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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 12/2005

01-12-2005 | Original Paper

Assessing the construct validity of three indicators of psychological distress in relation to perceived health and physical illness

Authors: Gerrit T. Koopmans, MSc, Leida M. Lamers, PhD

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 12/2005

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Abstract

Objetives

The aim of this study is to compare three indicators of psychological distress (PD) on the strength of their association with subjective (or perceived) health and to analyse to what extent these associations will change after adjusting for physical illness measures and other possible confounding variables.

Methods

Data were used from a community-based sample of adults (N=9,428). Psychological distress was measured using three different instruments: the Negative Affect Scale of Bradburn, a nervousness scale, and a self-reported depressive complaints. Physical illness was measured by seven specific chronic conditions, a co-morbidity index of 17 conditions and two disability measures. Subjective health was assessed by a single question. Ordinary least square and logistic regression as well as structural equation modelling were used to analyse the data.

Results

The relation between subjective health and PD is strongest in case nervousness and this, or negative affect, are used as indicators of PD. The measure of depressive complaints is less strongly, but still substantially, related to subjective health. After correction for physical illness variables, the change in strength of the association is slightest for depressive complaints and highest for nervousness. Only small differences between negative affect and nervousness were established. These measures, which were more contaminated by physical ill health than depressive complaints, have the strongest association with subjective health both before as well as after correction for physical illness components.

