Perceived conflict in the couple and chronic illness management: preliminary analyses from the Quebec Health Survey.
Identifieur interne : 001B77 ( Main/Curation ); précédent : 001B76; suivant : 001B78Perceived conflict in the couple and chronic illness management: preliminary analyses from the Quebec Health Survey.
Auteurs : Hassan Soubhi [Canada] ; Martin Fortin ; Catherine HudonSource :
- BMC family practice [ 1471-2296 ] ; 2006.
Descripteurs français
- KwdFr :
- Acceptation des soins par les patients (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Auto-efficacité (MeSH), Autosoins (psychologie), Comorbidité (MeSH), Conjoints (psychologie), Désaccords et litiges (MeSH), Enquêtes de santé (MeSH), Femelle (MeSH), Humains (MeSH), Maladie chronique (psychologie), Maladie chronique (thérapie), Maladie chronique (épidémiologie), Mâle (MeSH), Prévalence (MeSH), Qualité de vie (MeSH), Québec (épidémiologie), Situation de famille (MeSH), Stress psychologique (MeSH), Sujet âgé (MeSH).
- MESH :
- psychologie : Autosoins, Conjoints, Maladie chronique.
- thérapie : Maladie chronique.
- épidémiologie : Maladie chronique, Québec.
- Acceptation des soins par les patients, Adulte, Adulte d'âge moyen, Auto-efficacité, Comorbidité, Désaccords et litiges, Enquêtes de santé, Femelle, Humains, Mâle, Prévalence, Qualité de vie, Situation de famille, Stress psychologique, Sujet âgé.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Chronic Disease (epidemiology), Chronic Disease (psychology), Chronic Disease (therapy), Comorbidity (MeSH), Conflict, Psychological (MeSH), Dissent and Disputes (MeSH), Female (MeSH), Health Surveys (MeSH), Humans (MeSH), Male (MeSH), Marital Status (MeSH), Middle Aged (MeSH), Patient Acceptance of Health Care (MeSH), Prevalence (MeSH), Quality of Life (MeSH), Quebec (epidemiology), Self Care (psychology), Self Efficacy (MeSH), Spouses (psychology), Stress, Psychological (MeSH).
- MESH :
- geographic , epidemiology : Quebec.
- epidemiology : Chronic Disease.
- psychology : Chronic Disease, Self Care, Spouses.
- therapy : Chronic Disease.
- Adult, Aged, Comorbidity, Conflict, Psychological, Dissent and Disputes, Female, Health Surveys, Humans, Male, Marital Status, Middle Aged, Patient Acceptance of Health Care, Prevalence, Quality of Life, Self Efficacy, Stress, Psychological.
Abstract
BACKGROUND
The quality of the relationship with the spouse/partner appears crucial among patients with multiple chronic conditions where illness management is complex and multifaceted. This study draws on data from the Quebec Health Survey (QHS) to examine, among patients with one or more chronic conditions, the relation between marital status, the perceived conflict with the spouse/partner, and what the patients do to manage their illness as well as how they perceive their health.
METHODS
Data from the QHS 1998 were used. The sample included 7547 coupled adults who had one or more chronic health problems lasting more than 6 months. Independent variables included marital status, perceived conflict with the spouse/partner, and the number of chronic conditions. Illness management was defined broadly as a measure of the patient's efforts at self-care and an illness status indicator, including visits to the generalist and the specialist, the use of telephone health line in the last 12 months, self-rated general health, mental health, and a measure of psychological distress. Linkages between the independent variables and illness management were assessed for males and females separately with logistic regressions, while accounting for the survey sampling design and household clustering.
RESULTS
Female patients who did not live with their partner and had never been married were more likely to report a negative perception of their general health and a higher psychological distress than those who were married. Perceived conflict with the partner was linked to a negative perception of mental health and a higher psychological distress among both men and women. Compared to patients with only one chronic condition, males who reported more than one chronic condition were more likely to have consulted a generalist prior to the survey and used the telephone health line, whereas females were more likely to have consulted a specialist. Both males and females with more than one chronic condition were more likely to have a negative perception of their general health and mental health.
