Top

Quality of Life Research

Gepubliceerd in:

01-06-2016

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

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

Gepubliceerd in: Quality of Life Research | Uitgave 6/2016

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.

vorige artikel Distinct trajectories of disease-specific health status in heart failure patients undergoing cardiac resynchronization therapy

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

Saarni, S. I., Härkänen, T., Sintonen, H., Suvisaari, J., Koskinen, S., Aromaa, A., & Lönnqvist, J. (2006). The impact of 29 chronic conditions on health-related quality of life: a general population survey in Finland using 15D and EQ-5D. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 15(8), 1403–1414. doi:10.1007/s11136-006-0020-1.CrossRef

Bullinger, M., & Quitmann, J. (2014). Quality of life as patient-reported outcomes: Principles of assessment. Dialogues in Clinical Neuroscience, 16(2), 137–145.PubMedPubMedCentral

Fortin, M., Bravo, G., Hudon, C., Lapointe, L., Almirall, J., Dubois, M.-F., & Vanasse, A. (2006). Relationship between multimorbidity and health-related quality of life of patients in primary care. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 15(1), 83–91. doi:10.1007/s11136-005-8661-z.CrossRef

Chen, T., & Li, L. (2009). Influence of health-related quality of life on health service utilization in addition to socio-demographic and morbidity variables among primary care patients in China. International Journal of Public Health, 54(5), 325–332. doi:10.1007/s00038-009-0057-3.CrossRefPubMed

Otero-Rodríguez, A., León-Muñoz, L. M., Balboa-Castillo, T., Banegas, J. R., Rodríguez-Artalejo, F., & Guallar-Castillón, P. (2010). Change in health-related quality of life as a predictor of mortality in the older adults. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 19(1), 15–23. doi:10.1007/s11136-009-9561-4.CrossRef

Cherepanov, D., Palta, M., Fryback, D. G., & Robert, S. A. (2010). Gender differences in health-related quality-of-life are partly explained by sociodemographic and socioeconomic variation between adult men and women in the US: evidence from four US nationally representative data sets, 1115–1124. doi:10.1007/s11136-010-9673-x.

Orfila, F., Ferrer, M., Lamarca, R., Tebe, C., Domingo-Salvany, A., & Alonso, J. (2006). Gender differences in health-related quality of life among the elderly: the role of objective functional capacity and chronic conditions. Social Science and medicine (1982), 63(9), 2367–80. doi:10.1016/j.socscimed.2006.06.017.

Jayasinghe, U. W., Harris, M. F., Taggart, J., Christl, B., & Black, D. A. (2013). Gender differences in health-related quality of life of Australian chronically-ill adults: patient and physician characteristics do matter. Health and Quality of Life Outcomes, 11, 102. doi:10.1186/1477-7525-11-102.CrossRefPubMedPubMedCentral

Serrano-Blanco, A., Palao, D. J., Luciano, J. V., Pinto-Meza, A., Lujan, L., Fernandez, A., et al. (2010). Prevalence of mental disorders in primary care: results from the diagnosis and treatment of mental disorders in primary care study (DASMAP). Social Psychiatry and Psychiatric Epidemiology, 45, 201–210. doi:10.1007/s00127-009-0056-y.CrossRefPubMed

10.

Gandek, B., Ware, J. E., Aaronson, N. K., Apolone, G., Bjorner, J. B., Brazier, J. E., … Sullivan, M. (1998). Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: results from the IQOLA Project. International Quality of Life Assessment. Journal of Clinical Epidemiology, 51(11), 1171–8. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/9817135.

11.

Vilagut, G., María Valderas, J., Ferrer, M., Garin, O., López-García, E., & Alonso, J. (2008). Interpretación de los cuestionarios de salud SF-36 y SF-12 en España: componentes físico y mental. Medicina Clínica, 130(19), 726–735. doi:10.1157/13121076.CrossRefPubMed

12.

Ferrando L, Franco AL, Soto M, Bobes J, Soto O, Franco L, et al. (1998). MINI International Neuropsychiatric Interview. (Spanish version 5.0.0.) DSM-IV. Instituto IAP.

13.

