Psychological distress severity of adults reporting receipt of treatment for mental health problems in the BRFSS.

Objective: Although effective mental health treatments exist, few population data are available on treatment receipt by persons with psychological distress. This study aimed to understand the association between symptoms and treatment receipt with data from the U.S Behavioral Risk Factor Surveillance System (BRFSS) survey.

Undertreatment of mental health problems in adults with diagnosed diabetes and serious psychological distress: the behavioral risk factor surveillance system, 2007.

Objective: To assess the prevalence and correlates of undertreatment for mental health problems among adults with diabetes and serious psychological distress (SPD).

Research Design And Methods: We analyzed data of adults aged >or=18 years from the 2007 Behavioral Risk Factor Surveillance System. SPD was assessed with the Kessler-6 scale.

Serious psychological distress and its associations with body mass index: findings from the 2007 Behavioral Risk Factor Surveillance System.

Objectives: To examine the associations of body mass index (BMI) with serious psychological distress (SPD) after taking into consideration the obesity-related comorbidities (ORCs), lifestyle factors, or emotional support.

Methods: Self-reported data (n = 153,865) from the 2007 BRFSS were analyzed. Psychological distress was assessed by the Kessler-6 Questionnaire; respondents with a Kessler-6 score of > or = 13 were defined as having SPD.

Psychological distress and mental health treatment among persons with and without active duty military experience, Behavioral Risk Factor Surveillance System, United States, 2007.

Objectives: To examine self-reported psychological distress (K-6 scale) and mental health treatment among persons with and without active duty U.S. military experience (ADME) currently residing in private residences in the U.

Modifiable characteristics of a healthy lifestyle and chronic health conditions in older adults with or without serious psychological distress, 2007 Behavioral Risk Factor Surveillance System.

Objective: The associations between serious psychological distress (SPD), chronic health conditions, healthy behaviors, healthy weight, and use of preventive services were examined among adults 65 years old and older using the 2007 Behavioral Risk Factor Surveillance System (BRFSS).

Methods: Participants (N = 35,845) completed a scale of nonspecific psychological distress for the past 30 days. Chronic health conditions were investigated in addition to having a healthy weight (body mass index 18.

Association between diagnosed diabetes and serious psychological distress among U.S. adults: the Behavioral Risk Factor Surveillance System, 2007.

Objectives: To estimate the prevalence of serious psychological distress (SPD) according to diabetes status and to assess the association of diabetes-related risks and conditions with SPD among U.S. adults.

The relationship between smoking status and serious psychological distress: findings from the 2007 Behavioral Risk Factor Surveillance System.

Objectives: To examine the associations between smoking and quit attempts with psychological distress and also by socioeconomic groups.

Methods: Using data on 172,938 adult respondents from the 2007 Behavioral Risk Factor Surveillance System we used the Kessler-6 scale to assess psychological distress among never, former, some-day, and everyday smokers and smokers attempting to quit.

Results: Everyday smokers and attempting quitters had higher mean levels of 30-day psychological distress than never smokers.

Psychological distress, use of rehabilitation services, and disability status among noninstitutionalized US adults aged 35 years and older, who have cardiovascular conditions, 2007.

Objectives: To investigate whether psychological distress is associated with disability status and use of rehabilitation services among adults aged 35 years and older with cardiovascular conditions.

Methods: Using 2007 data from the Behavioral Risk Factor Surveillance System (BRFSS), we assessed the association between serious psychological distress (SPD) and the prevalence of disability and use of outpatient rehabilitation services among cardiovascular disease (CVD) survivors aged 35 years or older. Respondents' SPD status was ascertained by the Kessler 6 questionnaire; their CVD survivor status was based on self-reports of physician-diagnosed coronary heart disease (CHD) or stroke; and their disability status was based on self reports of activity limitation and use of special equipment.

State-based differences in the prevalence and characteristics of untreated persons with serious psychological distress.

Objectives: To examine the state-based prevalence of serious psychological distress (SPD) and its treatment using the Kessler-6 scale.

Methods: SPD and treatment data were obtained from 202,114 respondents in the 2007 Behavioral Risk Factor Surveillance System Mental Illness and Stigma Module in 35 states, the District of Columbia, and Puerto Rico.

Results: Approximately 4.

Psychological distress associated with self-reported high blood pressure and high blood cholesterol in U.S. adults, 2007.

Objectives: The relationship between psychological distress and high blood pressure (HBP) and high blood cholesterol (HBC) is controversial. Psychological distress may interfere with lifestyle modification and health care service use among persons with these conditions. we examined the association between persons with HBP or HBC and psychological distress using a population-based study.

Rural-urban variations in psychological distress: findings from the Behavioral Risk Factor Surveillance System, 2007.

Objectives: To describe rural and urban differences in the prevalence and correlates of psychological distress in the United States.

Methods: We analyzed 2007 Behavioral Risk Factor Surveillance System (BRFSS) data from 62,913 respondents residing in 94 counties in 24 states, and District of Columbia that administered the Kessler-6 (K6) psychological distress questionnaire and met the BRFSS weighting criterion. Using the Rural Urban Classification Codes (RUCC), 94 counties fell into four groups (two metropolitan and two non-metropolitan) out of the nine-part RUCC scheme; these levels were collapsed into two distinct categories of urban and rural.

Serious psychological distress among adults with and without disabilities.

Objectives: Our objective was to examine the extent to which serious psychological distress (SPD) is associated with behavioral and social correlates among US adults with self-reported disabilities.

Methods: Self-reported data on disability, SPD, and behavioral and social correlates were collected from 202,383 participants (aged > or = 18 years) of the 2007 Behavioral Risk Factor Surveillance System. Adults with self-reported disabilities were identified using two standardized questions--one relating to activity limitation, the other to special equipment.

Relationships between serious psychological distress and the use of health services in the United States: findings from the Behavioral Risk Factor Surveillance System.

Objective: To determine rates of access to and use of health services among adults with Serious Psychological Distress (SPD).

Methods: Adults > or = 18 years in the 2007 BRFSS were stratified based on the presence of SPD, assessed by scores > or = 13 using the Kessler-6 tool (N = 199,209). Access to and use of general and mental health services were compared for those with scores < 13 and those > or = 13 using Chi-square analyses and logistic regression models.

The associations between depression, health-related quality of life, social support, life satisfaction, and disability in community-dwelling US adults.

The purpose of this manuscript is to describe the associations among current depression, as measured by the Patient Health Questionnaire 8, health-related quality of life, social support, life satisfaction, and disability status, using the 2006 Behavioral Risk Factor Surveillance System. A dose-response relationship exists between depression severity and mean number of days in the past 30 days of physical distress, pain, anxiety symptoms, and activity limitations as well as the prevalence of fair/poor general health, life dissatisfaction, inadequate social support, and disability. These profound associations underscore the need for recognition and treatment of depression in all healthcare settings.

Depression and anxiety in the United States: findings from the 2006 Behavioral Risk Factor Surveillance System.

Objective: This study examined the unadjusted and adjusted prevalence estimates of depression and anxiety at the state level and examined the odds ratios of depression and anxiety for selected risk behaviors, obesity, and chronic diseases.

Methods: The 2006 Behavioral Risk Factor Surveillance Survey, a random-digit-dialed telephone survey, collected depression and anxiety data from 217,379 participants in 38 states, the District of Columbia, Puerto Rico, and the U.S.

The PHQ-8 as a measure of current depression in the general population.

Background: The eight-item Patient Health Questionnaire depression scale (PHQ-8) is established as a valid diagnostic and severity measure for depressive disorders in large clinical studies. Our objectives were to assess the PHQ-8 as a depression measure in a large, epidemiological population-based study, and to determine the comparability of depression as defined by the PHQ-8 diagnostic algorithm vs. a PHQ-8 cutpoint > or = 10.

Impact of depression and anxiety on quality of life, health behaviors, and asthma control among adults in the United States with asthma, 2006.

Background: Psychological factors such as anxiety and depression are increasingly being recognized as influencing the onset and course of asthma.

Methods: We obtained Patient Health Questionnaire 8 depression data from 41 states and territories using the 2006 Behavioral Risk Factor Surveillance System. Heath risk behaviors, social and emotional support, life satisfaction, disability, and four health-related quality-of-life (HRQOL) questions were available for all states and territories (n = 18,856 with asthma).

The association of depression and anxiety with obesity and unhealthy behaviors among community-dwelling US adults.

Objective: The aim of this study was to examine the extent to which depression and anxiety are associated with smoking, obesity, physical inactivity and alcohol consumption in the US population using the Patient Health Questionnaire 8 (PHQ-8) and two questions on lifetime diagnosis of anxiety and depression.

Methods: Data were analyzed in 38 states, the District of Columbia and two territories using the 2006 Behavioral Risk Factor Surveillance System (n=217,379), a large state-based telephone survey.

Results: Overall, adults with current depression or a lifetime diagnosis of depression or anxiety were significantly more likely than those without each diagnosis to smoke, to be obese, to be physically inactive, to binge drink and drink heavily.