Taken together, this suggests a negative trend in health satisfaction before disease onset, a drop in satisfaction at onset and persistently (during the study period) lower health satisfaction levels after onset.
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Chronic disease onset and wellbeing development: longitudinal analysis and the role of healthcare access.
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The sentences
After disease onset, we found a positive trend change for health satisfaction, which largely offset the previously negative trend but did not lead to a positive overall post-onset trend.
Pre-onset development of life satisfaction did not show a significant trend effect (pre-onset trend estimate: 0.004, 95% CI: −0.007 to 0.015).