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Gender differences in the impact of mental disorders and chronic physical conditions on health-related quality of life among non-demented primary care elderly patients

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Abstract

Purpose

This paper aims to estimate the comorbidity of mental disorders and chronic physical conditions and to describe the impact of these conditions on health-related quality of life (HRQoL) in a sample of older primary care (PC) attendees by gender.

Methods

Cross-sectional survey, conducted in 77 PC centres in Catalonia (Spain) on 1192 patients over 65 years old. Using face-to-face interviews, we assessed HRQoL (SF–12), mental disorders (SCID and MINI structured clinical interviews), chronic physical conditions (checklist), and disability (Sheehan disability scale). We used multivariate quantile regressions to model which factors were associated with the physical component summary—short form 12 and mental component summary—short form 12.

Result

The most frequent comorbidity in both men and women was mood disorder with chronic pain and arthrosis. Mental disorders mainly affected ‘mental’ QoL, while physical disorders affected ‘physical’ QoL. Mental disorders had a greater impact on HRQoL than chronic physical conditions, with mood and adjustment disorders being the most disabling conditions. There were some gender differences in the impact of mental and chronic physical conditions on HRQoL. Anxiety disorders and pain had an impact on HRQoL but only in women. Respiratory diseases had an effect on the MCS in women, but only affected the PCS in men.

Conclusions

Mood and adjustment disorders had the greatest impact on HRQoL. The impact profile of mental and chronic physical conditions differs between genders. Our results reinforce the need for screening for mental disorders (mainly depression) in older patients in PC.

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Acknowledgments

We are indebted to the family physicians and patients who participated in this study. This study was funded by the ‘Direcció General de Planificació i Avaluació Sanitària Departament de Salut Generalitat de Catalunya’ (Barcelona, Spain).

Funding

This study was funded by the ‘Direcció General de Planificació i Avaluació Sanitària Departament de Salut Generalitat de Catalunya’ (Barcelona, Spain).

Author’s contribution

ASB and DJP conceived, designed, and coordinated the development of the DASMAP study. With regard to this paper, LB, AF, MRV, and ASB conceived and designed the analysis. LB, AF, and MRV analysed the data. LB, AF, and MRV drafted the paper, and LB, AF, MRV, DJP, and ASB discussed and agreed the final version.

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Correspondence to Luisa Baladón.

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Conflict of interest

LB declares that she has no conflict of interest. MRV declares that she has no conflict of interest. ASB declares that he has no conflict of interest. DJP declares that he has no conflict of interest. AF declares that she has no conflict of interest.

Ethical approval

All procedures performed in this study were in accordance with the ethical standards of the institutional research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. Ethical approval was obtained from the SJD Ethic Committee Board.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Baladón, L., Rubio-Valera, M., Serrano-Blanco, A. et al. Gender differences in the impact of mental disorders and chronic physical conditions on health-related quality of life among non-demented primary care elderly patients. Qual Life Res 25, 1461–1474 (2016). https://doi.org/10.1007/s11136-015-1182-5

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