Skip to main content
Erschienen in: Quality of Life Research 8/2009

01.10.2009

Impact of mental disorders and chronic physical conditions in health-related quality of life among primary care patients: results from an epidemiological study

verfasst von: Alejandra Pinto-Meza, Anna Fernández, Miquel Angel Fullana, Josep Maria Haro, Diego Palao, Juan Vicente Luciano, Antoni Serrano-Blanco

Erschienen in: Quality of Life Research | Ausgabe 8/2009

Einloggen

Aktivieren Sie unsere intelligente Suche, um passende Fachinhalte oder Patente zu finden.

search-config
loading …

Abstract

Purpose

To estimate the comorbidity of mental disorders with chronic physical conditions and to assess their independent and combined effects on health-related quality of life (HRQOL).

Methods

Face-to-face cross-sectional survey of adult attendants to public primary care (PC) centres from Catalonia (Spain). A total of 3,815 out of 5,402 selected patients provided data for this study. We report frequency of chronic physical conditions among participants with mental disorders and the contribution of each mental disorder and chronic physical condition to HRQOL.

Results

Chronic pain is the most frequent condition among those with mental disorders (74.54%). The effect of chronic physical conditions on HRQOL is rather minor when compared to the effect of mental disorders (especially mood disorders). However, chronic pain plays an important role in HRQOL loss.

Conclusions

Mood disorders and chronic pain negatively affect HRQOL of PC patients. Especial efforts should be made to detect and treat mental disorders and chronic pain at this level.

Sie haben noch keine Lizenz? Dann Informieren Sie sich jetzt über unsere Produkte:

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

  • über 102.000 Bücher
  • über 537 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Maschinenbau + Werkstoffe
  • Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

Springer Professional "Wirtschaft"

Online-Abonnement

Mit Springer Professional "Wirtschaft" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 340 Zeitschriften

aus folgenden Fachgebieten:

  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Versicherung + Risiko




Jetzt Wissensvorsprung sichern!

