Mental Health Comorbidity Patterns and Impact on Quality of Life among Veterans Serving during the First Gulf War
Purpose: To examine the patterns of coexisting (comorbid) mental disorders and whether comorbidity influences quality of life ratings in a sample of U.S. veterans. Patients and Methods: The Iowa Gulf War Study Case Validation study evaluated 602 military personnel, two-thirds of whom had symptoms of...
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| Veröffentlicht in: | Quality of life research 2005-12, Vol.14 (10), p.2303-2314 |
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| creator | Valerie L. Forman-Hoffman Caroline P. Carney Tomoko R. Sampson Peloso, Paul M. Woolson, Robert F. Donald W. Black Doebbeling, Bradley N. |
| description | Purpose: To examine the patterns of coexisting (comorbid) mental disorders and whether comorbidity influences quality of life ratings in a sample of U.S. veterans. Patients and Methods: The Iowa Gulf War Study Case Validation study evaluated 602 military personnel, two-thirds of whom had symptoms of depression, cognitive dysfunction, or chronic widespread pain, who were activated or on active duty sometime during the first Gulf War (GW). Mental health disorders were defined using the SCID-IV, and the Health Utilities Index Mark 3 (HUI3) was used to measure health-related quality of life (HRQoL). Comorbidity was defined as having two or more mental disorders that spanned across at least two separate categories (e.g., depressive disorders and anxiety disorders). Results: Over 35% of veterans with a current mental disorder had at least one other comorbid mental disorder. Those with mental disorder comorbidity had lower HUI scores than veterans with only one or less mental disorders (mean 0.41 ± 0.30 vs. 0.72 ± 0.25, p < 0.0001). Conclusion: The co-occurrence of mental disorders that span at least two mental disorder categories is associated with impaired HRQoL in this veteran population. Early identification of mental health comorbidity may lead to interventions to enhance HRQoL among military personnel. |
| doi_str_mv | 10.1007/s11136-005-6540-2 |
| format | Article |
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Forman-Hoffman ; Caroline P. Carney ; Tomoko R. Sampson ; Peloso, Paul M. ; Woolson, Robert F. ; Donald W. Black ; Doebbeling, Bradley N.</creator><creatorcontrib>Valerie L. Forman-Hoffman ; Caroline P. Carney ; Tomoko R. Sampson ; Peloso, Paul M. ; Woolson, Robert F. ; Donald W. Black ; Doebbeling, Bradley N.</creatorcontrib><description>Purpose: To examine the patterns of coexisting (comorbid) mental disorders and whether comorbidity influences quality of life ratings in a sample of U.S. veterans. Patients and Methods: The Iowa Gulf War Study Case Validation study evaluated 602 military personnel, two-thirds of whom had symptoms of depression, cognitive dysfunction, or chronic widespread pain, who were activated or on active duty sometime during the first Gulf War (GW). Mental health disorders were defined using the SCID-IV, and the Health Utilities Index Mark 3 (HUI3) was used to measure health-related quality of life (HRQoL). Comorbidity was defined as having two or more mental disorders that spanned across at least two separate categories (e.g., depressive disorders and anxiety disorders). Results: Over 35% of veterans with a current mental disorder had at least one other comorbid mental disorder. Those with mental disorder comorbidity had lower HUI scores than veterans with only one or less mental disorders (mean 0.41 ± 0.30 vs. 0.72 ± 0.25, p < 0.0001). Conclusion: The co-occurrence of mental disorders that span at least two mental disorder categories is associated with impaired HRQoL in this veteran population. Early identification of mental health comorbidity may lead to interventions to enhance HRQoL among military personnel.</description><identifier>ISSN: 0962-9343</identifier><identifier>EISSN: 1573-2649</identifier><identifier>DOI: 10.1007/s11136-005-6540-2</identifier><identifier>PMID: 16328909</identifier><language>eng</language><publisher>Netherlands: Springer</publisher><subject>Adult ; Anxiety disorders ; Comorbidity ; Comorbidity - trends ; Disorders ; Female ; Gulf War ; Health status ; Humans ; Iowa - epidemiology ; Male ; Mental disorders ; Mental Disorders - epidemiology ; Mental health ; Mental illness ; Middle Aged ; Military personnel ; Persian Gulf War ; Quality of Life ; Symptoms ; Validation studies ; Veterans ; Veterans - psychology ; War</subject><ispartof>Quality of life research, 2005-12, Vol.14 (10), p.2303-2314</ispartof><rights>Copyright 2005 Springer</rights><rights>Springer 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-939cfd60189b963a799d05207af2adb7bd2f60b671642fbd3537ec929640927a3</citedby><cites>FETCH-LOGICAL-c347t-939cfd60189b963a799d05207af2adb7bd2f60b671642fbd3537ec929640927a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/4039964$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/4039964$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27923,27924,58016,58249</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16328909$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Valerie L. Forman-Hoffman</creatorcontrib><creatorcontrib>Caroline P. Carney</creatorcontrib><creatorcontrib>Tomoko R. Sampson</creatorcontrib><creatorcontrib>Peloso, Paul M.</creatorcontrib><creatorcontrib>Woolson, Robert F.</creatorcontrib><creatorcontrib>Donald W. Black</creatorcontrib><creatorcontrib>Doebbeling, Bradley N.