Family Support, Self-Rated Health, and Psychological Distress

Annmarie Caño · Douglas J. Scaturo · Robert P. Sprafkin · Larry J. Lantinga · Frank Brand

51 citations0/0 files storedThe Primary Care Companion For CNS Disorders

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Health and Well-being Studies Mental Health Treatment and Access Health disparities and outcomes

Abstract

BACKGROUND: Comprehensive health care is becoming an important issue; however, little is known about the complex relationships between perceived family support, self-rated health, and psychological distress in mixed middle-aged/older primary care patient samples. METHOD: In this cross-sectional and predominantly male sample of 137 patients attending their appointments at a primary care clinic in a Department of Veterans Affairs Medical Center, participants completed several questionnaires including the Family Adaptation, Partnership, Growth, Affection, and Resolve; the General Health Questionnaire-12; the Symptom Checklist-10; and the Primary Care Evaluation of Mental Disorders (PRIME-MD) screening questionnaire and interview. Data were collected in 1998. Eighteen percent of the participants were diagnosed with a mood disorder, and 15% were diagnosed with an anxiety disorder (PRIME-MD diagnoses). RESULTS: Perceived family support and self-rated health were negatively associated with psychological symptoms and certain psychological disorders, while perceived family support and self-rated health were positively rated. In addition, the interaction between perceived family support and self-rated health was significant (p <.01) in relating to psychological symptoms such that psychological symptoms were most elevated in participants reporting dissatisfying family support combined with poor self-rated health. However, the cross-sectional nature of the study prevents causal conclusions from being made. CONCLUSIONS: Physicians and other health care professionals are encouraged to assess both the perceived family support and self-rated health in an effort to conceptualize their patients' problems in a more comprehensive manner.

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1997Self-Rated Health and Mortality: A Review of Twenty-Seven Community Studies 1988A user's guide to the General Health Questionnaire 1973SCL-90: an outpatient psychiatric rating scale--preliminary report.1994Utility of a New Procedure for Diagnosing Mental Disorders in Primary Care 1982Validity and reliability of the family APGAR as a test of family function.1978The McMaster Model of Family Functioning 1995Health-related quality of life in primary care patients with mental disorders. Results from the PRIME-MD 1000 Study 1995Health-Related Quality of Life in Primary Care Patients With Mental Disorders

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