Cited by 15Connective tissue disorders researchMusculoskeletal pain and rehabilitationPsychological Well-being and Life Satisfaction

Adults with Loeys-Dietz syndrome and vascular Ehlers-Danlos syndrome: A cross-sectional study of life satisfaction

Open access
Johansen, Heidi, Velvin, Gry, Fugl-Meyer, Kerstin, Lidal, Ingeborg Beate·2021·Journal of Rehabilitation Medicine

Abstract

Objective: To explore life satisfaction among adults with Loeys-Dietz and those with vascular Ehlers-Danlos syndrome. Design: Postal survey in 2018. Participants and methods: Persons with molecularly verified Loeys-Dietz syndrome or vascular Ehlers-Danlos syndrome were recruited through the TRS [AQ2] National Resource Centre for Rare Disorders in Norway. The study used the Life Satisfaction Questionnaire 11, Hospital Anxiety and Depression Scale, Fatigue Severity Scale, and questions about physical activity and disease burden. Descriptive statistics were conducted with Bonferroni corrections. Results: The response rate was 74%, 52 participants, age range 18–68 years, and 58% were women. Only half of the participants were satisfied with their lives as a whole. Participants reported dissatisfaction with vocation, somatic health, and sexual life in particular. Participants with vascular Ehlers-Danlos syndrome (n = 18) were satisfied with more areas of life than those with Loeys-Dietz syndrome (n = 34). Low overall satisfaction was significantly associated with severe fatigue (p = 0.002) and symptoms of anxiety (p = 0.001). Conclusion: This study provides important information about living with Loeys-Dietz syndrome and vascular Ehlers-Danlos syndrome. Future studies should identify factors that reduce/increase life satisfaction. Professionals in welfare systems need more information about the unique challenges of living with these diagnoses. Guidelines for research and clinical measurements of life satisfaction should be updated.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.2340/jrm.v53.572

Cites

3 of 3 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Types of pain in hEDS patients were described as chronic back pain (78.6%), chronic arthralgias/joint pain (83.3% of 99%), chronic myalgias (85.7%), and recurrent headaches (76.3%).

    “Types of pain in hEDS patients were described as chronic back pain (78.6%), chronic arthralgias/joint pain (83.3% of 99%), chronic myalgias (85.7%), and recurrent headaches (76.3%).30,46”

    From Role of Anxiety in Individuals with Generalized Joint Hypermobility: A Systematic Review (2025) · cites this paper as [46]

    The Results (Demographic and clinical characteristics; page not available) report chronic musculoskeletal pain in 79% of 52 participants with LDS or vEDS, not hEDS. The Methods (Questionnaire; page not available) measure musculoskeletal pain generally; searches for the quoted percentages and for hEDS-specific pain types found no passage reporting the claimed breakdown. (LLM, conf=0.76)

