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Mental health status as a predictor of morbidity and mortality

A 15-year follow-up of members of a health maintenance organization

Bibliographic Data

ID11034641
AuthorsT Vogt, Tara M Vogt (0000-0002-1937-7479, Kaiser Permanente Center for Health Research), Ceinwen Pope, John P Mullooly, J Mullooly, Jack F Hollis, J Hollis
Year1994
Volume84
Issue2
Pages227-231
Publication date1994-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.84.2.227
PMID8296945
OpenAlexW2110059618
LanguageEN
Citations received20
References cited27

OBJECTIVES. This study sought to relate preexisting depression, worries, affect balance, and mental health symptoms to subsequent risk of morbidity and mortality. METHODS. A random sample of members of a health maintenance organization were interviewed at home in a 1970/71 survey. Baseline psychological measures from that survey were then related to 15-year mortality and first incidence of cancer, heart disease, hypertension, stroke, functional gastrointestinal disease, and hyperimmune diseases. RESULTS. Baseline depression and the Langner Mental Health Index predicted incidence of functional gastrointestinal and hyperimmune diseases. The relationship of the Langner index to hyperimmune diseases was particularly strong; mortality, cancer, heart disease, hypertension, and stroke incidence were not related to that index. Except for affect balance, which was worst in the elderly, indications of psychological dysfunction were strongest in the young. CONCLUSIONS. Psychological indices detected increased risk for functional gastrointestinal and hyperimmune diseases but were not related to mortality risk. Further research is needed to disaggregate relationships of the specific conditions that were included in the hyperimmune group. Functional gastrointestinal disease might be preventable with early attention to depressed persons and to those scoring high on the Langner index

Environmental health · Family medicine · Health care · Health maintenance · Mental health · Political science · Psychiatry · Public health · Cardiac Health and Mental Health · Demography · Health and Well-being Studies · Medicine · Nursing · Stress Responses and Cortisol · Gerontology

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Unique citing works20
Citations per year0,69
Citation span1997 - 2023 (27)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 19

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