Fatima Kamran - Academia.edu (original) (raw)
Papers by Fatima Kamran
Mental Health and Social Inclusion, Dec 25, 2023
Pakistan Journal of Psychological Research, 2017
A longitudinal study was carried out on renal transplant recipients with a healthy kidney functio... more A longitudinal study was carried out on renal transplant recipients with a healthy kidney functioning in Lahore, Pakistan, to find out how recipients’ life orientation influences their perceptions of physical health status. Perceived Health Status (PHS) was measured by a self-developed questionnaire that reflected the symptom severity and frequency measured by the common immune-suppressant side effects. Life Orientation Test-Revised (LOT-R; Scheier, Carver, and Bridges, 1994) was used to measure optimism. Statistical analysis involved linear regression and cross lagged correlation analysis (CLC). It was found that most recipients tend to have an optimistic attitude and a positive perception of their health status. Although both PHS and optimism were found to be significant predictors of each other, however, it was clarified that recipients’ with a better PHS, that is, healthy graft functioning tend to be more optimistic because of their improved health status. Socio-demographic factors including age, education level, time since transplant, and financial condition reflected by monthly family income were also analysed for their effect. Age was found to be the only factor affecting PHS and optimism across three times. Younger recipients reported better PHS and tend to be more optimistic. Work status (working vs. nonworking recipients) was found to be significant predictor of optimism at Time 1 and of PHS at Time2 and 3 only, not showing a consistent pattern across 15 months.
International Journal of School and Cognitive Psychology, 2014
International Journal of Research Studies in Psychology, Nov 5, 2013
Journal of Behavioural Sciences, May 1, 2016
The qualitative study explored parents perceptions and attributions of personality differences am... more The qualitative study explored parents perceptions and attributions of personality differences among their children. Twelve parents were interviewed using Interpretative Phenomenological Approach. The analysis revealed that the parents attributed the siblings" personality differences to a combination of biological vs. psychosocial factors. It revealed meaningful insights as reflected by the themes that revolved around nature vs. nurture, psychosocial influences, parental identification and role modeling, gender, birth order and role expectations. Interestingly, despite sharing the same genetics, living in similar environmental conditions, children tend to display diversity in their behaviors and overall personality. Parents sometimes describe their children as opposite as "day and night" which raises a question to investigate the factors that cause such extreme diversity in their personalities. There is a need to further explore parental expectations and criteria for an ideal child as well as knowing about the relative contribution of nature vs. nurture factors in determining personality differences.
Pakistan Journal of Psychological Research, Mar 31, 2023
Journal of Behavioural Sciences, May 1, 2015
Health outcomes of transplantation require strict medication compliance. Non-compliance with immu... more Health outcomes of transplantation require strict medication compliance. Non-compliance with immunosuppressive medications after renal transplantation is considered to be a major cause of graft rejection and loss. There are diverse reasons for non-compliance, including: lack of financial resources, lack or perceived severity of consequences, health and religious beliefs, social support, disease characteristics, medication adverse effects, and treatment complexity. A systematic review of the literature on medical non-compliance after renal transplantation was carried out to identify factors leading to non-compliant behavior among renal transplant recipients (RTRs) to prevent graft loss. The aim was to highlight commonalities facilitating the clinicians identify patients for early intervention. It is found that recipients at a higher risk of noncompliance after renal transplants were younger, female, unmarried, recipients of living donor transplants and had been transplanted for a longer time with a history of a previous transplant. Findings also suggested that psychosocial factors such as stress, depression, lack of coping skills and avoidant behaviors, lack of perceived control on health out comes, locus of control attributed to powerful others, lack of perceived social and family support, and low self-efficacy were significant predictors of non-compliance. Significance of compliant behavior after renal transplantation, reasons for non-compliance and its relationship to organ loss are discussed.
Journal of Medicine and Life, 2015
Nurses are the most significant part of human resources in a sanitary and health system. Job sati... more Nurses are the most significant part of human resources in a sanitary and health system. Job satisfaction results in the enhancement of organizational productivity, employee commitment to the organization and ensuring his/ her physical and mental health. The present research was conducted with the aim of predicting the level of job satisfaction based on hardiness and its components among the nurses with tension headache. The research method was correlational. The population consisted of all the nurses with tension headache who referred to the relevant specialists in Tehran. The sample size consisted of 50 individuals who were chosen by using the convenience sampling method and were measured and investigated by using the research tools of “Job Satisfaction Test” of Davis, Lofkvist and Weiss and “Personal Views Survey” of Kobasa. The data analysis was carried out by using the Pearson Correlation Coefficient and the Regression Analysis. The research findings demonstrated that the corre...
