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Quality of Life Research

Gepubliceerd in:

01-03-2015

Low functional status as a predictor of incidence of emotional disorders in the general population

Auteurs: Gabriela Barbaglia, Margreet ten Have, Saskia van Dorsselaer, Jordi Alonso, Gemma Vilagut, Ron de Graaf

Gepubliceerd in: Quality of Life Research | Uitgave 3/2015

Abstract

Purpose

To examine the association between baseline functional status and any emotional disorder at follow-up, after controlling for potential confounders. The effect modification of previous mental disorders and physical conditions was assessed.

Methods

Data are from the Netherlands Mental Health Survey and Incidence Study-2, a representative population-based, 3-year longitudinal study completed in 2012. Individuals at risk of a new or a recurrent emotional disorder were selected at baseline (n = 4,574). The appearance of any emotional disorder between waves, assessed with the Composite International Diagnostic Interview 3.0, was the outcome. Functional status at baseline was assessed with the physical (PCS) and mental component summary (MCS) of the Short Form-36 Health Survey version 1 and with the number of disability days collected with the World Health Organization Disability Assessment Scale II. Multivariable logistic regression models adjusted by socio-demographic and lifestyle factors were fitted. Interaction terms between previous mental disorders or physical conditions with the predictors were tested.

Results

At baseline, 12.1 % had low PCS score, 5.9 % had low MCS score and 30.3 % reported any disability days. The incidence of emotional disorders in 3 years was 9.1 % [95 % confidence interval (95 % CI) 8.1–10.3]. Having low PCS or low MCS at baseline [PCS adjusted OR (aOR) 1.51, p value = 0.02; MCS aOR 1.90, p = 0.002] or reporting more than 15 disability days (aOR 1.63, p = 0.035) was significantly associated with 3-year incidence of emotional disorders. Having a previous mental disorder modified the relationship between MCS and incidence. Among those with a low MCS score, a previous mental disorder considerably increased the risk of incident emotional disorders (aOR 2.72, p = <0.001).

Conclusions

Low functional status is an independent risk factor for developing emotional disorders in the general population. Appropriate identification followed by early intervention may contribute to reduce their associated burden.

vorige artikel The relationship of health-related quality of life and treatment outcome during inpatient treatment of depression

volgende artikel Quality of life and socio-dental impact among underprivileged Brazilian adolescents

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Titel: Low functional status as a predictor of incidence of emotional disorders in the general population
Auteurs: Gabriela Barbaglia
Margreet ten Have
Saskia van Dorsselaer
Jordi Alonso
Gemma Vilagut
Ron de Graaf
Publicatiedatum: 01-03-2015
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 3/2015
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-014-0803-8

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Abstract

Purpose

Methods

Results

Conclusions

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