title: Impact of mental disorders and chronic physical conditions in health-related quality of life among primary care patients: results from an epidemiological study.
abstract: OBJECTIVE
  To estimate the comorbidity of mental disorders with chronic physical conditions and to assess their independent and combined effects on health-related quality of life (HRQOL).
  
  
  METHODS
  Face-to-face cross-sectional survey of adult attendants to public primary care (PC) centres from Catalonia (Spain). A total of 3,815 out of 5,402 selected patients provided data for this study. We report frequency of chronic physical conditions among participants with mental disorders and the contribution of each mental disorder and chronic physical condition to HRQOL.
  
  
  RESULTS
  Chronic pain is the most frequent condition among those with mental disorders (74.54%). The effect of chronic physical conditions on HRQOL is rather minor when compared to the effect of mental disorders (especially mood disorders). However, chronic pain plays an important role in HRQOL loss.
  
  
  CONCLUSIONS
  Mood disorders and chronic pain negatively affect HRQOL of PC patients. Especial efforts should be made to detect and treat mental disorders and chronic pain at this level.
authors: Sant Joan de Déu-SSM, Fundació Sant Joan De Déu, Barcelona, Spain. apinto@sjd-ssm.com
authors: Alejandra
authors: A
authors: Pinto-Meza
authors: Anna
authors: A
authors: Fernández
authors: Miquel Angel
authors: MA
authors: Fullana
authors: Josep Maria
authors: JM
authors: Haro
authors: Diego
authors: D
authors: Palao
authors: Juan Vicente
authors: JV
authors: Luciano
authors: Antoni
authors: A
authors: Serrano-Blanco
mesh_terms: D000223:Adaptation, Psychological; D000339:Affect; D002908:Chronic Disease; D015897:Comorbidity; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D016021:Epidemiologic Studies; D005260:Female; D006306:Health Surveys; D006801:Humans; D016014:Linear Models; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D011320:Primary Health Care; D011594:Psychometrics; D011788:Quality of Life; D013030:Spain / Q000453:epidemiology; D013315:Stress, Psychological