Skip to main content
Top
Gepubliceerd in: Quality of Life Research 6/2016

01-06-2016

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

Auteurs: Amy M. Williams, Pamela E. May, Shawn T. Mason, Chun Wang, Lidia Pomana

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

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

To identify the contributions of medical conditions and psychological distress to well-being within a non-clinical sample, stratified by age. It was predicted that medical conditions and psychological distress would be negatively associated with well-being. It was also predicted that psychological distress and medical conditions would account for significant variance in well-being. It was further predicted that psychological distress would mediate the relationship between medical conditions and well-being across the life span.

Methods

1,424,307 employees/health plan members that completed an HRA. SEM was used to characterize relationships among medical conditions and psychological distress in predicting well-being (QoL, HRQoL, and impairments in ADLs) in five adult age groups.

Results

Medical conditions and psychological distress were negatively associated with well-being. As age increased, psychological distress was less associated with well-being. However, in those >75 years old, psychological distress had the largest association with well-being. All medical conditions, except cancer, were negatively associated with well-being. There were decreasing effects of medical conditions across the life span, with the exception of pulmonary disease which increased. Psychological distress mediated the relationship between medical conditions and well-being, with chronic pain having the greatest mediation across the life span.

Conclusions

The analysis revealed differences in the contribution of psychological distress and medical conditions to well-being by age group. Additionally, the contribution of psychological distress was equitable to that of medical conditions, thus highlighting the importance of addressing psychological distress in medical populations for well-being. Findings suggest the relevance of age in well-being and the need for further longitudinal investigation.
Literatuur
1.
go back to reference Cook, E. L., & Harman, J. S. (2008). A comparison of health-related quality of life for individuals with mental health disorders and common chronic medical conditions. Public Health Reports, 123, 45–51.PubMedPubMedCentral Cook, E. L., & Harman, J. S. (2008). A comparison of health-related quality of life for individuals with mental health disorders and common chronic medical conditions. Public Health Reports, 123, 45–51.PubMedPubMedCentral
2.
go back to reference Felce, D., & Perry, J. (1995). Quality of life: Its definition and measurement. Research in Developmental Disabilities, 16, 51–74.CrossRefPubMed Felce, D., & Perry, J. (1995). Quality of life: Its definition and measurement. Research in Developmental Disabilities, 16, 51–74.CrossRefPubMed
3.
go back to reference Centers for Disease Control and Prevention. (2000). Measuring healthy days: Population assessment of health-related quality of life. Atlanta: Centers for Disease Control and Prevention. Centers for Disease Control and Prevention. (2000). Measuring healthy days: Population assessment of health-related quality of life. Atlanta: Centers for Disease Control and Prevention.
4.
5.
go back to reference DeSalvo, K. B., Bloser, N., Reynolds, K., He, J., & Munter, P. (2006). Mortality prediction with a single general self-rated health question: A meta-analysis. Journal of General Internal Medicine, 21, 267–275.CrossRefPubMedPubMedCentral DeSalvo, K. B., Bloser, N., Reynolds, K., He, J., & Munter, P. (2006). Mortality prediction with a single general self-rated health question: A meta-analysis. Journal of General Internal Medicine, 21, 267–275.CrossRefPubMedPubMedCentral
6.
go back to reference Cheng, J., Wang, T., Li, F., Xiao, Y., Bi, J., Chen, J., & Zhao, X. (2015). Self-rated health status and subjective health complaints associated with health-promoting lifestyles among urban Chinese women: A cross-sectional study. PLoS ONE, 10, 1–13. Cheng, J., Wang, T., Li, F., Xiao, Y., Bi, J., Chen, J., & Zhao, X. (2015). Self-rated health status and subjective health complaints associated with health-promoting lifestyles among urban Chinese women: A cross-sectional study. PLoS ONE, 10, 1–13.
