Psychiatric and somatic comorbidities are negatively associated with quality of life in physically ill patients
Psychiatric and somatic comorbidities are negatively associated with quality of life in physically ill patients
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DOI：
10.1016/j.jclinepi.2005.03.011
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发表时间：
2005-11-01
影响因子：
7.2
通讯作者：
Härter, M
中科院分区：
文献类型：
--
作者：
Baumeister, H;Balke, K;Härter, M
背景和目标：躯体疾病患者的躯体和精神共病与死亡率、费用和治疗持续时间等多种结局变量之间的关系经常被检查和证实。在过去的几年中，生活质量（QoL）作为另一个重要的结果变量得到了更多的attention.Methods：本综述包括一个总结的相关性合并症和生活质量的躯体疾病患者。因此，对躯体疾病进行了检索，包括代谢、呼吸道、肌肉骨骼、心血管、癌症、消化系统和一般躯体疾病。四百八十一研究发现，其中45符合纳入criteria.Results：总体而言，大多数有显着的负相关性之间的合并症和生活质量。这主要适用于躯体-精神共病，占70.3%（QoL的心理社会方面）至100%（一般QoL）显著降低的QoL结果。躯体-躯体共病主要与躯体方面的生活质量（56.5-80.7%的显着性结果），而心理社会方面以及生活质量在一般显着相关的8.3%至71.7%的所有calculation.Conclusion：这是高度相关的生活质量研究和临床实践，重视共病。在今后的研究中应考虑到方法上的缺陷。(c)2005年爱思唯尔公司All rights reserved.
Background and Objectives: The relationship between somatic and psychiatric comorbidity in patients with somatic diseases and diverse outcome variables like mortality, costs, and duration of treatment is often examined and confirmed. In the last years, quality of life (QoL) as another important outcome variable received more attention.Methods: The present review comprises a summary of associations between comorbidity and QoL in patients with somatic diseases. For this reason a search for somatic diseases was performed, including metabolic, respiratory tract, musculoskeletal, cardiovascular, cancer, digestive system, and general somatic diseases. Four hundred eighty-one studies were found, of which 45 fulfilled the inclusion criteria.Results: Overall, there are mostly significant negative correlations between comorbidity and QoL. Predominantly, this applies to somatic-psychiatric comorbidity, which accounts for 70.3% (psychosocial aspects of QoL) to 100% (QoL in general) significantly lowered QoL results. Somatic-somatic comorbidities are primarily associated with somatic aspects of QoL (56.5-80.7% significant results), while psychosocial aspects as well as QoL in general are significantly associated in 8.3% to 71.7% of all calculations.Conclusion: It is of high relevance for life quality research and clinical practice to pay attention to comorbidity. Methodological shortcomings should be taken into account in future research. (c) 2005 Elsevier Inc. All rights reserved.