Sociodemographic and health-related correlates of psychiatric distress in a general population

Gispert, Rosa; Rajmil, Luís; Schiaffino, Anna; Herdman, Michael

doi:10.1007/s00127-003-0692-6

Cited by 47 publications

(56 citation statements)

References 18 publications

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“…Estimates of the prevalence of psychological distress in the general population range from 5% to 38% with most estimates falling between 15% and 20% [2,5,12]. Here, we saw the prevalence of distress in our population decrease from 35 out of 85 (41%) preoperatively to 14 out of 70 (20%) 12 months after surgical intervention, a number more in line with baseline population estimates.…”

Section: Discussionsupporting

confidence: 72%

One-year Patient-reported Outcomes After Arthroscopic Rotator Cuff Repair Do Not Correlate With Mild to Moderate Psychological Distress

Potter

Wylie

Greis

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Patients with shoulder and rotator cuff pathology who exhibit greater levels of psychological distress report inferior preoperative self-assessments of pain and function. In several other areas of orthopaedics, higher levels of distress correlate with a higher likelihood of persistent pain and disability after recovery from surgery. To our knowledge, the relationship between psychological distress and outcomes after arthroscopic rotator cuff repair has not been similarly investigated. Questions/purposes (1) Are higher levels of preoperative psychological distress associated with differences in outcome scores (visual analog scale [VAS] for pain, Simple Shoulder Test, and American Shoulder and Elbow Surgeons score) 1 year after arthroscopic rotator cuff repair? (2) Are higher levels of preoperative psychological distress associated with less improvement in outcome scores (VAS for pain, Simple Shoulder Test, and American Shoulder and Elbow Surgeons score) 1 year after arthroscopic rotator cuff repair? (3) Does the prevalence of psychological distress in a population with full-thickness rotator cuff tears change when assessed preoperatively and 1 year after arthroscopic rotator cuff repair? Methods Eighty-five patients with full-thickness rotator cuff tears were prospectively enrolled; 70 patients (82%) were assessed at 1-year followup. During the study period, the three participating surgeons performed 269 rotator cuff repairs; in large part, the low overall rate of enrollment was related to two surgeons enrolling only two patients total in the initial 14 months of the study. Psychological distress was quantified using the Distress Risk Assessment Method questionnaire, and patients completed self-assessments including the VAS for pain, the Simple Shoulder Test, and the American Shoulder and Elbow Surgeons score preoperatively and 1 year after arthroscopic rotator cuff repair. Fifty of 85 patients (59%) had normal levels of distress, 26 of 85 (31%) had moderate levels of distress, and nine of 85 (11%) had severe levels of distress. Statistical models were used to assess the effect of psychological distress on patient self-assessment of shoulder pain and function at 1 year after surgery. Results With the numbers available, distressed patients were not different from nondistressed patients in terms of One of the authors certifies that he (PEG), or a member of his immediate family, has or may receive payments or benefits, during the study period, an amount of less than USD 10,000 of research support funding from DePuy Mitek (Raynham, MA, USA). One of the authors certifies that he (RTB), or a member of his immediate family, has or may receive payments or benefits, during the study period, an amount of USD 10,000 to USD 100,000 of research support funding from DePuy Mitek. One of the authors certifies that he (RZT), or a member of his immediate family, has or may receive payments or benefits, during the study period, an amount of USD 100,000 to USD 1,000,000 of research support funding from the Depart...

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Section: Discussionsupporting

confidence: 72%

One-year Patient-reported Outcomes After Arthroscopic Rotator Cuff Repair Do Not Correlate With Mild to Moderate Psychological Distress

Potter

Wylie

Greis

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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“…The protective effect of physical activity has been previously described in the Spanish general population (39) . Besides this positive effect on mental health, physical exercise will help reduce the weight of obese people as a complementary part of a balanced hypo-energetic diet as a first approach to treating obesity.…”

Section: Discussionmentioning

confidence: 81%

The association between excess weight and self-rated health and psychological distress in women in Spain

Martín-López

Pérez-Farinós

Hernández-Barrera

et al. 2011

Public Health Nutr.

