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Does psychological distress predict disability?

P Manninen1, M Heliövaara, H Riihimäki

  • 1Department of Community Health and General Practice, University of Kuopio, Finland.

International Journal of Epidemiology
|November 18, 1997
PubMed
Summary
This summary is machine-generated.

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Psychological distress predicts disability from chronic conditions like heart attack and depression. This finding highlights the importance of mental health in overall physical well-being and disease prevention.

Area of Science:

  • Epidemiology
  • Psychiatry
  • Public Health

Background:

  • Psychological distress is a common issue with potential health implications.
  • Understanding its role in chronic disease disability is crucial for public health strategies.

Purpose of the Study:

  • To investigate psychological distress as a predictor of disability in common chronic disorders.
  • To quantify the risk of disability associated with psychological distress.

Main Methods:

  • A 10-year follow-up study of 8655 Finnish farmers (aged 18-64) was conducted.
  • Disability pensions were identified via record linkage, with medical certificates reviewed for 1004 individuals.
  • Psychological distress was measured using a 11-symptom self-report score at baseline.

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Main Results:

  • High psychological distress scores were associated with increased risk of disability.
  • Relative risks (RR) for disability were elevated for myocardial infarction (2.34), depression (2.50), neck-shoulder disorders (1.98), and low-back disorders (1.76).
  • Overall disability risk was 1.76 times higher in the highest quartile of distress.

Conclusions:

  • Psychological distress is an independent risk factor for disability.
  • The predictive significance of distress varies across different chronic disorders.
  • Mechanisms linking psychological distress to disability likely differ by condition.