7.
go back to reference Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38, 21–37.CrossRefPubMed Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38, 21–37.CrossRefPubMed
8.
go back to reference Johar, M., Jones, G., & Savage, E. (2013). The effect of lifestyle choices on emergency department use in Australia. Health Policy, 110, 280–290.CrossRefPubMed Johar, M., Jones, G., & Savage, E. (2013). The effect of lifestyle choices on emergency department use in Australia. Health Policy, 110, 280–290.CrossRefPubMed
9.
go back to reference Ellis, R. P., Fiebig, D. G., Johar, M., Jones, G., & Savage, E. (2013). Explaining health care expenditure variation: Large-sample evidence using linked survey and health administrative data. Health Economics, 22, 1093–1110.CrossRefPubMed Ellis, R. P., Fiebig, D. G., Johar, M., Jones, G., & Savage, E. (2013). Explaining health care expenditure variation: Large-sample evidence using linked survey and health administrative data. Health Economics, 22, 1093–1110.CrossRefPubMed
10.
go back to reference McFadden, E., Luben, R., Bingham, S., Wareham, N., Kinmonth, A. L., & Khaw, K. T. (2008). Social inequality of self-rated health by age: Cross-sectional study of 22,457 middle-aged men and women. BMC Public Health, 8, 230–238.CrossRefPubMedPubMedCentral McFadden, E., Luben, R., Bingham, S., Wareham, N., Kinmonth, A. L., & Khaw, K. T. (2008). Social inequality of self-rated health by age: Cross-sectional study of 22,457 middle-aged men and women. BMC Public Health, 8, 230–238.CrossRefPubMedPubMedCentral
11.
go back to reference Spuling, S. M., Wurm, S., Tesch-Römer, C., & Huxhold, O. (2015). Changing predictors of self-rated health: Disentangling age and cohort effects. Psychology and Aging, 30, 462–474.CrossRefPubMed Spuling, S. M., Wurm, S., Tesch-Römer, C., & Huxhold, O. (2015). Changing predictors of self-rated health: Disentangling age and cohort effects. Psychology and Aging, 30, 462–474.CrossRefPubMed
12.
go back to reference Sirey, J. A., Bruce, M. L., Alexopoulos, G. S., Perlick, D. A., Raue, P., Friedman, S. J., & Meyers, B. S. (2001). Perceived stigma as a predictor of treatment discontinuation in young and older outpatients with depression. American Journal of Psychiatry, 158, 479–481.CrossRefPubMed Sirey, J. A., Bruce, M. L., Alexopoulos, G. S., Perlick, D. A., Raue, P., Friedman, S. J., & Meyers, B. S. (2001). Perceived stigma as a predictor of treatment discontinuation in young and older outpatients with depression. American Journal of Psychiatry, 158, 479–481.CrossRefPubMed
13.
go back to reference Kvaale, E., Haslam, N., & Gottdiener, W. H. (2013). The ‘side effects’ of medicalization: A meta-analytic review of how biogenetic explanations affect stigma. Clinical Psychology Review, 33, 782–794.CrossRefPubMed Kvaale, E., Haslam, N., & Gottdiener, W. H. (2013). The ‘side effects’ of medicalization: A meta-analytic review of how biogenetic explanations affect stigma. Clinical Psychology Review, 33, 782–794.CrossRefPubMed
14.
go back to reference Mujica-Mota, R. E., Roberts, M., Abel, G., Elliott, M., Lyratzopoulos, G., Roland, M., & Campbell, J. (2015). Common patterns of morbidity and multi-morbidity and their impact on health-related quality of life: evidence from a national survey. Quality of Life Research, 24, 909–918.CrossRefPubMedPubMedCentral Mujica-Mota, R. E., Roberts, M., Abel, G., Elliott, M., Lyratzopoulos, G., Roland, M., & Campbell, J. (2015). Common patterns of morbidity and multi-morbidity and their impact on health-related quality of life: evidence from a national survey. Quality of Life Research, 24, 909–918.CrossRefPubMedPubMedCentral
15.
go back to reference Prince, M., Patel, V., Saxena, S., Maj, M., Maselko, J., Phillips, M., & Rahman, A. (2007). Global mental health: No health without mental health. The Lancet, 370, 859–877.CrossRef Prince, M., Patel, V., Saxena, S., Maj, M., Maselko, J., Phillips, M., & Rahman, A. (2007). Global mental health: No health without mental health. The Lancet, 370, 859–877.CrossRef
16.
