Hyeon-Sook Lee1, Siwoo Lee2, Sohee Park3, Younghwa Baek2, Ji-Hye Youn1, Dan Bee Cho4, Jung-Hyun Jin4, Aesun Shin4, Sue K Park4,5,6, Keon Wook Kang7, Young-Khi Lim8, Chul Hwan Kang9, Keun-Young Yoo4,10, Kwang-Pil Ko11. 1. Department of Preventive Medicine, Gachon University, 191 Hambakmoeiro, Yeonsu-Gu, Incheon, South Korea. 2. Mibyeong Research Center, Korea Institute of Oriental Medicine, Daejeon, South Korea. 3. Department of Biostatistics, Graduate School of Public Health, Yonsei University, Seoul, South Korea. 4. Department of Preventive Medicine, Seoul National University College of Medicine, 103 Daehangno, Chongno-gu, Seoul, South Korea. 5. Seoul National University Cancer Research Institute, 103 Daehangno, Chongno-gu, Seoul, South Korea. 6. Department of Biomedical Science, Seoul National University Graduate School, 103 Daehangno, Chongno-gu, Incheon, South Korea. 7. Department of Nuclear Medicine & Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea. 8. Department of Radiology, Gachon University, 191 Hambakmoeiro Yeonsu-Gu, Incheon, South Korea. 9. Seoul National University Bundang Hospital, Bundang-Gu Gumi-ro, Seongnam, South Korea. 10. Korean Armed Forces Capital Hospital, Yul-dong, Seongnam, South Korea. 11. Department of Preventive Medicine, Gachon University, 191 Hambakmoeiro, Yeonsu-Gu, Incheon, South Korea. kpko@gachon.ac.kr.
Abstract
PURPOSE: Symptoms and discomfort are common complaints in primary care settings. It has been postulated that the physical symptoms are informative index in estimating Health-related quality of life (HRQOL). Thus, we conducted a community-based cross-sectional study to assess the relationship between somatic and psychological discomfort and HRQOL in elderly and non-elderly people. METHODS: A total of 2467 participants were recruited in 2013 from a population of 17,066 rural residents aged 20 or older. Information on demographic characteristics, somatic and psychological discomfort symptoms, and HRQOL was collected. Two months after the baseline survey, we conducted a repeated survey to assess changes in the discomfort symptoms and HRQOL. We evaluated associations of the discomfort symptoms with HRQOL using multiple linear regression and mixed model. RESULTS: EuroQol-Visual Analogue Scale (EQ-VAS), index of HRQOL, was correlated with fatigue, pain, sleep disturbances, indigestion, and anxiety/depression, after adjusting for covariates. However, the factors most significantly associated with EQ-VAS differed between the elderly and non-elderly. Pain was the most important factor contributing to EQ-VAS in the elderly, whereas depression and anxiety were the predominant factors in the non-elderly. These relationships were replicated in the repeated measurements to assess the change of symptoms and change of EQ-VAS. CONCLUSION: Our study suggests that somatic and psychological discomfort symptoms are associated with HRQOL. The main factors related to HRQOL vary according to age and large prospective studies and clinical trials are needed to clarify the association between specific symptoms and HRQOL according to the age.
PURPOSE: Symptoms and discomfort are common complaints in primary care settings. It has been postulated that the physical symptoms are informative index in estimating Health-related quality of life (HRQOL). Thus, we conducted a community-based cross-sectional study to assess the relationship between somatic and psychological discomfort and HRQOL in elderly and non-elderly people. METHODS: A total of 2467 participants were recruited in 2013 from a population of 17,066 rural residents aged 20 or older. Information on demographic characteristics, somatic and psychological discomfort symptoms, and HRQOL was collected. Two months after the baseline survey, we conducted a repeated survey to assess changes in the discomfort symptoms and HRQOL. We evaluated associations of the discomfort symptoms with HRQOL using multiple linear regression and mixed model. RESULTS: EuroQol-Visual Analogue Scale (EQ-VAS), index of HRQOL, was correlated with fatigue, pain, sleep disturbances, indigestion, and anxiety/depression, after adjusting for covariates. However, the factors most significantly associated with EQ-VAS differed between the elderly and non-elderly. Pain was the most important factor contributing to EQ-VAS in the elderly, whereas depression and anxiety were the predominant factors in the non-elderly. These relationships were replicated in the repeated measurements to assess the change of symptoms and change of EQ-VAS. CONCLUSION: Our study suggests that somatic and psychological discomfort symptoms are associated with HRQOL. The main factors related to HRQOL vary according to age and large prospective studies and clinical trials are needed to clarify the association between specific symptoms and HRQOL according to the age.
Entities:
Keywords:
Age; Depression; Discomfort; Health-related quality of life; Pain; Symptom
Authors: Javier P Gisbert; Alun Cooper; Dimitrios Karagiannis; Jan Hatlebakk; Lars Agréus; Helmut Jablonowski; Javier Zapardiel Journal: Health Qual Life Outcomes Date: 2009-07-02 Impact factor: 3.186
Authors: Martha Bayliss; Regina Rendas-Baum; Michelle K White; Mark Maruish; Jakob Bjorner; Sandra L Tunis Journal: Health Qual Life Outcomes Date: 2012-12-19 Impact factor: 3.186