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Quality of Life Research
Erschienen in: Quality of Life Research 6/2016

24.11.2015

Quality of life across medical conditions and psychological factors: implications for population health management

verfasst von: Amy M. Williams, Pamela E. May, Shawn T. Mason, Chun Wang, Lidia Pomana

Erschienen in: Quality of Life Research | Ausgabe 6/2016

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Abstract

Purpose

To identify the contributions of medical conditions and psychological distress to well-being within a non-clinical sample, stratified by age. It was predicted that medical conditions and psychological distress would be negatively associated with well-being. It was also predicted that psychological distress and medical conditions would account for significant variance in well-being. It was further predicted that psychological distress would mediate the relationship between medical conditions and well-being across the life span.

Methods

1,424,307 employees/health plan members that completed an HRA. SEM was used to characterize relationships among medical conditions and psychological distress in predicting well-being (QoL, HRQoL, and impairments in ADLs) in five adult age groups.

Results

Medical conditions and psychological distress were negatively associated with well-being. As age increased, psychological distress was less associated with well-being. However, in those >75 years old, psychological distress had the largest association with well-being. All medical conditions, except cancer, were negatively associated with well-being. There were decreasing effects of medical conditions across the life span, with the exception of pulmonary disease which increased. Psychological distress mediated the relationship between medical conditions and well-being, with chronic pain having the greatest mediation across the life span.

Conclusions

The analysis revealed differences in the contribution of psychological distress and medical conditions to well-being by age group. Additionally, the contribution of psychological distress was equitable to that of medical conditions, thus highlighting the importance of addressing psychological distress in medical populations for well-being. Findings suggest the relevance of age in well-being and the need for further longitudinal investigation.
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Metadaten
Titel
Quality of life across medical conditions and psychological factors: implications for population health management
verfasst von
Amy M. Williams
Pamela E. May
Shawn T. Mason
Chun Wang
Lidia Pomana
Publikationsdatum
24.11.2015
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 6/2016
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-015-1183-4

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