Effects of depression and pain severity on satisfaction in medical outpatients: analysis of the Medical Outcomes Study


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Publication Topics

Effects of depression and pain severity on satisfaction in medical outpatients: analysis of the Medical Outcomes Study

Publication TypeJournal Article
Year of Publication2007
AuthorsBair MJ, Kroenke K, Sutherland JM, McCoy KD, Harris H, McHorney CA
JournalJournal of rehabilitation research and developmentJ.Rehabil.Res.Dev.
Pages143 - 152
Date Published2007
KeywordsAdult, Age Factors, Aged, Cross-Sectional Studies, Depression/complications/psychology, Depressive Disorder/complications/psychology, Female, Heart Failure/psychology, Humans, Interviews as Topic, Male, Middle Aged, Outcome Assessment (Health Care), Outpatients, Pain Measurement, Pain/complications/psychology, Patient Satisfaction, Prospective Studies
AbstractPatient satisfaction has been used as a healthcare quality indicator. We examined how depression and pain severity affected satisfaction in medical outpatients. Data from the Medical Outcomes Study were analyzed. The primary outcomes were seven satisfaction domains from the Patient Satisfaction Questionnaire. Depression was identified through a clinical interview, and pain was assessed with the 36-item Short Form Bodily Pain scale. We performed multivariate linear regression to predict satisfaction in outpatients with depression and pain. Minor and major depression were present in 23.4% and 15.0% of the sample, respectively. Pain was present in more than half the patients (50.6%). Both minor and major depression as well as pain severity were strongly associated with lower satisfaction scores. Increased age and diagnosis of heart failure predicted higher satisfaction scores. Depression and pain have a substantial effect on patient satisfaction. Future studies should assess the reasons for dissatisfaction with care in patients with depression and pain.
Citation Key257