go back to reference Bayliss, M., Rendas-Baum, R., White, M. K., Maruish, M., Bjorner, J., & Tunis, S. L. (2012). Health-related quality of life (HRQL) for individuals with self-reported chronic physical and/or mental health conditions: Panel survey of an adult sample in the United States. Health and Quality of Life Outcomes, 10, 1–10.CrossRef Bayliss, M., Rendas-Baum, R., White, M. K., Maruish, M., Bjorner, J., & Tunis, S. L. (2012). Health-related quality of life (HRQL) for individuals with self-reported chronic physical and/or mental health conditions: Panel survey of an adult sample in the United States. Health and Quality of Life Outcomes, 10, 1–10.CrossRef
17.
go back to reference Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396.CrossRefPubMed Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396.CrossRefPubMed
18.
go back to reference Roberti, J. W., Harrington, L. N., & Storch, E. A. (2006). Further psychometric support for the 10-item version of the Perceived Stress Scale. Journal of College Counseling, 9, 135–147.CrossRef Roberti, J. W., Harrington, L. N., & Storch, E. A. (2006). Further psychometric support for the 10-item version of the Perceived Stress Scale. Journal of College Counseling, 9, 135–147.CrossRef
19.
go back to reference Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRef Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRef
20.
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
21.
go back to reference Cheng, S. T., & Chan, A. C. (2005). The Center for Epidemiologic Studies Depression Scale in older Chinese: thresholds for long and short forms. International Journal Geriatric Psychiatry, 20(5), 465–470.CrossRef Cheng, S. T., & Chan, A. C. (2005). The Center for Epidemiologic Studies Depression Scale in older Chinese: thresholds for long and short forms. International Journal Geriatric Psychiatry, 20(5), 465–470.CrossRef
22.
go back to reference Irwin, M., Artin, K. H., & Oxman, M. N. (1999). Screening for depression in the older adults: criterion validity of the 10-item Center for Epidemiological Studies Depression Scale (CES-D). Archives of Internal Medicine, 159, 1701–1704.CrossRefPubMed Irwin, M., Artin, K. H., & Oxman, M. N. (1999). Screening for depression in the older adults: criterion validity of the 10-item Center for Epidemiological Studies Depression Scale (CES-D). Archives of Internal Medicine, 159, 1701–1704.CrossRefPubMed
23.
go back to reference Ware, J, Jr, & Sherbourne, C. D. (1992). The MOS 36-Item Short-Form Health Survey (SF-36): I. Conceptual framework and item selection. Medical Care, 30(6), 473–483.CrossRefPubMed Ware, J, Jr, & Sherbourne, C. D. (1992). The MOS 36-Item Short-Form Health Survey (SF-36): I. Conceptual framework and item selection. Medical Care, 30(6), 473–483.CrossRefPubMed
24.
go back to reference Cunny, K. A., & Perry, M. (1991). Single-item vs multiple-item measures of health-related quality of life. Psychological Reports, 69, 127–130.CrossRefPubMed Cunny, K. A., & Perry, M. (1991). Single-item vs multiple-item measures of health-related quality of life. Psychological Reports, 69, 127–130.CrossRefPubMed
25.
go back to reference Locke, D. E. C., Decker, P. A., Sloan, J. A., Brown, P. D., Malec, J. F., Clark, M. M., et al. (2007). Validation of single-item linear analog scale assessment of quality of life in neuro-oncology patients. Journal of Pain and Symptom Management, 34, 628–638.CrossRefPubMedPubMedCentral Locke, D. E. C., Decker, P. A., Sloan, J. A., Brown, P. D., Malec, J. F., Clark, M. M., et al. (2007). Validation of single-item linear analog scale assessment of quality of life in neuro-oncology patients. Journal of Pain and Symptom Management, 34, 628–638.CrossRefPubMedPubMedCentral
26.
go back to reference Reilly, M. C., Zbrozek, A. S., & Dukes, E. M. (1993). The validity and reproducibility of a work productivity and activity impairment instrument. PharmacoEconomics, 4, 353–365.CrossRefPubMed Reilly, M. C., Zbrozek, A. S., & Dukes, E. M. (1993). The validity and reproducibility of a work productivity and activity impairment instrument. PharmacoEconomics, 4, 353–365.CrossRefPubMed
27.
go back to reference Borowiak, E., & Kostka, T. (2004). Predictors of quality of life in older people living at home and in institutions. Aging Clinical and Experimental Research, 16, 212–220.CrossRefPubMed Borowiak, E., & Kostka, T. (2004). Predictors of quality of life in older people living at home and in institutions. Aging Clinical and Experimental Research, 16, 212–220.CrossRefPubMed
