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01-08-2016

Health-related quality of life among veterans in addictions treatment: identifying behavioral targets for future intervention

Auteurs: Marily A. Oppezzo, Anne K. Michalek, Kevin Delucchi, Michael T. M. Baiocchi, Paul G. Barnett, Judith J. Prochaska

Gepubliceerd in: Quality of Life Research | Uitgave 8/2016

Abstract

Background

US veterans report lower health-related quality of life (HRQoL) relative to the general population. Identifying behavioral factors related to HRQoL that are malleable to change may inform interventions to improve well-being in this vulnerable group.

Purpose

The current study sought to characterize HRQoL in a largely male sample of veterans in addictions treatment, both in relation to US norms and in association with five recommended health behavior practices: regularly exercising, managing stress, having good sleep hygiene, consuming fruits and vegetables, and being tobacco free.

Methods

We assessed HRQoL with 250 veterans in addictions treatment (96 % male, mean age 53, range 24–77) using scales from four validated measures. Data reduction methods identified two principal components reflecting physical and mental HRQoL. Model testing of HRQoL associations with health behaviors adjusted for relevant demographic and treatment-related covariates.

Results

Compared to US norms, the sample had lower HRQoL scores. Better psychological HRQoL was associated with higher subjective social standing, absence of pain or trauma, lower alcohol severity, and monotonically with the sum of health behaviors (all p < 0.05). Specifically, psychological HRQoL was associated with regular exercise, stress management, and sleep hygiene. Regular exercise also related to better physical HRQoL. The models explained >40 % of the variance in HRQoL.

Conclusions

Exercise, sleep hygiene, and stress management are strongly associated with HRQoL among veterans in addictions treatment. Future research is needed to test the effect of interventions for improving well-being in this high-risk group.

vorige artikel The relevance of memory sensitivity for psychological well-being in aging

volgende artikel Factors influencing psychosocial adjustment and quality of life in Parkinson patients and informal caregivers

While pain is often considered one of the domains of HRQoL, it also has a strong influence on other facets of HRQoL and is likely to be associated with our health behaviors of interest including physical activity and sleep. Therefore, we included pain as a covariate in our models rather than as an outcome.

McHorney, C. A. (1999). Health status assessment methods for adults: Past accomplishments and future challenges 1. Annual Review of Public Health, 20, 309–335. CrossRefPubMed

Group, T. W. (1998). The World Health Organization quality of life assessment (WHOQOL): Development and general psychometric properties. Social Science and Medicine, 46, 1569–1585. CrossRef

Centers for Disease Control and Prevention. Measuring healthy days: Population assessment of health-related quality of life. Atlanta CDC 2000; 4–6. http://www.cdc.gov/hrqol/.

Coons, S. J., Rao, S., Keininger, D. L., & Hays, R. D. (2000). A comparative review of generic quality-of-life instruments. Pharmacoeconomics, 17, 13–35. CrossRefPubMed

Dominick, K. L., Ahern, F. M., Gold, C. H., & Heller, D. A. (2002). Relationship of health-related quality of life to health care utilization and mortality among older adults. Aging Clinical and Experimental Research, 14, 499–508. CrossRefPubMed

DeSalvo, K. B., Bloser, N., Reynolds, K., He, J., & Muntner, P. (2006). Mortality prediction with a single general self-rated health question. Journal of General Internal Medicine, 21, 267–275. CrossRefPubMedPubMedCentral

Gage, H., Hendricks, A., Zhang, S., & Kazis, L. (2003). The relative health related quality of life of veterans with Parkinson’s disease. Journal of Neurology, Neurosurgery and Psychiatry, 74, 163–169. CrossRefPubMedPubMedCentral

Gold, M. R., Siegel, J. E., Russell, L. B., & Weinstein, M. C. (1996). Cost-effectiveness in health and medicine( 1st ed.). New York: Oxford University Press.

Kazis, L. E., Miller, D. R., Clark, J., Skinner, K., Lee, A., Rogers, W., et al. (1998). Health-related quality of life in patients served by the Department of Veterans Affairs: Results from the Veterans Health Study. Archives of Internal Medicine, 158, 626–632. CrossRefPubMed

10.

Hanmer, J., Lawrence, W. F., Anderson, J. P., Kaplan, R. M., & Fryback, D. G. (2006). Report of nationally representative values for the noninstitutionalized US adult population for 7 health-related quality-of-life scores. Medical Decision Making, 26, 391–400. CrossRefPubMed

11.