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 28

  1. [1]Loeys BL, Dietz HC. Loeys-Dietz syndrome. In: Adam MP, Ardinger HH, Pagon RA, Wallace SE, Bean LJH, Mirzaa G, et al., editors. GeneReviews((R)). Seattle (WA): University of Washington; 1993–2018. [Updated 2018; cited 2020 Jan 10]. 20301312
  2. [2]Byers PH, Belmont J, Black J, De Backer J, Frank M, Jeunemaitre X, et al. Diagnosis, natural history, and management in vascular Ehlers-Danlos syndrome. Am J Med Genet C Semin Med Genet 2017; 175: 40– 47. 28306228
  3. [3]Meester JAN, Verstraeten A, Schepers D, Alaerts M, Van Laer L, Loeys BL. Differences in manifestations of Marfan syndrome, Ehlers-Danlos syndrome, and Loeys-Dietz syndrome. Ann Cardiothorac Surg 2017; 6: 582– 594. 29270370 PMC5721110
  4. [4]Johansen H, Velvin G, Lidal I. Adults with Loeys-Dietz syndrome and vascular Ehlers-Danlos syndrome: a crosssectional study of health burden perspectives. Am J Med Genet A 2020; 182: 137– 145. 31692252
  5. [5]Milewicz DM, Regalado E. Heritable thoracic aortic disease overview. In: Adam MP, Ardinger HH, Pagon RA, Wallace SE, Bean LJH, Mirzaa G, et al., editors. GeneReviews((R)). Seattle (WA): University of Washington; 1993–2017. [Updated 2017; cited 2020 Dec 10]. 20301299
  6. [6]Cheng A, Owens D. Marfan syndrome, inherited aortopathies and exercise: what is the right answer? Br J Sports Med 2016; 50: 100– 104. 26729892
  7. [8]Velvin G, Johansen H, Vardeberg K, Sjogren Fugl-Meyer K, Wilhelmsen JE, Lidal I. Physical exercise for people with hereditable thoracic aortic disease. A study of patient perspectives. Disabil Rehab 2019: 1– 8. 31847606
  8. [9]Velvin G, Wilhelmsen JE, Johansen H, Bathen T, Geirdal AO. Systematic review of quality of life in persons with hereditary thoracic aortic aneurysm and dissection diagnoses. Clin Genet 2019; 95: 661– 676. 30788842
  9. [10]Thijssen CG, Doze DE, Gökalp AL, Timmermans J, Peters JB, Elbers-van de Ven LH, et al. Male–female differences in quality of life and coping style in patients with Marfan syndrome and hereditary thoracic aortic diseases. J Genet Couns 2020; 00: 1– 11. PMC7754440 32519797
  10. [11]Thijssen CG, Dekker S, Bons LR, Gökalp AL, Kauling RM, van den Bosch AE, et al. Health-related quality of life and lived experiences in males and females with thoracic aortic disease and their partners. Open Heart 2020; 7: e001419. 33033116 PMC7545641
  11. [12]Fugl-Meyer AR, Melin R, Fugl-Meyer KS. Life satisfaction in 18-to 64-year-old Swedes: in relation to gender, age, partner and immigrant status. J Rehab Med 2002; 34: 239– 246. 12392240
  12. [13]Johansen H, Velvin G, Lidal I. Adults with Loeys-Dietz syndrome and vascular Ehlers-Danlos syndrome: a cross sectional study of patient experiences with physical activity. Disabil Rehabil 2020: 1– 8. 32915071
  13. [17]Reed, JL, Pipe AL. Practical approaches to prescribing physical activity and monitoring exercise intensity. Can J Cardiol 2016; 32: 514– 522. 26897182
  14. [18]Nilsen TI, Romundstad PR, Petersen H, Gunnell D, Vatten LJ. Recreational physical activity and cancer risk in subsites of the colon (the Nord-Trondelag Health Study). Cancer Epidemiol Biomarkers Prev 2008; 17: 183– 188. 18199723
  15. [19]Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G, et al. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 1987; 18: 233– 237. 15676628
  16. [20]Stålnacke BM. Life satisfaction in patients with chronic pain–relation to pain intensity, disability, and psychological factors. Neuropsyc Dis Treat 2011; 7: 683– 689. PMC3225342 22128253
  17. [21]Wilhelmson K, Fritzell E, Eklund K, Dahlin-Ivanoff S. Life satisfaction and frailty among older adults. Health Psychol Res 2013; 1: 167– 172. PMC4768568 26973917
  18. [22]Melin R, Fugl-Meyer KS, Fugl-Meyer AR. Life satisfaction in 18- to 64-year-old Swedes: in relation to education, employment situation, health and physical activity. J Rehabil Med 2003; 35: 84– 90. 12691338
  19. [23]Ekstrand E, Lexell J, Brogårdh C. Test–retest reliability of the life satisfaction questionnaire (LiSat-11) and association between items in individuals with chronic stroke. J Rehabil Med 2018; 50: 713– 718. 30080236
  20. [24]Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol 1989; 46: 1121– 1123. 2803071
  21. [25]Lerdal A, Wahl A, Rustoen T, Hanestad BR, Moum T. Fatigue in the general population: a translation and test of the psychometric properties of the Norwegian version of the fatigue severity scale. Scan J Public Health. 2005; 33: 123– 130. 15823973
  22. [26]Zigmond AS, Snaith RP. The Hospital Anxiety and Depression scale. Acta Psychiatr Scand 1983; 67: 361– 370. 6880820
  23. [28]Anke A, Damsgård E, Røe C. Life satisfaction in subjects with long-term musculoskeletal pain in relation to pain intensity, pain distribution and coping. J Rehabil Med 2013; 45: 277– 285. 23321898
  24. [29]Wallin E, Larsson M, Rubertsson S, Kristofferzon M-L. Cardiac arrest and hypothermia treatment-function and life satisfaction among survivors in the first 6 months. Resuscitation 2014; 85: 538– 543. 24389358
  25. [31]Vanem TT, Rand‑Hendriksen S, Brunborg C, Geiran OR, Røe C. Health‑related quality of life in Marfan syndrome: a 10‑year follow‑up. Health Qual Life Outcomes (2020) 18: 376. Available from: 10.1186/s12955-020-01633-4 33256748 PMC7706277 · DOI
  26. [33]Velvin G, Bathen T, Rand-Hendriksen S, Geirdal AO. Work participation in adults with Marfan syndrome: Demographic characteristics, MFS related health symptoms, chronic pain, and fatigue. Am J Med Genet A 2015; 167: 3082– 3090. 26420568
  27. [34]Goldfinger JZ, Preiss LR, Devereux RB, Roman MJ, Hendershot TP, Kroner BL, et al. Marfan syndrome and quality of life in the GenTAC registry. J Am Coll Cardiol 2017; 69: 2821– 2830. 28595698 PMC5519341
  28. [36]Jacobsen EL, Bye A, Aass N, Fossa SD, Grotmol KS, Kaasa S, et al. Norwegian reference values for the Short-Form Health Survey 36: development over time. Qual Life Res 2018; 27: 1201– 1212. 28808829 PMC5891566

Cited by

Sorted by citations

Authors
Johansen, H., Velvin, G., Fugl-Meyer, K., & Lidal, I. B.
Affiliations
  • Sunnaas sykehus (NO)
  • OsloMet – Oslo Metropolitan University (NO)
Corresponding author
Johansen, Heidi
Venue
Journal of Rehabilitation Medicine
Published
2021-10-27
Volume
53
Issue
11 (November)
Pages
jrm00236-jrm00236
ISSN
  • 1650-1977 (ISSN-L)
  • 1651-2081
OpenAlex
W3209574689
Cited by
15
References
3
Citations by year
2025: 6 · 2024: 4 · 2023: 2 · 2022: 3
FWCI
1.27
Type
journal article
Language
en
Open access
Locations
  • Journal of Rehabilitation Medicine (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
Keywords
Loeys-Dietz syndrome, vascular Ehlers-Danlos syndrome, life satisfaction, fatigue, anxiety, depression, sexual satisfaction, job satisfaction, physical health, disease burden, physical activity
MeSH terms
Adolescent, Adult, Aged, Cross-Sectional Studies, Ehlers-Danlos Syndrome, Female, Humans, Middle Aged, Personal Satisfaction, Surveys and Questionnaires, Young Adult, Loeys-Dietz Syndrome

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review