Debnar, C., Carrard, V., Morselli, D. et al. (3 more authors) (2020) Psychological distress trajectories in chronic physical health conditions. Health Psychology, 39 (2). pp. 116-126. ISSN 0278-6133
Abstract
Objective: The onset of a chronic health condition (CHC) can have a severe impact on an individual’s life, affecting mental and physical health. This study’s goal was to investigate psychological distress trajectories starting from 1 year before to 4 years after the onset of a physical CHC. The specific aims were to identify the number and shape of longitudinal psychological distress trajectories and to test health-related, psychological, social, and demographic factors predicting these trajectories. Method: Two samples were drawn from the Swiss Household Panel data set: a CHC sample (n = 361) and a 1-to-1 matched comparison sample of healthy individuals. Latent growth mixture modeling was used to identify psychological distress trajectories over 6 years. Factors predicting trajectories were then tested using multinomial logistic regression. Results: Four psychological distress trajectories were identified in the CHC sample: resilience (53.9%), chronic (22.2%), delayed (15.0%), and recovery (8.9%). In the comparison sample, two trajectories were identified: low psychological distress (90%) and elevated psychological distress (10%). Protective factors associated with resilient trajectory membership in the CHC sample were higher emotional stability, higher relationship satisfaction, and male gender. Conclusion: Individuals living with a CHC had an increased risk of vulnerability compared with a sample of healthy individuals. This advocates awareness of mental health issues following the onset of a CHC. In this regard, biopsychosocial factors (gender, emotional stability, and relationship satisfaction) offer prevention and intervention opportunities for more vulnerable individuals.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2020 APA. This is an author-produced version of a paper subsequently published in Health Psychology. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | chronic disease; psychological adaptation; resilience; depression; latent growth mixture modeling |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 25 Feb 2020 10:24 |
Last Modified: | 25 Feb 2020 20:01 |
Status: | Published |
Publisher: | American Psychological Association (APA) |
Refereed: | Yes |
Identification Number: | 10.1037/hea0000820 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:157645 |