First, MB., Spitzer, RL, Gibbon M, and Williams, J.. (2002). User’s Guide for the Structured Clinical Interview for DSM–IV Axis I Disorders. Research Version. 2002. Biometrics Research.

14.

Luciano, J. V., Bertsch, J., Salvador-Carulla, L., Tomás, J. M., Fernández, A., Pinto-Meza, A., & Serrano-Blanco, A. (2010). Factor structure, internal consistency and construct validity of the Sheehan disability scale in a Spanish primary care sample. Journal of Evaluation in Clinical Practice, 16(5), 895–901. doi:10.1111/j.1365-2753.2009.01211.x.CrossRefPubMed

15.

Bair, M. J., Wu, J., Damush, T. M., Sutherland, J. M., & Kroenke, K. (2008). Association of depression and anxiety alone and in combination with chronic musculoskeletal pain in primary care patients. Psychosomatic Medicine, 70(26), 890–897. doi:10.1097/PSY.0b013e318185c510.CrossRefPubMedPubMedCentral

16.

Jakobsson, U., Hallberg, I. R., & Westergren, A. (2004). Overall and health related quality of life among the oldest old in pain. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 13(1), 125–36. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/15058794.

17.

Kroenke, K., Outcalt, S., Krebs, E., Bair, M. J., Wu, J., Chumbler, N., & Yu, Z. (2013). Association between anxiety, health-related quality of life and functional impairment in primary care patients with chronic pain. General Hospital Psychiatry, 35(4), 359–365. doi:10.1016/j.genhosppsych.2013.03.020.CrossRefPubMed

18.

Pinto-Meza, A., Fernández, A., Fullana, M. A., Haro, J. M., Palao, D., Luciano, J. V., & Serrano-Blanco, A. (2009). Impact of mental disorders and chronic physical conditions in health-related quality of life among primary care patients: results from an epidemiological study. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 18(8), 1011–1018. doi:10.1007/s11136-009-9522-y.CrossRef

19.

Rudy, T. E., Weiner, D. K., Lieber, S. J., Slaboda, J., & Boston, J. R. (2007). The impact of chronic low back pain on older adults: a comparative study of patients and controls. Pain, 131(3), 293–301. doi:10.1016/j.pain.2007.01.012.CrossRefPubMedPubMedCentral

20.

Weiner, D. K., Rudy, T. E., Morrow, L., Slaboda, J., & Lieber, S. (2006). The relationship between pain, neuropsychological performance, and physical function in community-dwelling older adults with chronic low back pain. Pain Medicine (Malden, Mass.), 7(1), 60–70. doi:10.1111/j.1526-4637.2006.00091.x.

21.

Kalaydjian, A., Merikangas, K., & Manuscript, A. (2008). Physical and mental comorbidity of headache in a nationally representative sample of US adults. Psychosomatic Medicine, 70(7), 773–780. doi:10.1097/PSY.0b013e31817f9e80.CrossRefPubMedPubMedCentral

22.

Felker, B., Bush, K. R., Harel, O., Shofer, J. B., Shores, M. M., & Au, D. H. (2010). Added burden of mental disorders on health status among patients with chronic obstructive pulmonary disease. Primary Care Companion to the Journal of Clinical Psychiatry,. doi:10.4088/PCC.09m00858gry.PubMedPubMedCentral

23.

O’Neil, A., Stevenson, C. E., Williams, E. D., Mortimer, D., Oldenburg, B., & Sanderson, K. (2013). The health-related quality of life burden of co-morbid cardiovascular disease and major depressive disorder in Australia: Findings from a population-based, cross-sectional study. Quality of Life Research, 22(1), 37–44. doi:10.1007/s11136-012-0128-4.CrossRefPubMedPubMedCentral

24.

Faller, H., Steinbüchel, T., Störk, S., Schowalter, M., Ertl, G., & Angermann, C. E. (2010). Impact of depression on quality of life assessment in heart failure. International Journal of Cardiology, 142(2), 133–137. doi:10.1016/j.ijcard.2008.12.093.CrossRefPubMed

25.

Cook, E., & Harman, J. (2008). A comparison of health-related quality of life for individuals with mental health disorders and common chronic medical conditions. Public Health Reports, 123(February), 45–51. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2099325/.

26.

