Health-Related Quality of Life in Older Persons with Medically Unexplained Symptoms
| Autor: | Peter Lucassen, Denise Hanssen, Paul Naarding, Richard C. Oude Voshaar, Peter H. Hilderink |
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| Přispěvatelé: | Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE), Clinical Cognitive Neuropsychiatry Research Program (CCNP) |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty IRRITABLE-BOWEL-SYNDROME DISORDERS IMPACT Health Status Population somatization CONCEPTUAL-MODEL Somatic symptom disorder 03 medical and health sciences 0302 clinical medicine Quality of life GENERAL-PRACTICE medicine Humans medically unexplained symptoms 030212 general & internal medicine Cognitive skill Psychiatry education Somatoform Disorders Irritable bowel syndrome POPULATION Aged 80 and over education.field_of_study business.industry Other Research Radboud Institute for Health Sciences [Radboudumc 0] Cognition PHYSICAL SYMPTOMS Middle Aged CARE medicine.disease humanities 030227 psychiatry Psychiatry and Mental health aged quality of life Linear Models Anxiety Female Geriatrics and Gerontology medicine.symptom business Somatization FUNCTIONAL SOMATIC SYNDROMES Clinical psychology |
| Zdroj: | American Journal of Geriatric Psychiatry, 24(11), 1117-1127. ELSEVIER SCIENCE INC American Journal of Geriatric Psychiatry, 24, 11, pp. 1117-1127 American Journal of Geriatric Psychiatry, 24, 1117-1127 |
| ISSN: | 1064-7481 |
| Popis: | Item does not contain fulltext OBJECTIVE: Research on health-related quality of life (HRQoL) in older persons with medically unexplained symptoms (MUS) is scarce, and, in contrast with younger patients, interactions with chronic somatic diseases are more complex. DESIGN: In the current study we compared HRQoL between older persons with MUS and older persons with medically explained symptoms (MES). Our study sample consisted of 118 older MUS-patients and 154 older MES-patients. SETTING/MEASUREMENTS: The diagnosis of MUS was ascertained by the general practitioner and confirmed by a geriatrician within a multidisciplinary diagnostic assessment. Additional characteristics, including the HRQoL (Short Form-36), were assessed during a home visit. MES-patients received two home visits to assess all measures. Multiple linear regression analyses, adjusted for age, sex, education, cognitive functioning, and psychiatric diagnoses, were performed to assess the relationship between group (MUS/MES) and HRQoL. Analyses were repeated with additional adjustments for somatization and hypochondriacal cognitions. RESULTS: Older patients with MUS had a significantly lower level of HRQoL compared with older patients with MES. Even after adjustments, the presence of MUS was still associated with both a lower physical and mental HRQoL. These associations disappeared, however, after additional adjustments for somatization and hypochondriacal cognitions. Within the subgroup of MUS-patients, higher levels of hypochondriac anxiety and of somatization were significantly associated with both lower physical and mental HRQoL. CONCLUSIONS: Associations between HRQoL and late-life MUS disappear when corrected for somatization and hypochondriacal cognitions, which is in line with the DSM-5 classification of somatic symptom disorder. Appropriate psychological treatment seems needed to improve HRQoL in older MUS-patients. |
| Databáze: | OpenAIRE |
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