Journal of the Dow University of Health Sciences, Dec 20, 2016
Objective: To investigate the impact of depression and anxiety levels on perceived quality of lif... more Objective: To investigate the impact of depression and anxiety levels on perceived quality of life (QoL) in breast cancer survivors (BCS) after one year of successful recovery from chemotherapy. Materials & Methods: A cross sectional research design was followed to study breast cancer survivors (N= 52) on follow-ups from government hospitals of Lahore over a period of two months. The purposive sampling strategy was used. The study also examined the demographic correlates of depression and anxiety among breast cancer survivors. Quality of life (QoL) was measured by using Quality of Life Index Cancer Version III. Depression and anxiety were measured by using Hospital Anxiety and Depression Scale. Results: A significant negative correlation among depression and overall QoL (r=-.40**), health and functioning wellbeing (r=-.42**), psychological and spiritual wellbeing (r=-.32*), as well as negative association of anxiety with overall QoL (r=-.29*), and health and functioning wellbeing (r=-.35*), indicated that increased levels of anxiety and depression reduced patients' QoL. The multiple regression analysis found depression and anxiety as significant predictors of overall QoL, health and functioning wellbeing and spiritual and psychological wellbeing. It implies that depression and anxiety seem to influence individual's QoL. The hierarchical regression analysis for Sociodemographic factors, controlling the clinical factors, showed number of children (â=-.36*) and level of education (â=-.40*) as significant predictors of depression. Conclusion: Anxiety and depression appear to have a significant negative impact on the overall quality of life and psychological well being of breast cancer survivors. Regular follow ups need to focus on psychological issues that are critical in influencing both physical health and psychological well-being.
Journal of Behavioural Sciences, 2014
Pakistan Journal of Psychological Research, 2014
Burns, Aug 1, 2021
BACKGROUND This research deals with the impact of resilience, perceived stigmatization, social co... more BACKGROUND This research deals with the impact of resilience, perceived stigmatization, social comfort and coping strategies on quality of life among female burn survivors with facial disfigurement, man many of which are found in Asian countries. METHODS Using cross-sectional research design, female burn survivors with severe facial disfigurement (N = 100) were drawn by using purposive sampling strategy from a public sector hospital and an organization working in Lahore, Pakistan. Perceived Stigmatization Questionnaire (PSQ) (Lawrence et al., 2006), Social Comfort Questionnaire (SCQ) (Lawrence et al., 2006), State-Trait Resilience Scale, Coping with Burns Questionnaire (CBQ) (Willebrand et al., 2001) and World Health Organization Quality of Life Brief Questionnaire (WHOQOL-BREF Questionnaire; World Health Organization, 2014) were used for assessment. RESULTS The analyses showed a significant positive relationship among resilience, coping with burns and social comfort. A significant negative relationship was found between perceived stigmatization and coping with burns, resilience and social comfort. All these variables were tested for differentiation on the basis of survivor's age (less vs. more than 30 years), occupation (housewife vs. gainfully employed), education (less vs. more than matriculation), social status (low vs. middle class), family system (nuclear vs. joint), siblings (yes vs. no), residence (living in home vs. shelter home) and psychological help received or not after the burn injury. Results indicate a mixed type of phenomenon among variable's differentiation. Path analysis through AMOS resulted into a model showing no direct relationship of quality of life with coping with burns, perceived stigmatization and resilience; however, social comfort mediates the relationship between quality of life and coping with burns, perceived stigmatization and resilience. CONCLUSION It is found that quality of life is dependent on coping with burns, perceived stigmatization and resilience through social comfort. The findings hold implications for the mental health professionals and rehabilitation service providers to emphasize on the restorative strategy for burn survivors to elevate their social comfort, to assist them in handling their injuries and develop a curative plan to support them in their coping skills.
