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Quality of Life Research

Erschienen in:

01.05.2008

Health-related quality of life among adults with serious psychological distress and chronic medical conditions

verfasst von: Margaret Shih, Paul A. Simon

Erschienen in: Quality of Life Research | Ausgabe 4/2008

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Abstract

Objective

Determine the prevalence of serious psychological distress (SPD) among adults with and without chronic medical conditions and examine the association between SPD and health-related quality of life (HRQOL).

Methods

Cross-sectional data from the 2005 Los Angeles County Health Survey were used to estimate prevalence of SPD. The association between SPD and HRQOL was evaluated using logistic regression and analysis of covariance, adjusting for sociodemographic variables and number of chronic conditions.

Results

SPD was significantly associated with younger age, lower income, being unemployed or disabled, being unmarried, fair or poor health, and having one or more chronic conditions. Adults with three or more chronic conditions were six times as likely to have SPD as those with no conditions. Adults with SPD reported significantly more unhealthy days (mental and physical) and activity limitation days than adults without SPD. The adjusted mean number of unhealthy days was highest among adults with SPD (23.3), followed by adults with depression (14.1), and diabetes (10.6).

Conclusions

SPD is associated with decreased HRQOL and presence of chronic medical conditions. Mental health should be routinely assessed when addressing health needs of individuals and communities. Persons with chronic diseases may benefit from targeted mental health screening and programs that employ treatment approaches that jointly manage physical and mental health and provide improved links and access to services.

McKenna, M. T., Michaud, C. M., Murray, C. J., & Marks, J. S. (2005). Assessing the burden of disease in the United States using disability-adjusted life years. American Journal of Preventive Medicine, 28, 415–423.PubMedCrossRef

Murray, C. L., & Lopez, A. D. (1997). Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. Lancet, 349, 1436–1442.PubMedCrossRef

Dimatteo, M. R., Lepper, H. S., & Croghan, T. W. (2000). Depression is a risk factor for noncompliance with medical treatment: Meta-analysis of the effects of anxiety and depression on patient adherence. Archives of Internal Medicine, 160, 2101–2107.PubMedCrossRef

Lowe, B., Willand, L., & Eich, W., et al. (2004). Psychiatric comorbidity and work disability in patients with inflammatory rheumatic diseases. Psychosomatic Medicine, 66, 395–402.PubMedCrossRef

Katon, W. J., Rutter, C., & Simon, G., et al. (2005). The association of comorbid depression with mortality in patients with type 2 diabetes. Diabetes Care, 28, 2668–2672.PubMedCrossRef

Moussavi, S., Chatterji, S., Verdes, E., Tandon, A., Patel, V., & Ustun, B. (2007). Depression, chronic diseases, and decrements in health: Results from the World Health Surveys. Lancet, 370, 851–858.PubMedCrossRef

Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Archives of General Psychiatry, 62, 617–627.PubMedCrossRef

Kessler, R. C., McGonagle, K. A., Zhao, S., et al. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 8–19.PubMed

Üstün, T. B., Ayuso-Mateos, J. L., Chatterji, S., Mathers, C., & Murray, C. J. L. (2004). Global burden of depressive disorders in the year 2000. The British Journal of Psychiatry, 184, 386–392.PubMedCrossRef

10.

Wang, P. S., Aguilar-Gaxiola, S., Alonso, J., et al. (2007). Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. Lancet, 370, 841–850.PubMedCrossRef

11.

Bijl, R. V., de Graaf, R., Hiripi, E., et al. (2003). The prevalence of treated and untreated mental disorders in five countries. Health Affairs (Millwood), 22, 122–133.CrossRef

12.

Mossey, J. M., & Shapiro, E. (1982). Self-rated health: A predictor of mortality among the elderly. American Journal of Public Health, 72, 800–808.PubMed

13.

Mossey, J. M., Mutran, E., Knott, K., & Craig, R. (1989). Determinants of recovery 12 months after hip fracture: The importance of psychosocial factors. American Journal of Public Health, 79, 279–285.PubMed

14.

