Table 2. Correlations between biopsychosocial factors and morbidity indices and subjective disease burden. Partial correlation coefficients adjusted for morbidity indices.
Correlation coefficient1 | Partial correlation coefficients2 | ||
---|---|---|---|
Independent variable | Unadjusted | Adjusted for Quan morbidity index | Adjusted for CDS |
Physical functioning | - 0.512* | -0.467 | -0.456 |
Compound effects: conditions interfere3 | - 0.406* | -0.389 | -0.396 |
Self-efficacy | - 0.378* | -0.389 | -0.379 |
Financial constraints | - 0.365* | -0.345 | -0.335 |
Overwhelmed by single condition | - 0.332* | -0.318 | -0.313 |
Depression screen | - 0.286* | 0.279 | 0.296 |
Medication adherence | - 0.247* | -0.278 | -0.280 |
Compound effects: medications interfere3 | - 0.222* | -0.204 | -0.197 |
Knowledge about conditions | - 0.211* | -0.213 | -0.219 |
Patient-provider communication | - 0.202* | -0.213 | -0.208 |
Social activity | - 0.181** | -0.168 | -0.164 |
Medication knowledge | - 0.159** | -0.166 | -0.161 |
Health literacy | - 0.131ˆ | -0.104 | -0.116 |
Compound effects: medications help3 | 0.055 | 0.032 | 0.021 |
Compound effects: conditions help3 | 0.003 | 0.002 | -0.008 |
Quan morbidity index | 0.226* | --- | --- |
Chronic Disease Score | 0.263* | --- | --- |
Self-report list of conditions | 0.807* | --- | --- |
* p < 0.001; ** p < 0.01; ˆ p < 0.05 for association between independent variable and disease burden.
Adjusted for Quan morbidity index or CDS. The significance of the difference between the unadjusted total and the partial correlation coefficients was tested using 1,000 bootstrapping samples. None of the differences was found to be significantly different from zero, indicating that adjusting for either of these two co-morbidity measures does not change the relationship between the independent variable and burden.
We defined ‘compound effects of conditions’ as a report of treatments or symptoms for different conditions either interfering with or helping each other. (E.g. ‘my arthritis makes it hard for me to exercise to treat my diabetes.’)