Details:

Alternative Title:
Disabil Health J
Publisher's site:
http://dx.doi.org/10.1016/j.dhjo.2014.08.003
Personal Author:
Loeb, Mitchell ; Jonas, Bruce S.
Loeb, Mitchell ; Jonas, Bruce S. Less -
Description:
Background

There is limited research that assesses psychological functioning categorically as a predictor of complex activity limitations either alone or in conjunction with physical functioning.

Objectives

This paper assesses the impact of psychological and/or physical functioning difficulties as predictors of complex activity limitations among U.S. adults, using data from a national survey.

Methods

Data come from the 2006–2010 National Health Interview Survey among U.S. adults 18 or older (n=124,337). We developed a combined physical/psychological exposure variable with six categories: 1) no/low psychological distress (LPD) and absence of physical functioning difficulties, 2) moderate psychological distress (MPD) only, 3) serious psychological distress (SPD) only, 4) physical functioning difficulty only, 5) MPD and physical functioning difficulties, and 6) SPD and physical functioning difficulties. Selected complex activity limitations include daily living, social and work limitations.

Results

Compared to adults with LPD and absence of physical functioning difficulties, the results demonstrated a clear and significant gradient of increasing risk of complex activity limitations beginning with MPD only, SPD only, physical functioning difficulty only, both MPD and physical functioning difficulties, and SPD and physical functioning difficulties.

Conclusions

The data suggest a stronger risk of complex activity limitations when increasing psychological functioning difficulties coexist with physical functioning difficulties, leading to potential interference with a person’s ability to accomplish major life activities measured in this study. The sizeable contribution of psychological distress to the prevalence of basic actions difficulty implies that the mental health component of functional limitations is important in the overall assessment of health and well-being.


Subject:
[+]
Activities Of Daily Living
Adolescent
Adult
Aged
Aged, 80 And Over
Disabled Persons
Female
Health Surveys
Humans
Male
Mental Disorders
Middle Aged
Prevalence
Social Participation
Stress, Psychological
Work
Young Adult

Source:
Disabil Health J. 8(1):70-79.
Pubmed ID:
25239646
Pubmed Central ID:
PMC4757842
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Name as Subject:
National Health Interview Survey (U.S.) ; National Health Interview Survey (U.S.)
National Health Interview Survey (U.S.) ; National Health Interview Survey (U.S.) Less -
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:57b30dc429dc4d577393f4b15502003fe27df948516897d117420276ac67f3ea
File Type:

Supporting Files

• 	NIHMS753862-supplement-Supplemental.docx	docx
  	nihms753862.nxml	bin

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