An empirical analysis of the dimensions of health status measures

Segovia, Jorge; Bartlett, Roy F.; Edwards, Alison

doi:10.1016/0277-9536(89)90156-1

Cited by 113 publications

(61 citation statements)

References 10 publications

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“…Given these limitations, the PILL has been shown to be associated with additional health indices, such as treatment seeking, activity restriction, and aspirin use (see Methods). Also, general physical symptoms and symptoms associated with particular organ systems are facets of health status that have demonstrated relationships to other indices of health, such as medical prognosis, health risk behaviors, and morbidity (Idler and Angel, 1990;Segovia et al, 1989). A similar limitation is that trauma-related sleep disturbance was measured by self-report, and objective documentation of sleep disturbance would be useful.…”

Section: Discussionmentioning

confidence: 99%

Trauma-Related Sleep Disturbance and Self-Reported Physical Health Symptoms in Treatment-Seeking Female Rape Victims

Clum

Nishith

Resick

2001

The Journal of Nervous and Mental Disease

119

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The purpose of the study was to assess the relationship between trauma-related sleep disturbance and physical health symptoms in treatment-seeking female rape victims. A total of 167 participants were assessed for PTSD symptoms, depression, sleep disturbance, and frequency of self-reported health symptoms. Results demonstrated that trauma-related sleep disturbance predicted unique variance in physical health symptoms after other PTSD and depression symptoms were controlled. The findings suggest that trauma-related sleep disturbance is one potential factor contributing to physical health symptoms in rape victims with PTSD.Violence against women yields a variety of deleterious effects, both direct and indirect, on objective and subjective indices of physical health (Resnick et al., 1997). In addition to psychological reactions to trauma such as posttraumatic stress disorder (PTSD) and depression, women who have experienced criminal victimization report a variety of physical symptoms that range across bodily systems, including cardiovascular, gynecological, respiratory, musculoskeletal, and dermatological systems (Kimerling and Calhoun, 1994;Koss et al., 1991).Several studies have demonstrated that PTSD is a mediating factor in the relationship between trauma exposure and reports of elevated health symptoms in women Wolfe et al., 1994). Researchers have proposed multiple biological mechanisms to explain the impact of PTSD on health (Friedman and Schnurr, 1995). Among these proposed mechanisms is the chronic autonomic hyperarousal (Koss and Heslet, 1992;McFarlane et al., 1994) and sleep disturbance associated with PTSD (Friedman and Schnurr, 1995). The hypothesized link between autonomic arousal and physical health was bolstered by the recent finding that the hyperarousal symptom cluster of PTSD was the strongest of the PTSD symptom subclusters in predicting both total health symptoms and global health perception in a sample of women veterans .Given the observed relationships between PTSD, particularly hyperarousal symptoms, and health outcomes, and the potential impact of biological alterations associated with a PTSD diagnosis, we hypothesized that sleep disturbance associated with psychological reactions to trauma may be an important predictor of health symptoms. Sleep disturbance has been associated with a variety of negative health outcomes, including immune system alterations, cardiovascular incidents, and general health symptoms (Kales et al., 1984;Newman et al., 1997). Further, in a study investigating the aftermath of Hurricane Andrew, self-reported sleep disturbance mediated between PTSD symptoms and an index of immune functioning (NKCC levels;Ironson et al., 1997 Recent research suggests that, in addition to PTSD symptoms, depressive symptoms are important in the prediction of self-reported health symptoms after trauma Wolfe et al., 1999). A diagnosis of depression independent of trauma exposure has been linked to poorer reported health and immune system alterations (Miller et al., 1999;Schulberg ...

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Section: Discussionmentioning

confidence: 99%

Trauma-Related Sleep Disturbance and Self-Reported Physical Health Symptoms in Treatment-Seeking Female Rape Victims

Clum

Nishith

Resick

2001

The Journal of Nervous and Mental Disease

119

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“…In a number of countries, studies have found that the majority of people rate their health as good and that evaluations of fair or poor increase with age while ratings of excellent health decrease. [2][3][4][5] It has been argued that global selfratings of health are valid and reliable indicators of health-related quality of life. Most of the support has come from correlational studies examining the associations between self-assessed health and indicators of specific health dimensions.…”

Section: Introductionmentioning

confidence: 99%

Some correlates of self-rated health for Australian women.