Saharinen, T., Hintikka, J., Kylmä, J., Koivumaa-Honkanen, H., Honkalampi, K., Lehto, S. M., & Viinamäki, H. (2011). Population-based comparison of health-related quality of life between healthy subjects and those with specific psychiatric or somatic diseases. Perspectives in Psychiatric Care, 47, 66–73. doi:10.1111/j.1744-6163.2010.00273.x.CrossRefPubMed

27.

Alonso, J., Angermeyer, M. C., Bernert, S., Bruffaerts, R., Brugha, T. S., Bryson, H., & Vollebergh, W. A. M. (2004). Disability and quality of life impact of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatrica Scandinavica: Supplementum, 420, 38–46. doi:10.1111/j.1600-0047.2004.00329.x.

28.

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. The Lancet, 370, 29–32.CrossRef

29.

Ormel, J., Kempen, G. I., Deeg, D. J., Brilman, E. I., van Sonderen, E., & Relyveld, J. (1998). Functioning, well-being, and health perception in late middle-aged and older people: comparing the effects of depressive symptoms and chronic medical conditions. Journal of the American Geriatrics Society, 46(1), 39–48. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/9434664.

30.

Ormel, J., VonKorff, M., Ustun, T. B., Pini, S., Korten, A., & Oldehinkel, T. (1994). Common mental disorders and disability across cultures: Results from the WHO Collaborative Study on Psychological Problems in General Health Care. JAMA, 272(22), 1741–8. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/7966922.

31.

Fernández, A., Saameño, J. A. B., Pinto-Meza, A., Luciano, J. V., Autonell, J., Palao, D., & Serrano-Blanco, A. (2010). Burden of chronic physical conditions and mental disorders in primary care. The British Journal of Psychiatry: The Journal of Mental Science, 196(4), 302–309. doi:10.1192/bjp.bp.109.074211.CrossRef

32.

Saarni, S. I., Suvisaari, J., Sintonen, H., Pirkola, S., Koskinen, S., Aromaa, A., & Lönnqvist, J. (2007). Impact of psychiatric disorders on health-related quality of life: general population survey. The British Journal of Psychiatry: The Journal of Mental SCIENCE, 190, 326–332. doi:10.1192/bjp.bp.106.025106.CrossRef

33.

Subramaniam, M., Abdin, E., Vaingankar, J. A., Nan, L., Heng, D., McCrone, P., & Chong, S. A. (2013). Impact of psychiatric disorders and chronic physical conditions on health-related quality of life: Singapore Mental Health Study. Journal of Affective Disorders, 147(1–3), 325–330. doi:10.1016/j.jad.2012.11.033.CrossRefPubMed

34.

Porensky, E. K., Dew, M. A., Karp, J. F., Skidmore, E., Rollman, B. L., Shear, M. K., & Lenze, E. J. (2009). The burden of late-life generalized anxiety disorder: effects on disability, health-related quality of life, and healthcare utilization. The American Journal of Geriatric Psychiatry: Official Journal of the American Association for Geriatric Psychiatry, 17(6), 473–482.CrossRef

35.

Sprangers, M. a, & Schwartz, C. E. (1999). Integrating response shift into health-related quality of life research: a theoretical model. Social Science and Medicine (1982), 48, 1507–15. doi:10.1016/S0277-9536(99)00045-3.

36.

Sigmon, Sandra T., Stanton Annette, L., & Snyder, C. (1995). Gender differences in coping: a further test of socialization and role constraint theories. Sex Roles, 33, 565–587.CrossRef

37.

Meléndez, J. C., Mayordomo, T., Sancho, P., & Tomás, J. M. (2012). Coping strategies: Gender differences and development throughout life span. The Spanish Journal of Psychology, 15(3), 1089–1098.CrossRefPubMed

38.

Fillingim, R. B. (2000). Sex, gender, and pain: women and men really are different. Current Review of Pain, 4(1), 24–30. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/10998712.

39.

Englbrecht, M., Gossec, L., DeLongis, A., Scholte-Voshaar, M., Sokka, T., Kvien, T. K., & Schett, G. (2012). The impact of coping strategies on mental and physical well-being in patients with rheumatoid arthritis. Seminars in Arthritis and Rheumatism, 41(4), 545–555. doi:10.1016/j.semarthrit.2011.07.009.CrossRefPubMed

40.

