Effect of chronic diseases and associated psychological distress on health‐related quality of life

Abstract

The present study indicates significant adverse effects of chronic diseases and psychological distress on HRQL in adults, the effect of psychological distress being the most important. Our results lead us to suggest that in the management of comorbidities, the detection of the presence and severity of associated psychological distress and its treatment, besides the specific treatment of comorbidities, may provide dramatic improvement in HRQL of the patients.

The impact of chronic diseases on the health and well-being of South Africans in early and later old age

“…The group with hypertension alone also had better health and well-being than the groups with other chronic diseases combined with and without hypertension. Mean scores for this group were very similar to those reported for the Netherlands (Kempen et al, 1997) of 62.1 (general health) and 73.0 (wellbeing), providing support for the relationship between hypertension, co-morbidity, health and well-being (Fortin et al, 2006;Keles et al, 2007). Mean scores for the other two groups on health and well-being were remarkably similar.…”

Análisis factorial de la calidad de vida relacionada con la salud de pacientes que ingresan en una unidad de corta estancia médica

“…Las enfermedades crónicas reducen sustancialmente la calidad de vida y este efecto no difiere de forma importante con el tipo concreto de enfermedad que se padezca 16 Movilid: movilidad. Activid: actividades.…”

“…Según Keles et al, a medida que aumenta el número de enfermedades crónicas, disminuye paralelamente la calidad de vida y funcionalidad tanto física como mental 16 .…”

“…Resultados similares obtuvieron Keles et al y por ello concluyen que la detección de la presencia y severidad del distress psicológi-co asociado al efecto de las enfermedades cróni-cas y su tratamiento puede mejorar dramáticamente la calidad de vida de estos pacientes 16 . Numerosos estudios demuestran que las personas con sentimientos religiosos o inquietudes espirituales presentan no sólo menos ansiedad, depresión e índices de suicidio, sino también mejor salud en general, incluyendo mayor longevidad, y mayor calidad de vida relaciona con la salud 24 .…”

Measures of Multimorbidity and Morbidity Burden for Use in Primary Care and Community Settings: A Systematic Review and Guide

“…[2][3][4] The presence of multimorbidity is associated with increased health service utilization and poorer health outcomes. [5][6][7][8] To assess the impact of multimorbidity, it is necessary to measure it. Measures of multimorbidity broadly fall into 2 types: simple counts of diseases in each individual (based on patient self-report or clinician assessment), and indices to assess morbidity burden that differentially weight a range of conditions or diseases, using weights based on mortality, severity, or likely resource utilization.…”