Disability In Outpatients Research Articles

A study of disability in patients with chronic musculoskeletal pain

<p><strong>Background:</strong> Musculoskeletal impairment is the most common cause of chronic pain and subsequent disability world over. Yet their very few Indian studies on this subject. The aim of study was to assess the extent of disability in out-patients suffering from chronic musculoskeletal pain, to determine whether the disability varied with the age and sex of the patient, to assess any correlation between the intensity of pain and the extent of disability, and to evaluate whether the extent of disability depended upon the site, periodicity and duration of pain.</p><p><strong>Methods:</strong> The 200 patients of chronic musculoskeletal pain were assessed for disability using the pain disability questionnaire (PDQ) and pain intensity using the numeric pain rating scale. The patients with mild, moderate and severe disability were compared using non parametric tests to assess the differences related to age, sex, pain intensity, site, duration and periodicity of pain.</p><p><strong>Results:</strong> The 56% patients had mild, 41% had moderate while 3% patients reported severe disability. Disability was higher in patients in the younger age group, higher intensity of pain, heel pain and variable pain. In the regression analysis, pain intensity emerged as the sole predictor of disability.</p><p><strong>Conclusions: </strong>We conclude that 56% patients had mild, 41% had moderate while 3% patients reported severe disability. Disability was higher in patients at the extremes of age, higher intensity of pain, and variable pain. Gender and pain duration did not have any significant association with disability.</p>

The associations of quality of life and general functioning with trauma, borderline intellectual functioning and mild intellectual disability in outpatients with serious mental illness

BackgroundTrauma and intellectual disability are highly prevalent in the serious mental ill (SMI). Little is known of their impact on general functioning and quality of life. AimThis study investigated the association of trauma and intellectual disability (ID) with general functioning and quality of life in SMI. MethodsPatient characteristics and diagnoses were extracted from electronic patient records. We used the Trauma Screening Questionnaire (TSQ), the Screener for Intelligence and Learning Disabilities (SCIL), the Health of the Nation Outcome Scale (HoNOS) and the Manchester Short Assessment of Quality of Life (MANSA) to asses trauma, intellectual impairment, general functioning and quality of life. Proportions on cut-off scores were analysed with cross-tabulations, questionnaire scores with t-tests. Multivariable associations were determined by logistic regression analysis. Results611 patients from an outpatient service were assessed. Trauma and ID were associated with each other (r = −0.207). Trauma was associated with worse general functioning and a lower quality of life. Mild intellectual disability (MID) or borderline intellectual functioning (BIF) were associated with worse general functioning. ConclusionsFor patients with SMI, trauma and ID should be identified early in care to treat the lower general functioning and quality of life it caused.

Sociodemographic factors associated with functional disability in outpatients with rheumatoid arthritis in Southwest China.

With the rising number of patients with rheumatoid arthritis (RA), there is a limited understanding about sociodemographic factors that influence functional disability in Chinese patients. In order to provide more targeted interventions to improve health-related quality of life (HRQoL) for patients with RA, we conducted a cross-sectional study to investigate the level and influencing factors of functional disability. Convenient samples were collected in outpatients with RA from a rheumatological center in southwest China from September to December 2013. Data were collected by printed questionnaires, and functional disability was measured by the Health Assessment Questionnaire Disability Index (HAQ-DI). The results showed that 58.48 % of 607 outpatients had functional disability. Patients from rural residents, with lower household income and lower education level, were significantly associated with worse functional disability. Multivariate regression findings showed that pain, age, disease duration, total cost for treatment, and frequency of hospitalization were positively associated with functional disability. Meanwhile, subjective and available social support was the protective predictors for functional disability. The results suggested that systematic intervention and therapies should be provided as early as possible. Patients and health care providers should promote the awareness of the importance of accessible health education in early intervention of RA. Besides, pain management and social support are encouraged to postpone the process of disability of patients and improve the HRQoL. Lastly, but not least, prevention and intervention of RA should be incorporated into public health education.