Chinese journal of traumatology, Feb 1, 2021
This study aimed at exploring the perceptions and experiences of female burn survivors with facia... more This study aimed at exploring the perceptions and experiences of female burn survivors with facial disfigurement in Pakistan. Methods: Two different quantitative and qualitative studies were conducted, of which the data were collected from 100 burn patients. A pilot interview protocol was developed. An indepth interview of five female burn survivors with facial disfigurement was taken in Lahore, Pakistan. The transcripts were analyzed using thematic analysis and four major themes were identified, respectively physical appearance, posttraumatic growth, relationships and coping strategies. Results: Thematic analysis reflected differences in attributional style, perceptions and individual experiences of female burn survivors with facial disfigurement. The study showed the importance of physical appearance for different burn survivors and how their life had changed after suffering from a burn injury. Conclusion: It could be easy to have a positive outlook towards life and accept visible differences post injury for the burn survivors, who are grateful for life, get a strong family support and have available resources. On the contrary, with low self-esteem, lack of a family support and available resources, patients would be dissatisfied with their life.
International Journal of Research Studies in Psychology, May 29, 2012
A longitudinal study was carried out to investigate the contribution of psychosocial and clinical... more A longitudinal study was carried out to investigate the contribution of psychosocial and clinical factors in influencing satisfaction with Quality of Life (QoL) after renal transplantation. Renal transplant recipients were assessed at three times over a period of 15 months in Lahore (Pakistan). Our study aimed to analyze if QoL and perceptions of it are likely to be influenced by both psychosocial factors and the recipient's physical well-being related to the degree to which the transplant has been effective. The psychosocial variables included depression levels, perceived health status, life orientation (optimism) and conscientiousness. Clinical data comprised of their renal functioning, blood sugar, cholesterol, and blood pressure as health indicators. Recipients need to comply with immunosuppressant medicines on lifelong basis for graft survival. Compliance was assessed by recording their blood immunosuppressant levels. The results indicated that across all three waves, psychosocial factors consistently appeared to be stronger predictors of QoL satisfaction than the clinical factors. Renal functions were found to be the only significant clinical predictors of QoL.
Pakistan Journal of Psychological Research, 2016
This qualitative study was carried out to study how renal transplant recipients (RTRs) following ... more This qualitative study was carried out to study how renal transplant recipients (RTRs) following a successful transplant in Pakistan perceive their experience and life before and after the transplant. The aim was to explore recipients’ perceptions and transitions concerning their personality and life orientation as a consequence of a major surgical experience. The study focused on how the recipients perceived the impact of losing native kidneys, their coping and adjustment with altered life styles before and after the transplant. Using in depth interviews, twenty participants (10 males, 10 females) were approached at the renal follow-up clinic and asked to describe their transplant experiences and compare their physical functioning, family and social life and psychological well-being pre-and post-transplant. Out of twenty, 14 agreed to share their experiences in the qualitative interview. A thematic analysis revealed that transplantation brought positive changes in their psychological well-being. Participants tended to have an optimistic attitude towards life focus regarding past, present and future plans and concerns. The themes explaining these transitions included; ‘post traumatic growth’ as indicated by an optimistic attitude and personal growth’ as a consequent impact of transplant, ‘gratitude’, ‘emotional morbidity’ and ‘transplant related fears, anxieties and uncertainty’ about possible future consequences and risk vulnerability and future concerns. Most recipients perceived themselves as ‘changed beings’ regarding their behaviors, beliefs and interpersonal relationships.
This three wave longitudinal study investigated perceived quality of life (QoL) among renal trans... more This three wave longitudinal study investigated perceived quality of life (QoL) among renal transplant recipients (RTRs) with healthy graft functioning across 15 months in Pakistan. The contribution of demographic, clinical and psychosocial factors in influencing QoL as a subjective construct was measured using QoL index-kidney transplant version. The four domains of QoL included; health functioning, family life, psychological and spiritual well-being and social/economic conditions. Most RTRs were moderately satisfied with their QoL. Being younger, male, married, in work and financially stable was related to higher levels of QoL satisfaction. The clinical factors including renal functions, and general health indicators neither influenced QoL nor any significant associations or causal relationships were found. Psychosocial variables included; depression levels, life orientation (optimism), perceived health status (PHS) and conscientiousness. Significant correlations among depression,...
