The psychosocial difficulties in brain disorders that explain short term changes in health outcomes
Entity
UAM. Departamento de PsiquiatríaPublisher
BioMed CentralDate
2013-03-11Citation
10.1186/1471-244X-13-78
BMC Psychiatry 13 (2013): 78
ISSN
1471-244XDOI
10.1186/1471-244X-13-78Funded by
During the development of this paper, Cristina Bostan was supported by a Marie Curie Fellowship from the EU funded project MURINETEditor's Version
http://dx.doi.org/10.1186/1471-244X-13-78Subjects
Disability; Neurological disorders; Psychiatric disorders; Psychosocial; MedicinaRights
© 2013 Cieza et al.; licensee BioMed Central Ltd.Abstract
Background: This study identifies a set of psychosocial difficulties that are associated with short term changes in
health outcomes across a heterogeneous set of brain disorders, neurological and psychiatric.
Methods: Longitudinal observational study over approximately 12 weeks with three time points of assessment and
741 patients with bipolar disorders, depression, migraine, multiple sclerosis, parkinson’s disease, stroke and traumatic
brain injury. The data on disability was collected with the checklist of the International Classification of Functioning,
Disability and Health. The selected health outcomes were the Short Form 36 and the World Health Organization
Disability Assessment Schedule. Multilevel models for change were applied controlling for age, gender and
disease severity.
Results: The psychosocial difficulties that explain the variability and change over time of the selected health
outcomes were energy and drive, sleep, and emotional functions, and a broad range of activities and participation
domains, such as solving problems, conversation, areas of mobility and self-care, relationships, community life and
recreation and leisure.
Conclusions: Our findings are of interest to researchers and clinicians for interventions and health systems
planning as they show that in addition to difficulties that are diagnostic criteria of these disorders, there are other
difficulties that explain small changes in health outcomes over short periods of time
Files in this item
Google Scholar:Cieza, Alarcos
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Bostan, Cristina
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Ayuso Mateos, José Luis
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Oberhauser, Cornelia
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Bickenbach, Jerome Edmond
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Raggi, Alberto
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Leonardi, Matilde A.
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Vieta, Eduard
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Chatterji, Somnath
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