Conclusion

Negative affect and nervousness are reliable and valid indicators of PD, which can be used to predict subjective health. However, for this purpose, a correction for the confounding effects of physical illness variables will be necessary. The depressive complaints measure is not only less predictive of subjective health but also less contaminated by physical illness variables, making it a better indicator of PD if correction for physical illness variables is not possible.
Literature
1.
Goldberg D, Huxley P (1992) Common mental disorders, a bio-social model. Tavistock/Routledge, London and New York
2.
Andersen RM (1995) Revisiting the behavioral-model and access to medical-care—does it matter. J Health Soc Behav 36:1–10PubMed
3.
Andersen R, Newman JF (1973) Societal and individual determinants of medical care utilization in the United States. Milbank Meml Fund Q Health Soc 51:95–124
4.
Cockerham WC, Kunz G, Lueschen G (1988) Psychological distress, perceived health status, and physician utilization in America and West Germany. Soc Sci Med 26:829–838PubMedCrossRef
5.
Preville M, Potvin L, Boyer R (1998) Psychological distress and use of ambulatory medical services in the Quebec medicare system. Health Serv Res 33:275–286PubMed
6.
Borgquist L, Hansson L, Nettelbladt P, Nordstrom G, Lindelöw G (1993) Perceived health and high consumers of care: a study of mental health problems in a Swedish primary health care district. Psychol Med 23:763–770PubMedCrossRef
7.
Goldstein MS, Siegel JM, Boyer R (1984) Predicting changes in perceived health status. Am J Public Health 74:611–614PubMedCrossRef
8.
Miilunpalo S, Vuori I, Oja P, Pasanen M, Urponen H (1997) Self-rated health-status as a health measure—the predictive value of self-reported health-status on the use of physician services and on mortality in the working-age population. J Clin Epidemiol 50:517–528PubMedCrossRef
9.
Kempen GI, Miedema I, van den Bos GA, Ormel J (1998) Relationship of domain-specific measures of health to perceived overall health among older subjects. J Clin Epidemiol 51:11–18PubMedCrossRef
10.
Kaplan G, Baron-Epel O (2003) What lies behind the subjective evaluation of health status? Soc Sci Med 56:1669–1676PubMedCrossRef
11.
Jacobi F, Wittchen HU, Holting C et al (2002) Estimating the prevalence of mental and somatic disorders in the community: aims and methods of the German national health interview and examination survey. Int J Methods Psychiatr Res 11:1–18PubMed
12.
Cassem EH (1995) Depressive disorders in the medically ill; an overview. Psychosomatics 36:S2–S10PubMed
13.
Dilman DA (1978) Mail and telephone surveys: the total design method. Wiley, New York
14.
Lamers LM (1997) Medical consumption of respondents and non-respondents to a mailed health survey. Eur J Public Health 7:267–271CrossRef
15.
Bradburn NM (1969) The structure of psychological well-being. Aldine Publishing, Chicago
16.
Ormel J (1980) Moeite met leven of een moeilijk leven. Een vervolgonderzoek naar de invloed van psychosociale belasting op het welbevinden van driehonderd Nederlanders (Difficulties with living or a difficult life). Rijksuniversiteit Groningen, Groningen
17.
Dirken JM (1969) Arbeid en stress; het vaststellen van aanpassingsproblemen in werksituaties (Labour and stress). Wolters-Noordhoff, Groningen
18.
van Sonsbeek JLA (1990) De VOEG: Klaaglijst of lijst met gezondheidsklachten? (VOEG: List of complaints or list of health complaints?). Statistics Netherlands (CBS), 's-Gravenhage (The Hague)
19.
Statistics Netherlands (1996) Netherlands health interview survey 1981–1995. SDU Publishers, The Hague
20.
McWhinnie JR (1981) Disability assessment in population surveys: results of the O.E.C.D. Common development effort. Rev Epidemiol Santé Publique 29:413–419PubMed
21.
Bentler PM, Wu EJC (1995) EQS for windows user's guide. Multivariate Software, Inc., Encino, CA
22.
Watson D (1988) Intraindividual and interindividual analyses of positive and negative affect: Their relation to health complaints, perceived stress, and daily activities. J Pers Soc Psychol 54:1020–1030PubMed
23.
Vassend O, Skrondal A (1999) The role of negative affectivity in self-assessment of health: a structural equation approach. J Health Psychol 4:465–482CrossRef
24.
Kolk AMM, Hanewald GJFP, Schagen S, Gijsbers van Wijk CMT (2003) A symptom perception approach to common physical symptoms. Soc Sci Med 57:2343–2354PubMedCrossRef
25.
Aronson KR, Barrett LF, Quigley KS (2001) Feeling your body or feeling badly: evidence for the limited validity of the somatosensory amplification scale as an index of somatic sensitivity. J Psychosom Res 51:387–394PubMedCrossRef
26.
Barsky AJ, Cleary PD, Klerman GL (1992) Determinants of perceived health status of medical outpatients. Soc Sci Med 34:1147–1154PubMedCrossRef
27.
Barsky AJ, Cleary PD, Barnett MC, Christiansen CL, Ruskin JN (1994) The accuracy of symptom reporting by patients complaining of palpitations. Am J Med 97:214–221PubMedCrossRef
28.
Russell JA (1980) A circumplex model of affect. J Pers Soc Psychol 39:1161–1178
29.
Tellegen A (1985) Structures of mood and personality and their relevance to assessing anxiety, with an emphasis on self-report. In: Tuma AH, Maser JD, (eds) Anxiety and anxiety disorders. Lawrence Erlbaum, Hillsdale NJ, pp 681–706
30.
Vassend O (1994) Negative affectivity, subjective somatic complaints and objective health indicators. Mind and body still separated? In: Maes S, Leventhal H, et al (eds) International review of health psychology, vol 3. Wiley, Oxford, England, pp 97–118
31.
Bowling A (1995) Measuring disease: a review of disease-specific quality of life measurement scales. Open University Press, Buckingham
32.
Furer JW, König-Zahn C, Tax B (1995) Het meten van de gezondheidstoestand; beschrijving en evaluatie van vragenlijsten. Deel 3: psychische gezondheid (Measuring health status; description and evaluation of instruments. Part 3: Mental health). Van Gorcum Assen, The Netherlands
33.
Lloyd-Williams M, Spiller J, Ward J (2003) Which depression screening tools should be used in palliative care? Palliat Med 17:40–43PubMed
Metadata
Title
Assessing the construct validity of three indicators of psychological distress in relation to perceived health and physical illness
Authors
Gerrit T. Koopmans, MSc
Leida M. Lamers, PhD
Publication date
01-12-2005
Publisher
Steinkopff-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 12/2005
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-005-0957-3

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