Quality of Life in Patients with Hyperthyroidism: Where do we stand?

IF 1.8 Q3 PSYCHOLOGY, CLINICAL

Mediterranean Journal of Clinical Psychology Pub Date : 2020-08-13 DOI:10.6092/2282-1619/MJCP-2521

R. Vita, A. Caputo, M. Quattropani, T. Watt, U. Feldt-Rasmussen, P. Puleio, S. Benvenga, G. Martino

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引用次数: 16

Abstract

Introduction. Increasing interest exists concerning the physical and mental wellbeing of patients with hyperthyroidism. Aim. This review aims at gathering the most updated literature on the quality of life (QoL) in patients with hyperthyroidism. Method: We searched PubMed from inception to May 20, 2020 for English language studies using the following entries: “hyperthyroidism AND quality of life”, “Graves’ disease AND quality of life”, “diffuse toxic goiter AND quality of life”, “toxic nodular goiter AND quality of life”, “subclinical hyperthyroidism AND quality of life”. Thirty-nine papers were finally reviewed. Results: Patients with hyperthyroidism have worse QoL than euthyroid subjects, especially if they have Graves’ disease and Graves’ orbitopathy. Treatment of hyperthyroidism with restoration of euthyroidism may not fully restore QoL even after many years, indicating that such patients have difficulties adapting to and coping with their illness, thus experiencing marked and longstanding limitations in physical, mental and psychosocial functioning. Conclusion. As differences exist on long-term outcomes between therapeutic options for hyperthyroidism, it is logical to hypothesize related differences in long-term changes in QoL. Future clinical and psychological studies could monitor QoL and its related domains across different stages of disease and deepen patients’ trajectories of illness experience and the use of coping strategies to face their condition.

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甲状腺机能亢进患者的生活质量:我们站在哪里?

介绍。人们对甲亢患者的身心健康越来越感兴趣。的目标。本综述旨在收集有关甲状腺功能亢进患者生活质量(QoL)的最新文献。方法:我们检索PubMed从成立到2020年5月20日的英文研究，使用以下条目:“甲状腺机能亢进与生活质量”，“Graves病与生活质量”，“弥漫性中毒性甲状腺肿与生活质量”，“中毒性结节性甲状腺肿与生活质量”，“亚临床甲状腺功能亢进与生活质量”。最终评审了39篇论文。结果:甲状腺功能亢进患者的生活质量较甲状腺功能正常者差，尤其是合并Graves病和Graves眼病的患者。通过恢复甲状腺功能亢进来治疗甲状腺功能亢进，即使在多年后也可能无法完全恢复生活质量，这表明这类患者难以适应和应对疾病，因此在身体、精神和社会心理功能方面存在明显和长期的限制。结论。由于甲状腺机能亢进的治疗方案之间的长期结果存在差异，因此假设生活质量的长期变化存在相关差异是合乎逻辑的。未来的临床和心理学研究可以在不同的疾病阶段监测生活质量及其相关领域，深化患者的疾病经历轨迹和应对策略的使用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Mediterranean Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-

CiteScore

4.10

自引率

53.80%

发文量

审稿时长

4 weeks

期刊介绍： The MJCP is an Open Access Peer-Reviewed International Journal in Clinical Psychology. MJCP accepts research related to innovative and important areas of clinical research: 1. Clinical studies related to Clinical Psychology, 2. Psychopathology and Psychotherapy; 3. Basic studies pertaining to clinical psychology field as experimental psychology, psychoneuroendocrinology and psychoanalysis; 4. Growing application of clinical techniques in clinical psychology, psychology of health, clinical approaches in projective methods; 5. Forensic psychology in clinical research; 6. Psychology of art and religion; 7. Advanced in basic and clinical research methodology including qualitative and quantitative research and new research findings.