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. 1994 Feb;84(2):227–231. doi: 10.2105/ajph.84.2.227

Mental health status as a predictor of morbidity and mortality: a 15-year follow-up of members of a health maintenance organization.

T Vogt 1, C Pope 1, J Mullooly 1, J Hollis 1
PMCID: PMC1615016  PMID: 8296945

Abstract

OBJECTIVES. This study sought to relate preexisting depression, worries, affect balance, and mental health symptoms to subsequent risk of morbidity and mortality. METHODS. A random sample of members of a health maintenance organization were interviewed at home in a 1970/71 survey. Baseline psychological measures from that survey were then related to 15-year mortality and first incidence of cancer, heart disease, hypertension, stroke, functional gastrointestinal disease, and hyperimmune diseases. RESULTS. Baseline depression and the Langner Mental Health Index predicted incidence of functional gastrointestinal and hyperimmune diseases. The relationship of the Langner index to hyperimmune diseases was particularly strong; mortality, cancer, heart disease, hypertension, and stroke incidence were not related to that index. Except for affect balance, which was worst in the elderly, indications of psychological dysfunction were strongest in the young. CONCLUSIONS. Psychological indices detected increased risk for functional gastrointestinal and hyperimmune diseases but were not related to mortality risk. Further research is needed to disaggregate relationships of the specific conditions that were included in the hyperimmune group. Functional gastrointestinal disease might be preventable with early attention to depressed persons and to those scoring high on the Langner index.

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Selected References

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  1. Anderson K. O., Bradley L. A., Young L. D., McDaniel L. K., Wise C. M. Rheumatoid arthritis: review of psychological factors related to etiology, effects, and treatment. Psychol Bull. 1985 Sep;98(2):358–387. [PubMed] [Google Scholar]
  2. Bruce M. L., Leaf P. J. Psychiatric disorders and 15-month mortality in a community sample of older adults. Am J Public Health. 1989 Jun;79(6):727–730. doi: 10.2105/ajph.79.6.727. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Friedman H. S., Booth-Kewley S. The "disease-prone personality". A meta-analytic view of the construct. Am Psychol. 1987 Jun;42(6):539–555. doi: 10.1037//0003-066x.42.6.539. [DOI] [PubMed] [Google Scholar]
  4. Hankin J. R., Locke B. Z. The persistence of depressive symptomatology among prepaid group practice enrollees: an exploratory study. Am J Public Health. 1982 Sep;72(9):1000–1007. doi: 10.2105/ajph.72.9.1000. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Hornstra R. K., Klassen D. The course of depression. Compr Psychiatry. 1977 Mar-Apr;18(2):119–125. doi: 10.1016/0010-440x(77)90054-2. [DOI] [PubMed] [Google Scholar]
  6. Lieberman A. A., Coburn A. F. The health of the chronically mentally ill: a review of the literature. Community Ment Health J. 1986 Summer;22(2):104–116. doi: 10.1007/BF00754549. [DOI] [PubMed] [Google Scholar]
  7. Lin N., Ensel W. M. Depression-mobility and its social etiology: the role of life events and social support. J Health Soc Behav. 1984 Jun;25(2):176–188. [PubMed] [Google Scholar]
  8. MIRSKY I. A., REISER M. F., THALER M., WEINER H. Etiology of duodenal ulcer. I. Relation of specific psychological characteristics to rate of gastric secretion (serum pepsinogen). Psychosom Med. 1957 Jan-Feb;19(1):1–10. doi: 10.1097/00006842-195701000-00001. [DOI] [PubMed] [Google Scholar]
  9. McFarland B. H., Freeborn D. K., Mullooly J. P., Pope C. R. Utilization patterns among long-term enrollees in a prepaid group practice health maintenance organization. Med Care. 1985 Nov;23(11):1221–1233. doi: 10.1097/00005650-198511000-00001. [DOI] [PubMed] [Google Scholar]
  10. Murphy J. M., Monson R. R., Olivier D. C., Sobol A. M., Leighton A. H. Affective disorders and mortality. A general population study. Arch Gen Psychiatry. 1987 May;44(5):473–480. doi: 10.1001/archpsyc.1987.01800170095012. [DOI] [PubMed] [Google Scholar]
  11. Rogers M. P., Dubey D., Reich P. The influence of the psyche and the brain on immunity and disease susceptibility: a critical review. Psychosom Med. 1979 Mar;41(2):147–164. doi: 10.1097/00006842-197903000-00008. [DOI] [PubMed] [Google Scholar]
  12. Rorsman B., Hagnell O., Lanke J. Mortality in the Lundby study. Natural death in different forms of mental disorder in a total population investigated during a 25-year period. Neuropsychobiology. 1982;8(4):188–197. doi: 10.1159/000117898. [DOI] [PubMed] [Google Scholar]
  13. Rorsman B., Hagnell O., Lanke J. Violent death and mental disorders in the Lundby Study. Accidents and suicides in a total population during a 25-year period. Neuropsychobiology. 1982;8(5):233–240. doi: 10.1159/000117904. [DOI] [PubMed] [Google Scholar]
  14. Seiler L. H. The 22-item scale used in field studies of mental illness: a question of method, a question of substance, and a question of theory. J Health Soc Behav. 1973 Sep;14(3):252–264. [PubMed] [Google Scholar]
  15. Singer E., Garfinkel R., Cohen S. M., Srole L. Mortality and mental health: evidence from the Midtown Manhattan Restudy. Soc Sci Med. 1976 Nov-Dec;10(11-12):517–525. doi: 10.1016/0037-7856(76)90019-6. [DOI] [PubMed] [Google Scholar]
  16. Somervell P. D., Kaplan B. H., Heiss G., Tyroler H. A., Kleinbaum D. G., Obrist P. A. Psychologic distress as a predictor of mortality. Am J Epidemiol. 1989 Nov;130(5):1013–1023. doi: 10.1093/oxfordjournals.aje.a115402. [DOI] [PubMed] [Google Scholar]
  17. Troxler R. G., Sprague E. A., Albanese R. A., Fuchs R., Thompson A. J. The association of elevated plasma cortisol and early atherosclerosis as demonstrated by coronary angiography. Atherosclerosis. 1977 Feb;26(2):151–162. doi: 10.1016/0021-9150(77)90098-3. [DOI] [PubMed] [Google Scholar]
  18. Tsuang M. T., Simpson J. C. Mortality studies in psychiatry. Should they stop or proceed? Arch Gen Psychiatry. 1985 Jan;42(1):98–103. doi: 10.1001/archpsyc.1985.01790240100012. [DOI] [PubMed] [Google Scholar]
  19. Vena J. E., Bona J. R., Byers T. E., Middleton E., Jr, Swanson M. K., Graham S. Allergy-related diseases and cancer: an inverse association. Am J Epidemiol. 1985 Jul;122(1):66–74. doi: 10.1093/oxfordjournals.aje.a114087. [DOI] [PubMed] [Google Scholar]
  20. Vogt T. M., Mullooly J. P., Ernst D., Pope C. R., Hollis J. F. Social networks as predictors of ischemic heart disease, cancer, stroke and hypertension: incidence, survival and mortality. J Clin Epidemiol. 1992 Jun;45(6):659–666. doi: 10.1016/0895-4356(92)90138-d. [DOI] [PubMed] [Google Scholar]
  21. Zilber N., Schufman N., Lerner Y. Mortality among psychiatric patients--the groups at risk. Acta Psychiatr Scand. 1989 Mar;79(3):248–256. doi: 10.1111/j.1600-0447.1989.tb10254.x. [DOI] [PubMed] [Google Scholar]

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