Abstract
OBJECTIVES: This study analyzed the impact of eight common chronic medical conditions on functional, social, and affective domains of health-related quality of life among community-based Dutch elderly (n = 5279). METHODS: Health-related quality of life was measured with six domains of the MOS Short-Form General Health Survey. The impact of the selected chronic conditions on health-related quality of life was analyzed by means of Student's t tests, analyses of variance, and multiple regression analyses. RESULTS: Compared with other domains of health-related quality of life, mental health was the least affected by chronic medical conditions. Back problems and rheumatoid arthritis/other joint complaints accounted for relatively high proportions of the variance in health-related quality of life (from 35.5% to 68.3%), except for health perceptions (22.6%), indicating that health-related quality of life is most affected by these two conditions. CONCLUSIONS: Subjective well-being is by far the domain least affected by chronic medical conditions, while physical functioning and health perceptions are most affected. Back problems and rheumatoid arthritis/other joint complaints affect health-related quality of life strongly.
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Selected References
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- Achterberg-Lawlis J. The psychological dimensions of arthritis. J Consult Clin Psychol. 1982 Dec;50(6):984–992. doi: 10.1037//0022-006x.50.6.984. [DOI] [PubMed] [Google Scholar]
- Allaire S. H., Meenan R. F., Anderson J. J. The impact of rheumatoid arthritis on the household work performance of women. Arthritis Rheum. 1991 Jun;34(6):669–678. doi: 10.1002/art.1780340607. [DOI] [PubMed] [Google Scholar]
- Bergner L., Hallstrom A. P., Bergner M., Eisenberg M. S., Cobb L. A. Health status of survivors of cardiac arrest and of myocardial infarction controls. Am J Public Health. 1985 Nov;75(11):1321–1323. doi: 10.2105/ajph.75.11.1321. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brooks N. A., Matson R. R. Social-psychological adjustment to multiple sclerosis. A longitudinal study. Soc Sci Med. 1982;16(24):2129–2135. doi: 10.1016/0277-9536(82)90262-3. [DOI] [PubMed] [Google Scholar]
- Burckhardt C. S. The impact of arthritis on quality of life. Nurs Res. 1985 Jan-Feb;34(1):11–16. [PubMed] [Google Scholar]
- Cassileth B. R., Lusk E. J., Hutter R., Strouse T. B., Brown L. L. Concordance of depression and anxiety in patients with cancer. Psychol Rep. 1984 Apr;54(2):588–590. doi: 10.2466/pr0.1984.54.2.588. [DOI] [PubMed] [Google Scholar]
- Cassileth B. R., Lusk E. J., Strouse T. B., Miller D. S., Brown L. L., Cross P. A., Tenaglia A. N. Psychosocial status in chronic illness. A comparative analysis of six diagnostic groups. N Engl J Med. 1984 Aug 23;311(8):506–511. doi: 10.1056/NEJM198408233110805. [DOI] [PubMed] [Google Scholar]
- Cunny K. A., Perri M., 3rd Single-item vs multiple-item measures of health-related quality of life. Psychol Rep. 1991 Aug;69(1):127–130. doi: 10.2466/pr0.1991.69.1.127. [DOI] [PubMed] [Google Scholar]
- Deyo R. A., Diehl A. K. Measuring physical and psychosocial function in patients with low-back pain. Spine (Phila Pa 1976) 1983 Sep;8(6):635–642. doi: 10.1097/00007632-198309000-00009. [DOI] [PubMed] [Google Scholar]
- Deyo R. A., Inui T. S., Leininger J., Overman S. Physical and psychosocial function in rheumatoid arthritis. Clinical use of a self-administered health status instrument. Arch Intern Med. 1982 May;142(5):879–882. [PubMed] [Google Scholar]
- Folstein M. F., Folstein S. E., McHugh P. R. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975 Nov;12(3):189–198. doi: 10.1016/0022-3956(75)90026-6. [DOI] [PubMed] [Google Scholar]
- Hampson S. E., Glasgow R. E., Zeiss A. M. Personal models of osteoarthritis and their relation to self-management activities and quality of life. J Behav Med. 1994 Apr;17(2):143–158. doi: 10.1007/BF01858102. [DOI] [PubMed] [Google Scholar]
- Heyink J. Adaptation and well-being. Psychol Rep. 1993 Dec;73(3 Pt 2):1331–1342. doi: 10.2466/pr0.1993.73.3f.1331. [DOI] [PubMed] [Google Scholar]
- Mason J. H., Weener J. L., Gertman P. M., Meenan R. F. Health status in chronic disease: a comparative study of rheumatoid arthritis. J Rheumatol. 1983 Oct;10(5):763–768. [PubMed] [Google Scholar]
- Pearlman R. A., Uhlmann R. F. Quality of life in chronic diseases: perceptions of elderly patients. J Gerontol. 1988 Mar;43(2):M25–M30. doi: 10.1093/geronj/43.2.m25. [DOI] [PubMed] [Google Scholar]
- Pollock S. E. Adaptive responses to diabetes mellitus. West J Nurs Res. 1989 Jun;11(3):265–280. doi: 10.1177/019394598901100302. [DOI] [PubMed] [Google Scholar]
- Pollock S. E., Christian B. J., Sands D. Responses to chronic illness: analysis of psychological and physiological adaptation. Nurs Res. 1990 Sep-Oct;39(5):300–304. [PubMed] [Google Scholar]
- Stewart A. L., Greenfield S., Hays R. D., Wells K., Rogers W. H., Berry S. D., McGlynn E. A., Ware J. E., Jr Functional status and well-being of patients with chronic conditions. Results from the Medical Outcomes Study. JAMA. 1989 Aug 18;262(7):907–913. [PubMed] [Google Scholar]
- Stewart A. L., Hays R. D., Ware J. E., Jr The MOS short-form general health survey. Reliability and validity in a patient population. Med Care. 1988 Jul;26(7):724–735. doi: 10.1097/00005650-198807000-00007. [DOI] [PubMed] [Google Scholar]
- Verbrugge L. M., Lepkowski J. M., Konkol L. L. Levels of disability among U.S. adults with arthritis. J Gerontol. 1991 Mar;46(2):S71–S83. doi: 10.1093/geronj/46.2.s71. [DOI] [PubMed] [Google Scholar]
- Verbrugge L. M., Patrick D. L. Seven chronic conditions: their impact on US adults' activity levels and use of medical services. Am J Public Health. 1995 Feb;85(2):173–182. doi: 10.2105/ajph.85.2.173. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wells K. B., Stewart A., Hays R. D., Burnam M. A., Rogers W., Daniels M., Berry S., Greenfield S., Ware J. The functioning and well-being of depressed patients. Results from the Medical Outcomes Study. JAMA. 1989 Aug 18;262(7):914–919. [PubMed] [Google Scholar]
- Westbrook M. T., Viney L. L. Psychological reactions to the onset of chronic illness. Soc Sci Med. 1982;16(8):899–905. doi: 10.1016/0277-9536(82)90209-x. [DOI] [PubMed] [Google Scholar]