González-Blanch, César and Hernández-de-Hita, Fernando and Muñoz-Navarro, Roger and Ruíz-Rodríguez, Paloma and Medrano, Leonardo Adrián and Cano-Vindel, Antonio cesar.gonzalezblanch@uneatlantico.es, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED, UNSPECIFIED (2018) The association between different domains of quality of life and symptoms in primary care patients with emotional disorders. Scientific Reports, 8 (11180). pp. 1-10. ISSN 2045-2322
This is the latest version of this item.
|
Text
s41598-018-28995-6.pdf - Published Version Available under License Creative Commons Attribution. Download (1MB) | Preview |
Abstract
Despite the importance of quality of life (QoL) in primary care patients with emotional disorders, the specific influence of the symptoms of these disorders and the sociodemographic characteristics of patients on the various QoL domains has received scant attention. The aim of the present study of primary care patients with emotional disorders was to analyse the associations between four different QoL domains and the most prevalent clinical symptoms (i.e., depression, anxiety and somatization), while controlling for sociodemographic variables. A total of 1241 participants from 28 primary care centres in Spain were assessed with the following instruments: the Patient Health Questionnaire (PHQ)-9 to evaluate depression; the Generalized Anxiety Disorder Scale (GAD)-7 for anxiety; PHQ-15 for somatization; and the World Health Organization Quality of Life Instrument-Short Form (WHOQOL-Bref) to assess four broad QoL domains: physical health, psychological health, social relationships, and environment. The associations between the symptoms and QoL domains were examined using hierarchical regression analyses. Adjusted QoL mean values as a function of the number of overlapping diagnoses were calculated. The contribution of sociodemographic variables to most QoL domains was modest, explaining anywhere from 2% to 11% of the variance. However, adding the clinical variables increased the variance explained by 12% to 40% depending on the specific QoL domain. Depression was the strongest predictor for all domains. The number of overlapping diagnoses adversely affected all QoL domains, with each additional diagnosis reducing the main QoL subscales by 5 to 10 points. In primary care patients with a diagnostic impression of an emotional disorders as identified by their treating GP, clinical symptoms explained more of the variance in QoL than sociodemographic factors such as age, sex, level of education, marital status, work status, and income. Given the strong relationship between depressive symptoms and QoL, treatment of depression may constitute a key therapeutic target to improve QoL in people with emotional disorders in primary care.
| Item Type: | Article |
|---|---|
| Commentary on: | Eprints 0 not found. |
| Subjects: | Subjects > Psychology |
| Divisions: | Europe University of Atlantic > Research > Scientific Production |
| SWORD Depositor: | Users 0 not found. |
| Depositing User: | Sr Bibliotecario |
| Date Deposited: | 20 May 2021 11:16 |
| Last Modified: | 08 Jul 2021 22:34 |
| URI: | http://repositorio.funiber.org/id/eprint/170 |
Available Versions of this Item
- The association between different domains of quality of life and symptoms in primary care patients with emotional disorders. (deposited 20 May 2021 11:16) [Currently Displayed]
Commentary/Response Threads
- González-Blanch, César and Hernández-de-Hita, Fernando and Muñoz-Navarro, Roger and Ruíz-Rodríguez, Paloma and Medrano, Leonardo Adrián and Cano-Vindel, Antonio The association between different domains of quality of life and symptoms in primary care patients with emotional disorders. (deposited 20 May 2021 11:16) [Currently Displayed]
Actions (login required)
 |
View Item |
