Dutch dietitians expected patients with multiple diagnoses, psychological problems, or communication problems to be associated with a higher consultation rate [ 21].
Adherence to treatment of the patients with several chronic diseases such as diabetes, glaucoma, multiple sclerosis and psychological problems was studied in various trials that emphasized the influence of psychological components.
One participant (former Chair) noted that networks that focused on long-term chronic conditions with a low prevalence, yet which resulted in multiple physical, social and psychological problems for the client group were often overshadowed by high-profile diseases (for example, stroke and heart disease) which were perceived to attract more Ministry of Health interest and funding.
Data from one of our labs [ 135] and others [ 136, 137] demonstrate that is possible to maximize accuracy in outcome assessment by sampling multiple psychological perspectives on mental health problems, including those of children, parents, and teachers.
However, in a pilot study of a web-based intervention aimed at young people having at least one parent diagnosed with a psychiatric or multiple psychological disorders, or an addiction problem, the attrition rate was found to be 28% [ 26].
To investigate the factors associated with psychological problems, we conducted multiple regression analyses.
Pain is often under-recognized in the older population due to multiple concomitant chronic diseases and sensory, cognitive, and psychological problems.
They have a greater number of psychological problems, more long term illness, more multiple morbidity and more chronic health problems [ 2].
Multiple regression analysis was used to determine the predictors for the severity of psychological problems.
A multiple stepwise regression analysis showed that, after implantation, improvements in communication abilities, reduced psychological problems, and improvements of daily life abilities were key determinants to QoL improvements for CI patients [ 1, 38].
