Alisa K. Lincoln|Michael K. Paasche?Orlow|Debbie M. Cheng|Christine Lloyd?Travaglini|Christine C. Caruso|Richard Saitz|Jeffrey H. Samet
Impact of health literacy on depressive symptoms and mental health-related quality of life among adults with addiction
Boston Medical Center|Boston University|Boston Medical Center|Boston University|Boston Medical Center|Boston University|Boston Medical Center|Boston University|Boston Medical Center|Boston University|Boston University|Boston Medical Center|Boston University
health literacy linked health status variety chronic diseases however evidence relationship health literacy mental health outcomes sparsewe hypothesized low literacy would associated higher addiction severity higher levels depressive symptoms worse mental health functioning compared higher literacy adults alcohol drug dependencethe association literacy multiple mental health outcomes assessed using multivariable analyses measurement instruments included rapid estimate adult literacy medicine realm center epidemiologic studiesdepression cesd scale mental component summary scale short form health survey addiction severity index drug alcohol addiction subjects included 380 adults recruited detoxification treatment followed prospectively 6month intervals 2 years based realm subjects classified either low 8th grade higher 9th grade literacy levelsin longitudinal analyses low literacy associated depressive symptoms adjusted mean difference cesd scores low high literacy levels 4 p01 literacy significantly associated mental healthrelated quality life addiction severityin people alcohol drug dependence low literacy associated worse depressive symptoms mechanisms underlying relationship literacy mental health outcomes explored inform future intervention efforts