Journal of the Dow University of Health Sciences, 2016
Objective: To investigate the impact of depression and anxiety levels on perceived quality of lif... more Objective: To investigate the impact of depression and anxiety levels on perceived quality of life (QoL) in breast cancer survivors (BCS) after one year of successful recovery from chemotherapy. Materials & Methods: A cross sectional research design was followed to study breast cancer survivors (N= 52) on follow-ups from government hospitals of Lahore over a period of two months. The purposive sampling strategy was used. The study also examined the demographic correlates of depression and anxiety among breast cancer survivors. Quality of life (QoL) was measured by using Quality of Life Index Cancer Version III. Depression and anxiety were measured by using Hospital Anxiety and Depression Scale. Results: A significant negative correlation among depression and overall QoL (r=-.40**), health and functioning wellbeing (r=-.42**), psychological and spiritual wellbeing (r=-.32*), as well as negative association of anxiety with overall QoL (r=-.29*), and health and functioning wellbeing (r=-.35*), indicated that increased levels of anxiety and depression reduced patients' QoL. The multiple regression analysis found depression and anxiety as significant predictors of overall QoL, health and functioning wellbeing and spiritual and psychological wellbeing. It implies that depression and anxiety seem to influence individual's QoL. The hierarchical regression analysis for Sociodemographic factors, controlling the clinical factors, showed number of children (â=-.36*) and level of education (â=-.40*) as significant predictors of depression. Conclusion: Anxiety and depression appear to have a significant negative impact on the overall quality of life and psychological well being of breast cancer survivors. Regular follow ups need to focus on psychological issues that are critical in influencing both physical health and psychological well-being.
Pakistan Journal of Psychological Research, 2016
This qualitative study was carried out to study how renal transplant recipients (RTRs) following ... more This qualitative study was carried out to study how renal transplant recipients (RTRs) following a successful transplant in Pakistan perceive their experience and life before and after the transplant. The aim was to explore recipients’ perceptions and transitions concerning their personality and life orientation as a consequence of a major surgical experience. The study focused on how the recipients perceived the impact of losing native kidneys, their coping and adjustment with altered life styles before and after the transplant. Using in depth interviews, twenty participants (10 males, 10 females) were approached at the renal follow-up clinic and asked to describe their transplant experiences and compare their physical functioning, family and social life and psychological well-being pre-and post-transplant. Out of twenty, 14 agreed to share their experiences in the qualitative interview. A thematic analysis revealed that transplantation brought positive changes in their psychologic...
Pakistan Journal of Psychological Research
Mental Health and Social Inclusion, Dec 25, 2023
Pakistan Journal of Psychological Research, 2017
A longitudinal study was carried out on renal transplant recipients with a healthy kidney functio... more A longitudinal study was carried out on renal transplant recipients with a healthy kidney functioning in Lahore, Pakistan, to find out how recipients’ life orientation influences their perceptions of physical health status. Perceived Health Status (PHS) was measured by a self-developed questionnaire that reflected the symptom severity and frequency measured by the common immune-suppressant side effects. Life Orientation Test-Revised (LOT-R; Scheier, Carver, and Bridges, 1994) was used to measure optimism. Statistical analysis involved linear regression and cross lagged correlation analysis (CLC). It was found that most recipients tend to have an optimistic attitude and a positive perception of their health status. Although both PHS and optimism were found to be significant predictors of each other, however, it was clarified that recipients’ with a better PHS, that is, healthy graft functioning tend to be more optimistic because of their improved health status. Socio-demographic factors including age, education level, time since transplant, and financial condition reflected by monthly family income were also analysed for their effect. Age was found to be the only factor affecting PHS and optimism across three times. Younger recipients reported better PHS and tend to be more optimistic. Work status (working vs. nonworking recipients) was found to be significant predictor of optimism at Time 1 and of PHS at Time2 and 3 only, not showing a consistent pattern across 15 months.
International Journal of School and Cognitive Psychology, 2014
International Journal of Research Studies in Psychology, Nov 5, 2013
Journal of Behavioural Sciences, May 1, 2016
The qualitative study explored parents perceptions and attributions of personality differences am... more The qualitative study explored parents perceptions and attributions of personality differences among their children. Twelve parents were interviewed using Interpretative Phenomenological Approach. The analysis revealed that the parents attributed the siblings" personality differences to a combination of biological vs. psychosocial factors. It revealed meaningful insights as reflected by the themes that revolved around nature vs. nurture, psychosocial influences, parental identification and role modeling, gender, birth order and role expectations. Interestingly, despite sharing the same genetics, living in similar environmental conditions, children tend to display diversity in their behaviors and overall personality. Parents sometimes describe their children as opposite as "day and night" which raises a question to investigate the factors that cause such extreme diversity in their personalities. There is a need to further explore parental expectations and criteria for an ideal child as well as knowing about the relative contribution of nature vs. nurture factors in determining personality differences.
