Loeb Mitchell, Jonas Bruce S
Centers for Disease Control and Prevention, National Center for Health Statistics, 3311 Toledo Road, Hyattsville, MD 20782, USA.
Centers for Disease Control and Prevention, National Center for Health Statistics, 3311 Toledo Road, Hyattsville, MD 20782, USA.
Disabil Health J. 2015 Jan;8(1):70-9. doi: 10.1016/j.dhjo.2014.08.003. Epub 2014 Aug 15.
There is limited research that assesses psychological functioning categorically as a predictor of complex activity limitations either alone or in conjunction with physical functioning.
This paper assesses the impact of psychological and/or physical functioning difficulties as predictors of complex activity limitations among U.S. adults, using data from a national survey.
Data come from the 2006-2010 National Health Interview Survey among U.S. adults 18 or older (n = 124,337). We developed a combined physical/psychological exposure variable with six categories: 1) no/low psychological distress (LPD) and absence of physical functioning difficulties, 2) moderate psychological distress (MPD) only, 3) serious psychological distress (SPD) only, 4) physical functioning difficulty only, 5) MPD and physical functioning difficulties, and 6) SPD and physical functioning difficulties. Selected complex activity limitations include daily living, social and work limitations.
Compared to adults with LPD and absence of physical functioning difficulties, the results demonstrated a clear and significant gradient of increasing risk of complex activity limitations beginning with MPD only, SPD only, physical functioning difficulty only, both MPD and physical functioning difficulties, and SPD and physical functioning difficulties.
The data suggest a stronger risk of complex activity limitations when increasing psychological functioning difficulties coexist with physical functioning difficulties, leading to potential interference with a person's ability to accomplish major life activities measured in this study. The sizeable contribution of psychological distress to the prevalence of basic actions difficulty implies that the mental health component of functional limitations is important in the overall assessment of health and well-being.
单独或结合身体功能将心理功能作为复杂活动受限预测因素进行分类评估的研究有限。
本文利用一项全国性调查的数据，评估心理和/或身体功能困难作为美国成年人复杂活动受限预测因素的影响。
数据来自2006 - 2010年对18岁及以上美国成年人的全国健康访谈调查（n = 124,337）。我们构建了一个包含六个类别的身体/心理综合暴露变量：1）无/低心理困扰（LPD）且无身体功能困难，2）仅中度心理困扰（MPD），3）仅严重心理困扰（SPD），4）仅身体功能困难，5）MPD和身体功能困难，6）SPD和身体功能困难。选定的复杂活动受限包括日常生活、社交和工作受限。
与无LPD且无身体功能困难的成年人相比，结果显示从仅MPD、仅SPD、仅身体功能困难、MPD和身体功能困难以及SPD和身体功能困难开始，复杂活动受限风险呈明显且显著的梯度增加。
数据表明，当心理功能困难增加且与身体功能困难同时存在时，复杂活动受限的风险更高，这可能会干扰一个人完成本研究中所衡量的主要生活活动的能力。心理困扰对基本行动困难患病率的显著贡献意味着功能受限的心理健康部分在整体健康和幸福评估中很重要。
