), How long does a mindfulness-based stress reduction program need to be? A review of class contact hours and effect sizes for psychological distress. Journal of Clinical Psychology, 65(6), 627-638.
[11]	Cao, Y., Li, W., Shen, J., Malison, R. T., Zhang, Y., & Luo, X. (2013). Health‐related quality of life and symptom severity in Chinese patients with major depressive disorder. Asia‐Pacific Psychiatry, 5(4), 276-283.‏
[12]	Chambers, R., Gullone, E., Hassed, C., Knight, W., Garvin, T., & Allen, N. (2014), Mindful emotion regulation predicts recovery in depressed youth. Mindfulness, 1-12.
[13]	Demet, U., Ferhan, S., Ahmet, O., & Selcuk, M. (2008). Comparison of SF-36 and WHOQOL-100 in patients with stroke. Neurology India, 56(4), 426-432.
[14]	Fayers, P., & Machin, D. (2013). Quality of life: the assessment, analysis and interpretation of patient-reported outcomes. John Wiley & Sons.‏
[15]	Hays, R, Wells, K., Sherbourne, C., Rogers, W., & Spritzer, K. (1995). Functioning and ll-being outcomes of patients with depression compared with chronic general medical illnesses. Arch Gen Psychiatry, 52, 11-9.
[16]	IsHak, W. W., Balayan, K., Bresee, C., Greenberg, J. M., Fakhry, H., Christensen, S., & Rapaport, M. H. (2013). A descriptive analysis of quality of life using patient-reported measures in major depressive disorder in a naturalistic outpatient setting. Quality of Life Research, 22(3), 585-596.‏
[17]	Lambert, V., Lambert, C., & Ito, M. (2004). Workplace stressors, ways of coping and demographic characteristics as predictors of physical and mental health of Japanese hospital nurses. International Journal of Nursing Studies, 41, 85-97.
[18]	Lasalvia, A., Zoppei, S., Van Bortel, T., Bonetto, C., Cristofalo, D., Wahlbeck, K., ... & Germanavicius, A. (2013). Global pattern of experienced and anticipated discrimination reported by people with major depressive disorder: a cross-sectional survey. The Lancet, 381(9860), 55-62.‏
[19]	Lepine, J.-P., Gastpar, M., Mendlewicz, J., et al (1997) Depression in the community: the first pan European study DEPRES (Depression Research in European Society). International Clinical Psychopharmacology, 12, 19-29.
[20]	Link, B. G. (1987). Understanding labeling effects in the area of mental disorders: An assessment of the effects of expectations of rejections. American Sociological Review, 52, 96-112.
[21]	Hamdan-Mansour, A. M., & Wardam, L. A. (2009). Attitudes of Jordanian mental health nurses toward mental illness and patients with mental illness.Issues in Mental Health Nursing, 30(11), 705-711.‏
[22]	Marsh, M. (2002). The SF-36 quality-of-life instrument: updates and strategies for critical care research.Critical Care Nurse, 22, 35-43.
[23]	Moons, P., Budts, W., Geest, S. (2006) Critique on the conceptualization of quality of life: A review and evaluation of different conceptual approaches. International Journal of Nursing Studies, 43, 891-901.
[24]	Nicholson, W. K., Setse, R., Hill-Briggs, F., Cooper, L. A., Strobino, D., & Powe, N. R. (2006). Depressive symptoms and health-related quality of life in early pregnancy. Obstetrics & Gynecology, 107(4), 798-806.‏
[25]	Novick, D., Montgomery, W., Kadziola, Z., Moneta, V., Peng, X., Brugnoli, R., & Haro, J. M. (2013). Do concomitant pain symptoms in patients with major depression affect quality of life even when taking into account baseline depression severity. Patient Prefer Adherence, 7, 463-470.‏
[26]	Orley, J., Saxena, S., & Herrman, H. (1998). Quality of life and mental illness: reflections from the perspective of the WHOQOL. British journal of psychiatry, 172, 291-3.
[27]	Ormel, J., VonKorff, M., Oldehinkel, A.J., Simon, G., Tiemens, B.G., Ustun, T.B. (1999). Onset of disability in depressed and nondepressed primary care patients. Psychol. Med. 29, 847-853.
[28]	Papakostas, I., Petersen, T., Mahal, Y. (2004) Quality of life assessments in major depressive disorder: a review of the literature. General Hospital Psychiatry, 26:13-17.
[29]	Radloff, L., & Locke, B.( 2000). Center for Epidemiologic Studies Depression Scale (CES-D) Modified From: Rush J, et al: Psychiatric Measures, APA, Washington, DC.
[30]	Radloff, L. (1977). The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measurement. 1, 385-401.
[31]	Rayan, A., & Ahmad, M. (2016). Effectiveness of mindfulness-based interventions on quality of life and positive reappraisal coping among parents of children with autism spectrum disorder. Research in Developmental Disabilities, 55, 185-196.‏
[32]	Rayan, A., & Jaradat, A. (2016). Stigma of Mental Illness and Attitudes Toward Psychological Help-seeking in Jordanian University Students. Research in Psychology and Behavioral Sciences, 4(1), 7-14.‏
[33]	Rayan, A., Qurneh, A., Elayyan, R., & Baker, O. (2016). Developing a policy for workplace violence against nurses and health care professionals in Jordan: A plan of action. American journal of public health research, 4(2), 47-55.‏
[34]	Rayan, A., Dadoul, A. M., Jabareen, H., Sulieman, Z., Alzayyat, A., & Baker, O. (2016). Internet Use among University Students in South West Bank: Prevalence, Advantages and Disadvantages, and Association with Psychological Health. International Journal of Mental Health and Addiction, 1-12.‏
[35]	Roberts, R. (1980). Reliability of the CES-D in different ethnic contexts. Psychiatry Researsh. 2, 125-134.
[36]	Saarijarvi, S., Salminen, J., Toikka, T., & Raitasalo, R. (2002) Health-related quality of life among patients with major depression. Nord J Psychiatry. 56, 261-264.
[37]	Stewart, A. L., Greenfield, S., Hays, R. D., Wells, K., Rogers, W. H., Berry, S. D., ... & Ware, J. E. (1989). Functional status and well-being of patients with chronic conditions: results from the Medical Outcomes Study. Jama, 262(7), 907-913.‏
[38]	Ware, J. (1989). Functional status and well-being of patients with chronic conditions. Medical Outcomes Study. JAMA. 62. 907-913.
[39]	Weissman, M., Klerman, G., Paykel, E., Prusoff, B., & Hanson, B.( 1974). Treatment effects on the social adjustment of depressed patients. Archives of General Psychiatry, 30. 771-778.
[40]	Woo, J. M., Jeon, H. J., Noh, E., Kim, H. J., Lee, S. W., Lee, K. K., ... & Hong, J. P. (2014). Importance of remission and residual somatic symptoms in health-related quality of life among outpatients with major depressive disorder: a cross-sectional study. Health and quality of life outcomes, 12(1), 1.‏
[41]	World Health Organization Group (1995). The World Health Organization quality of life assessment: position paper from the World Health Organization. Society Science & Medicine, 41(10), 1403-1409.
[42]	World Health Organization Group (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment . The WHOQOL Group. Psychol. Med. 28, 551-558.