Pakistan Journal of Psychological Research, Mar 31, 2023
Journal of Behavioural Sciences, May 1, 2015
Health outcomes of transplantation require strict medication compliance. Non-compliance with immu... more Health outcomes of transplantation require strict medication compliance. Non-compliance with immunosuppressive medications after renal transplantation is considered to be a major cause of graft rejection and loss. There are diverse reasons for non-compliance, including: lack of financial resources, lack or perceived severity of consequences, health and religious beliefs, social support, disease characteristics, medication adverse effects, and treatment complexity. A systematic review of the literature on medical non-compliance after renal transplantation was carried out to identify factors leading to non-compliant behavior among renal transplant recipients (RTRs) to prevent graft loss. The aim was to highlight commonalities facilitating the clinicians identify patients for early intervention. It is found that recipients at a higher risk of noncompliance after renal transplants were younger, female, unmarried, recipients of living donor transplants and had been transplanted for a longer time with a history of a previous transplant. Findings also suggested that psychosocial factors such as stress, depression, lack of coping skills and avoidant behaviors, lack of perceived control on health out comes, locus of control attributed to powerful others, lack of perceived social and family support, and low self-efficacy were significant predictors of non-compliance. Significance of compliant behavior after renal transplantation, reasons for non-compliance and its relationship to organ loss are discussed.
Journal of Medicine and Life, 2015
Nurses are the most significant part of human resources in a sanitary and health system. Job sati... more Nurses are the most significant part of human resources in a sanitary and health system. Job satisfaction results in the enhancement of organizational productivity, employee commitment to the organization and ensuring his/ her physical and mental health. The present research was conducted with the aim of predicting the level of job satisfaction based on hardiness and its components among the nurses with tension headache. The research method was correlational. The population consisted of all the nurses with tension headache who referred to the relevant specialists in Tehran. The sample size consisted of 50 individuals who were chosen by using the convenience sampling method and were measured and investigated by using the research tools of “Job Satisfaction Test” of Davis, Lofkvist and Weiss and “Personal Views Survey” of Kobasa. The data analysis was carried out by using the Pearson Correlation Coefficient and the Regression Analysis. The research findings demonstrated that the corre...
Journal of the Dow University of Health Sciences, Dec 20, 2016
Objective: To investigate the impact of depression and anxiety levels on perceived quality of lif... more Objective: To investigate the impact of depression and anxiety levels on perceived quality of life (QoL) in breast cancer survivors (BCS) after one year of successful recovery from chemotherapy. Materials & Methods: A cross sectional research design was followed to study breast cancer survivors (N= 52) on follow-ups from government hospitals of Lahore over a period of two months. The purposive sampling strategy was used. The study also examined the demographic correlates of depression and anxiety among breast cancer survivors. Quality of life (QoL) was measured by using Quality of Life Index Cancer Version III. Depression and anxiety were measured by using Hospital Anxiety and Depression Scale. Results: A significant negative correlation among depression and overall QoL (r=-.40**), health and functioning wellbeing (r=-.42**), psychological and spiritual wellbeing (r=-.32*), as well as negative association of anxiety with overall QoL (r=-.29*), and health and functioning wellbeing (r=-.35*), indicated that increased levels of anxiety and depression reduced patients' QoL. The multiple regression analysis found depression and anxiety as significant predictors of overall QoL, health and functioning wellbeing and spiritual and psychological wellbeing. It implies that depression and anxiety seem to influence individual's QoL. The hierarchical regression analysis for Sociodemographic factors, controlling the clinical factors, showed number of children (â=-.36*) and level of education (â=-.40*) as significant predictors of depression. Conclusion: Anxiety and depression appear to have a significant negative impact on the overall quality of life and psychological well being of breast cancer survivors. Regular follow ups need to focus on psychological issues that are critical in influencing both physical health and psychological well-being.
