Self-rated health, depression, and one-year health outcomes in older primary care patients
Self-rated health, depression, and one-year health outcomes in older primary care patients
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DOI：
10.1176/appi.ajgp.12.1.110
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发表时间：
2004-01-01
影响因子：
7.2
通讯作者：
Caine, ED
中科院分区：
文献类型：
--
作者：
Lyness, JM;King, DA;Caine, ED
目的：作者检验了较差的自评健康与较差的健康结果相关的假设。方法：他们前瞻性地研究了247名来自初级保健机构的老年受试者的自测健康与1年结局的关系。结果如下：在协变初始临床和功能测量后，患者自评健康与1年功能障碍独立相关，但与1年抑郁症诊断无关。关于与1年医疗负担或死亡率的相关性，结果喜忧参半。结论：临床医生应该警惕那些对自己的健康持消极态度的患者的功能下降。未来的研究应该测试可能构成这种关联的潜在机制。
Objective: The authors tested the hypothesis that poorer self-rated health is associated with poorer health outcomes. Method: They prospectively examined the association of self-rated health to 1-year outcomes in 247 older subjects from primary care settings. Results: Poorer self-rated health was independently associated with 1-year functional disability, after covarying initial clinical and functional measures, but was not independently associated with 1-year depression diagnosis. Results were mixed regarding associations with 1-year medical burden or mortality. Conclusions: Clinicians should be vigilant for functional decline in patients who perceive their health negatively. Future research should test potential mechanisms that might underlie this association.