Literatur
1.
Zurück zum Zitat Buist-Bouwman, M. A., de Graaf, R., Volleberg, W. A. M., & Ormel, J. (2005). Comorbidity of physical and mental disorders and the effect on work-loss days. Acta Psychiatrica Scandinavica, 111, 436–443.PubMedCrossRef Buist-Bouwman, M. A., de Graaf, R., Volleberg, W. A. M., & Ormel, J. (2005). Comorbidity of physical and mental disorders and the effect on work-loss days. Acta Psychiatrica Scandinavica, 111, 436–443.PubMedCrossRef
2.
Zurück zum Zitat Kessler, R. C., Ormel, J., Demler, O., & Stang, P. E. (2003). Comorbid mental disorders account for the role impairment of commonly occurring chronic physical disorders: Results from the national comorbidity survey. Journal of Occupational and Environmental Medicine, 45, 1257–1266.PubMedCrossRef Kessler, R. C., Ormel, J., Demler, O., & Stang, P. E. (2003). Comorbid mental disorders account for the role impairment of commonly occurring chronic physical disorders: Results from the national comorbidity survey. Journal of Occupational and Environmental Medicine, 45, 1257–1266.PubMedCrossRef
3.
Zurück zum Zitat Neeleman, J., Ormel, J., & Bijl, R. V. (2001). The distribution of psychiatric and somatic ill-health: association with personality and socioeconomic status. Psychosomatic Medicine, 63, 239–247.PubMed Neeleman, J., Ormel, J., & Bijl, R. V. (2001). The distribution of psychiatric and somatic ill-health: association with personality and socioeconomic status. Psychosomatic Medicine, 63, 239–247.PubMed
4.
Zurück zum Zitat Berardi, D., Berti Ceroni, G., Leggieri, G., Rucci, P., Ustün, B., & Ferrari, G. (1999). Mental, physical and functional status in primary care attenders. International Journal of Psychiatry in Medicine, 29, 133–148.PubMed Berardi, D., Berti Ceroni, G., Leggieri, G., Rucci, P., Ustün, B., & Ferrari, G. (1999). Mental, physical and functional status in primary care attenders. International Journal of Psychiatry in Medicine, 29, 133–148.PubMed
5.
Zurück zum Zitat Harter, M. C., Conway, K. P., & Merikangas, K. R. (2003). Associations between anxiety disorders and physical illness. European Archives of Psychiatry and Clinical Neuroscience, 253, 313–320.PubMedCrossRef Harter, M. C., Conway, K. P., & Merikangas, K. R. (2003). Associations between anxiety disorders and physical illness. European Archives of Psychiatry and Clinical Neuroscience, 253, 313–320.PubMedCrossRef
6.
Zurück zum Zitat Kendrick, T. (1996). Cardiovascular and respiratory risk factors and symptoms among general practice patients with long-term mental illness. British Journal of Psychiatry, 169, 733–739.PubMedCrossRef Kendrick, T. (1996). Cardiovascular and respiratory risk factors and symptoms among general practice patients with long-term mental illness. British Journal of Psychiatry, 169, 733–739.PubMedCrossRef
7.
Zurück zum Zitat Scott, K. M., Browne, O., McGee, M. A., & Wells, J. E. (2006). New Zealand Mental Health Survey Research Team. Mental–physical comorbidity in Te Rau Hinegaro: The New Zealand Mental Health Survey. Australian and New Zealand Journal of Psychiatry, 40, 882–888.PubMedCrossRef Scott, K. M., Browne, O., McGee, M. A., & Wells, J. E. (2006). New Zealand Mental Health Survey Research Team. Mental–physical comorbidity in Te Rau Hinegaro: The New Zealand Mental Health Survey. Australian and New Zealand Journal of Psychiatry, 40, 882–888.PubMedCrossRef
8.
Zurück zum Zitat Katon, W. J., & Ciechanowski, P. S. (2002). Impact of major depression on chronic medical illness. Journal of Psychosomatic Research, 53, 859–863.PubMedCrossRef Katon, W. J., & Ciechanowski, P. S. (2002). Impact of major depression on chronic medical illness. Journal of Psychosomatic Research, 53, 859–863.PubMedCrossRef
9.
Zurück zum Zitat Sprangers, M. A. G., de Regt, E. B., Andries, F., van Agt, H. M., Bijl, R. V., de Boer, J. B., et al. (2000). Which chronic conditions are associated with better or poorer quality of life? Journal of Clinical Epidemiology, 53, 895–907.PubMedCrossRef Sprangers, M. A. G., de Regt, E. B., Andries, F., van Agt, H. M., Bijl, R. V., de Boer, J. B., et al. (2000). Which chronic conditions are associated with better or poorer quality of life? Journal of Clinical Epidemiology, 53, 895–907.PubMedCrossRef
