Population-Based Comparison of Health-Related Quality of Life Between Healthy Subjects and Those With Specific Psychiatric or Somatic Diseases

Authors

  • Tarja Saharinen RN, MNSc, PhD(c),

    1. Tarja Saharinen, RN, MNSc, PhD(c), is a Doctoral Student, Department of Nursing Science, University of Eastern Finland, and Head Nurse, Department of Psychiatry, Kuopio University Hospital, Kuopio Psychiatric Center, Kuopio, Finland; Jukka Hintikka, MD, PhD, is Professor, Department of Psychiatry, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland; Jari Kylmä, RN, PhD, is Adjunct Professor, Faculty of Medicine, Department of Nursing Science, University of Tampere, Tampere, Finland; Heli Koivumaa-Honkanen, MD, PhD, is Acting Professor, Department of Clinical Medicine, University of Oulu, Department of Psychiatry, Lapland Hospital District and Kuopio University Hospital, Oulu, Kuopio, Finland; Kirsi Honkalampi, PhD, is Adjunct Professor, Kuopio Psychiatric Center, Kuopio City, Kuopio, Finland; Soili M. Lehto, MD, PhD, is a Physician and Clinical Lecturer, Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland; Merja Nikkonen, RN, PhD, is Adjunct Professor, Department of Nursing Science, University of Eastern Finland, Kuopio, Finland; Kaisa Haatainen, RN, PhD, is Adjunct Professor, Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland; and Heimo Viinamäki, MD, PhD, is Professor, Department of Psychiatry, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.
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  • Jukka Hintikka MD, PhD,

    1. Tarja Saharinen, RN, MNSc, PhD(c), is a Doctoral Student, Department of Nursing Science, University of Eastern Finland, and Head Nurse, Department of Psychiatry, Kuopio University Hospital, Kuopio Psychiatric Center, Kuopio, Finland; Jukka Hintikka, MD, PhD, is Professor, Department of Psychiatry, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland; Jari Kylmä, RN, PhD, is Adjunct Professor, Faculty of Medicine, Department of Nursing Science, University of Tampere, Tampere, Finland; Heli Koivumaa-Honkanen, MD, PhD, is Acting Professor, Department of Clinical Medicine, University of Oulu, Department of Psychiatry, Lapland Hospital District and Kuopio University Hospital, Oulu, Kuopio, Finland; Kirsi Honkalampi, PhD, is Adjunct Professor, Kuopio Psychiatric Center, Kuopio City, Kuopio, Finland; Soili M. Lehto, MD, PhD, is a Physician and Clinical Lecturer, Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland; Merja Nikkonen, RN, PhD, is Adjunct Professor, Department of Nursing Science, University of Eastern Finland, Kuopio, Finland; Kaisa Haatainen, RN, PhD, is Adjunct Professor, Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland; and Heimo Viinamäki, MD, PhD, is Professor, Department of Psychiatry, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.
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  • Jari Kylmä RN, PhD,

    1. Tarja Saharinen, RN, MNSc, PhD(c), is a Doctoral Student, Department of Nursing Science, University of Eastern Finland, and Head Nurse, Department of Psychiatry, Kuopio University Hospital, Kuopio Psychiatric Center, Kuopio, Finland; Jukka Hintikka, MD, PhD, is Professor, Department of Psychiatry, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland; Jari Kylmä, RN, PhD, is Adjunct Professor, Faculty of Medicine, Department of Nursing Science, University of Tampere, Tampere, Finland; Heli Koivumaa-Honkanen, MD, PhD, is Acting Professor, Department of Clinical Medicine, University of Oulu, Department of Psychiatry, Lapland Hospital District and Kuopio University Hospital, Oulu, Kuopio, Finland; Kirsi Honkalampi, PhD, is Adjunct Professor, Kuopio Psychiatric Center, Kuopio City, Kuopio, Finland; Soili M. Lehto, MD, PhD, is a Physician and Clinical Lecturer, Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland; Merja Nikkonen, RN, PhD, is Adjunct Professor, Department of Nursing Science, University of Eastern Finland, Kuopio, Finland; Kaisa Haatainen, RN, PhD, is Adjunct Professor, Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland; and Heimo Viinamäki, MD, PhD, is Professor, Department of Psychiatry, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.
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  • Heli Koivumaa-Honkanen MD, PhD,

