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Emotional problems and health-related quality of life: population-based study

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Abstract

Purpose

The aim of the present study was to evaluate the influence of emotional problems on health-related quality of life (HRQoL) according to the type of emotional problem, degree of limitation, and perceived control of the problem with treatment.

Method

A population-based cross-sectional study with probabilistic stratified cluster sampling was conducted in 2014 and 2015 in the city of Campinas, Brazil. A total of 2145 individuals aged 18 years or older participated in the study. HRQoL was evaluated using the SF-36® questionnaire. The dependent variables were the score of the eight scales of the SF-36®. The independent variables were self-perceived emotional problems, type of emotional problem (according to ICD 10), degree of limitation, and perceived control of the problem with treatment. Mean scores were calculated and regression coefficients were adjusted for sex, age, number of health problems, and chronic diseases using multiple linear regression analysis.

Results

The prevalence of emotional problems was 32.7%. Among the individuals with a problem, the mean SF-36® scores were lower on all domains. Regarding the type of emotional problem, a complaint of depression exerted a stronger negative impact on HRQoL scores than anxiety. Moreover, a greater degree of limitation caused by the problem led to lower mean SF-36® scores. The negative impact on HRQoL was substantially greater among those who did not have the problem under control.

Conclusion

In conclusion, the findings underscore the importance of the prevention and control of emotional problems with the aim of reducing the impact on HRQoL.

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Acknowledgements

The authors are grateful to State of São Paulo Research Assistance Foundation (FAPESP), for funding the fieldwork for ISACamp 2014/15. The Campinas Municipal Secretary of Health and Health Surveillance Secretary of the Health Ministry for financial support for the execution of the survey. The National Council of Technological and Scientific Development (CNPq) funded the productivity scholarship granted to M.B.A. Barros (Grant Number: 309073/2015-4); and FAPESP (Grant Number 2015/16161-9) for the doctoral grant awarded to C.S.E. Fernandes.

Funding

This study was funded by State of São Paulo Research Assistence Foundation (FAPESP), Grant Number: 2012/23324-3 and the Campinas Municipal Secretary of Health and Health Surveillance Secretary of the Health Ministry; and FAPESP funded doctoral grant awarded to C.S.E. Fernandes.

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Authors and Affiliations

  1. Department of Public Health, School of Medical Sciences, State University of Campinas, Campinas, São Paulo, Brazil

    Camila Stéfani Estancial Fernandes, Margareth Guimarães Lima & Marilisa Berti de Azevedo Barros

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  1. Camila Stéfani Estancial Fernandes
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  2. Margareth Guimarães Lima
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  3. Marilisa Berti de Azevedo Barros
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Correspondence to Camila Stéfani Estancial Fernandes.

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Conflict of interest

All authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The ISACamp 2014/2015 Project received approval from the Human Research Ethics Committee of Campinas State University (Certificate Number: 409.714 of September 30th, 2013). This study was approved by the Human Research Ethics Committee of Campinas State University under number: CAAE: 02181418.9.0000.5404. All interviewees signed a statement of informed consent.

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Estancial Fernandes, C.S., Lima, M.G. & Barros, M.B.A. Emotional problems and health-related quality of life: population-based study. Qual Life Res 28, 3037–3046 (2019). https://doi.org/10.1007/s11136-019-02230-9

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