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Quality of Life and Inequality of Insurance Coverage

Richard M. Glass, MD

JAMA. 1995;274(19):1557.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The article by Spitzer et al¹ in this issue of THE JOURNAL adds to the growing body of empirical evidence that common mental disorders have a major impact on functional disability and quality of life. Among 1000 adult patients at four primary care sites, mental disorders accounted for considerably more impairment in all the components of health-related quality of life than did common physical disorders. Previous studies have found that psychiatric disorders are common among primary care patients and are a consistent source of disability, even across a variety of different cultures.² For example, results from the Medical Outcomes Study³ have shown that major depression, a disorder with a lifetime prevalence of 17% in the general population of the United States,⁴ is associated with limitations in well-being and functioning that are equal to or greater than those of major chronic physical conditions,

See also p 1511. . . . [Full Text PDF of this Article]

Footnotes
Dr Glass is Deputy Editor, JAMA, and from the Department of Psychiatry, University of Chicago.

Reprint requests to JAMA, 515 N State St, Chicago, IL 60610 (Dr Glass).

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