Top

Gepubliceerd in:

01-10-2009

Impact of mental disorders and chronic physical conditions in health-related quality of life among primary care patients: results from an epidemiological study

Auteurs: Alejandra Pinto-Meza, Anna Fernández, Miquel Angel Fullana, Josep Maria Haro, Diego Palao, Juan Vicente Luciano, Antoni Serrano-Blanco

Gepubliceerd in: Quality of Life Research | Uitgave 8/2009

Abstract

Purpose

To estimate the comorbidity of mental disorders with chronic physical conditions and to assess their independent and combined effects on health-related quality of life (HRQOL).

Methods

Face-to-face cross-sectional survey of adult attendants to public primary care (PC) centres from Catalonia (Spain). A total of 3,815 out of 5,402 selected patients provided data for this study. We report frequency of chronic physical conditions among participants with mental disorders and the contribution of each mental disorder and chronic physical condition to HRQOL.

Results

Chronic pain is the most frequent condition among those with mental disorders (74.54%). The effect of chronic physical conditions on HRQOL is rather minor when compared to the effect of mental disorders (especially mood disorders). However, chronic pain plays an important role in HRQOL loss.

Conclusions

Mood disorders and chronic pain negatively affect HRQOL of PC patients. Especial efforts should be made to detect and treat mental disorders and chronic pain at this level.

vorige artikel Agreement of patient and physician ratings on mobility and self-care in neurological diseases

volgende artikel Predictive value of serial measurements of quality of life on all-cause mortality in prostate cancer patients: data from CaPSURE™ (cancer of the prostate strategic urologic research endeavor) database

Buist-Bouwman, M. A., de Graaf, R., Volleberg, W. A. M., & Ormel, J. (2005). Comorbidity of physical and mental disorders and the effect on work-loss days. Acta Psychiatrica Scandinavica, 111, 436–443.PubMedCrossRef

Kessler, R. C., Ormel, J., Demler, O., & Stang, P. E. (2003). Comorbid mental disorders account for the role impairment of commonly occurring chronic physical disorders: Results from the national comorbidity survey. Journal of Occupational and Environmental Medicine, 45, 1257–1266.PubMedCrossRef

Neeleman, J., Ormel, J., & Bijl, R. V. (2001). The distribution of psychiatric and somatic ill-health: association with personality and socioeconomic status. Psychosomatic Medicine, 63, 239–247.PubMed

Berardi, D., Berti Ceroni, G., Leggieri, G., Rucci, P., Ustün, B., & Ferrari, G. (1999). Mental, physical and functional status in primary care attenders. International Journal of Psychiatry in Medicine, 29, 133–148.PubMed

Harter, M. C., Conway, K. P., & Merikangas, K. R. (2003). Associations between anxiety disorders and physical illness. European Archives of Psychiatry and Clinical Neuroscience, 253, 313–320.PubMedCrossRef

Kendrick, T. (1996). Cardiovascular and respiratory risk factors and symptoms among general practice patients with long-term mental illness. British Journal of Psychiatry, 169, 733–739.PubMedCrossRef

Scott, K. M., Browne, O., McGee, M. A., & Wells, J. E. (2006). New Zealand Mental Health Survey Research Team. Mental–physical comorbidity in Te Rau Hinegaro: The New Zealand Mental Health Survey. Australian and New Zealand Journal of Psychiatry, 40, 882–888.PubMedCrossRef

Katon, W. J., & Ciechanowski, P. S. (2002). Impact of major depression on chronic medical illness. Journal of Psychosomatic Research, 53, 859–863.PubMedCrossRef

Sprangers, M. A. G., de Regt, E. B., Andries, F., van Agt, H. M., Bijl, R. V., de Boer, J. B., et al. (2000). Which chronic conditions are associated with better or poorer quality of life? Journal of Clinical Epidemiology, 53, 895–907.PubMedCrossRef

10.

Stewart, A., Greenfield, S., Hays, R. D., Wells, K., Rogers, W. H., Berry, S. D., et al. (1989). Functional status and well-being of patients with chronic conditions: results from the medical outcomes study. JAMA, 262, 907–913.PubMedCrossRef

11.

Beekman, A. T. F., Penninx, B. W. J. H., Deeg, D., de Beurs, E., Geerling, S. W., & van Tilburg, W. (2002). The impact of depression on the well-being, disability and use of services in older adults: a longitudinal perspective. Acta Psychiatrica Scandinavica, 105, 20–27.PubMedCrossRef

12.