    1. Tarja Saharinen, RN, MNSc, PhD(c), is a Doctoral Student, Department of Nursing Science, University of Eastern Finland, and Head Nurse, Department of Psychiatry, Kuopio University Hospital, Kuopio Psychiatric Center, Kuopio, Finland; Jukka Hintikka, MD, PhD, is Professor, Department of Psychiatry, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland; Jari Kylmä, RN, PhD, is Adjunct Professor, Faculty of Medicine, Department of Nursing Science, University of Tampere, Tampere, Finland; Heli Koivumaa-Honkanen, MD, PhD, is Acting Professor, Department of Clinical Medicine, University of Oulu, Department of Psychiatry, Lapland Hospital District and Kuopio University Hospital, Oulu, Kuopio, Finland; Kirsi Honkalampi, PhD, is Adjunct Professor, Kuopio Psychiatric Center, Kuopio City, Kuopio, Finland; Soili M. Lehto, MD, PhD, is a Physician and Clinical Lecturer, Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland; Merja Nikkonen, RN, PhD, is Adjunct Professor, Department of Nursing Science, University of Eastern Finland, Kuopio, Finland; Kaisa Haatainen, RN, PhD, is Adjunct Professor, Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland; and Heimo Viinamäki, MD, PhD, is Professor, Department of Psychiatry, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.
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  • Kirsi Honkalampi PhD,

    1. Tarja Saharinen, RN, MNSc, PhD(c), is a Doctoral Student, Department of Nursing Science, University of Eastern Finland, and Head Nurse, Department of Psychiatry, Kuopio University Hospital, Kuopio Psychiatric Center, Kuopio, Finland; Jukka Hintikka, MD, PhD, is Professor, Department of Psychiatry, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland; Jari Kylmä, RN, PhD, is Adjunct Professor, Faculty of Medicine, Department of Nursing Science, University of Tampere, Tampere, Finland; Heli Koivumaa-Honkanen, MD, PhD, is Acting Professor, Department of Clinical Medicine, University of Oulu, Department of Psychiatry, Lapland Hospital District and Kuopio University Hospital, Oulu, Kuopio, Finland; Kirsi Honkalampi, PhD, is Adjunct Professor, Kuopio Psychiatric Center, Kuopio City, Kuopio, Finland; Soili M. Lehto, MD, PhD, is a Physician and Clinical Lecturer, Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland; Merja Nikkonen, RN, PhD, is Adjunct Professor, Department of Nursing Science, University of Eastern Finland, Kuopio, Finland; Kaisa Haatainen, RN, PhD, is Adjunct Professor, Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland; and Heimo Viinamäki, MD, PhD, is Professor, Department of Psychiatry, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.
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  • Soili M. Lehto MD, PhD,

    1. Tarja Saharinen, RN, MNSc, PhD(c), is a Doctoral Student, Department of Nursing Science, University of Eastern Finland, and Head Nurse, Department of Psychiatry, Kuopio University Hospital, Kuopio Psychiatric Center, Kuopio, Finland; Jukka Hintikka, MD, PhD, is Professor, Department of Psychiatry, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland; Jari Kylmä, RN, PhD, is Adjunct Professor, Faculty of Medicine, Department of Nursing Science, University of Tampere, Tampere, Finland; Heli Koivumaa-Honkanen, MD, PhD, is Acting Professor, Department of Clinical Medicine, University of Oulu, Department of Psychiatry, Lapland Hospital District and Kuopio University Hospital, Oulu, Kuopio, Finland; Kirsi Honkalampi, PhD, is Adjunct Professor, Kuopio Psychiatric Center, Kuopio City, Kuopio, Finland; Soili M. Lehto, MD, PhD, is a Physician and Clinical Lecturer, Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland; Merja Nikkonen, RN, PhD, is Adjunct Professor, Department of Nursing Science, University of Eastern Finland, Kuopio, Finland; Kaisa Haatainen, RN, PhD, is Adjunct Professor, Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland; and Heimo Viinamäki, MD, PhD, is Professor, Department of Psychiatry, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.
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  • Merja Nikkonen RN, PhD,