Ware, J. E., Kosinski, M., & Keller, S. D. (1995). SF-12: How to score the SF-12 physical and mental health summary scales. Boston: Health Institute, New England Medical Center.

12.

Clark, M. E., Bair, M. J., Buckenmaier, C. C., Gironda, R. J., Walker, R. L., et al. (2007). Pain and combat injuries in soldiers returning from Operations Enduring Freedom and Iraqi Freedom: Implications for research and practice. Journal of Rehabilitation Research and Development, 44, 179. CrossRefPubMed

13.

Lew, H. L., Otis, J. D., Tun, C., Kerns, R. D., Clark, M. E., & Cifu, D. X. (2009). Prevalence of chronic pain, posttraumatic stress disorder, and persistent postconcussive symptoms in OIF/OEF veterans: Polytrauma clinical triad. Journal of Rehabilitation Research and Development, 46, 697–702. CrossRefPubMed

14.

Kerns, R. D., Otis, J., Rosenberg, R., & Reid, M. C. (2003). Veterans’ reports of pain and associations with ratings of health, health-risk behaviors, affective distress, and use of the healthcare system. Journal of Rehabilitation Research and Development, 40, 371–380. CrossRefPubMed

15.

Seal, K. H., Cohen, G., Waldrop, A., Cohen, B. E., Maguen, S., & Ren, L. (2011). Substance use disorders in Iraq and Afghanistan veterans in VA healthcare, 2001–2010: Implications for screening, diagnosis and treatment. Drug and Alcohol Dependence, 116, 93–101. CrossRefPubMed

16.

Jacobson, I. G., Ryan, M. A., Hooper, T. I., Smith, T. C., Amoroso, P. J., Boyko, E. J., et al. (2008). Alcohol use and alcohol-related problems before and after military combat deployment. JAMA, 300, 663–675. CrossRefPubMedPubMedCentral

17.

Singh-Manoux, A., Marmot, M. G., & Adler, N. E. (2005). Does subjective social status predict health and change in health status better than objective status? Psychosomatic Medicine, 67, 855–861. CrossRefPubMed

18.

Williams, D. R., & Mohammed, S. A. (2009). Discrimination and racial disparities in health: Evidence and needed research. Journal of Behavioral Medicine, 32, 20. CrossRefPubMed

19.

Williams, D. R., Yu, Y., Jackson, J. S., & Anderson, N. B. (1997). Racial differences in physical and mental health socio-economic status, stress and discrimination. Journal of Health Psychology, 2, 335–351. CrossRefPubMed

20.

Luo, N., Johnson, J. A., Shaw, J. W., Feeny, D., & Coons, S. J. (2005). Self-reported health status of the general adult US population as assessed by the EQ-5D and Health Utilities Index. Medical Care, 43, 1078–1086. CrossRefPubMed

21.

Gaskin, D. J., & Frick, K. D. (2008). Race and ethnic disparities in valuing health. Medical Decision Making, 28, 12–20. CrossRefPubMed

22.

Lubetkin, E. I., Jia, H., Franks, P., & Gold, M. R. (2005). Relationship among sociodemographic factors, clinical conditions, and health-related quality of life: Examining the EQ-5D in the U.S. General Population. Quality of Life Research, 1(14), 2187–2196. CrossRef

23.

Pereira, C. C. A., Palta, M., Mullahy, J., & Fryback, D. G. (2011). Race and preference-based health-related quality of life measures in the United States. Quality of Life Research, 20, 969–978. CrossRefPubMed

24.

Vuillemin, A., Boini, S., Bertrais, S., Tessier, S., Oppert, J.-M., Hercberg, S., et al. (2005). Leisure time physical activity and health-related quality of life. Preventive Medicine, 41, 562–569. CrossRefPubMed

25.

Bize, R., Johnson, J. A., & Plotnikoff, R. C. (2007). Physical activity level and health-related quality of life in the general adult population: A systematic review. Preventive Medicine, 45, 401–415. CrossRefPubMed

26.

Hammen, C. (2005). Stress and depression. Annual Review of Clinical Psychology, 1, 293–319. CrossRefPubMed

27.

Krantz, D. S., & McCeney, M. K. (2002). Effects of psychological and social factors on organic disease: A Critical Assessment of Research on Coronary Heart Disease*. Annual Review of Psychology, 53, 341–369. CrossRefPubMed

28.