28.
go back to reference Pyne, J. M., Patterson, T. L., Kaplan, R. M., Gillin, J. C., Koch, W. L., & Grant, I. (1997). Assessment of the quality of life of patients with major depression. Psychiatric Services, 48, 224–230.CrossRefPubMed Pyne, J. M., Patterson, T. L., Kaplan, R. M., Gillin, J. C., Koch, W. L., & Grant, I. (1997). Assessment of the quality of life of patients with major depression. Psychiatric Services, 48, 224–230.CrossRefPubMed
29.
go back to reference Steiger, J. H. (2007). Understanding the limitations of global fit assessment in structural equation modelling. Personality and Individual Differences, 42, 893–898.CrossRef Steiger, J. H. (2007). Understanding the limitations of global fit assessment in structural equation modelling. Personality and Individual Differences, 42, 893–898.CrossRef
30.
go back to reference Muthén, L.K. & Muthén, B.O. (1998–2010) Mplus user’s guide. 6th Ed. Los Angeles, CA: Muthén & Muthén). Muthén, L.K. & Muthén, B.O. (1998–2010) Mplus user’s guide. 6th Ed. Los Angeles, CA: Muthén & Muthén).
31.
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR. Washington, DC: Author. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR. Washington, DC: Author.
34.
go back to reference Chapman, D. P., Perry, G. S., & Stine, T. W. (2005). The vital link between chronic disease and depressive disorders. Preventing Chronic Disease, 2, 1–10. Chapman, D. P., Perry, G. S., & Stine, T. W. (2005). The vital link between chronic disease and depressive disorders. Preventing Chronic Disease, 2, 1–10.
35.
go back to reference Ames, S. C., Jones, G. N., Howe, J. T., & Brantley, P. J. (2001). A prospective study of the impact of stress on quality of life: an investigation of low-income individuals with hypertension. Annals of Behavioral Medicine, 23(2), 112–119.CrossRefPubMed Ames, S. C., Jones, G. N., Howe, J. T., & Brantley, P. J. (2001). A prospective study of the impact of stress on quality of life: an investigation of low-income individuals with hypertension. Annals of Behavioral Medicine, 23(2), 112–119.CrossRefPubMed
36.
go back to reference Wikman, A., Wardle, J., & Steptoe, A. (2011). Quality of life and affective well-being in middle-aged and older people with chronic medical illnesses: a cross-sectional population based study. PLoS ONE, 6(4), e18952.CrossRefPubMedPubMedCentral Wikman, A., Wardle, J., & Steptoe, A. (2011). Quality of life and affective well-being in middle-aged and older people with chronic medical illnesses: a cross-sectional population based study. PLoS ONE, 6(4), e18952.CrossRefPubMedPubMedCentral
37.
go back to reference Kabat-Zinn, J., Lipworth, L., Burney, R., & Sellers, W. (1987). Four-year follow-up of a meditation-based program for the self-regulation of chronic pain: Treatment outcomes and compliance. The Clinical Journal of Pain, 3(1), 60.CrossRef Kabat-Zinn, J., Lipworth, L., Burney, R., & Sellers, W. (1987). Four-year follow-up of a meditation-based program for the self-regulation of chronic pain: Treatment outcomes and compliance. The Clinical Journal of Pain, 3(1), 60.CrossRef
38.
go back to reference Reibel, D. K., Greeson, J. M., Brainard, G. C., & Rosenzweig, S. (2001). Mindfulness-based stress reduction and health-related quality of life in a heterogeneous patient population. General Hospital Psychiatry, 23(4), 183–192.CrossRefPubMed Reibel, D. K., Greeson, J. M., Brainard, G. C., & Rosenzweig, S. (2001). Mindfulness-based stress reduction and health-related quality of life in a heterogeneous patient population. General Hospital Psychiatry, 23(4), 183–192.CrossRefPubMed
39.
go back to reference Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19–22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948. Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19–22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948.
Metagegevens
Titel
Quality of life across medical conditions and psychological factors: implications for population health management
Auteurs
Amy M. Williams
Pamela E. May
Shawn T. Mason
Chun Wang
Lidia Pomana
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/s11136-015-1183-4

Andere artikelen Uitgave 6/2016

Quality of Life Research 6/2016 Naar de uitgave