The psychosocial difficulties in brain disorders that explain short term changes in health outcomes

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Show simple item record Cieza, Alarcos Bostan, Cristina Ayuso Mateos, José Luis Oberhauser, Cornelia Bickenbach, Jerome Edmond Raggi, Alberto Leonardi, Matilde A. Vieta, Eduard Chatterji, Somnath
dc.contributor.other UAM. Departamento de Psiquiatría es_ES 2014-11-05T11:18:43Z 2014-11-05T11:18:43Z 2013-03-11
dc.identifier.citation BMC Psychiatry 13 (2013): 78 en_US
dc.identifier.issn 1471-244X es_ES
dc.description.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 en_US
dc.description.sponsorship During the development of this paper, Cristina Bostan was supported by a Marie Curie Fellowship from the EU funded project MURINET en_US
dc.format.extent 12 pag. es_ES
dc.format.mimetype application/pdf es_ES
dc.language.iso eng en
dc.publisher BioMed Central en_US
dc.relation.ispartof BMC Psychiatry en_US
dc.rights © 2013 Cieza et al.; licensee BioMed Central Ltd. es_ES
dc.subject.other Disability en_US
dc.subject.other Neurological disorders en_US
dc.subject.other Psychiatric disorders en_US
dc.subject.other Psychosocial en_US
dc.title The psychosocial difficulties in brain disorders that explain short term changes in health outcomes en_US
dc.type article en
dc.subject.eciencia Medicina es_ES
dc.relation.publisherversion es_ES
dc.identifier.doi 10.1186/1471-244X-13-78 es_ES
dc.identifier.publicationfirstpage 78 es_ES
dc.identifier.publicationvolume 13 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion en Reconocimiento es_ES
dc.rights.accessRights openAccess en
dc.authorUAM Ayuso Mateos, José Luis (260480)

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