Increased 12-month prevalence rates of mental disorders in patients with chronic somatic diseases
Research output: Contribution to journal › Research article › Contributed › peer-review
Contributors
Abstract
BACKGROUND: Although it is well established that chronic somatic diseases are significantly associated with a wide range of psychopathology, it remains unclear to what extent subjects with chronic somatic diseases are at increased risk of experiencing mental disorders. The present epidemiological study investigates age- and sex-adjusted 12-month prevalence rates of mental disorders in patients with cancer, and musculoskeletal, cardiovascular and respiratory tract diseases, based on comprehensive physicians' diagnoses and compared with physically healthy probands.
METHODS: Prevalence rates were calculated from two large epidemiological surveys. These studies investigated inpatients and patients from the general population with cancer (n = 174) and musculoskeletal (n = 1,416), cardiovascular (n = 915) and respiratory tract diseases (n = 453) as well as healthy controls (n = 1,083). The prevalence rates were based on the Munich Composite International Diagnostic Interview, a standardized interview for the assessment of mental disorders.
RESULTS: Prevalence rates were very similar for inpatients (43.7%) and patients from the general population (42.2%). The adjusted odds ratios (OR) of patients with chronic somatic diseases were significantly elevated for mental disorders in comparison with healthy probands (OR: 2.2). Mood, anxiety and somatoform disorders were most frequent. The prevalence rates did not differ significantly between the somatic index diseases. The number of somatic diseases per patient had a higher association with mental disorders.
CONCLUSIONS: There is a strong relationship between chronic somatic diseases and mental disorders. A future task is to improve the care of mental disorders in patients with chronic physical illness, specifically with multimorbid conditions.
Details
Original language | English |
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Pages (from-to) | 354-360 |
Number of pages | 7 |
Journal | Psychotherapy and psychosomatics |
Volume | 76 |
Issue number | 6 |
Publication status | Published - Oct 2007 |
Peer-reviewed | Yes |
External IDs
Scopus | 34948895026 |
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ORCID | /0000-0001-7646-8265/work/142232643 |
Keywords
Sustainable Development Goals
Keywords
- Adult, Aged, Cardiovascular Diseases/epidemiology, Chronic Disease/epidemiology, Comorbidity, Cross-Sectional Studies, Female, Follow-Up Studies, Germany, Health Surveys, Humans, Male, Mental Disorders/diagnosis, Middle Aged, Musculoskeletal Diseases/epidemiology, Neoplasms/epidemiology, Odds Ratio, Respiratory Tract Diseases/epidemiology, Risk Factors, Somatoform Disorders/diagnosis, Statistics as Topic, Depression, Anxiety