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Preference-weighted HRQoL (utility) ratings are increasingly used to guide clinical and resource allocation decisions, but their performance has not always been adequately explored. We sought to examine patterns of health utility ratings in community populations with depressive disorders and painful conditions.
We used two Canadian cross-sectional health surveys that obtained Comprehensive Health Status Measurement System/Health Utilities Index Mark 3 (HUI3) ratings and identified people with painful conditions and major depression. We estimated the frequency of item endorsements and mean utility ratings in these groups.
Interesting differences between health state ratings and diagnostic categories were noted. For example, 71 % of those professionally diagnosed with migraine reported that they usually have “no pain.” Despite this, utility ratings were lower in those respondents with depressive episodes and in those with painful conditions. Greater than additive reductions in HUI3 scores were noted in most instances where both depressive disorders and painful conditions were present.
Health utility ratings confirm the clinical impression that painful conditions and depressive disorders magnify each other’s impact. Despite weak alignment between the health state definitions incorporated into utility ratings and the diagnostic concepts examined, the HUI3 appeared to capture HRQoL decrements and negative synergies associated with the co-occurrence of depressive episodes and painful conditions.
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Rabin, R., Oemar, M., Oppe, M., Janssen, B., & Herdman, M. (2011). EQ-5D-5L user guide. Basic Information on How to Use the EQ-5D-5L Instrument.
American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR).
World Health Organization. (1994). ICD-10 classification of mental and behavioural disorders, with glossary and diagnostic criteria for research.
Zivin, K., McCarthy, J. F., McCammon, R. J., Valenstein, M., Post, E. P., Welsh, D. E., et al. (2008). Health-related quality of life and utilities among patients with depression in the Department of Veterans Affairs. Psychiatric Services (Washington, D. C.), 59(11), 1331–1334. CrossRef
Patten, S. B., Beck, C. A., Kassam, A., Williams, J. V. A., Barbui, C., & Metz, L. M. (2005). Long-term medical conditions and major depression: strength of association for specific conditions in the general population. Canadian Journal of Psychiatry, 50, 195–202.
Williams, A. (1990). EuroQol—A new facility for the measurement of health-related quality of life. Health Policy, 16(3), 199–208. CrossRef
Statistics Canada. (2011). Canadian Community Health Survey—Annual Component (CCHS).
Kessler, R. C., Andrews, G., Mroczek, D., Ustun, B., & Wittchen, H. U. (1998). The world health organization composite international diagnostic interview Short-Form (CIDI-SF). International Journal of Methods in Psychiatric Research, 7, 171–185. CrossRef
Blazer, D. G., Kessler, R. C., McGonagle, K. A., & Swartz, M. S. (1994). The prevalence and distribution of major depression in a national community sample: The national comorbidity survey. American Journal of Psychiatry, 151, 979–986. PubMed
Robins, L. N., Wing, J., Wittchen, H. U., Helzer, J. E., Babor, T. F., Burke, J., et al. (1988). The composite international diagnostic interview. An epidemiological instrument suitable for use in conjunction with different diagnostic systems and in different cultures. Archives of General Psychiatry, 45, 1069–1077. PubMedCrossRef
Patten, S. B., Brandon-Christie, J., Devji, J., & Sedmak, B. (2000). Performance of the composite international diagnostic interview short form for major depression in a community sample. Chronic Diseases in Canada, 21, 68–72. PubMed
Patten, S. B., Wang, J. L., Williams, J. V., Currie, S., Beck, C. A., Maxwell, C. J., et al. (2006). Descriptive epidemiology of major depression in Canada. Canadian Journal of Psychiatry, 51(2), 84–90.
Gravel, R., & Béland, Y. (2005). The Canadian community health survey: mental health and wellbeing. Canadian Journal of Psychiatry, 50, 573–579.
Centers for Disease Control and Prevention. (2007). The behavioral risk factor surveillance system.
Stata Corporation. (2009). Stata, version 11.0. (11.0).
Patten, S. B. (2008). Major depression prevalence is very high, but the syndrome is a poor proxy for community populations’ clinical treatment needs. Canadian Journal of Psychiatry, 53(7), 411–419.
Feng, Y., Bernier, J., McIntosh, C., & Orpana, H. (2009). Validation of disability categories derived from health utilities index mark 3 scores. Health Reports, 20(2), 43–50. PubMed
- Depression and painful conditions: patterns of association with health status and health utility ratings in the general population
Scott B. Patten
Jeanne V. A. Williams
Dina H. Lavorato
Andrew G. M. Bulloch
- Springer International Publishing