Gender Differences in Health-Related Quality of Life for Veterans With Serious Mental Illness

Teh, Carrie Farmer; Kilbourne, M.P.H. Amy M.; McCarthy, John F.; Welsh, Deborah E.; Blow, Frederic C.

doi:10.1176/appi.ps.59.6.663

Cited by 22 publications

(16 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, pain was still independently associated with physical health-related quality of life even after controlling for hazardous drinking. While previous evidence suggests that women are more likely to experience pain than men (Robb et al 1998; Teh et al 2008), this study also suggests that pain in particular contributes to poorer HRQOL independent of bipolar or depressive symptoms. This finding underscores the need to pay attending to physical as well and mental health symptoms among women suffering from this illness.…”

Section: Discussioncontrasting

confidence: 76%

“…In the PRIME-MD study, HRQOL assessed using the Medical Outcomes Study SF-20 was significantly lower in women than in men, but these differences in HRQOL were no longer significant in five of six domains after controlling for mental disorder diagnoses (Linzer et al 1996). In a population of U.S. Veterans with serious mental illness, female Veterans reported lower scores on the SF-36 physical component summary, more limitations on activities of daily living, and more pain than male Veterans (Teh et al 2008). Among patients specifically diagnosed with bipolar disorder, Robb and colleagues (Robb et al 1998) found that women reported numerically lower SF-20 scores across most domains, with significant differences in pain and physical health.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Gender differences in health-related quality of life in patients with bipolar disorder

Cruz

Lai

Goodrich

et al. 2013

Arch Womens Ment Health

View full text Add to dashboard Cite

Purpose Health-related quality of life (HRQOL) is a widely-accepted measure of illness state that is related to morbidity and mortality. Findings from various populations show that women report lower HRQOL than men. We analyzed baseline HRQOL data for gender differences from a multisite, randomized controlled study for adults with bipolar disorder. Methods HRQOL was assessed using the SF-12 physical (PCS) and mental (MCS) health scales. Multivariate linear and bivariate regression models examined differences in self-reported data on demographics, depressive symptoms (PHQ-9), bipolar disorder symptoms (Internal State Scale), and medical comorbidities. Results Out of 384 enrolled (mean age=42 years), 256 were women (66.7%). After controlling for sociodemographic characteristics and clinical factors, women had lower SF-12 PCS scores than men (β= −1.78, SE= 0.87, p<.05), indicating worse physical health, but there were no gender differences in MCS scores. After controlling for patient factors including medical and behavioral comorbidities, the association between gender and PCS score was no longer significant. Of the medical comorbidities, pain was associated with lower PCS scores (β= −4.90, SE= 0.86, p<.0001). Conclusions Worse physical HRQOL experienced by women with bipolar disorder maybe explained by medical comorbidity, particularly pain, suggesting the importance of gender-tailored interventions addressing physical health conditions.

show abstract

Section: Discussioncontrasting

confidence: 76%

Section: Introductionmentioning

confidence: 99%

Gender differences in health-related quality of life in patients with bipolar disorder

Cruz

Lai

Goodrich

et al. 2013

Arch Womens Ment Health

View full text Add to dashboard Cite

show abstract

“…(0 ¼ ''not at all'' to 4 ¼ ''extremely''), and ''During the past 4 weeks did you have a lot of energy? (0 ¼ ''none of the time'' to (Salyers, Bosworth, Swanson, et al, 2000;Teh, Kilbourne, McCarthy, et al, 2008). The Colorado Symptom Index (CSI) (Shern, Wilson, & Coen, 1994) is a self-report measure (with 10 items) of psychiatric symptoms, in which people indicate the frequency of various psychiatric symptoms they have experienced during the past month, using a 5-point Likert-type scale: 1 ¼ ''At least every day,'' 2 ¼ ''Several times a week,'' 3 ¼ ''Several times during the month,'' 4 ¼ ''Once during the month,'' and 5 ¼ ''Not at all.''…”

Section: Methodsmentioning

confidence: 99%

Role of Leisure in Recovery From Mental Illness

Iwasaki

Coyle

Shank

et al. 2014

American Journal of Psychiatric Rehabilitation

View full text Add to dashboard Cite

“…Gender as a variable can also play a role in quality of life as shown in female American veterans who scored lower than male veterans [4,9]. With this knowledge, decision-makers should take genders differences into account when formulating policies.…”

Section: Introductionmentioning

confidence: 99%

Quality of life in the Iranian Blind War Survivors in 2007: a cross-sectional study

Amini

Haghani

Masoumi

2010

BMC Int Health Hum Rights

View full text Add to dashboard Cite

BackgroundQuality of Life measurements are necessary tools for effectively evaluating health services. In the population of patients afflicted with war-related blindness in Iran, such measurements have yet to be documented and utilized. "The design and implementation of this study involved the determination of a baseline score for QOL in a population of Iranian blinded in the Iraq-Iran war in order to facilitate the design of interventions intended to improve the population's QOL."MethodsThis was a cross-sectional study of a representative population of 250 war victims blind in both eyes at a 14-day recreational conference.ResultsParticipants had a mean age of 43.20(SD8.34) and their composition was 96.5% male and 3.5% female with a mean SF-36 QOL score of 59.20(SD22.80). An increasing level of education among the participants correlated with a higher QOL score (p = 0.006). The QOL also has a significant correlation to number of injuries (p < 0.0001). High systolic and diastolic blood pressure, hearing loss, and tinnitus had negative individual correlations to QOL (p = 0.016, 0.016, 0.005, p < 0.0001). The male sexual disorders of erectile dysfunction and premature ejaculation both had significant correlations to QOL (p = 0.026, p < 0.0001). Hypercholesterolemia showed significant correlation to QOL (p = 0.021).ConclusionsAs blind war survivors' age, they will present with a greater set of burdens despite their relatively better QOL in the physical component scale when compared with lower limb amputees. Risk factors of cardiovascular attack such as high blood pressure and hypercholesterolemia were present and need future interventions.Key wordsQuality of life, blindness, SF36, health

show abstract

Gender Differences in Health-Related Quality of Life for Veterans With Serious Mental Illness

Cited by 22 publications

References 34 publications

Gender differences in health-related quality of life in patients with bipolar disorder

Gender differences in health-related quality of life in patients with bipolar disorder

Role of Leisure in Recovery From Mental Illness

Quality of life in the Iranian Blind War Survivors in 2007: a cross-sectional study

Contact Info

Product

Resources

About