The impact of mental health on health-related quality of life in patients with NF2-related Schwannomatosis.

Journal: Scientific reports

Volume: 14

Issue: 1

Year of Publication: 2024

Affiliated Institutions:  Department of Psychosomatic Medicine and Psychotherapy, Phillips University Marburg, Marburg, Germany. anna.freier@staff.uni-marburg.de. Department of Neurosurgery, Helios Klinikum Erfurt, Health and Medical University (HMU), Erfurt, Germany. Department of Psychosomatic Medicine and Psychotherapy, Phillips University Marburg, Marburg, Germany.

Abstract summary 

NF2-related schwannomatosis (NF2-SWN) is a rare genetic disorder and is associated with progressive morbidities. This study aimed to investigate the relationship between NF2-SWN disease severity, health-related Quality of Life (QoL), and mental health aspects of patients. Standardised questionnaires assessing mental health problems (symptoms of depression, anxiety, and somatic burden), psychological factors (resilience, loneliness, and personality functioning), and health-related QoL were administered to 97 patients with NF2-SWN. The results of these questionnaires were compared with physician-rated disease severity. Questionnaires were completed by 77 patients. Physician-rated disease severity scores were available for 55 patients. NF2-SWN patients showed a high prevalence of clinically relevant symptoms of depression (30%), anxiety (16%), and somatic burden (32%). Almost all variables showed moderate to high correlations with NF2-SWN-related QoL. NF2-SWN-related QoL was associated with physician-reported disease severity (r = 0.614). In the stepwise hierarchical linear regression analysis, a significant model with four predictors (disease severity type, depression symptoms, personality functioning, and gender) explained 64% of the variance in NF2-SWN-related QoL. Our results showed a strong association between NF2-SWN-related QoL and depression symptoms. Moreover, personality functioning is an important influencing factor, representing a modifiable construct that can be targeted by prevention programs or psychotherapy.

Authors & Co-authors:  Freier Lawson McLean Loeschner Rosahl Kruse

Study Outcome 

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Citations :  Bogart K, et al. Healthcare access, satisfaction, and health-related quality of life among children and adults with rare diseases. Orphanet J. Rare Dis. 2022;17:196. doi: 10.1186/s13023-022-02343-4.
Authors :  5
Identifiers
Doi : 6934
SSN : 2045-2322
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
NF2-related schwannomatosis;Depression;Mental health;Neurofibromatosis type 2;Quality of life;Rare disease
Study Design
Study Approach
Country of Study
Publication Country
England