10.
Zurück zum Zitat Stewart, A., Greenfield, S., Hays, R. D., Wells, K., Rogers, W. H., Berry, S. D., et al. (1989). Functional status and well-being of patients with chronic conditions: results from the medical outcomes study. JAMA, 262, 907–913.PubMedCrossRef Stewart, A., Greenfield, S., Hays, R. D., Wells, K., Rogers, W. H., Berry, S. D., et al. (1989). Functional status and well-being of patients with chronic conditions: results from the medical outcomes study. JAMA, 262, 907–913.PubMedCrossRef
11.
Zurück zum Zitat Beekman, A. T. F., Penninx, B. W. J. H., Deeg, D., de Beurs, E., Geerling, S. W., & van Tilburg, W. (2002). The impact of depression on the well-being, disability and use of services in older adults: a longitudinal perspective. Acta Psychiatrica Scandinavica, 105, 20–27.PubMedCrossRef Beekman, A. T. F., Penninx, B. W. J. H., Deeg, D., de Beurs, E., Geerling, S. W., & van Tilburg, W. (2002). The impact of depression on the well-being, disability and use of services in older adults: a longitudinal perspective. Acta Psychiatrica Scandinavica, 105, 20–27.PubMedCrossRef
12.
Zurück zum Zitat Bijl, R. V., & Ravelli, A. (2000). Current and residual functional disability associated with psychopathology: findings from The Netherlands Mental Health Survey and Incidence Study (NEMESIS). Psychological Medicine, 30, 657–668.PubMedCrossRef Bijl, R. V., & Ravelli, A. (2000). Current and residual functional disability associated with psychopathology: findings from The Netherlands Mental Health Survey and Incidence Study (NEMESIS). Psychological Medicine, 30, 657–668.PubMedCrossRef
13.
Zurück zum Zitat Ormel, J., Von Korff, M., Ustun, T. B., Pini, S., Korten, A., & Oldehinkel, T. (1994). Common mental disorders and disability across cultures. Results from the WHO collaborative study on psychological problems in general health care. JAMA, 272, 1741–1748.PubMedCrossRef Ormel, J., Von Korff, M., Ustun, T. B., Pini, S., Korten, A., & Oldehinkel, T. (1994). Common mental disorders and disability across cultures. Results from the WHO collaborative study on psychological problems in general health care. JAMA, 272, 1741–1748.PubMedCrossRef
14.
Zurück zum Zitat Arnow, B. A., Hunkeler, E. M., Blasey, C. M., Lee, J., Constantino, M. J., Fireman, B., et al. (2006). Comorbid depression, chronic pain, and disability in primary care. Psychosomatic Medicine, 68, 262–268.PubMedCrossRef Arnow, B. A., Hunkeler, E. M., Blasey, C. M., Lee, J., Constantino, M. J., Fireman, B., et al. (2006). Comorbid depression, chronic pain, and disability in primary care. Psychosomatic Medicine, 68, 262–268.PubMedCrossRef
15.
Zurück zum Zitat Stang, P. E., Brandenburg, N. A., Lane, M. C., Merikangas, K. R., Von Korff, M. R., & Kessler, R. C. (2006). Mental and physical comorbid conditions and days in role among persons with arthritis. Psychosomatic Medicine, 68, 152–158.PubMedCrossRef Stang, P. E., Brandenburg, N. A., Lane, M. C., Merikangas, K. R., Von Korff, M. R., & Kessler, R. C. (2006). Mental and physical comorbid conditions and days in role among persons with arthritis. Psychosomatic Medicine, 68, 152–158.PubMedCrossRef
16.
Zurück zum Zitat Sullivan, M. D., LaCroix, A. Z., Russo, J. E., & Walker, E. A. (2001). Depression and self-reported physical health in patients with coronary disease: mediating and moderating factors. Psychosomatic Medicine, 63, 248–256.PubMed Sullivan, M. D., LaCroix, A. Z., Russo, J. E., & Walker, E. A. (2001). Depression and self-reported physical health in patients with coronary disease: mediating and moderating factors. Psychosomatic Medicine, 63, 248–256.PubMed
17.
Zurück zum Zitat Fortin, M., Lapointe, L., Hudon, C., Vanasse, A., Ntetu, A. L., & Maltais, D. (2004). Multimorbidity and quality of life in primary care: a systematic review. Health and Quality of Life Outcomes, 2, 51.PubMedCrossRef Fortin, M., Lapointe, L., Hudon, C., Vanasse, A., Ntetu, A. L., & Maltais, D. (2004). Multimorbidity and quality of life in primary care: a systematic review. Health and Quality of Life Outcomes, 2, 51.PubMedCrossRef