Bijl, R. V., & Ravelli, A. (2000). Current and residual functional disability associated with psychopathology: findings from The Netherlands Mental Health Survey and Incidence Study (NEMESIS). Psychological Medicine, 30, 657–668.PubMedCrossRef

13.

Ormel, J., Von Korff, 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, 1741–1748.PubMedCrossRef

14.

Arnow, B. A., Hunkeler, E. M., Blasey, C. M., Lee, J., Constantino, M. J., Fireman, B., et al. (2006). Comorbid depression, chronic pain, and disability in primary care. Psychosomatic Medicine, 68, 262–268.PubMedCrossRef

15.

Stang, P. E., Brandenburg, N. A., Lane, M. C., Merikangas, K. R., Von Korff, M. R., & Kessler, R. C. (2006). Mental and physical comorbid conditions and days in role among persons with arthritis. Psychosomatic Medicine, 68, 152–158.PubMedCrossRef

16.

Sullivan, M. D., LaCroix, A. Z., Russo, J. E., & Walker, E. A. (2001). Depression and self-reported physical health in patients with coronary disease: mediating and moderating factors. Psychosomatic Medicine, 63, 248–256.PubMed

17.

Fortin, M., Lapointe, L., Hudon, C., Vanasse, A., Ntetu, A. L., & Maltais, D. (2004). Multimorbidity and quality of life in primary care: a systematic review. Health and Quality of Life Outcomes, 2, 51.PubMedCrossRef

18.

Fortin, M., Bravo, G., Hudon, C., Lapointe, L., Almirall, J., Dubois, M. F., et al. (2006). Relationship between multimorbidity and health-related quality of life of patients in primary care. Quality of Life Research, 15, 83–91.PubMedCrossRef

19.

Serrano-Blanco, A., Palao, D., Luciano, J. V., Pinto-Meza, A., Luján, L., Fernández, A., Roura, P., Bertsch, J., Mercader, M., Haro, J. M. (2009). 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 (in press).

20.

First, M. B., Gibbon, M., Spitzer, R. L., Williams, J. B. W. (1996). User’s Guide for the Structured Clinical Interview for DSM-IV Axis I Disorders. Research Version. New York, NY: Biometrics Research.

21.

Sheehan, D. V., Lecrubier, Y., Sheehan, H., Amorim, P., Janavs, J., Weiller, E., et al. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59(Suppl 20), 22–33.PubMed

22.

Ferrando, L., Bobes, J., Gibert, J. (2000). MINI International neuropsychiatric Interview. Versión en Español 5.0. Accessed September 2005, from http://entomologia.rediris.es/pub/bscw.cgi/d602335/MINI%20Entrevista%20Neuropsiquiatrica%20Internacional.pdf.

23.

American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.

24.

Gandek, B., Ware, J. E., Aaronson, N. K., Apolone, G., Bjorner, J. B., Brazier, J. E., et al. (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, 1171–1178.PubMedCrossRef

25.

Vilagut, G., Ferrer, M., Rajmil, L., Rebollo, P., Permanyer-Miralda, G., Quintana, J. M., et al. (2005). The Spanish version of the Short Form 36 Health Survey: a decade of experience and new developments. Gaceta Sanitaria, 19, 135–150.PubMedCrossRef

26.

Ware, J. E., Jr, Kosinki, M., & Keller, S. D. (1996). A 12-Item Short Form Health Survey: construction of scales and preliminary tests of reliability and validity. Medical Care, 34, 220–233.PubMedCrossRef

27.

Bobes, J., Badia, X., Luque, A., Garcia, M., González, M. P., Dal-Ré, R., et al. (1999). Validation of the Spanish versions of the Liebowitz Social Anxiety Scale, Social Anxiety and Distress Scale and the Sheehan Disability Inventory for the evaluation of social phobia. Medicina Clinica, 112, 530–538.PubMed

28.

Sheehan, D. V., Harnett-Sheehan, K., & Raj, B. A. (1996). The measurement of disability. International Clinical Psychopharmacology, 11(Suppl 3), 89–95.PubMedCrossRef

29.

Lumley, T., Diehr, P., Emerson, S., & Chen, L. (2002). The importance of the normality assumption in large public health data sets. Annual Review of Public Health, 23, 151–169.PubMedCrossRef

30.

StataCorp. (2005). STATA Statistical Software: Release 9. StataCorp LP.