Kivimäki, M., Virtanen, M., Elovainio, M., Kouvonen, A., Väänänen, A., & Vahtera, J. (2006). Work stress in the etiology of coronary heart disease—a meta-analysis. Scandinavian Journal of Work, Environment & Health, 1(32), 431–442. CrossRef

29.

Antoni, M. H., Lutgendorf, S. K., Cole, S. W., Dhabhar, F. S., Sephton, S. E., McDonald, P. G., et al. (2006). The influence of bio-behavioural factors on tumour biology: Pathways and mechanisms. Nature Reviews Cancer, 6, 240–248. CrossRefPubMedPubMedCentral

30.

Cohen, S., Janicki-Deverts, D., Doyle, W. J., Miller, G. E., Frank, E., Rabin, B. S., et al. (2012). Chronic stress, glucocorticoid receptor resistance, inflammation, and disease risk. Proceedings of National Academy of Sciences, 17(109), 5995–5999. CrossRef

31.

Alvarez, G. G., & Ayas, N. T. (2004). The impact of daily sleep duration on health: A review of the literature. Progress in Cardiovascular Nursing, 19, 56–59. CrossRefPubMed

32.

Magee, C. A., Caputi, P., & Iverson, D. C. (2011). Relationships between self-rated health, quality of life and sleep duration in middle aged and elderly Australians. Sleep Medicine, 12, 346–350. CrossRefPubMed

33.

Griep, L. O., Geleijnse, J. M., Kromhout, D., Ocké, M. C., & Verschuren, W. M. (2010). Raw and processed fruit and vegetable consumption and 10-year coronary heart disease incidence in a population-based cohort study in the Netherlands. PLoS ONE, 5, e13609. CrossRef

34.

Oyebode, O., Gordon-Dseagu, V., Walker, A., & Mindell, J. S. (2014). Fruit and vegetable consumption and all-cause, cancer and CVD mortality: Analysis of Health Survey for England data. Journal of Epidemiology Community Health, jech-2013–203500.

35.

World Health Organization. (2011). WHO Report on the Global Tobacco Epidemic, 2011. [Internet]. Geneva: World Health Organization, [cited 2015 Aug 24]. Available from: http://apps.who.int/iris/bitstream/10665/44616/1/9789240687813_eng.pdf

36.

U.S. Department of Health and Human Services. (2015). The health consequences of smoking—50 years of progress: A Report of the Surgeon General—full-report.pdf [Internet]. U.S. Department of Health and Human Services, [cited 2015 Aug 24]. Available from: http://www.surgeongeneral.gov/library/reports/50-years-of-progress/full-report.pdf

37.

Prochaska, J. J., Sorensen, J. L., Hall, S. M., Rossi, J. S., Redding, C. A., Rosen, A. B., et al. (2005). Predictors of health functioning in two high-risk groups of smokers. Drug and Alcohol Dependence, 9(78), 169–175. CrossRef

38.

Michalek, A. K., Kan, D., & Prochaska, J. (2015). Engaging veterans with substance abuse disorders into a research trial: success with study branding, networking, and presence. Transl Behav Med, 5, 167–176. CrossRefPubMedPubMedCentral

39.

McNair, D. M., Lorr, M., & Droppleman, L. F. (1992). Revised manual for the Profile of Mood States. SanDiego, CA: Educational and Industrial Testing Services.

40.

Bourgeois, A., LeUnes, A., & Meyers, M. (2010). Full-scale and short-form of the Profile of Mood States: A factor analytic comparison. J Sport Behav, 33, 355.

41.

Ware, J. E., Kosinski, M., Turner-Bowker, D. M., & Gandek, B. (2015). User’s manual for the SF-12v2 Health Survey [Internet]. Linc RI Qual Inc 2002 [cited 2015 Aug 24]. Available from: http://opencourses.emu.edu.tr/pluginfile.php/8472/mod_resource/content/1/SF-12v2%20Manual.pdf

42.

Andresen, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994). Screening for depression in well older adults: Evaluation of a short form of the CES-D. American Journal of Preventive Medicine, 10, 77–84. PubMed

43.

Feeny, D., Furlong, W., Torrance, G. W., Goldsmith, C. H., Zhu, Z., DePauw, S., et al. (2002). Multiattribute and single-attribute utility functions for the health utilities index mark 3 system. Medical Care, 40, 113–128. CrossRefPubMed

44.

Healthy People 2020 [Internet] [cited 2015 Aug 25]. Available from: https://www.healthypeople.gov/

45.