Journal of Behavioural Sciences, 2014
Pakistan Journal of Psychological Research, 2014
Burns, Aug 1, 2021
BACKGROUND This research deals with the impact of resilience, perceived stigmatization, social co... more BACKGROUND This research deals with the impact of resilience, perceived stigmatization, social comfort and coping strategies on quality of life among female burn survivors with facial disfigurement, man many of which are found in Asian countries. METHODS Using cross-sectional research design, female burn survivors with severe facial disfigurement (N = 100) were drawn by using purposive sampling strategy from a public sector hospital and an organization working in Lahore, Pakistan. Perceived Stigmatization Questionnaire (PSQ) (Lawrence et al., 2006), Social Comfort Questionnaire (SCQ) (Lawrence et al., 2006), State-Trait Resilience Scale, Coping with Burns Questionnaire (CBQ) (Willebrand et al., 2001) and World Health Organization Quality of Life Brief Questionnaire (WHOQOL-BREF Questionnaire; World Health Organization, 2014) were used for assessment. RESULTS The analyses showed a significant positive relationship among resilience, coping with burns and social comfort. A significant negative relationship was found between perceived stigmatization and coping with burns, resilience and social comfort. All these variables were tested for differentiation on the basis of survivor's age (less vs. more than 30 years), occupation (housewife vs. gainfully employed), education (less vs. more than matriculation), social status (low vs. middle class), family system (nuclear vs. joint), siblings (yes vs. no), residence (living in home vs. shelter home) and psychological help received or not after the burn injury. Results indicate a mixed type of phenomenon among variable's differentiation. Path analysis through AMOS resulted into a model showing no direct relationship of quality of life with coping with burns, perceived stigmatization and resilience; however, social comfort mediates the relationship between quality of life and coping with burns, perceived stigmatization and resilience. CONCLUSION It is found that quality of life is dependent on coping with burns, perceived stigmatization and resilience through social comfort. The findings hold implications for the mental health professionals and rehabilitation service providers to emphasize on the restorative strategy for burn survivors to elevate their social comfort, to assist them in handling their injuries and develop a curative plan to support them in their coping skills.
Chinese journal of traumatology, Feb 1, 2021
This study aimed at exploring the perceptions and experiences of female burn survivors with facia... more This study aimed at exploring the perceptions and experiences of female burn survivors with facial disfigurement in Pakistan. Methods: Two different quantitative and qualitative studies were conducted, of which the data were collected from 100 burn patients. A pilot interview protocol was developed. An indepth interview of five female burn survivors with facial disfigurement was taken in Lahore, Pakistan. The transcripts were analyzed using thematic analysis and four major themes were identified, respectively physical appearance, posttraumatic growth, relationships and coping strategies. Results: Thematic analysis reflected differences in attributional style, perceptions and individual experiences of female burn survivors with facial disfigurement. The study showed the importance of physical appearance for different burn survivors and how their life had changed after suffering from a burn injury. Conclusion: It could be easy to have a positive outlook towards life and accept visible differences post injury for the burn survivors, who are grateful for life, get a strong family support and have available resources. On the contrary, with low self-esteem, lack of a family support and available resources, patients would be dissatisfied with their life.
International Journal of Research Studies in Psychology, May 29, 2012
A longitudinal study was carried out to investigate the contribution of psychosocial and clinical... more A longitudinal study was carried out to investigate the contribution of psychosocial and clinical factors in influencing satisfaction with Quality of Life (QoL) after renal transplantation. Renal transplant recipients were assessed at three times over a period of 15 months in Lahore (Pakistan). Our study aimed to analyze if QoL and perceptions of it are likely to be influenced by both psychosocial factors and the recipient's physical well-being related to the degree to which the transplant has been effective. The psychosocial variables included depression levels, perceived health status, life orientation (optimism) and conscientiousness. Clinical data comprised of their renal functioning, blood sugar, cholesterol, and blood pressure as health indicators. Recipients need to comply with immunosuppressant medicines on lifelong basis for graft survival. Compliance was assessed by recording their blood immunosuppressant levels. The results indicated that across all three waves, psychosocial factors consistently appeared to be stronger predictors of QoL satisfaction than the clinical factors. Renal functions were found to be the only significant clinical predictors of QoL.
