Single item on positive affect is associated with 1-year survival in consecutive medical inpatients

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Single item on positive affect is associated with 1-year survival in consecutive medical inpatients. / Scherer, Martin; Herrmann-Lingen, Christoph.

in: GEN HOSP PSYCHIAT, Jahrgang 31, Nr. 1, 13.01.2009, S. 8-13.

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@article{8f809c00edb749849f1967e01afadcd0,
title = "Single item on positive affect is associated with 1-year survival in consecutive medical inpatients",
abstract = "OBJECTIVE: To determine the independent effects of positive and negative affect items on mortality in consecutive medical inpatients.METHODS: Consecutive general medical inpatients were asked to complete the Hospital Anxiety and Depression Scale (HADS) at admission. Prognostic indicators were obtained from patients' records and physicians' ratings. The study end point was mortality from all causes at 1 year.RESULTS: The baseline assessment was completed by 575 patients (87.7%). Survival data were available for 572 of these (86 deaths). HADS depression scores and several physical risk indicators predicted mortality. Independent effects could be observed for HADS item 1 ({"}Can enjoy things as much as before{"}) adjusted for physicians' ratings of prognosis, a principal diagnosis of hemato-oncological disease and Charlson comorbidity scores. In contrast, HADS depression items 2-7 (Model 1) as well as positive HADS depression scores did not contribute significantly to the prediction of mortality.CONCLUSION: Our present results suggest that one single item on positive affect independently predicts 1-year survival in consecutively admitted medical inpatients. Interestingly, this item has a stronger association with survival status than the presence of depressed mood.",
keywords = "Adult, Aged, Anxiety, Depression, Female, Germany, Humans, Inpatients, Male, Middle Aged, Predictive Value of Tests, Survival Analysis",
author = "Martin Scherer and Christoph Herrmann-Lingen",
year = "2009",
month = jan,
day = "13",
doi = "10.1016/j.genhosppsych.2008.09.020",
language = "English",
volume = "31",
pages = "8--13",
journal = "GEN HOSP PSYCHIAT",
issn = "0163-8343",
publisher = "Elsevier Inc.",
number = "1",

}

RIS

TY - JOUR

T1 - Single item on positive affect is associated with 1-year survival in consecutive medical inpatients

AU - Scherer, Martin

AU - Herrmann-Lingen, Christoph

PY - 2009/1/13

Y1 - 2009/1/13

N2 - OBJECTIVE: To determine the independent effects of positive and negative affect items on mortality in consecutive medical inpatients.METHODS: Consecutive general medical inpatients were asked to complete the Hospital Anxiety and Depression Scale (HADS) at admission. Prognostic indicators were obtained from patients' records and physicians' ratings. The study end point was mortality from all causes at 1 year.RESULTS: The baseline assessment was completed by 575 patients (87.7%). Survival data were available for 572 of these (86 deaths). HADS depression scores and several physical risk indicators predicted mortality. Independent effects could be observed for HADS item 1 ("Can enjoy things as much as before") adjusted for physicians' ratings of prognosis, a principal diagnosis of hemato-oncological disease and Charlson comorbidity scores. In contrast, HADS depression items 2-7 (Model 1) as well as positive HADS depression scores did not contribute significantly to the prediction of mortality.CONCLUSION: Our present results suggest that one single item on positive affect independently predicts 1-year survival in consecutively admitted medical inpatients. Interestingly, this item has a stronger association with survival status than the presence of depressed mood.

AB - OBJECTIVE: To determine the independent effects of positive and negative affect items on mortality in consecutive medical inpatients.METHODS: Consecutive general medical inpatients were asked to complete the Hospital Anxiety and Depression Scale (HADS) at admission. Prognostic indicators were obtained from patients' records and physicians' ratings. The study end point was mortality from all causes at 1 year.RESULTS: The baseline assessment was completed by 575 patients (87.7%). Survival data were available for 572 of these (86 deaths). HADS depression scores and several physical risk indicators predicted mortality. Independent effects could be observed for HADS item 1 ("Can enjoy things as much as before") adjusted for physicians' ratings of prognosis, a principal diagnosis of hemato-oncological disease and Charlson comorbidity scores. In contrast, HADS depression items 2-7 (Model 1) as well as positive HADS depression scores did not contribute significantly to the prediction of mortality.CONCLUSION: Our present results suggest that one single item on positive affect independently predicts 1-year survival in consecutively admitted medical inpatients. Interestingly, this item has a stronger association with survival status than the presence of depressed mood.

KW - Adult

KW - Aged

KW - Anxiety

KW - Depression

KW - Female

KW - Germany

KW - Humans

KW - Inpatients

KW - Male

KW - Middle Aged

KW - Predictive Value of Tests

KW - Survival Analysis

U2 - 10.1016/j.genhosppsych.2008.09.020

DO - 10.1016/j.genhosppsych.2008.09.020

M3 - SCORING: Journal article

C2 - 19134503

VL - 31

SP - 8

EP - 13

JO - GEN HOSP PSYCHIAT

JF - GEN HOSP PSYCHIAT

SN - 0163-8343

IS - 1

ER -