title: Association of comorbid mood disorders and chronic illness with disability and quality of life in Ontario, Canada.
abstract: Mood disorders are more prevalent in individuals with chronic physical illness compared to individuals with no such illness. These disorders amplify the disability associated with the physical condition and adversely affect its course, thus contributing to occupational impairment, disruption in interpersonal and family relationships, poor health and suicide. This study used data collected in the Canadian Community Health Survey, cycle 3.1 (2005) to examine factors associated with comorbid mood disorders and to assess their association with the quality of life of individuals living in Ontario. Results indicate that individuals with chronic fatigue syndrome, fibromyalgia, bowel disorder or stomach or intestinal ulcers had the highest rates of mood disorders. The odds of having a comorbid mood disorder were higher among women, the single, those living in poverty, the Canadian born and those between 30 and 69 years of age. The presence of comorbid mood disorders was significantly associated with short-term disability, requiring help with instrumental daily activities and suicidal ideation. Health care providers are urged to proactively screen chronically ill patients for mood disorders, particularly among the subgroups found to have elevated risk for these disorders.
authors.affiliation: Faculty of Social Work at the University of Toronto, Ontario, Canada M5S 1A1. tahany.gadalla@utoronto.ca
authors.forename: T
authors.initials: T
authors.lastname: Gadalla
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002648:Child; D002908:Chronic Disease / Q000453:epidemiology* / Q000523:psychology; D006233:Persons with Disabilities / Q000523:psychology / Q000706:statistics & numerical data*; D005195:Family Relations; D015673:Fatigue Syndrome, Chronic / Q000453:epidemiology / Q000523:psychology; D005260:Female; D005356:Fibromyalgia / Q000453:epidemiology / Q000523:psychology; D006801:Humans; D007398:Interpersonal Relations; D007410:Intestinal Diseases / Q000453:epidemiology / Q000523:psychology; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000453:epidemiology* / Q000523:psychology; D009864:Ontario; D010437:Peptic Ulcer / Q000453:epidemiology / Q000523:psychology; D011203:Poverty / Q000706:statistics & numerical data; D015995:Prevalence; D011788:Quality of Life; D012737:Sex Factors; D012847:Single Person / Q000523:psychology / Q000706:statistics & numerical data; D013276:Stomach Ulcer / Q000453:epidemiology / Q000523:psychology; D013405:Suicide / Q000523:psychology; D055815:Young Adult