ArticleSocial psychiatry and psychiatric epidemiology2022
Psychological distress as a risk factor for all-cause, chronic disease- and suicide-specific mortality: a prospective analysis using data from the National Health Interview Survey.
Article in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- The Relationship between Psychological Stress and Anthropometric, Biological Outcomes: A Systematic Review.Medicina (Kaunas, Lithuania) · 2024Pooled it
- Evaluation of the impact of an interdisciplinary team scheduling model on psychological outcomes in patients with decompensated cirrhosis.World journal of hepatology · 2026Trial
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- Structural validity and measurement invariance of the Japanese version of the Kessler Psychological Distress Scale (K6): an item response theory analysis.Annals of medicine · 2026Article
- Association of social determinants of health and psychological distress among adults in the united states: a cross-sectional study.Social psychiatry and psychiatric epidemiology · 2026Article
- Sex differences in psychological distress and its risk factors among US adult Black and White immigrants, NHIS 2005-2018.Scientific reports · 2026Article
- Gender-based determinants of psychological distress among emerging adult students in coastal Karnataka: a cross-sectional study.Global mental health (Cambridge, England) · 2026Article
- A social determinants-based county-level cardiovascular mortality index to identify high-risk counties in the USA.BMC medicine · 2025Article
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- Psychological distress in older adults: associations with epigenetic markers of ageing, inflammation, and depression, and joint effects on mortality.Brain, behavior, & immunity - health · 2025Article
- Beyond capacity limits: can social cohesion offset the impact of service constraints on youth mental health?European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- Lifetime stressor exposure is related to suicidality in autistic adults: A multinational study.Autism : the international journal of research and practice · 2025Article
- Enrollment in Medicare is associated with fewer outpatient mental healthcare visits among those with mental health symptoms.Health services research · 2025Article
- Psychological Distress Among US-Born and Non-US-Born Black or African American Adults in the US.JAMA network open · 2025Article
- Association between employment status and long-term changes in psychological stress across the COVID-19 pandemic period in Japan: NIPPON DATA2010.Journal of occupational health · 2025Article
- Chain mediation of resourcefulness and self-perceived burden between coping styles and psychological distress in stroke patients: a cross-sectional study.Frontiers in psychology · 2025Article
- The Role of Social Determinants of Health in Self-Reported Psychological Distress among United States Adults Post-COVID-19 Pandemic.International journal of environmental research and public health · 2024Article
- Long-Term Efficacy of a Mobile Mental Wellness Program: Prospective Single-Arm Study.JMIR mHealth and uHealth · 2024Article
- Mental health impacts of COVID-19: A retrospective analysis of dynamic modelling projections for Australia.Heliyon · 2024Article
- SARS-CoV-2 induced vitamin D deficiency and psychological stress: a manifestation of autoimmune disease onset.Frontiers in immunology · 2024Article
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Authors and funding
10 authors at 5 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe risk psychological distress (PD) confers on mortality due to specific chronic diseases compared to suicide is unclear. Using the National Health Interview Survey (NHIS), we investigated the association between PD levels and risk of all-cause and chronic disease-specific mortality and compared the contribution of chronic disease-related mortality to that of suicide.
methodsData from 195, 531 adults, who participated in the NHIS between 1997 and 2004, were linked to the National Death Index records through to 2006. Multivariable Cox regression models were used to estimate hazard ratios (HRs) and their 95% confidence intervals (CIs) across four levels of PD, measured using the Kessler-6 scale. Outcomes included all-cause mortality, and mortality due to all CVDs and subtypes, all cancers and subtypes, diabetes mellitus, alcoholic liver disease and suicide.
resultsDuring a mean follow-up time of 5.9 years, 7665 deaths occurred. We found a dose-response association between levels of PD and all-cause mortality, with the adjusted HRs (95% CI) elevated for all levels of PD, when compared to asymptomatic levels: subclinical 1.10 (1.03-1.16), symptomatic 1.36 (1.26-1.46) and highly symptomatic 1.57 (1.37-1.81). A similar association was found for all CVDs and certain CVD subtypes, but not for cancers, cerebrovascular diseases diabetes mellitus. Excess mortality attributable to suicide and alcoholic liver disease was evident among those with levels of PD only.
conclusionPD symptoms, of all levels, were associated with an increased risk of all-cause and CVD-specific mortality while higher PD only was associated with suicide. These findings emphasise the need for lifestyle interventions targeted towards improving physical health disparities among those with PD.
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