Psychiatric comorbidity and work disability in patients with inflammatory rheumatic diseases.
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Psychiatric comorbidity and work disability in patients with inflammatory rheumatic diseases. / Löwe, Bernd; Willand, Levke; Eich, Wolfgang; Zipfel, Stephan; Ho, Anthony D; Herzog, Wolfgang; Fiehn, Christoph.
in: PSYCHOSOM MED, Jahrgang 66, Nr. 3, 3, 2004, S. 395-402.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Psychiatric comorbidity and work disability in patients with inflammatory rheumatic diseases.
AU - Löwe, Bernd
AU - Willand, Levke
AU - Eich, Wolfgang
AU - Zipfel, Stephan
AU - Ho, Anthony D
AU - Herzog, Wolfgang
AU - Fiehn, Christoph
PY - 2004
Y1 - 2004
N2 - OBJECTIVE: To determine the relative contribution of psychiatric comorbidity to work disability in patients with inflammatory rheumatic diseases (IRD). Parallel analyses were also performed in a matched control group with no diagnosis of IRD to investigate if predictors of work disability in medical patients are independent from the presence of IRD. METHOD: The patient group with IRD (73.9% female; mean age, 42.7 years) and the control group (73.9% female; mean age, 42.2 years) consisted of 356 outpatients each. Psychiatric comorbidity was diagnosed using the Patient Health Questionnaire (PHQ), functional disability was measured with the 12-item Short-Form Health Survey (SF-12), and severity of illness was assessed by the treating physicians. Stepwise logistic regression analyses were performed to identify independent predictors of work disability controlling for psychiatric comorbidity, functional disability, severity of illness, additional clinical variables, and demographics. RESULTS: Psychiatric comorbidity increased work disability in patients with severe IRD from 25% to 50%, and from 5% to 17% in mild disease. Physical functioning (OR = 0.6; p
AB - OBJECTIVE: To determine the relative contribution of psychiatric comorbidity to work disability in patients with inflammatory rheumatic diseases (IRD). Parallel analyses were also performed in a matched control group with no diagnosis of IRD to investigate if predictors of work disability in medical patients are independent from the presence of IRD. METHOD: The patient group with IRD (73.9% female; mean age, 42.7 years) and the control group (73.9% female; mean age, 42.2 years) consisted of 356 outpatients each. Psychiatric comorbidity was diagnosed using the Patient Health Questionnaire (PHQ), functional disability was measured with the 12-item Short-Form Health Survey (SF-12), and severity of illness was assessed by the treating physicians. Stepwise logistic regression analyses were performed to identify independent predictors of work disability controlling for psychiatric comorbidity, functional disability, severity of illness, additional clinical variables, and demographics. RESULTS: Psychiatric comorbidity increased work disability in patients with severe IRD from 25% to 50%, and from 5% to 17% in mild disease. Physical functioning (OR = 0.6; p
M3 - SCORING: Zeitschriftenaufsatz
VL - 66
SP - 395
EP - 402
JO - PSYCHOSOM MED
JF - PSYCHOSOM MED
SN - 0033-3174
IS - 3
M1 - 3
ER -