Unruh, A. M. Gender variations in clinical pain experience. Pain, 65(2-3), 123–67. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/8826503.

41.

El-Shormilisy, N., Strong, J., & Meredith, P. J. (2015). Associations between gender, coping patterns and functioning for individuals with chronic pain: a systematic review. Pain research and Management: The Journal of the Canadian Pain Society = Journal de la Société Canadienne Pour le Traitement de la Douleur, 20(1), 48–55.CrossRef

42.

De Torres, J. P., Casanova, C., Hernández, C., Abreu, J., Montejo de Garcini, A., Aguirre-Jaime, A., & Celli, B. R. (2006). Gender associated differences in determinants of quality of life in patients with COPD: a case series study. Health and Quality of Life Outcomes, 4, 72. doi:10.1186/1477-7525-4-72.CrossRefPubMedPubMedCentral

43.

Martín, A., Rodríguez-González Moro, J. M., Izquierdo, J. L., Gobartt, E., & de Lucas, P. (2008). Health-related quality of life in outpatients with COPD in daily practice: the VICE Spanish Study. International Journal of Chronic Obstructive Pulmonary Disease, 3(4), 683–692.

44.

Raherison, C., Tillie-Leblond, I., Prudhomme, A., Taillé, C., Biron, E., Nocent-Ejnaini, C., & Ostinelli, J. (2014). Clinical characteristics and quality of life in women with COPD: an observational study. BMC Women’s Health, 14(1), 31. doi:10.1186/1472-6874-14-31.CrossRefPubMedPubMedCentral

45.

Han, M. K., Swigris, J., Liu, L., Bartholmai, B., Murray, S., Giardino, N., & Martinez, F. J. (2010). Gender influences health-related quality of life in IPF. Respiratory Medicine, 104(5), 724–730. doi:10.1016/j.rmed.2009.11.019.CrossRefPubMedPubMedCentral

46.

Pachana, N. A., Mclaughlin, D., Leung, J., Byrne, G., & Dobson, A. (2012). Anxiety and depression in adults in their eighties: do gender differences remain? International Psychogeriatrics, 24, 145–150. doi:10.1017/S1041610211001372.CrossRefPubMed

47.

Mclean, Carmen P., Anu, Asnaani, Litz, B. T., & Hofmann, S. G. (2011). Gender Differences in Anxiety Disorders: Prevalence, Course of Illness, Comorbidity and Burden of Illness. Journal of Psychiatric Research, 45(8), 1027–1035. doi:10.1016/j.jpsychires.2011.03.006.Gender.CrossRefPubMedPubMedCentral

48.

Reid, A. (2004). Gender and sources of subjective well-being. Sex Roles, 51(11–12), 617–629. doi:10.1007/s11199-004-0714-1.CrossRef

49.

Edwards WS, Winn DM, Kuriantzick V, et al. (1994). Evaluation of National Health Interview Survey diagnostic reporting. Vital and Health Statistics, 120(series 2), 1–116.

50.

McDougall, F. A., Matthews, F. E., Kvaal, K., Dewey, M. E., & Brayne, C. (2007). Prevalence and symptomatology of depression in older people living in institutions in England and Wales. Age and Ageing, 36(5), 562–568. doi:10.1093/ageing/afm111.CrossRefPubMed

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
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 6/2016
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-015-1182-5

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Purpose

Methods

Result

Conclusions

Log in om toegang te krijgen

Andere artikelen Uitgave 6/2016

Relationship between depression and health-related quality of life in patients undergoing coronary artery bypass grafting: a MOTIV-CABG substudy

Introduction to special section on response shift at the item level

Cardiff cardiac ablation patient-reported outcome measure (C-CAP): validation of a new questionnaire set for patients undergoing catheter ablation for cardiac arrhythmias in the UK

Obesity, metabolic abnormality, and health-related quality of life by gender: a cross-sectional study in Korean adults

Validity, responsiveness, and minimal clinically important difference of EQ-5D-5L in stroke patients undergoing rehabilitation

Quality of life among patients after bilateral prophylactic mastectomy: a systematic review of patient-reported outcomes