Author:
Fernández Anna,Saameño Juan Ángel Bellón,Pinto-Meza Alejandra,Luciano Juan Vicente,Autonell Jaume,Palao Diego,Salvador-Carulla Luis,Campayo Javier García,Haro Josep Maria,Serrano Antoni,
Abstract
BackgroundThe World Health Organization (WHO) has stated that the three leading
causes of burden of disease in 2030 are projected to include HIV/AIDS,
unipolar depression and ischaemic heart disease.AimsTo estimate health-related quality of life (HRQoL) and quality-adjusted
life-year (QALY) losses associated with mental disorders and chronic
physical conditions in primary healthcare using data from the diagnosis
and treatment of mental disorders in primary care (DASMAP) study, an
epidemiological survey carried out with primary care patients in
Catalonia (Spain).MethodA cross-sectional survey of a representative sample of 3815 primary care
patients. A preference-based measure of health was derived from the
12-item Short Form Health Survey (SF–12): the Short Form–6D (SF–6D)
multi-attribute health-status classification. Each profile generated by
this questionnaire has a utility (or weight) assigned. We used
non-parametric quantile regressions to model the association between both
mental disorders and chronic physical condition and SF–6D scores.ResultsConditions associated with SF–6D were: mood disorders, β =−0.20 (95% CI
−0.18 to −0.21); pain, β = −0.08 (95%CI −0.06 to −0.09) and anxiety, β
=−0.04 (95% CI −0.03 to −0.06). The top three causes of QALY losses
annually per 100 000 participants were pain (5064), mood disorders (2634)
and anxiety (805).ConclusionsEstimation of QALY losses showed that mood disorders ranked second behind
pain-related chronic medical conditions.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
Cited by
58 articles.
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