Author: Aasma Yousaf
Supervisor: Dr. Aisha Sitwat
University: Centre for Clinical Psychology, Punjab University, Lahore, Pakistan
The aim of the present research was to identify the type of abuse, neglect and quality of life among the patients of anxiety and depressive illness. Second aim was to see the relationship among types of abuse, neglect and quality of life among anxiety and depressive patients. Moreover, the aim was also to find out the predictor variables for poor quality of life. A sample of 126 participants, men and women with the age above 18 years was taken through purposive sampling technique from different psychiatry departments of teaching hospitals in Lahore. At first, participants were diagnosed with depression and anxiety disorder according to DSM-IV-TR criteria. In order to screen out the abuse and neglect cases, indigenous tool which was developed by the researcher during the present study was administered. Australian World Health Organization Quality of Life Scale was administered in order to check the disturbance in the four domains of quality of life such as physical health, psychological, social relations and environment related quality of life. 66 patients had diagnosis of depressive disorders and the rest of them were with anxiety disorders. Present study consisted of 40.5% men and 59.5% women; most of the sample was married, belonging to nuclear family system and with low education level. Most of the participants had monthly income between 5000 to 40000 rupees. Most of the females were housewives, whereas in male sample most were students and government employees and still others had small personally owned businesses. Depression had a significant inverse relationship with all the domains of quality of life such as physical health, psychological, social relationship and environment related quality of life. Moreover, there was positive relationship among depression and sexual abuse, emotional abuse and neglect and, physical abuse and neglect. Anxiety had a negative correlation with sexual abuse but positive correlation with emotional abuse and neglect, and physical abuse and neglect. A significant positive correlation was found between sexual abuse, emotional abuse, and physical abuse and neglect but inverse relationship with all areas related to quality of life. Emotional abuse and neglect and physical abuse and neglect had a significant inverse relationship with each other and all the areas of quality of life. Regression analysis revealed that sexual abuse, and physical abuse and neglect were the predictors of physical health related quality of life whereas emotional abuse and neglect was the predictor for the other areas of quality of life.
Keywords: Quality of Life, Abuse, Anxiety, Depression, Neglect.
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