CONCLUSION
The study provides a useful preliminary measure of the importance of living arrangements and the quality of the couple relationship in chronic illness management broadly conceived as a measure of the patient's efforts at self-care and an illness status indicator. Results of this study prod us to examine more closely, within longitudinal designs, the influence of living arrangements and the presence of conflict in the couple on chronic illness management as well as the modifying effect of gender on these associations.
DOI: 10.1186/1471-2296-7-59
PubMed: 17052336
PubMed Central: PMC1629014
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hassan.soubhi@usherbrooke.ca</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Family Medicine, Sherbrooke University, Sherbrooke, Quebec</wicri:regionArea></affiliation></author><author><name sortKey="Fortin, Martin" sort="Fortin, Martin" uniqKey="Fortin M" first="Martin" last="Fortin">Martin Fortin</name></author><author><name sortKey="Hudon, Catherine" sort="Hudon, Catherine" uniqKey="Hudon C" first="Catherine" last="Hudon">Catherine Hudon</name></author></analytic><series><title level="j">BMC family practice</title><idno type="eISSN">1471-2296</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Chronic Disease (epidemiology)</term><term>Chronic Disease (psychology)</term><term>Chronic Disease (therapy)</term><term>Comorbidity (MeSH)</term><term>Conflict, Psychological (MeSH)</term><term>Dissent and Disputes (MeSH)</term><term>Female (MeSH)</term><term>Health Surveys (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Marital Status (MeSH)</term><term>Middle Aged (MeSH)</term><term>Patient Acceptance of Health Care (MeSH)</term><term>Prevalence (MeSH)</term><term>Quality of Life (MeSH)</term><term>Quebec (epidemiology)</term><term>Self Care (psychology)</term><term>Self Efficacy (MeSH)</term><term>Spouses (psychology)</term><term>Stress, Psychological (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par les patients (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Auto-efficacité (MeSH)</term><term>Autosoins (psychologie)</term><term>Comorbidité (MeSH)</term><term>Conjoints (psychologie)</term><term>Désaccords et litiges (MeSH)</term><term>Enquêtes de santé (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Maladie chronique (psychologie)</term><term>Maladie chronique (thérapie)</term><term>Maladie chronique (épidémiologie)</term><term>Mâle (MeSH)</term><term>Prévalence (MeSH)</term><term>Qualité de vie (MeSH)</term><term>Québec (épidémiologie)</term><term>Situation de famille (MeSH)</term><term>Stress psychologique (MeSH)</term><term>Sujet âgé (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Quebec</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Chronic Disease</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Autosoins</term><term>Conjoints</term><term>Maladie chronique</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Chronic Disease</term><term>Self Care</term><term>Spouses</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Chronic Disease</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Maladie chronique</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Maladie chronique</term><term>Québec</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Comorbidity</term><term>Conflict, Psychological</term><term>Dissent and Disputes</term><term>Female</term><term>Health Surveys</term><term>Humans</term><term>Male</term><term>Marital Status</term><term>Middle Aged</term><term>Patient Acceptance of Health Care</term><term>Prevalence</term><term>Quality of Life</term><term>Self Efficacy</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Acceptation des soins par les patients</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Auto-efficacité</term><term>Comorbidité</term><term>Désaccords et litiges</term><term>Enquêtes de santé</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Prévalence</term><term>Qualité de vie</term><term>Situation de famille</term><term>Stress psychologique</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>The quality of the relationship with the spouse/partner appears crucial among patients with multiple chronic conditions where illness management is complex and multifaceted. This study draws on data from the Quebec Health Survey (QHS) to examine, among patients with one or more chronic conditions, the relation between marital status, the perceived conflict with the spouse/partner, and what the patients do to manage their illness as well as how they perceive their health.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Data from the QHS 1998 were used. The sample included 7547 coupled adults who had one or more chronic health problems lasting more than 6 months. Independent variables included marital status, perceived conflict with the spouse/partner, and the number of chronic conditions. Illness management was defined broadly as a measure of the patient's efforts at self-care and an illness status indicator, including visits to the generalist and the specialist, the use of telephone health line in the last 12 months, self-rated general health, mental health, and a measure of psychological distress. Linkages between the independent variables and illness management were assessed for males and females separately with logistic regressions, while accounting for the survey sampling design and household clustering.