BACKGROUND: This study describes the differences in @entity458 , disability and psychosocial resources between types of major medical conditions and sensory impairments (collectively denoted as @entity70045 ); and tests whether disability and psychosocial resources mediate CMC-specific mental health effects. METHODS: Data were obtained from a population-based, cross-sectional survey of 5078 non-institutionalized, late middle-aged and older Dutch @entity1 . The predictors were 16 types of @entity70045 , including all major chronic medical diseases as well as @entity73 . The outcomes were assessed in terms of @entity458 as measured by the Hospital Anxiety and @entity308 Scale. Two aspects of disability were measured (namely, physical and role functioning) and also three psychosocial resources (namely, mastery, self-efficacy and social support). RESULTS: Level of @entity458 varied across type of CMC. Hearing impairment, @entity16 , @entity299 had particularly strong associations with distress. The level of distress in @entity1 with @entity393 was 0.45 standard deviation higher than in those without @entity393 (adjusted for demographics and all other @entity70045 ). Roughly similar patterns of association were found between type of CMC and disability, and also, but to a lesser extent, mastery and self-efficacy. Stepwise multiple regression revealed that type of CMC accounted for 9% of the variance in distress initially, but this fell to 1% after the variance due to disability, mastery and self-efficacy was taken out. Social support was not a mediator. Disability and psychosocial resources accounted for 13% and 14% of the variance in distress, respectively. CONCLUSION: These results support the conventional wisdom that it is not the nature of the condition that determines @entity458 , but instead the severity of the disability and loss of psychological resources associated with the condition on the one hand and the psychological characteristics of the @entity1 on the other.

Chronic medical conditions and mental health in older XXXX : disability and psychosocial resources mediate specific mental health effects.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'persons'] @entity308 :: ('MESH:D003866', 'Disease') :: ['Depression'] @entity73 :: ('MESH:D003072', 'Disease') :: ['impairment of hearing, vision, and cognition'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurological disease'] @entity70045 :: ('29899', 'Gene') :: ['CMCs'] @entity458 :: ('MESH:D020018', 'Disease') :: ['psychological distress'] @entity299 :: ('MESH:D006331', 'Disease') :: ['vision impairment, and lung and heart disease'] @entity393 :: ('MESH:D034381', 'Disease') :: ['hearing impairment']
@entity1 :: (9606,Species) :: ['people']
