Health-Related Quality of Life in Adults with Cystic Fibrosis: Familial, Occupational, Social, and Mental Health Predictors
- PMID: 35885877
- PMCID: PMC9325027
- DOI: 10.3390/healthcare10071351
Health-Related Quality of Life in Adults with Cystic Fibrosis: Familial, Occupational, Social, and Mental Health Predictors
Abstract
Background: Cystic Fibrosis (CF) adult patients experience daily physical symptoms and disabilities that may impact their quality of life and mental health.
Methods: This prospective study aimed to evaluate the relative contribution of the familial, occupational, and social environment, besides that of the main physical and mental health factors, to the quality of life of CF adult patients using the Cystic Fibrosis Questionnaire-Revised (CFQ-R) in a multivariate model.
Results: Fifty patients were analyzed (70% of men; median age of 25 years; median body mass index of 21 kg/m²; median FEV1 of 57%). Anxiety and depression scores were negatively associated with 9 of the 12 CFQ-R domains. When controlling for anxiety and depression, FEV1% and BMI were significant positive predictors of several domains of the CFQ-R. All the familial, occupational, and social components analyzed but one (professional training) were predictors of at least one domain of the CFQ-R.
Conclusion: Anxiety and depression explained a greater proportion of the variance than physical variables (age, sex, BMI, FEV1%, and exacerbation in the last year) in CF HRQoL. Many familial, occupational, and social components were also specifically and independently predictors of some HRQoL domains. Their screening might help identifying CF patients eligible for specific interventions, focusing on the impaired QoL dimensions.
Keywords: CFQ-R; anxiety; cystic fibrosis; depression; quality of life.
Conflict of interest statement
The authors declare no conflict of interest.
Similar articles
-
Health-Related Quality of Life in Adolescents and Adults With Cystic Fibrosis: Physical and Mental Health Predictors.Respir Care. 2019 Apr;64(4):406-415. doi: 10.4187/respcare.06356. Epub 2018 Sep 25. Respir Care. 2019. PMID: 30254044
-
Longitudinal trends in health-related quality of life in adults with cystic fibrosis.Chest. 2013 Sep;144(3):981-989. doi: 10.1378/chest.12-1404. Chest. 2013. PMID: 23670667 Free PMC article. Clinical Trial.
-
Health-related quality-of-life in children with cystic fibrosis aged 5-years and associations with health outcomes.J Cyst Fibros. 2020 May;19(3):483-491. doi: 10.1016/j.jcf.2020.02.022. Epub 2020 Mar 9. J Cyst Fibros. 2020. PMID: 32165156 Clinical Trial.
-
Determination of the minimal clinically important difference scores for the Cystic Fibrosis Questionnaire-Revised respiratory symptom scale in two populations of patients with cystic fibrosis and chronic Pseudomonas aeruginosa airway infection.Chest. 2009 Jun;135(6):1610-1618. doi: 10.1378/chest.08-1190. Epub 2009 May 15. Chest. 2009. PMID: 19447923 Free PMC article. Review.
-
A systematic review of patient-reported outcome measures (PROMs) in cystic fibrosis.BMJ Open. 2020 Oct 1;10(10):e033867. doi: 10.1136/bmjopen-2019-033867. BMJ Open. 2020. PMID: 33004381 Free PMC article.
Cited by
-
Symptoms and quality of life in adults with cystic fibrosis: A cross-sectional analysis of the InSPIRe:CF trial.J Cyst Fibros. 2024 Sep;23(5):831-835. doi: 10.1016/j.jcf.2024.03.005. Epub 2024 Mar 10. J Cyst Fibros. 2024. PMID: 38461123 Free PMC article.
-
Mental Health of Cystic Fibrosis Patients and the COVID-19 Pandemic in Poland: A Single-Center Comparative Study.Int J Environ Res Public Health. 2022 Nov 30;19(23):16056. doi: 10.3390/ijerph192316056. Int J Environ Res Public Health. 2022. PMID: 36498128 Free PMC article.
-
Polish Cystic Fibrosis Patients' Health-Related Quality of Life and Its Influencing Factors: A Cross-Sectional, Single-Centre Study.Healthcare (Basel). 2024 Jun 12;12(12):1183. doi: 10.3390/healthcare12121183. Healthcare (Basel). 2024. PMID: 38921297 Free PMC article.
-
Measurement properties of the Polish version of the Cystic Fibrosis Questionnaire Revised 14+ in the adult population.Sci Rep. 2025 Mar 18;15(1):9264. doi: 10.1038/s41598-025-94184-x. Sci Rep. 2025. PMID: 40102545 Free PMC article.
-
Long-Term Follow-Up of Health-Related Quality of Life and Short-Term Intervention with CFTR Modulator Therapy in Adults with Cystic Fibrosis: Evaluation of Changes over Several Years with or without 33 Weeks of CFTR Modulator Therapy.Healthcare (Basel). 2023 Oct 31;11(21):2873. doi: 10.3390/healthcare11212873. Healthcare (Basel). 2023. PMID: 37958017 Free PMC article.
References
Grants and funding
LinkOut - more resources
Full Text Sources