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Title: The psychosocial difficulties in brain disorders that explain short term changes in health outcomes.
Author: Cieza, Alarcos
Bostan, Cristina
Ayuso Mateos, Jose Luis
Oberhauser, Cornelia
Bickenbach, Jerome
Raggi, Alberto
Leonardi, Matilde
Vieta i Pascual, Eduard, 1963-
Chatterji, Somnath
Keywords: Psicologia social
Trastorn bipolar
Depressió psíquica
Esclerosi múltiple
Social psychology
Manic-depressive illness
Mental depression
Multiple sclerosis
Issue Date: 11-Mar-2013
Publisher: BioMed Central
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 depression, bipolar disorders, multiple sclerosis, parkinson's disease, migraine, traumatic brain injury and stroke. 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.
Note: Reproducció del document publicat a:
It is part of: BMC Psychiatry, 2013, vol. 13, num. 1, p. 78
Related resource:
ISSN: 1471-244X
Appears in Collections:Articles publicats en revistes (Psicologia Clínica i Psicobiologia)

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