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Female patients who did not live with their partner and had never been married were more likely to report a negative perception of their general health and a higher psychological distress than those who were married. Perceived conflict with the partner was linked to a negative perception of mental health and a higher psychological distress among both men and women. Compared to patients with only one chronic condition, males who reported more than one chronic condition were more likely to have consulted a generalist prior to the survey and used the telephone health line, whereas females were more likely to have consulted a specialist. Both males and females with more than one chronic condition were more likely to have a negative perception of their general health and mental health.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The study provides a useful preliminary measure of the importance of living arrangements and the quality of the couple relationship in chronic illness management broadly conceived as a measure of the patient's efforts at self-care and an illness status indicator. Results of this study prod us to examine more closely, within longitudinal designs, the influence of living arrangements and the presence of conflict in the couple on chronic illness management as well as the modifying effect of gender on these associations.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17052336</PMID><DateCompleted><Year>2007</Year><Month>04</Month><Day>13</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2296</ISSN><JournalIssue CitedMedium="Internet"><Volume>7</Volume><PubDate><Year>2006</Year><Month>Oct</Month><Day>19</Day></PubDate></JournalIssue><Title>BMC family practice</Title><ISOAbbreviation>BMC Fam Pract</ISOAbbreviation></Journal><ArticleTitle>Perceived conflict in the couple and chronic illness management: preliminary analyses from the Quebec Health Survey.</ArticleTitle><Pagination><MedlinePgn>59</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The quality of the relationship with the spouse/partner appears crucial among patients with multiple chronic conditions where illness management is complex and multifaceted. This study draws on data from the Quebec Health Survey (QHS) to examine, among patients with one or more chronic conditions, the relation between marital status, the perceived conflict with the spouse/partner, and what the patients do to manage their illness as well as how they perceive their health.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Data from the QHS 1998 were used. The sample included 7547 coupled adults who had one or more chronic health problems lasting more than 6 months. Independent variables included marital status, perceived conflict with the spouse/partner, and the number of chronic conditions. Illness management was defined broadly as a measure of the patient's efforts at self-care and an illness status indicator, including visits to the generalist and the specialist, the use of telephone health line in the last 12 months, self-rated general health, mental health, and a measure of psychological distress. Linkages between the independent variables and illness management were assessed for males and females separately with logistic regressions, while accounting for the survey sampling design and household clustering.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Female patients who did not live with their partner and had never been married were more likely to report a negative perception of their general health and a higher psychological distress than those who were married. Perceived conflict with the partner was linked to a negative perception of mental health and a higher psychological distress among both men and women. Compared to patients with only one chronic condition, males who reported more than one chronic condition were more likely to have consulted a generalist prior to the survey and used the telephone health line, whereas females were more likely to have consulted a specialist. Both males and females with more than one chronic condition were more likely to have a negative perception of their general health and mental health.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The study provides a useful preliminary measure of the importance of living arrangements and the quality of the couple relationship in chronic illness management broadly conceived as a measure of the patient's efforts at self-care and an illness status indicator. Results of this study prod us to examine more closely, within longitudinal designs, the influence of living arrangements and the presence of conflict in the couple on chronic illness management as well as the modifying effect of gender on these associations.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Soubhi</LastName><ForeName>Hassan</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Family Medicine, Sherbrooke University, Sherbrooke, Quebec, Canada. hassan.soubhi@usherbrooke.ca</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fortin</LastName><ForeName>Martin</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Hudon</LastName><ForeName>Catherine</ForeName><Initials>C</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2006</Year><Month>10</Month><Day>19</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Fam Pract</MedlineTA><NlmUniqueID>100967792</NlmUniqueID><ISSNLinking>1471-2296</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015897" MajorTopicYN="N">Comorbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003220" MajorTopicYN="N">Conflict, Psychological</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D034462" MajorTopicYN="N">Dissent and Disputes</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006306" MajorTopicYN="Y">Health Surveys</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017533" MajorTopicYN="N">Marital Status</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010342" MajorTopicYN="N">Patient Acceptance of Health 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