Singh-Manoux, A., Adler, N. E., & Marmot, M. G. (2003). Subjective social status: Its determinants and its association with measures of ill-health in the Whitehall II study. Social Science and Medicine, 56, 1321–1333. CrossRefPubMed

46.

Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., et al. (1998). The Mini-International Neuropsychiatric Interview (MINI): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59, 22–33. PubMed

47.

McLellan, A. T., Luborsky, L., & Woody, G. E. (1980). O’BRIEN CP: An improved diagnostic evaluation instrument for substance abuse patients: The Addiction Severity Index. The Journal of Nervous and Mental Disease, 168, 26–33. CrossRefPubMed

48.

Deady, M. (2015). A review of screening, assessment and outcome measures for drug and alcohol settings [Internet]. Netw Alcohol Drugs Agencies 2009 [cited 2015 Aug 24]. Available from: http://old.drugsandalcohol.ie/18266/1/NADA_A_Review_of_Screening,_Assessment_and_Outcome_Measures_for_Drug_and_Alcohol_Settings.pdf

49.

Atlantis, E., Chow, C.-M., Kirby, A., & Fiatarone Singh, M. (2004). An effective exercise-based intervention for improving mental health and quality of life measures: A randomized controlled trial. Preventive Medicine, 39, 424–434. CrossRefPubMed

50.

Mummery, K., Schofield, G., & Caperchione, C. (2004). Physical activity: Physical activity dose-response effects on mental health status in older adults. Australian and New Zealand Journal of Public Health, 1(28), 188–192.

51.

Laforge, R. G., Rossi, J. S., Prochaska, J. O., Velicer, W. F., Levesque, D. A., & McHorney, C. A. (1999). Stage of regular exercise and health-related quality of life. Preventive Medicine, 28, 349–360. CrossRefPubMed

52.

Rejeski, W. J., Brawley, L. R., & Shumaker, S. A. (1996). Physical activity and health-related quality of life. Exercise and Sport Sciences Reviews, 24, 71–108. CrossRefPubMed

53.

Neylan, T. C., Marmar, C. R., Metzler, T. J., Weiss, D. S., Zatzick, D. F., et al. (2015). Sleep disturbances in the Vietnam generation: findings from a nationally representative sample of male Vietnam veterans [Internet]. Sleep 1998 [cited 2015 Aug 24];155. Available from: http://ajp.psychiatryonline.org/doi/10.1176/ajp.155.7.929

54.

Stranahan, A. M., Cutler, R. G., Button, C., Telljohann, R., & Mattson, M. P. (2011). Diet-induced elevations in serum cholesterol are associated with alterations in hippocampal lipid metabolism and increased oxidative stress. Journal of Neurochemistry, 118, 611–615. CrossRefPubMedPubMedCentral

55.

Ried, K., & Fakler, P. (2011). Protective effect of lycopene on serum cholesterol and blood pressure: Meta-analyses of intervention trials. Maturitas, 68, 299–310. CrossRefPubMed

56.

Omvik, P. (1996). How smoking affects blood pressure. Blood Pressure, 1(5), 71–77. CrossRef

57.

Steptoe, A., Perkins-Porras, L., Hilton, S., Rink, E., & Cappuccio, F. P. (2004). Quality of life and self-rated health in relation to changes in fruit and vegetable intake and in plasma vitamins C and E in a randomised trial of behavioural and nutritional education counselling. British Journal of Nutrition, 92, 177–184. CrossRefPubMed

58.

Grant, N., Wardle, J., & Steptoe, A. (2009). The relationship between life satisfaction and health behavior: A cross-cultural analysis of young adults. International Journal of Behavioral Medicine, 16, 259–268. CrossRefPubMed

59.

Twardella, D., Loew, M., Rothenbacher, D., Stegmaier, C., Ziegler, H., & Brenner, H. (2006). The diagnosis of a smoking-related disease is a prominent trigger for smoking cessation in a retrospective cohort study. Journal of Clinical Epidemiology, 59, 82–89. CrossRefPubMed

Titel: Health-related quality of life among veterans in addictions treatment: identifying behavioral targets for future intervention
Auteurs: Marily A. Oppezzo
Anne K. Michalek
Kevin Delucchi
Michael T. M. Baiocchi
Paul G. Barnett
Judith J. Prochaska
Publicatiedatum: 01-08-2016
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 8/2016
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-016-1236-3

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Health-related quality of life among veterans in addictions treatment: identifying behavioral targets for future intervention

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