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01-06-2016 | Uitgave 6/2016

Gender differences in the impact of mental disorders and chronic physical conditions on health-related quality of life among non-demented primary care elderly patients

Tijdschrift:: Quality of Life Research > Uitgave 6/2016

Auteurs:: Luisa Baladón, Maria Rubio-Valera, Antoni Serrano-Blanco, Diego J. Palao, Ana Fernández

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Abstract

Purpose

This paper aims to estimate the comorbidity of mental disorders and chronic physical conditions and to describe the impact of these conditions on health-related quality of life (HRQoL) in a sample of older primary care (PC) attendees by gender.

Methods

Cross-sectional survey, conducted in 77 PC centres in Catalonia (Spain) on 1192 patients over 65 years old. Using face-to-face interviews, we assessed HRQoL (SF–12), mental disorders (SCID and MINI structured clinical interviews), chronic physical conditions (checklist), and disability (Sheehan disability scale). We used multivariate quantile regressions to model which factors were associated with the physical component summary—short form 12 and mental component summary—short form 12.

Result

The most frequent comorbidity in both men and women was mood disorder with chronic pain and arthrosis. Mental disorders mainly affected ‘mental’ QoL, while physical disorders affected ‘physical’ QoL. Mental disorders had a greater impact on HRQoL than chronic physical conditions, with mood and adjustment disorders being the most disabling conditions. There were some gender differences in the impact of mental and chronic physical conditions on HRQoL. Anxiety disorders and pain had an impact on HRQoL but only in women. Respiratory diseases had an effect on the MCS in women, but only affected the PCS in men.

Conclusions

Mood and adjustment disorders had the greatest impact on HRQoL. The impact profile of mental and chronic physical conditions differs between genders. Our results reinforce the need for screening for mental disorders (mainly depression) in older patients in PC.

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Titel: Gender differences in the impact of mental disorders and chronic physical conditions on health-related quality of life among non-demented primary care elderly patients
Auteurs:: Luisa Baladón
Maria Rubio-Valera
Antoni Serrano-Blanco
Diego J. Palao
Ana Fernández
Publicatiedatum: 01-06-2016
DOI: https://doi.org/10.1007/s11136-015-1182-5
Uitgeverij: Springer International Publishing
Tijdschrift: Quality of Life Research An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation - An Official Journal of the International Society of Quality of Life Research
Uitgave 6/2016
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649

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