    1. Tarja Saharinen, RN, MNSc, PhD(c), is a Doctoral Student, Department of Nursing Science, University of Eastern Finland, and Head Nurse, Department of Psychiatry, Kuopio University Hospital, Kuopio Psychiatric Center, Kuopio, Finland; Jukka Hintikka, MD, PhD, is Professor, Department of Psychiatry, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland; Jari Kylmä, RN, PhD, is Adjunct Professor, Faculty of Medicine, Department of Nursing Science, University of Tampere, Tampere, Finland; Heli Koivumaa-Honkanen, MD, PhD, is Acting Professor, Department of Clinical Medicine, University of Oulu, Department of Psychiatry, Lapland Hospital District and Kuopio University Hospital, Oulu, Kuopio, Finland; Kirsi Honkalampi, PhD, is Adjunct Professor, Kuopio Psychiatric Center, Kuopio City, Kuopio, Finland; Soili M. Lehto, MD, PhD, is a Physician and Clinical Lecturer, Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland; Merja Nikkonen, RN, PhD, is Adjunct Professor, Department of Nursing Science, University of Eastern Finland, Kuopio, Finland; Kaisa Haatainen, RN, PhD, is Adjunct Professor, Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland; and Heimo Viinamäki, MD, PhD, is Professor, Department of Psychiatry, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.
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  • Kaisa Haatainen RN, PhD,

    1. Tarja Saharinen, RN, MNSc, PhD(c), is a Doctoral Student, Department of Nursing Science, University of Eastern Finland, and Head Nurse, Department of Psychiatry, Kuopio University Hospital, Kuopio Psychiatric Center, Kuopio, Finland; Jukka Hintikka, MD, PhD, is Professor, Department of Psychiatry, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland; Jari Kylmä, RN, PhD, is Adjunct Professor, Faculty of Medicine, Department of Nursing Science, University of Tampere, Tampere, Finland; Heli Koivumaa-Honkanen, MD, PhD, is Acting Professor, Department of Clinical Medicine, University of Oulu, Department of Psychiatry, Lapland Hospital District and Kuopio University Hospital, Oulu, Kuopio, Finland; Kirsi Honkalampi, PhD, is Adjunct Professor, Kuopio Psychiatric Center, Kuopio City, Kuopio, Finland; Soili M. Lehto, MD, PhD, is a Physician and Clinical Lecturer, Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland; Merja Nikkonen, RN, PhD, is Adjunct Professor, Department of Nursing Science, University of Eastern Finland, Kuopio, Finland; Kaisa Haatainen, RN, PhD, is Adjunct Professor, Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland; and Heimo Viinamäki, MD, PhD, is Professor, Department of Psychiatry, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.
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  • Heimo Viinamäki MD, PhD

    1. Tarja Saharinen, RN, MNSc, PhD(c), is a Doctoral Student, Department of Nursing Science, University of Eastern Finland, and Head Nurse, Department of Psychiatry, Kuopio University Hospital, Kuopio Psychiatric Center, Kuopio, Finland; Jukka Hintikka, MD, PhD, is Professor, Department of Psychiatry, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland; Jari Kylmä, RN, PhD, is Adjunct Professor, Faculty of Medicine, Department of Nursing Science, University of Tampere, Tampere, Finland; Heli Koivumaa-Honkanen, MD, PhD, is Acting Professor, Department of Clinical Medicine, University of Oulu, Department of Psychiatry, Lapland Hospital District and Kuopio University Hospital, Oulu, Kuopio, Finland; Kirsi Honkalampi, PhD, is Adjunct Professor, Kuopio Psychiatric Center, Kuopio City, Kuopio, Finland; Soili M. Lehto, MD, PhD, is a Physician and Clinical Lecturer, Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland; Merja Nikkonen, RN, PhD, is Adjunct Professor, Department of Nursing Science, University of Eastern Finland, Kuopio, Finland; Kaisa Haatainen, RN, PhD, is Adjunct Professor, Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland; and Heimo Viinamäki, MD, PhD, is Professor, Department of Psychiatry, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.
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tarja.saharinen@kuh.fi, with a copy to the Editor: gpearson@uchc.edu

Abstract

PURPOSE:  The purpose of this study was to compare health-related quality of life (HRQL) of healthy subjects and those with psychiatric or somatic diseases.

DESIGN AND METHODS:  Eight dimensions of the RAND 36-Item Health Survey 1.0 (RAND-36) were investigated in a population-based sample.

FINDINGS:  Scores in all 8 RAND dimensions were lower in subjects with psychiatric diagnoses than in healthy subjects. In logistic regression models, poor social functioning (odds ratio [OR] 1.07–1.12) associated with psychiatric diagnoses. Lowered energy (OR 1.06) associated with major depression, poor general health with personality disorders (OR 1.06) and heart disease (OR 1.06), and physical limitations with heart (OR 1.04) and musculoskeletal disease (OR 1.07).

PRACTICE IMPLICATIONS:  Acknowledging the lowest HRQL dimensions among subjects with psychiatric diagnoses may help to promote mental, physical, and social well-being more efficiently.

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