title: Positive experiences and quality of life in Ménière's disorder.
abstract: The objective of this study was to determine the influence of positive experiences on the quality of life of patients with Ménière's disorder. Its deign comprised a cross-sectional investigation of members of a self-help group, using a questionnaire of positive experiences, an oto-neurological questionnaire, EuroQol, and Ménière's impact rating. The study sample was 542 members of the Finnish Ménière Federation. Results showed that the positive questions explained 21% of the variance of the EuroQol TTO, 31% of the EuroQol VAS measure, and 35% of the Ménière's impact. This compared with 40% of the variance explained by symptomatic complaints. When both the symptoms and positive measures were taken together, there was an increase in the proportion of the variance explained for the VAS (42%) and Ménière's rating (50%), but not for the TTO (42%). A perspective on the disorder was the main positive experience associated with the increased variance explained. Positive experiences have a significant impact on self-rated quality of life. The results suggest that encouraging a positive perspective on the condition, in addition to treating the underlying symptoms, could be useful in rehabilitative management.
authors.affiliation: Department of Neurology, Ophthalmology and Audiological Medicine, School of Medicine, Cardiff University, Cardiff, UK. stephensd@cf.ac.uk
authors.forename: Dafydd
authors.initials: D
authors.lastname: Stephens
authors.forename: Ilmari
authors.initials: I
authors.lastname: Pyykkö
authors.forename: Hilla
authors.initials: H
authors.lastname: Levo
authors.forename: Dennis
authors.initials: D
authors.lastname: Poe
authors.forename: Erna
authors.initials: E
authors.lastname: Kentala
authors.forename: Yrjö
authors.initials: Y
authors.lastname: Auramo
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008016:Life Change Events; D016014:Linear Models; D008297:Male; D008575:Meniere Disease / Q000523:psychology*; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology*