{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T02:57:17Z","timestamp":1769569037439,"version":"3.49.0"},"reference-count":54,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2011,10,25]],"date-time":"2011-10-25T00:00:00Z","timestamp":1319500800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aims to estimate the burden of currently having depressive symptoms on quality of life independently and in combination with various chronic conditions\/health concerns among adults with Medicare Supplement Insurance (i.e., Medigap) coverage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were obtained from the Health Update Survey (HUS). The HUS contains questions on demographics, comorbid conditions, and all of the questions on the Veterans RAND 12\u2010item (VR\u201012) health status\/quality of life survey. The survey was mailed to a random sample of 30,000 insureds from 10 states between 2008 and 2009. On the basis of relevant questions from the survey, respondents were categorized into two groups: those currently suffering from current depressive symptoms (<jats:italic>N<\/jats:italic>\u2009=\u20092283) and those who never had depressive symptoms (<jats:italic>N<\/jats:italic>\u2009=\u20097058). Multiple regression modeling was used to test the impact on quality of life of depressive symptoms independently or as an interaction of depressive symptoms with various chronic conditions\/health concerns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Depressive symptoms were common, with an estimated prevalence of 24.4%. The greatest impact of depressive symptoms in combination with various chronic conditions\/health concerns on quality of life was on the ability to handle emotional roles, bodily pain, social functioning, and ability to handle physical roles. Most of the significant interactions between depressive symptoms and various chronic conditions\/health concerns were demonstrated for those chronic conditions contributing to functional impairment (e.g., difficulty walking, falls, chronic pain, and diabetes).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although depressive symptoms independently reduced quality of life, having depressive symptoms in addition to other chronic conditions\/health concerns had a greater impact on quality of life. Copyright \u00a9 2011 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/gps.2806","type":"journal-article","created":{"date-parts":[[2011,10,25]],"date-time":"2011-10-25T06:20:05Z","timestamp":1319523605000},"page":"948-958","source":"Crossref","is-referenced-by-count":10,"title":["The burden of depressive symptoms and various chronic conditions and health concerns on the quality of life among those with Medicare Supplement Insurance"],"prefix":"10.1002","volume":"27","author":[{"given":"Ronald J.","family":"Ozminkowski","sequence":"first","affiliation":[{"name":"UnitedHealth Group Alliances  Minnetonka MN USA"},{"name":"OptumInsight, Advanced Analytics  Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shirley","family":"Musich","sequence":"additional","affiliation":[{"name":"OptumInsight, Advanced Analytics  Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr","given":"Frank G.","family":"Bottone","sequence":"additional","affiliation":[{"name":"OptumInsight, Advanced Analytics  Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Hawkins","sequence":"additional","affiliation":[{"name":"OptumInsight, Advanced Analytics  Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming","family":"Bai","sequence":"additional","affiliation":[{"name":"OptumInsight, Pharmacy Analytic Solutions  Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00fcrgen","family":"Un\u00fctzer","sequence":"additional","affiliation":[{"name":"University of Washington Medical Center Psychiatry and Behavioral Sciences  Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia E.","family":"Hommer","sequence":"additional","affiliation":[{"name":"UnitedHealth Group Alliances  Minnetonka MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard J.","family":"Migliori","sequence":"additional","affiliation":[{"name":"UnitedHealth Group Alliances  Minnetonka MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte S.","family":"Yeh","sequence":"additional","affiliation":[{"name":"AARP Services, Inc.  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,10,25]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2006.09.006"},{"key":"e_1_2_7_3_1","first-page":"1","article-title":"The expert consensus guideline series. Pharmacotherapy of depressive disorders in older patients","author":"Alexopoulos GS","year":"2001","journal-title":"Postgrad Med"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glp135"},{"key":"e_1_2_7_5_1","first-page":"123","article-title":"Depressed mood and mental health among elderly Medicare managed care enrollees","volume":"27","author":"Bierman AS","year":"2006","journal-title":"Health Care Financ Rev"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200108000-00004"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2007.05.028"},{"key":"e_1_2_7_8_1","unstructured":"CMS.2010.Medicare HOS 2009 Medicare Advantage Baseline Report. June 2010.[Online]. Available at:http:\/\/www.hosonline.org\/surveys\/hos\/download\/HOS_SampleBaseline_C12.pdf[Accessed 24 March 2011]."},{"key":"e_1_2_7_9_1","unstructured":"CMS.Medicare HOS Website. [Online]. Available at:http:\/\/www.hosonline.org[Accessed 20 July 2011]."},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/JGP.0b013e31818af817"},{"issue":"7","key":"e_1_2_7_11_1","first-page":"4","article-title":"The underrecognition and undertreatment of depression: what is the breadth and depth of the problem?","volume":"60","author":"Davidson JR","year":"1999","journal-title":"J Clin Psychiatry"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2006.00770.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlr.0000127997.51128.81"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000149260.82006.fb"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2009.06.007"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2007.01423.x"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.109.074211"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.clinpsy.032408.153621"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2008.07.007"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2004.09.004"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.60.9.897"},{"key":"e_1_2_7_22_1","unstructured":"KazisLE LeeAF SpiroA et al.2004.Tests of Reliability and Validity at the Scale Level for the Medicare HOS MOS \u2010SF\u201036 and the VA Veterans SF\u201036[Online]. Available at:http:\/\/hosonline.org\/surveys\/hos\/download\/HOS_VA_Comparison_Project_Part2.pdf[Accessed 18 August 2011]."},{"key":"e_1_2_7_23_1","unstructured":"KFF.2009.Medicare A Primer[Online]. Available at:http:\/\/kff.org\/medicare\/upload\/7615\u201002.pdf[Accessed 13 July 2011]."},{"key":"e_1_2_7_24_1","first-page":"56","article-title":"Late\u2010life depression: how to treat patients with comorbid chronic illness. Interview by Alice V. Luddington","volume":"54","author":"Koenig HG","year":"1999","journal-title":"Geriatrics"},{"issue":"1","key":"e_1_2_7_25_1","first-page":"8","article-title":"Improving estimates of SF\u201036\u00ae health survey scores for respondents in missing data","volume":"5","author":"Kosinski MB","year":"2000","journal-title":"Medical Outcomes Trust Monitor"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.127.4.1205"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1997.03550140078045"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psy.47.5.435"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X1003800338"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(99)00158-0"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.642"},{"key":"e_1_2_7_32_1","unstructured":"Medpac.2011.Medpac Report. [Online]. Available at:http:\/\/www.medpac.gov\/documents\/Jun11_EntireReport.pdf[Accessed 14 June 2011]."},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61415-9"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.1789"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.143"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-5-50"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(00)00152-X"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.279.21.1720"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1891\/1061-3749.9.2.151"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-008-9418-2"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.62.5.538"},{"key":"e_1_2_7_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2006.00573.x"},{"key":"e_1_2_7_43_1","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0b013e3181a86671"},{"key":"e_1_2_7_44_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6603626"},{"key":"e_1_2_7_45_1","first-page":"497","article-title":"Strategies for identifying and channeling patients for depression care management","volume":"14","author":"Taylor JK","year":"2008","journal-title":"Am J Manag Care"},{"key":"e_1_2_7_46_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp073754"},{"key":"e_1_2_7_47_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.22.2836"},{"key":"e_1_2_7_48_1","first-page":"95","article-title":"Long\u2010term cost effects of collaborative care for late\u2010life depression","volume":"14","author":"Unutzer J","year":"2008","journal-title":"Am J Manag Care"},{"key":"e_1_2_7_49_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1997.03540440052032"},{"key":"e_1_2_7_50_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.184.5.386"},{"key":"e_1_2_7_51_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199603000-00003"},{"key":"e_1_2_7_52_1","first-page":"58","article-title":"A comparison of diabetes patient's self\u2010reported health status with hemoglobin A1c test results in 11 California health plans","volume":"10","author":"Wasserman J","year":"2001","journal-title":"Manag Care"},{"key":"e_1_2_7_53_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2004.52217.x"},{"key":"e_1_2_7_54_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.1447"},{"key":"e_1_2_7_55_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.65.5.596"}],"container-title":["International Journal of Geriatric Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fgps.2806","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/gps.2806","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T23:10:16Z","timestamp":1695510616000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/gps.2806"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,10,25]]},"references-count":54,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2012,9]]}},"alternative-id":["10.1002\/gps.2806"],"URL":"https:\/\/doi.org\/10.1002\/gps.2806","archive":["Portico"],"relation":{},"ISSN":["0885-6230","1099-1166"],"issn-type":[{"value":"0885-6230","type":"print"},{"value":"1099-1166","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,10,25]]}}}