18.
Zurück zum Zitat Fortin, M., Bravo, G., Hudon, C., Lapointe, L., Almirall, J., Dubois, M. F., et al. (2006). Relationship between multimorbidity and health-related quality of life of patients in primary care. Quality of Life Research, 15, 83–91.PubMedCrossRef Fortin, M., Bravo, G., Hudon, C., Lapointe, L., Almirall, J., Dubois, M. F., et al. (2006). Relationship between multimorbidity and health-related quality of life of patients in primary care. Quality of Life Research, 15, 83–91.PubMedCrossRef
19.
Zurück zum Zitat Serrano-Blanco, A., Palao, D., Luciano, J. V., Pinto-Meza, A., Luján, L., Fernández, A., Roura, P., Bertsch, J., Mercader, M., Haro, J. M. (2009). Prevalence of mental disorders in primary care: results from the diagnosis and treatment of mental disorders in primary care study (DASMAP). Social Psychiatry and Psychiatric Epidemiology (in press). Serrano-Blanco, A., Palao, D., Luciano, J. V., Pinto-Meza, A., Luján, L., Fernández, A., Roura, P., Bertsch, J., Mercader, M., Haro, J. M. (2009). Prevalence of mental disorders in primary care: results from the diagnosis and treatment of mental disorders in primary care study (DASMAP). Social Psychiatry and Psychiatric Epidemiology (in press).
20.
Zurück zum Zitat First, M. B., Gibbon, M., Spitzer, R. L., Williams, J. B. W. (1996). User’s Guide for the Structured Clinical Interview for DSM-IV Axis I Disorders. Research Version. New York, NY: Biometrics Research. First, M. B., Gibbon, M., Spitzer, R. L., Williams, J. B. W. (1996). User’s Guide for the Structured Clinical Interview for DSM-IV Axis I Disorders. Research Version. New York, NY: Biometrics Research.
21.
Zurück zum Zitat Sheehan, D. V., Lecrubier, Y., Sheehan, H., Amorim, P., Janavs, J., Weiller, E., et al. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59(Suppl 20), 22–33.PubMed Sheehan, D. V., Lecrubier, Y., Sheehan, H., Amorim, P., Janavs, J., Weiller, E., et al. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59(Suppl 20), 22–33.PubMed
23.
Zurück zum Zitat American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.
24.
Zurück zum Zitat Gandek, B., Ware, J. E., Aaronson, N. K., Apolone, G., Bjorner, J. B., Brazier, J. E., et al. (1998). Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: results from the IQOLA Project. International Quality of Life Assessment. Journal of Clinical Epidemiology, 51, 1171–1178.PubMedCrossRef Gandek, B., Ware, J. E., Aaronson, N. K., Apolone, G., Bjorner, J. B., Brazier, J. E., et al. (1998). Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: results from the IQOLA Project. International Quality of Life Assessment. Journal of Clinical Epidemiology, 51, 1171–1178.PubMedCrossRef
25.
Zurück zum Zitat Vilagut, G., Ferrer, M., Rajmil, L., Rebollo, P., Permanyer-Miralda, G., Quintana, J. M., et al. (2005). The Spanish version of the Short Form 36 Health Survey: a decade of experience and new developments. Gaceta Sanitaria, 19, 135–150.PubMedCrossRef Vilagut, G., Ferrer, M., Rajmil, L., Rebollo, P., Permanyer-Miralda, G., Quintana, J. M., et al. (2005). The Spanish version of the Short Form 36 Health Survey: a decade of experience and new developments. Gaceta Sanitaria, 19, 135–150.PubMedCrossRef
26.
Zurück zum Zitat Ware, J. E., Jr, Kosinki, M., & Keller, S. D. (1996). A 12-Item Short Form Health Survey: construction of scales and preliminary tests of reliability and validity. Medical Care, 34, 220–233.PubMedCrossRef Ware, J. E., Jr, Kosinki, M., & Keller, S. D. (1996). A 12-Item Short Form Health Survey: construction of scales and preliminary tests of reliability and validity. Medical Care, 34, 220–233.PubMedCrossRef
27.
Zurück zum Zitat Bobes, J., Badia, X., Luque, A., Garcia, M., González, M. P., Dal-Ré, R., et al. (1999). Validation of the Spanish versions of the Liebowitz Social Anxiety Scale, Social Anxiety and Distress Scale and the Sheehan Disability Inventory for the evaluation of social phobia. Medicina Clinica, 112, 530–538.PubMed Bobes, J., Badia, X., Luque, A., Garcia, M., González, M. P., Dal-Ré, R., et al. (1999). Validation of the Spanish versions of the Liebowitz Social Anxiety Scale, Social Anxiety and Distress Scale and the Sheehan Disability Inventory for the evaluation of social phobia. Medicina Clinica, 112, 530–538.PubMed