Shadbolt¹

1997

Am J Public Health

115

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OBJECTIVES: This study aimed to identify some of the correlates of self-rated health for young to middle-aged Australian women. METHODS: Regression analyses were based on a 4-year longitudinal study using a random sample of Sydney women 20 to 59 years of age at baseline. Participants were interviewed in 1986/87 and 1990. RESULTS: Cross-sectional relationships between self-assessed health and other health measures varied significantly by age, although physical health was a common correlate. Sixty-three percent of participants reported a similar rating of health over the 4-year period between the surveys. Changes in self-assessed health were sensitive to chronic disease. Also, participants' self-ratings of health were related to their subsequent chronic disease status. CONCLUSIONS: Self-rated health reflects a complex process of internalized calculations that encompass both lived experience and knowledge of disease causes and consequences. Women seem to take into consideration a broad range of factors, including lifestyle, vitality, mental attitude, and age, and, if they have a health condition, the chronicity of their disease, duration since diagnosis, and treatment.

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“…In fact, as the health promotion movement gained strength during the 1970s and 1980s, it was increasingly acknowledged that health is determined, in part, by individual health behaviours such as involvement in physical/recreational activities, sleep, preventative health examinations, smoking, and consumption of alcohol (Ashton and Seymour 1993;Health Eduction Unit, WHO 1993;Ott 1990;Segovia et al 1989;Tanner 1991). This emphasis on individual health behaviours suggests that the health of people living in poor families, which tends to be less than that of their non-poor counterparts, is related to the behaviours in which they choose to engage.…”

Section: Introductionmentioning

confidence: 99%

Poverty Status, Health Behaviours and Health: Implications for Social Assistance and Health Care Policy

Williamson¹,

Fast²

1998

Canadian Public Policy / Analyse de Politiques

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Cette étude a examiné les liens entre le statut de pauvreté, les comportements en matière de santé et la santé de 130 Albertains vivant au sein de familles pauvres. Pour les fins de cette étude, le statut de pauvreté indiquait si les familles pauvres recevaient de l'assistance sociale et profitaient de soins de santé complets gratuits ou plutôt si elles travaillaient sans avoir accès à des soins de santé gratuits. Les résultats de sept analyses différentes indiquent que le statut de pauvreté était relié de diverses façons à la santé des participants. Plus particulièrement, les répondants pauvres qui travaillaient étaient généralement en meilleure santé que ceux sur l'assistance sociale sauf lorsque ces premiers n'étaient pas en mesure de payer pour leurs prescriptions parce qu'ils n'en avaient pas les moyens. L'article se termine sur une discussion des implications de ces découvertes sur les politiques d'assistance sociale et de soins de santé.This study investigated the relationships among poverty status, health behaviours, and the health of 130 Albertans living in poor families. For the purposes of this study, poverty status indicated whether poor families were receiving social assistance along with comprehensive health care benefits or whether they were working poor without comprehensive health care benefits. Findings from seven separate path analyses indicate that poverty status was differentially related to the health of participants. Specifically, working poor respondents were found to be generally healthier than their social assistance counterparts except in those instances in which the working poor were prevented from filling needed prescriptions because they lacked the economic resources to do so. The paper concludes with a discussion of the implications of these findings for social assistance and health care policies.

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An empirical analysis of the dimensions of health status measures

Cited by 113 publications

References 10 publications

Trauma-Related Sleep Disturbance and Self-Reported Physical Health Symptoms in Treatment-Seeking Female Rape Victims

Trauma-Related Sleep Disturbance and Self-Reported Physical Health Symptoms in Treatment-Seeking Female Rape Victims

Some correlates of self-rated health for Australian women.

Poverty Status, Health Behaviours and Health: Implications for Social Assistance and Health Care Policy

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