The Spitzer Department of Social Work, Ben-Gurion University of the Negev, Beersheba, Israel, 8410501.
Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, 199 AbaKhoushy Ave. Mount Carmel, Haifa, 3498838 Israel.
Int J Qual Health Care. 2021 Mar 5;34(Suppl 1):ii65–ii69. doi: 10.1093/intqhc/mzaa033.
Persons with serious mental illnesses are at increased risk for co-occurring physical comorbidities. Patient-reported outcome measures are increasingly used in routine assessments of persons with serious mental illnesses, yet the relation of patient-reported outcome measures to physical health outcomes has not been comprehensively investigated. We examined the association between patient-reported outcome measures and self-reported physical health at 1-year follow-up.
A retrospective cohort study.
Data were collected as part of the Israeli Psychiatric Rehabilitation Patient-Reported Outcome Measurement program in Israel.
A total of 2581 psychiatric rehabilitation service users assessed between April 2013 and January 2016.
Self-reports on two consecutive years of physical health dichotomized as poor versus good.
More than one-third of participants reported having poor physical health. Multivariate regression analysis showed that quality of life (odds ratio [OR] = 0.71; 95% confidence interval [CI]: 0.60-0.84) and lack of effect of symptoms on functioning (OR = 0.81; 95%CI: 0.74-0.89) predict subsequent physical health, controlling for all other factors. Compared to a multivariate model with personal characteristics and self-reports on physical health at baseline (Model A), the model which also included patient-reported outcome measures (Model B) showed slightly better discrimination (c-statistic: 0.74 vs. 0.76, respectively).
These results suggest that patient-reported outcome measures contribute to the prediction of poor physical health and thus can be useful as an early screening tool for people with serious mental illnesses living in the community, who are at risk of physical health problems.
患有严重精神疾病的人并发躯体合并症的风险增加。患者报告的结果测量指标越来越多地用于严重精神疾病患者的常规评估，但患者报告的结果测量指标与身体健康结果之间的关系尚未得到全面研究。我们研究了患者报告的结果测量指标与 1 年随访时自我报告的身体健康之间的关系。
回顾性队列研究。
数据是作为以色列精神病康复患者报告结果测量计划的一部分在以色列收集的。
共有 2581 名精神病康复服务使用者在 2013 年 4 月至 2016 年 1 月之间接受评估。
连续两年的身体健康自我报告，分为差和良好。
超过三分之一的参与者报告身体健康状况不佳。多变量回归分析显示，生活质量（比值比[OR] = 0.71；95%置信区间[CI]：0.60-0.84）和症状对功能的影响缺乏（OR = 0.81；95%CI：0.74-0.89），控制所有其他因素后，可预测随后的身体健康。与包含个人特征和基线身体健康自我报告的多变量模型（模型 A）相比，还包含患者报告的结果测量指标的模型（模型 B）显示出稍好的区分度（C 统计量：分别为 0.74 与 0.76）。
这些结果表明，患者报告的结果测量指标有助于预测身体健康状况不佳，因此可以作为社区中患有严重精神疾病且有身体健康问题风险的人的早期筛查工具。