</creatorcontrib><title>Mental Health Comorbidity Patterns and Impact on Quality of Life among Veterans Serving during the First Gulf War</title><title>Quality of life research</title><addtitle>Qual Life Res</addtitle><description>Purpose: To examine the patterns of coexisting (comorbid) mental disorders and whether comorbidity influences quality of life ratings in a sample of U.S. veterans. Patients and Methods: The Iowa Gulf War Study Case Validation study evaluated 602 military personnel, two-thirds of whom had symptoms of depression, cognitive dysfunction, or chronic widespread pain, who were activated or on active duty sometime during the first Gulf War (GW). Mental health disorders were defined using the SCID-IV, and the Health Utilities Index Mark 3 (HUI3) was used to measure health-related quality of life (HRQoL). Comorbidity was defined as having two or more mental disorders that spanned across at least two separate categories (e.g., depressive disorders and anxiety disorders). Results: Over 35% of veterans with a current mental disorder had at least one other comorbid mental disorder. Those with mental disorder comorbidity had lower HUI scores than veterans with only one or less mental disorders (mean 0.41 ± 0.30 vs. 0.72 ± 0.25, p < 0.0001). Conclusion: The co-occurrence of mental disorders that span at least two mental disorder categories is associated with impaired HRQoL in this veteran population. Early identification of mental health comorbidity may lead to interventions to enhance HRQoL among military personnel.</description><subject>Adult</subject><subject>Anxiety disorders</subject><subject>Comorbidity</subject><subject>Comorbidity - trends</subject><subject>Disorders</subject><subject>Female</subject><subject>Gulf War</subject><subject>Health status</subject><subject>Humans</subject><subject>Iowa - epidemiology</subject><subject>Male</subject><subject>Mental disorders</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental health</subject><subject>Mental illness</subject><subject>Middle Aged</subject><subject>Military personnel</subject><subject>Persian Gulf War</subject><subject>Quality of Life</subject><subject>Symptoms</subject><subject>Validation studies</subject><subject>Veterans</subject><subject>Veterans - psychology</subject><subject>War</subject><issn>0962-9343</issn><issn>1573-2649</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpdkVFLHDEQx0Op1PPsByiUEvrg2-ok2U02j-XwTuFERW0fQ3aT1D12N2eSLfjtzXFHBZ9mmPn9h5n5I_SNwDkBEBeREMJ4AVAVvCqhoJ_QjFSCFZSX8jOageS0kKxkx-gkxg0A1BLoF3RMOKM5lTP0cmPHpHt8ZXWfnvHCDz40nenSK77TKdkwRqxHg6-HrW4T9iO-n3S_a3uH152zWA9-_It_28zqDD_Y8K_LBTOFXUjPFi-7EBNeTb3Df3Q4RUdO99F-PcQ5elpePi6uivXt6nrxa120rBQpry1bZziQWjaSMy2kNFBRENpRbRrRGOo4NFwQXlLXGFYxYVtJJS9BUqHZHJ3t526Df5lsTGroYmv7Xo_WT1Hxus7K_Jw5-vkB3PgpjHk3VdesZkB4lSGyh9rgYwzWqW3oBh1eFQG1M0PtzVDZDLUzQ9Gs-XEYPDWDNe-Kw_cz8H0PbGLy4X-_BCbzGewNmFaNbA</recordid><startdate>20051201</startdate><enddate>20051201</enddate><creator>Valerie L. 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Forman-Hoffman</au><au>Caroline P. Carney</au><au>Tomoko R. Sampson</au><au>Peloso, Paul M.</au><au>Woolson, Robert F.</au><au>Donald W. Black</au><au>Doebbeling, Bradley N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mental Health Comorbidity Patterns and Impact on Quality of Life among Veterans Serving during the First Gulf War</atitle><jtitle>Quality of life research</jtitle><addtitle>Qual Life Res</addtitle><date>2005-12-01</date><risdate>2005</risdate><volume>14</volume><issue>10</issue><spage>2303</spage><epage>2314</epage><pages>2303-2314</pages><issn>0962-9343</issn><eissn>1573-2649</eissn><abstract>Purpose: To examine the patterns of coexisting (comorbid) mental disorders and whether comorbidity influences quality of life ratings in a sample of U.S. veterans. Patients and Methods: The Iowa Gulf War Study Case Validation study evaluated 602 military personnel, two-thirds of whom had symptoms of depression, cognitive dysfunction, or chronic widespread pain, who were activated or on active duty sometime during the first Gulf War (GW). Mental health disorders were defined using the SCID-IV, and the Health Utilities Index Mark 3 (HUI3) was used to measure health-related quality of life (HRQoL). Comorbidity was defined as having two or more mental disorders that spanned across at least two separate categories (e.g., depressive disorders and anxiety disorders). Results: Over 35% of veterans with a current mental disorder had at least one other comorbid mental disorder. Those with mental disorder comorbidity had lower HUI scores than veterans with only one or less mental disorders (mean 0.41 ± 0.30 vs. 0.72 ± 0.25, p < 0.0001). Conclusion: The co-occurrence of mental disorders that span at least two mental disorder categories is associated with impaired HRQoL in this veteran population. Early identification of mental health comorbidity may lead to interventions to enhance HRQoL among military personnel.</abstract><cop>Netherlands</cop><pub>Springer</pub><pmid>16328909</pmid><doi>10.1007/s11136-005-6540-2</doi><tpages>12</tpages></addata></record> |
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| subjects | Adult Anxiety disorders Comorbidity Comorbidity - trends Disorders Female Gulf War Health status Humans Iowa - epidemiology Male Mental disorders Mental Disorders - epidemiology Mental health Mental illness Middle Aged Military personnel Persian Gulf War Quality of Life Symptoms Validation studies Veterans Veterans - psychology War |
| title | Mental Health Comorbidity Patterns and Impact on Quality of Life among Veterans Serving during the First Gulf War |
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