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Gepubliceerd in: Quality of Life Research 8/2016

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

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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.
Voetnoten
1
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.
 
Literatuur
1.
go back to reference 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 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
2.
go back to reference 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 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
4.
go back to reference 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 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
6.
go back to reference 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 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
7.
go back to reference 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 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
8.
go back to reference 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 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
5.
go back to reference 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. 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.
9.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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. 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.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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 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.
go back to reference Williams, D. R., & Mohammed, S. A. (2009). Discrimination and racial disparities in health: Evidence and needed research. Journal of Behavioral Medicine, 32, 20. CrossRefPubMed 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.
go back to reference 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 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.
go back to reference 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 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.
go back to reference Gaskin, D. J., & Frick, K. D. (2008). Race and ethnic disparities in valuing health. Medical Decision Making, 28, 12–20. CrossRefPubMed Gaskin, D. J., & Frick, K. D. (2008). Race and ethnic disparities in valuing health. Medical Decision Making, 28, 12–20. CrossRefPubMed
22.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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 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.
27.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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. 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.
37.
go back to reference 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 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.
go back to reference 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 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.
go back to reference McNair, D. M., Lorr, M., & Droppleman, L. F. (1992). Revised manual for the Profile of Mood States. SanDiego, CA: Educational and Industrial Testing Services. 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.
go back to reference 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. 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.
42.
go back to reference 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 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.
go back to reference 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 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
45.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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 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
49.
go back to reference 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 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.
go back to reference 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. 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.
go back to reference 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 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.
go back to reference 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 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
54.
go back to reference 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 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.
go back to reference 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 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.
go back to reference Omvik, P. (1996). How smoking affects blood pressure. Blood Pressure, 1(5), 71–77. CrossRef Omvik, P. (1996). How smoking affects blood pressure. Blood Pressure, 1(5), 71–77. CrossRef
57.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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 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
Metagegevens
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