Impairment of health-related quality of life in functional dyspepsia and chronic liver disease: the influence of depression and anxiety

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dc.contributor.authorHaag, S.
dc.contributor.authorSenf, W.
dc.contributor.authorHauser, W.
dc.contributor.authorTagay, S.
dc.contributor.authorGrandt, D.
dc.contributor.authorHeuft, G.
dc.contributor.authorGerken, G.
dc.contributor.authorTalley, N.
dc.contributor.authorHoltmann, G.
dc.date.issued2008
dc.descriptionArticle first published online: 18 JAN 2008
dc.description.abstractBackground: Health-related quality of life (HRQOL) is a marker of disease severity. Data on the relative impairment of HRQOL in chronic liver disease (CLD) and functional gastrointestinal disorders are lacking and no studies have assessed the link between impairment of HRQOL and psychosocial factors yet. Aim: To assess predictors for, and the impairment of, HRQOL in CLD and FD. Methods: In 181 functional dyspepsia (FD) patients, 204 CLD patients and 337 healthy blood donors, HRQOL was assessed with the Short Form-36 (mental and physical component), and anxiety and depression utilizing the Hospital Anxiety and Depression Scale. Results: Compared with HC, HRQOL is significantly lower in FD and CLD (P-value for all <0.001). The mental but not physical component of HRQOL was significantly more impaired in FD compared with CLD (P < 0.05). After adjusting for confounders, impairment of mental (P < 0.001) and physical (P = 0.005) component of HRQOL was associated with the severity of CLD and FD. In FD, the multivariate analysis revealed depression and severity of symptoms as the most important predictors of HRQOL (R2 = 21.9 and 7.1). In CLD, the mental component of HRQOL was associated with depression and anxiety (R2 = 9.9 and 9.7). Conclusions: In tertiary care, HRQOL is more severely impaired in FD compared with CLD. Co-morbid psychiatric conditions significantly contribute to the impairment of HRQOL
dc.description.statementofresponsibilityS. Haag, W. Senf, W. Hauser, S. Tagay, D. Grandt, G. Heuft, G. Gerken, N. J. Talley and G. Holtmann
dc.identifier.citationAlimentary Pharmacology and Therapeutics, 2008; 27(7):561-571
dc.identifier.doi10.1111/j.1365-2036.2008.03619.x
dc.identifier.issn0269-2813
dc.identifier.issn1365-2036
dc.identifier.urihttp://hdl.handle.net/2440/49770
dc.language.isoen
dc.publisherBlackwell Publishing Ltd
dc.rights© 2008 The Authors. Journal compilation © 2008 Blackwell Publishing Ltd
dc.source.urihttp://www3.interscience.wiley.com/journal/119401252/issue
dc.subjectAffect affectivity
dc.subjectMood disorder
dc.subjectDigestive diseases
dc.subjectAnxiety
dc.subjectDepression
dc.subjectHepatic disease
dc.subjectChronic disease
dc.subjectDyspepsia
dc.subjectHealth-Related Quality of Life
dc.titleImpairment of health-related quality of life in functional dyspepsia and chronic liver disease: the influence of depression and anxiety
dc.typeJournal article
pubs.publication-statusPublished

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