PMH43 Modelling the Longitudinal Latent Effect of Pregabalin on Self-Reported Changes in Sleep Disturbances and Disability in Outpatients With Generalized Anxiety Disorder (GAD) Treated in Routine Clinical Practice in Spain

PMH43 Modelling the Longitudinal Latent Effect of Pregabalin on Self-Reported Changes in Sleep Disturbances and Disability in Outpatients With Generalized Anxiety Disorder (GAD) Treated in Routine Clinical Practice in Spain

Comorbidity and Disability in Outpatients With Schizophrenia

Back to table of contents Previous article Next article Letter to the EditorFull AccessComorbidity and Disability in Outpatients With SchizophreniaMAURO V. MENDLOWICZ, M.D., RAPHAEL J. BRAGA, M.D., ROGÉRIO P. MARROCOS, M.D., and IVAN FIGUEIRA, M.D., MAURO V. MENDLOWICZSearch for more papers by this author, M.D., RAPHAEL J. BRAGASearch for more papers by this author, M.D., ROGÉRIO P. MARROCOSSearch for more papers by this author, M.D., and IVAN FIGUEIRASearch for more papers by this author, M.D., Rio de Janeiro, BrazilPublished Online:1 Feb 2005https://doi.org/10.1176/appi.ajp.162.2.400AboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail To the Editor: Stefano Pallanti, M.D., and his collaborators (1) provided pioneering evidence that social anxiety disorder is associated with a lower health-related quality of life and higher lifetime rates of suicide attempts in outpatients with schizophrenia. However, given that 1) social anxiety disorder is strongly comorbid with major depressive disorder (2), 2) major depressive disorder has a greater impact on health-related quality of life than social anxiety disorder (3), and 3) major depressive disorder far outweighs social anxiety disorder as a risk factor for suicide (4), we feel that Dr. Pallanti and his collaborators might have considered the hypothesis that at least part of the correlations they found might have resulted from the effects of comorbid major depressive disorder rather than from those of social anxiety disorder.Since Dr. Pallanti and his collaborators interviewed all of their patients with the Structured Clinical Interview for DSM-IV, it would be interesting if the authors could report the prevalence of mood disorders they identified in their sample and discuss the possibility that the presence of these disorders might have influenced their results.

Psychiatric disorders and functional disability in outpatients with traumatic brain injuries

Objective : This study examined psychiatric sequelae of traumatic brain injuries in outpatients and their relation to functional disability. Method : Fifty consecutive outpatients with traumatic brain injuries who came to a brain injury rehabilitation clinic for initial evaluation were examined for DSM-III-R diagnoses with the use of the National Institute of Mental Health Diagnostic Interview Schedule. The patients completed the Medical Outcomes Study Health Survey to assess functional disability and a questionnaire to assess postconcussion symptoms and self-perceptions of the severity of their brain injuries and cognitive functioning. Results : Thirteen (26%) of the patients had current major depression, and an additional 14 (2 8%) reported a first-onset major depressive episode after the injury that had resolved. Twelve (24%) had current generalized anxiety disorder, and four (8%) reported current substance abuse. The group with depression and/or anxiety was significantly more impaired than the nondepressed/nonanxious patients according to the Medical Outcomes Study Health Survey measures of emotional role functioning, mental health, and general health perceptions. The depressed/anxious group also rated their injuries as significantly more severe and their cognitive functioning as significantly worse, despite the lack of significant differences in objective measures of severity of injury and Mini-Mental State examination scores. The depressed patients reported significantly more postconcussion symptoms that were increasing in severity over time. Conclusions : Depression and anxiety are common in outpatients with traumatic brain injuries. Patients with depression or anxiety are more functionally disabled and perceive their injury and cognitive impairment as more severe. Depressed patients report more increasingly severe postconcussion symptoms.

Psychiatric disorders and functional disability in outpatients with traumatic brain injuries

Psychiatric disorders and functional disability in outpatients with traumatic brain injuries