28.
Zurück zum Zitat Sheehan, D. V., Harnett-Sheehan, K., & Raj, B. A. (1996). The measurement of disability. International Clinical Psychopharmacology, 11(Suppl 3), 89–95.PubMedCrossRef Sheehan, D. V., Harnett-Sheehan, K., & Raj, B. A. (1996). The measurement of disability. International Clinical Psychopharmacology, 11(Suppl 3), 89–95.PubMedCrossRef
29.
Zurück zum Zitat Lumley, T., Diehr, P., Emerson, S., & Chen, L. (2002). The importance of the normality assumption in large public health data sets. Annual Review of Public Health, 23, 151–169.PubMedCrossRef Lumley, T., Diehr, P., Emerson, S., & Chen, L. (2002). The importance of the normality assumption in large public health data sets. Annual Review of Public Health, 23, 151–169.PubMedCrossRef
30.
Zurück zum Zitat StataCorp. (2005). STATA Statistical Software: Release 9. StataCorp LP. StataCorp. (2005). STATA Statistical Software: Release 9. StataCorp LP.
31.
Zurück zum Zitat Knight, M., Stewart-Brown, S., & Fletcher, L. (2001). Estimating health needs: the impact of a checklist of conditions and quality of life measurements on health information derived from community surveys. Journal of Public Health Medicine, 23, 179–186.PubMedCrossRef Knight, M., Stewart-Brown, S., & Fletcher, L. (2001). Estimating health needs: the impact of a checklist of conditions and quality of life measurements on health information derived from community surveys. Journal of Public Health Medicine, 23, 179–186.PubMedCrossRef
32.
Zurück zum Zitat Fan, V. S., Au, D., Heagerthy, P., Deyo, R. A., McDonell, M. B., & Fihn, S. D. (2002). Validation of case-mix measures derived from self-reports of diagnoses and health. Journal of Clinical Epidemiology, 55, 371–380.PubMedCrossRef Fan, V. S., Au, D., Heagerthy, P., Deyo, R. A., McDonell, M. B., & Fihn, S. D. (2002). Validation of case-mix measures derived from self-reports of diagnoses and health. Journal of Clinical Epidemiology, 55, 371–380.PubMedCrossRef
33.
Zurück zum Zitat Evaluation of National Health Interview Survey diagnostic reporting. (1994). Vital and health statistics. Series 2, 120, pp 1–116. Evaluation of National Health Interview Survey diagnostic reporting. (1994). Vital and health statistics. Series 2, 120, pp 1–116.
34.
Zurück zum Zitat Armenian, H. K., Pratt, L. K., Gallo, J., & Eaton, W. W. (1998). Psychopathology as a predictor of disability: a population-based follow-up study in Baltimore, Maryland. American Journal of Epidemiology, 148, 269–275.PubMed Armenian, H. K., Pratt, L. K., Gallo, J., & Eaton, W. W. (1998). Psychopathology as a predictor of disability: a population-based follow-up study in Baltimore, Maryland. American Journal of Epidemiology, 148, 269–275.PubMed
35.
Zurück zum Zitat Hays, R. D., Wells, K. B., Sherbourne, C. D., Rogers, W., & Spritzer, K. (1995). Functioning and well-being outcomes of patients with depression compared with chronic general medical illnesses. Archives of General Psychiatry, 52, 11–19.PubMed Hays, R. D., Wells, K. B., Sherbourne, C. D., Rogers, W., & Spritzer, K. (1995). Functioning and well-being outcomes of patients with depression compared with chronic general medical illnesses. Archives of General Psychiatry, 52, 11–19.PubMed
36.
Zurück zum Zitat Ormel, J., Kempen, G. I., Deeg, D. J., Brilman, E. I., van Sonderen, E., & Relyveld, J. (1998). Functioning, well being, and health perception in late middle-aged and older people: comparing the effects of depressive symptoms and chronic medical conditions. Journal of the American Geriatrics Society, 46, 39–48.PubMed Ormel, J., Kempen, G. I., Deeg, D. J., Brilman, E. I., van Sonderen, E., & Relyveld, J. (1998). Functioning, well being, and health perception in late middle-aged and older people: comparing the effects of depressive symptoms and chronic medical conditions. Journal of the American Geriatrics Society, 46, 39–48.PubMed