Verbrugge, L. M., Merrill, S. S., & Liu, X. (1999). Measuring disability with parsimony. Disability and Rehabilitation, 21, 295–306.PubMedCrossRef

15.

Dominick, K. L., Ahern, F. M., Gold, C. H., & Heller, D. A. (2002). Relationship of health-related quality of life to health care utilization and mortality among older adults. Aging Clinical and Experimental Research, 14, 499–508.PubMed

16.

Kessler, R. C., Andrews, G., Colpe, L. J., et al. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32, 959–976.PubMedCrossRef

17.

Kessler, R. C., Barker, P. R., Colpe, L. J., et al. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry, 60, 184–189.PubMedCrossRef

18.

Furukawa, T. A., Kessler, R. C., Slade, T., & Andrews, G. (2003). The performance of the K6 and K10 screening scales for psychological distress in the Australian national survey of mental health and well-being. Psychological Medicine, 33, 357–362.PubMedCrossRef

19.

Simon, P. A., Wold, C. M., Cousineau, M. R., & Fielding, J. E. (2001). Meeting the data needs of a local health department: The Los Angeles County Health Survey. American Journal of Public Health, 91, 1950–1952.PubMedCrossRef

20.

American Psychiatric Association. (1994). Diagnostic and statistical manual on mental disorders, fourth edition (DSM-IV). Washington, DC: American Psychiatric.

21.

Moriarty, D. G., Kobau, R., Zack, M. M., & Zahran, H. S. (2005). Tracking healthy days—a window on the health of older adults. Preventing Chronic Disease, 2, A16. Retrieved February 24, 2006, from: http://www.cdc.gov/pcd/issues/2005/jul/05_0023.htm.

22.

Chapman, D. P., Perry, G. S., & Strine, T. W. (2005). The vital link between chronic disease and depressive disorders. Preventing Chronic Disease, 2, A14. Retrieved September 19, 2007, from: http://www.cdc.gov/pcd/issues/2005/jan/04_0066.htm.

23.

Evans, D. L., Charney, D. S., Lewis, L., et al. (2005). Mood disorders in the medically ill: Scientific review and recommendations. Biological Psychiatry, 58, 175–189.PubMedCrossRef

24.

McVeigh, K. H., Mostashari, F., & Thorpe, L. E. (2004). Serious psychological distress among persons with diabetes—New York City, 2003. MMWR. Morbidity and Mortality Weekly Report, 53, 1089–1092.

25.

Anderson, R. J., Freedland, K. E., Clouse, R. E., & Lustman, P. J. (2001). The prevalence of comorbid depression in adults with diabetes: A meta-analysis. Diabetes Care, 24, 1069–1078.PubMedCrossRef

26.

Shih, M., Hootman, J. M., Strine, T. W., Chapman, D. P., & Brady, T. J. (2006). Serious psychological distress in U.S. adults with arthritis. Journal of General Internal Medicine, 21, 1160–1166.PubMedCrossRef

27.

Smith, A., Krishnan, J. A., Bilderback, A., Riekert, K. A., Rand, C. S., & Bartlett, S. J. (2006). Depressive symptoms and adherence to asthma therapy after hospital discharge. Chest, 130, 1034–1038.PubMedCrossRef

28.

Mykletun, A., Bjerkeset, O., Dewey, M., Prince, M., Overland, S., & Stewart, R. (2007). Anxiety, depression, and cause-specific mortality: The HUNT study. Psychosomatic Medicine, 69, 323–331.PubMedCrossRef

29.

Thorpe, J. M., Kalinowski, C. T., Patterson, M. E, & Sleath, B. L. (2006). Psychological distress as a barrier to preventive care in community-dwelling elderly in the United States. Medical Care, 44, 187–191.PubMedCrossRef

30.

Strine, T. W., Balluz, L., Chapman, D. P., Moriarty, D. G., Owens, M., & Mokdad, A. H. (2004). Risk behaviors and healthcare coverage among adults by frequent mental distress status, 2001. American Journal of Preventive Medicine, 26, 213–216.PubMedCrossRef

31.

