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  1. Health-related quality of life in primary care patients with mental disorders : results from the PRIME-MD 1000 study.

    Article - En anglais

    Objective

    - To determine if different mental disorders commonly seen in primary care are uniquely associated with distinctive patterns of impairment in the components of health-related quality of life (HRQL) and how this compares with the impairment seen in common medical disorders.

    Design

    - Survey.

    Setting

    Four primary care clinics.

    Subjects

    - A total of 1000 adult patients (369 selected by convenience and 631 selected by site-specific methods to avoid sampling bias) assessed by 31 primary care physicians using PRIME-MD (Primary Care Evaluation of Mental Disorders) to make diagnoses of mood, anxiety, alcohol, somatoform, and eating disorders.

    Main Outcome Measures

    - The six scales of the Short-Form General Health Survey and self-reported disability days, adjusting for demographic variables as well as psychiatric and medical comorbidity.

    Results

    - Mood, anxiety, somatoform, and eating disorders were associated with substantial impairment in HRQL.

    Impairment was also present in patients who only had subthreshold mental disorder diagnoses, such as minor depression and anxiety disorder not otherwise specified.

    Mental disorders, particularly mood disorders, accounted for considerably more of the impairment on all domains of HRQL than did common medical disorders.

    Conclusions

    Mental disorders commonly seen in primary care are not only associated with more impairment in HRQL than common medical disorders, but also have distinct patterns of impairment.

    Mots-clés Pascal : Qualité vie, Corrélation, Trouble psychiatrique, Soin santé primaire, Epidémiologie, Homme, Psychiatrie, Trouble comportement

    Mots-clés Pascal anglais : Quality of life, Correlation, Mental disorder, Primary health care, Epidemiology, Human, Psychiatry, Behavioral disorder

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0024794

    Code Inist : 002B30A01A2. Création : 01/03/1996.