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Quality of Life Research
Gepubliceerd in: Quality of Life Research 1/2014

01-02-2014

Depression and painful conditions: patterns of association with health status and health utility ratings in the general population

Auteurs: Scott B. Patten, Jeanne V. A. Williams, Dina H. Lavorato, Andrew G. M. Bulloch, Gillian Currie, Herb Emery

Gepubliceerd in: Quality of Life Research | Uitgave 1/2014

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Abstract

Purpose

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.

Methods

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.

Results

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.

Conclusions

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.
vorige artikel PROMIS® Parent Proxy Report Scales for children ages 5–7 years: an item response theory analysis of differential item functioning across age groups
volgende artikel Erratum to: Understanding appraisal processes underlying the thentest: a mixed methods investigation
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Metagegevens
Titel
Depression and painful conditions: patterns of association with health status and health utility ratings in the general population
Auteurs
Scott B. Patten
Jeanne V. A. Williams
Dina H. Lavorato
Andrew G. M. Bulloch
Gillian Currie
Herb Emery
Publicatiedatum
01-02-2014
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 1/2014
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-013-0449-y

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