Sherbourne, C. D., Sturm, R., & Wells, K. B. (1999). What outcomes matter to patients?. Journal of General Internal Medicine, 14, 357–363.PubMedCrossRef

32.

Jonas, B. S., & Lando, J. F. (2000). Negative affect as a prospective risk factor for hypertension. Psychosomatic Medicine, 62, 188–196.PubMed

33.

Lett, H. S, Blumenthal, J. A., Babyak, M. A., et al. (2004). Depression as a risk factor for coronary artery disease: Evidence, mechanisms, and treatment. Psychosomatic Medicine, 66, 305–315.PubMedCrossRef

34.

Markovitz, J. H., Jonas, B. S., & Davidson, K. (2001). Psychologic factors as precursors to hypertension. Current Hypertension Reports, 3, 25–32.PubMedCrossRef

35.

Meyer, C. M., Armenian, H. K., Eaton, W. W., & Ford, D. E. (2004). Incident hypertension associated with depression in the Baltimore Epidemiologic Catchment area follow-up study. Journal of Affective Disorders, 83, 127–133.PubMedCrossRef

36.

Engum, A. (2007). The role of depression and anxiety in onset of diabetes in a large population-based study. Journal of Psychosomatic Research, 62, 31–38.PubMedCrossRef

37.

Golden, S. H., Williams, J. E., Ford, D. E., et al. (2004). Depressive symptoms and the risk of type 2 diabetes: The Atherosclerosis Risk in Communities study. Diabetes Care, 27, 429–435.PubMedCrossRef

38.

Dohrenwend, B. P., Levav, I., Shrout, P. E., et al. (1992). Socioeconomic status and psychiatric disorders: The causation-selection issue. Science, 255, 946–952.PubMedCrossRef

39.

Eaton, W. W., Anthony, J. C., Tepper, S., & Dryman, A. (1992). Psychopathology and attrition in the Epidemiologic Catchment Area Study. American Journal of Epidemiology, 135, 1051–1059.PubMed

40.

Kessler, R. C., Little, R. J. A., & Groves, R. M. (1995). Advances in strategies for minimizing and adjusting for survey nonresponse. Epidemiologic Reviews, 17, 192–204.PubMed

41.

Coulehan, J. L., Schulberg, H. C., Block, M. R., Madonia, M. J., & Rodriguez, E. (1997). Treating depressed primary care patients improves their physical, mental, and social functioning. Archives of Internal Medicine, 157, 1113–1120.PubMedCrossRef

42.

Lin, E. H., Katon, W., Von Korff, M., et al. (2003). Effect of improving depression care on pain and functional outcomes among older adults with arthritis: A randomized controlled trial. The Journal of the American Medical Association, 290, 2428–2429.CrossRef

43.

Hunkeler, E. M., Katon, W., Tang, L., et al. (2006). Long term outcomes from the IMPACT randomised trial for depressed elderly patients in primary care. British Medical Journal, 332, 259–263.PubMedCrossRef

44.

Katon, W., Unutzer, J., Fan, M. Y., et al. (2006). Cost-effectiveness and net benefit of enhanced treatment of depression for older adults with diabetes and depression. Diabetes Care, 29, 265–270.PubMedCrossRef

45.

Wang, P. S., Patrick, A., Avorn, J., et al. (2006). The costs and benefits of enhanced depression care to employers. Archives of General Psychiatry, 63, 1345–1353.PubMedCrossRef

46.

Simon, G. E., Katon, W. J., Lin, E. H., et al. (2007). Cost-effectiveness of systematic depression treatment among people with diabetes mellitus. Archives of General Psychiatry, 64, 65–72.PubMedCrossRef

Titel: Health-related quality of life among adults with serious psychological distress and chronic medical conditions
verfasst von: Margaret Shih
Paul A. Simon
Publikationsdatum: 01.05.2008
Verlag: Springer Netherlands
Erschienen in: Quality of Life Research / Ausgabe 4/2008
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-008-9330-9

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Health-related quality of life among adults with serious psychological distress and chronic medical conditions

Abstract

Objective

Methods

Results

Conclusions

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Objective

Methods

Results

Conclusions

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