Pakistan Journal of Psychological Research, 2016
This qualitative study was carried out to study how renal transplant recipients (RTRs) following ... more This qualitative study was carried out to study how renal transplant recipients (RTRs) following a successful transplant in Pakistan perceive their experience and life before and after the transplant. The aim was to explore recipients’ perceptions and transitions concerning their personality and life orientation as a consequence of a major surgical experience. The study focused on how the recipients perceived the impact of losing native kidneys, their coping and adjustment with altered life styles before and after the transplant. Using in depth interviews, twenty participants (10 males, 10 females) were approached at the renal follow-up clinic and asked to describe their transplant experiences and compare their physical functioning, family and social life and psychological well-being pre-and post-transplant. Out of twenty, 14 agreed to share their experiences in the qualitative interview. A thematic analysis revealed that transplantation brought positive changes in their psychological well-being. Participants tended to have an optimistic attitude towards life focus regarding past, present and future plans and concerns. The themes explaining these transitions included; ‘post traumatic growth’ as indicated by an optimistic attitude and personal growth’ as a consequent impact of transplant, ‘gratitude’, ‘emotional morbidity’ and ‘transplant related fears, anxieties and uncertainty’ about possible future consequences and risk vulnerability and future concerns. Most recipients perceived themselves as ‘changed beings’ regarding their behaviors, beliefs and interpersonal relationships.
This three wave longitudinal study investigated perceived quality of life (QoL) among renal trans... more This three wave longitudinal study investigated perceived quality of life (QoL) among renal transplant recipients (RTRs) with healthy graft functioning across 15 months in Pakistan. The contribution of demographic, clinical and psychosocial factors in influencing QoL as a subjective construct was measured using QoL index-kidney transplant version. The four domains of QoL included; health functioning, family life, psychological and spiritual well-being and social/economic conditions. Most RTRs were moderately satisfied with their QoL. Being younger, male, married, in work and financially stable was related to higher levels of QoL satisfaction. The clinical factors including renal functions, and general health indicators neither influenced QoL nor any significant associations or causal relationships were found. Psychosocial variables included; depression levels, life orientation (optimism), perceived health status (PHS) and conscientiousness. Significant correlations among depression,...
Journal of the Dow University of Health Sciences, 2016
Objective: To investigate the impact of depression and anxiety levels on perceived quality of lif... more Objective: To investigate the impact of depression and anxiety levels on perceived quality of life (QoL) in breast cancer survivors (BCS) after one year of successful recovery from chemotherapy. Materials & Methods: A cross sectional research design was followed to study breast cancer survivors (N= 52) on follow-ups from government hospitals of Lahore over a period of two months. The purposive sampling strategy was used. The study also examined the demographic correlates of depression and anxiety among breast cancer survivors. Quality of life (QoL) was measured by using Quality of Life Index Cancer Version III. Depression and anxiety were measured by using Hospital Anxiety and Depression Scale. Results: A significant negative correlation among depression and overall QoL (r=-.40**), health and functioning wellbeing (r=-.42**), psychological and spiritual wellbeing (r=-.32*), as well as negative association of anxiety with overall QoL (r=-.29*), and health and functioning wellbeing (r=-.35*), indicated that increased levels of anxiety and depression reduced patients' QoL. The multiple regression analysis found depression and anxiety as significant predictors of overall QoL, health and functioning wellbeing and spiritual and psychological wellbeing. It implies that depression and anxiety seem to influence individual's QoL. The hierarchical regression analysis for Sociodemographic factors, controlling the clinical factors, showed number of children (â=-.36*) and level of education (â=-.40*) as significant predictors of depression. Conclusion: Anxiety and depression appear to have a significant negative impact on the overall quality of life and psychological well being of breast cancer survivors. Regular follow ups need to focus on psychological issues that are critical in influencing both physical health and psychological well-being.
Pakistan Journal of Psychological Research, 2016
This qualitative study was carried out to study how renal transplant recipients (RTRs) following ... more This qualitative study was carried out to study how renal transplant recipients (RTRs) following a successful transplant in Pakistan perceive their experience and life before and after the transplant. The aim was to explore recipients’ perceptions and transitions concerning their personality and life orientation as a consequence of a major surgical experience. The study focused on how the recipients perceived the impact of losing native kidneys, their coping and adjustment with altered life styles before and after the transplant. Using in depth interviews, twenty participants (10 males, 10 females) were approached at the renal follow-up clinic and asked to describe their transplant experiences and compare their physical functioning, family and social life and psychological well-being pre-and post-transplant. Out of twenty, 14 agreed to share their experiences in the qualitative interview. A thematic analysis revealed that transplantation brought positive changes in their psychologic...
Pakistan Journal of Psychological Research