37.
Zurück zum Zitat Pinto-Meza, A., Haro, J. M., Palacin, C., Torres, J. V., Ochoa, S., Vilagut, G. Rt al. (2007). Impacto de los trastornos del ánimo, de ansiedad y de las enfermedades físicas crónicas en la calidad de vida de la población general de España. Resultados del estudio ESEMeD-España. Actas Españolas de Psiquiatría, 35 (Suppl 2), 12–20. Pinto-Meza, A., Haro, J. M., Palacin, C., Torres, J. V., Ochoa, S., Vilagut, G. Rt al. (2007). Impacto de los trastornos del ánimo, de ansiedad y de las enfermedades físicas crónicas en la calidad de vida de la población general de España. Resultados del estudio ESEMeD-España. Actas Españolas de Psiquiatría, 35 (Suppl 2), 12–20.
38.
Zurück zum Zitat Spitzer, R. L., Kroenke, K., Linzer, M., Hahn, S. R., Williams, J. B., deGruy, F. V., I. I. I., et al. (1995). Health-related quality of life in primary care patients with mental disorders. Results from the PRIME-MD 1000 Study. JAMA, 274, 1511–1517.PubMedCrossRef Spitzer, R. L., Kroenke, K., Linzer, M., Hahn, S. R., Williams, J. B., deGruy, F. V., I. I. I., et al. (1995). Health-related quality of life in primary care patients with mental disorders. Results from the PRIME-MD 1000 Study. JAMA, 274, 1511–1517.PubMedCrossRef
39.
Zurück zum Zitat Ohayon, M. M., & Schatzberg, A. F. (2003). Using chronic pain to predict depressive morbidity in the general population. Archives of General Psychiatry, 60, 39–47.PubMedCrossRef Ohayon, M. M., & Schatzberg, A. F. (2003). Using chronic pain to predict depressive morbidity in the general population. Archives of General Psychiatry, 60, 39–47.PubMedCrossRef
40.
Zurück zum Zitat Pinto-Meza, A., Serrano-Blanco, A., Codony, M., Reneses, B., von Korff, M., Haro, J. M., et al. (2006). Prevalencia y comorbilidad física y mental del dolor dorsal y del dolor cervical crónicos en España: resultados del estudio ESEMED. Medicina Clínica, 127, 325–330.PubMedCrossRef Pinto-Meza, A., Serrano-Blanco, A., Codony, M., Reneses, B., von Korff, M., Haro, J. M., et al. (2006). Prevalencia y comorbilidad física y mental del dolor dorsal y del dolor cervical crónicos en España: resultados del estudio ESEMED. Medicina Clínica, 127, 325–330.PubMedCrossRef
41.
Zurück zum Zitat Larson, S. L., Clark, M. R., & Eaton, W. W. (2004). Depressive disorder as a long-term antecedent risk factor for incident back pain: a 13-year follow-up study from the Baltimore Epidemiological Catchment Area Sample. Psychological Medicine, 34, 211–219.PubMedCrossRef Larson, S. L., Clark, M. R., & Eaton, W. W. (2004). Depressive disorder as a long-term antecedent risk factor for incident back pain: a 13-year follow-up study from the Baltimore Epidemiological Catchment Area Sample. Psychological Medicine, 34, 211–219.PubMedCrossRef
42.
Zurück zum Zitat Currie, S. R., & Wang, J. (2005). More data on major depression as an antecedent risk factor for first onset of chronic back pain. Psychological Medicine, 35, 1275–1282.PubMedCrossRef Currie, S. R., & Wang, J. (2005). More data on major depression as an antecedent risk factor for first onset of chronic back pain. Psychological Medicine, 35, 1275–1282.PubMedCrossRef
43.
Zurück zum Zitat Currie, S. R., & Wang, J. (2004). Chronic back pain and major depression in the general Canadian population. Pain, 107, 54–60.PubMedCrossRef Currie, S. R., & Wang, J. (2004). Chronic back pain and major depression in the general Canadian population. Pain, 107, 54–60.PubMedCrossRef
Metadaten
Titel
Impact of mental disorders and chronic physical conditions in health-related quality of life among primary care patients: results from an epidemiological study
verfasst von
Alejandra Pinto-Meza
Anna Fernández
Miquel Angel Fullana
Josep Maria Haro
Diego Palao
Juan Vicente Luciano
Antoni Serrano-Blanco
Publikationsdatum
01.10.2009
Verlag
Springer Netherlands
Erschienen in
Quality of Life Research / Ausgabe 8/2009
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-009-9522-y

Weitere Artikel der Ausgabe 8/2009

Quality of Life Research 8/2009 Zur Ausgabe

Premium Partner