31.

Knight, M., Stewart-Brown, S., & Fletcher, L. (2001). Estimating health needs: the impact of a checklist of conditions and quality of life measurements on health information derived from community surveys. Journal of Public Health Medicine, 23, 179–186.PubMedCrossRef

32.

Fan, V. S., Au, D., Heagerthy, P., Deyo, R. A., McDonell, M. B., & Fihn, S. D. (2002). Validation of case-mix measures derived from self-reports of diagnoses and health. Journal of Clinical Epidemiology, 55, 371–380.PubMedCrossRef

33.

Evaluation of National Health Interview Survey diagnostic reporting. (1994). Vital and health statistics. Series 2, 120, pp 1–116.

34.

Armenian, H. K., Pratt, L. K., Gallo, J., & Eaton, W. W. (1998). Psychopathology as a predictor of disability: a population-based follow-up study in Baltimore, Maryland. American Journal of Epidemiology, 148, 269–275.PubMed

35.

Hays, R. D., Wells, K. B., Sherbourne, C. D., Rogers, W., & Spritzer, K. (1995). Functioning and well-being outcomes of patients with depression compared with chronic general medical illnesses. Archives of General Psychiatry, 52, 11–19.PubMed

36.

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, 39–48.PubMed

37.

Pinto-Meza, A., Haro, J. M., Palacin, C., Torres, J. V., Ochoa, S., Vilagut, G. Rt al. (2007). Impacto de los trastornos del ánimo, de ansiedad y de las enfermedades físicas crónicas en la calidad de vida de la población general de España. Resultados del estudio ESEMeD-España. Actas Españolas de Psiquiatría, 35 (Suppl 2), 12–20.

38.

Spitzer, R. L., Kroenke, K., Linzer, M., Hahn, S. R., Williams, J. B., deGruy, F. V., I. I. I., et al. (1995). Health-related quality of life in primary care patients with mental disorders. Results from the PRIME-MD 1000 Study. JAMA, 274, 1511–1517.PubMedCrossRef

39.

Ohayon, M. M., & Schatzberg, A. F. (2003). Using chronic pain to predict depressive morbidity in the general population. Archives of General Psychiatry, 60, 39–47.PubMedCrossRef

40.

Pinto-Meza, A., Serrano-Blanco, A., Codony, M., Reneses, B., von Korff, M., Haro, J. M., et al. (2006). Prevalencia y comorbilidad física y mental del dolor dorsal y del dolor cervical crónicos en España: resultados del estudio ESEMED. Medicina Clínica, 127, 325–330.PubMedCrossRef

41.

Larson, S. L., Clark, M. R., & Eaton, W. W. (2004). Depressive disorder as a long-term antecedent risk factor for incident back pain: a 13-year follow-up study from the Baltimore Epidemiological Catchment Area Sample. Psychological Medicine, 34, 211–219.PubMedCrossRef

42.

Currie, S. R., & Wang, J. (2005). More data on major depression as an antecedent risk factor for first onset of chronic back pain. Psychological Medicine, 35, 1275–1282.PubMedCrossRef

43.

Currie, S. R., & Wang, J. (2004). Chronic back pain and major depression in the general Canadian population. Pain, 107, 54–60.PubMedCrossRef

Titel: Impact of mental disorders and chronic physical conditions in health-related quality of life among primary care patients: results from an epidemiological study
Auteurs: Alejandra Pinto-Meza
Anna Fernández
Miquel Angel Fullana
Josep Maria Haro
Diego Palao
Juan Vicente Luciano
Antoni Serrano-Blanco
Publicatiedatum: 01-10-2009
Uitgeverij: Springer Netherlands
Gepubliceerd in: Quality of Life Research / Uitgave 8/2009
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-009-9522-y

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Purpose

Methods

Results

Conclusions

Log in om toegang te krijgen

Andere artikelen Uitgave 8/2009

Somatization is associated with physical health-related quality of life independent of anxiety and depression in cancer, glaucoma and rheumatological disorders

Prostate cancer-specific anxiety in Dutch patients on active surveillance: validation of the memorial anxiety scale for prostate cancer

Health utility scores of colorectal cancer based on societal preference in Japan

Development of a methodological PubMed search filter for finding studies on measurement properties of measurement instruments

The complexity of the relationship between chronic pain and quality of life: a study of the general Norwegian population

Negative and positive affect are independently associated with patient-reported health status following percutaneous coronary intervention