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Objective: To investigate the associations between obesity and self-rated health and psychological well-being in Spanish women. Design: Cross-sectional study. Three dependent variables were defined: self-rated health; self-declared diagnosis of psychiatric disorders or use of psychiatric drugs; and General Health Questionnaire-12 (GHQ-12) score. A set of variables (sociodemographic, morbidity and lifestyle) were used to adjust for possible confounding effects. Setting: The National Health Survey was conducted in Spain in 2006. Subjects: A total of 15 099 women aged $18 years. Participants were classified into groups according to their BMI. Results: In all, 55?4 % of the women had normal weight, 29?4 % were overweight and 15?2 % were obese. Self-perception of poor health in obese women was 57?8 %, a significantly higher value than in women of normal weight (28?8 %). Prevalence of psychiatric disease was 35?5 % in obese women and 18?9 % in women of normal weight. In multivariate analysis, obese women had 34 % higher odds of declaring poor self-perception of health (OR 5 1?34; 95 % CI 1?12, 1?61), 18 % higher odds of self-reporting psychiatric disease (OR 5 1?18; 95 % CI 1?02, 1?38) and 26 % higher odds (OR 5 1?26; 95 % CI 1?02, 1?55) of having an abnormal outcome ($3) on the GHQ-12 than women of normal weight. Conclusions: The present study highlights that obese Spanish women have worse self-rated health and psychological health than those with normal weight. These aspects are relevant because of the growing importance placed on the functionality of patients and their mental health within the obesity epidemic. Keywords Obesity and overweightSelf-rated health Psychological distress Psychiatric diseases General Health WHO has defined obesity as a 21st century epidemic because of its proportions over recent decades and its overwhelming impact on morbidity and mortality and quality of life. Thus, obesity presents a significant challenge to public health (1)(2)(3)(4) . Obesity is associated with many factors aside from the purely biological ones. Previous studies have shown demographic and socio-economic influences on the prevalence of weight problems (5) . The greater prevalence of obesity in groups with a lower socio-economic status and those with associated comorbidity (5,6) is noteworthy. In Europe, the prevalence of obesity ranges from 5 % to 23 % among men and between 7 % and 36 % among women (7) . In Spain, overall, prevalence is estimated at 15?5 % in adults, higher in women (17?5 %) than in men (13?2 %) (1) . In previous studies, it has been described that obesity is more prevalent in women (5,6,8) . In addition, it has been found that women suffer more psychiatric disorders (9,10) , musculoskeletal disorders (8) and CVD (11) than do men, with this difference being even greater when the women are also obese (4,12) . Furthermore, scientific literature reports poor self-rated health more frequently in women than in men (13)

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“…It roughly ranges between 5% and 27% in the general population (Benzeval and Judge 2001, Chittleborough et al 2011, Gispert et al 2003, Kuriyama et al 2009, Phongsavan et al 2006) but it can reach higher levels in some segments of the population exposed to specific risk factors such as workers facing stressful work conditions and immigrants who must adapt to the host country while holding family responsibilities in the homeland. The International Labour Office stated that psychological distress affected between 15 and 20% of workers in Europe and North America (International Labour Office 2000) and one out of five workers may experience repeated episodes of psychological distress (Marchand, Demers, and Durand 2005a).…”

Section: Prevalence Of Psychological Distressmentioning

confidence: 99%

Epidemiology of Psychological Distress

Drapeau¹,

Marchand²,

Beaulieu-Prévost³

2012

Mental Illnesses - Understanding, Prediction and Control

357

323

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Sociodemographic and health-related correlates of psychiatric distress in a general population

Abstract: The number of declared chronic physical conditions appears to be a relevant correlate of the presence of psychiatric distress, independently of other factors, including the type of chronic condition.

Cited by 47 publications

References 18 publications

One-year Patient-reported Outcomes After Arthroscopic Rotator Cuff Repair Do Not Correlate With Mild to Moderate Psychological Distress

One-year Patient-reported Outcomes After Arthroscopic Rotator Cuff Repair Do Not Correlate With Mild to Moderate Psychological Distress

The association between excess weight and self-rated health and psychological distress in women in Spain

Epidemiology of Psychological Distress

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