THE FUNCTIONING AND WELL-BEING OF DEPRESSED-PATIENTS - RESULTS FROM THE MEDICAL OUTCOMES STUDY
THE FUNCTIONING AND WELL-BEING OF DEPRESSED-PATIENTS - RESULTS FROM THE MEDICAL OUTCOMES STUDY
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DOI：
10.1001/jama.262.7.914
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发表时间：
1989-08-18
影响因子：
120.7
通讯作者：
WARE, J
中科院分区：
文献类型：
--
作者：
WELLS, KB;STEWART, A;WARE, J
我们描述了抑郁症患者的功能和幸福感，相对于慢性疾病或无慢性疾病的患者。数据来自美国三个地点的三个医疗保健供应系统的11，242名门诊患者。与没有慢性疾病的患者相比，患有抑郁症或抑郁症状但没有抑郁症的患者往往有更差的身体、社会和角色功能，更差的预期当前健康状况和更大的身体疼痛。与抑郁症状（伴或不伴抑郁障碍）唯一相关的功能障碍与8种主要慢性疾病唯一相关的功能障碍相当或更差。例如，卧床天数与抑郁症状的独特关联显著大于与高血压、糖尿病和关节炎的可比关联。抑郁症和慢性疾病对患者的功能有独特的叠加效应。
We describe the functioning and well-being of patients with depression, relative to patients with chronic medical conditions or no chronic conditions. Data are from 11,242 outpatients in three health care provisions systems in three US sites. Patients with either current depressive disorder or depressive symptoms in the absence of disorder tended to have worse physical, social, and role functioning, worse preceived current health, and greater bodily pain than did patients with no chronic conditions. The poor functioning uniguely associated with depressive symptoms, with or without depressive disorder, was comparable with or worse than that uniquely associated with eight major chronic medical conditions. For example, the unique association of days in bed with depressive symptoms was significantly greater than the comparable association with hypertension, diabetes, and arthritis. Depression and chronic medical conditions had unique and additive effects on patient functioning.