Long-term chronic conditions in individuals with mental and behavioural disorders: A data linkage study.

IF 4 2区 医学 Q1 PSYCHIATRY
Crystal Man Ying Lee, Kyran Graham-Schmidt, Kevin Ek Chai, Daniel Rock, Suzanne Robinson, Mathew Coleman, Kim S Betts, Peter M McEvoy
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引用次数: 0

Abstract

Objective: This study aimed to investigate the physical health conditions among health service users in the first year since recorded mental disorder diagnosis in Western Australia.

Methods: Community mental health, emergency department (ED) and inpatient records of individuals aged ⩾ 18 years with a recorded mental disorder diagnosis in state-funded health services were analysed. We identified long-term physical health conditions recorded within the first year of the first recorded mental disorder diagnosis. Prevalence of physical comorbidity across time was estimated using multinomial logistic regression. Mean number of health service contacts in the first year of the recorded mental disorder diagnosis was obtained using generalised linear model.

Results: Altogether, 253,362 individuals were included. Within the first year of the first recorded mental disorder, the prevalence of at least one physical comorbidity ranged from 20.0% in 2006 to 14.5% in 2020. Cardiovascular disease was the most common comorbidity, but the most common combinations of comorbidities became more varied over time. The number of ED and inpatient contacts were higher in subgroups with a higher number of physical comorbidities (ED contacts: 2.4 [95% confidence intervals: 2.4, 2.4] for no comorbidities to 3.6 [3.4, 3.8] for ⩾ 3 comorbidities; inpatient contacts: 2.6 [2.6, 2.7] for no comorbidities to 4.5 [4.1, 4.9] for ⩾ 3 comorbidities).

Conclusion: With a substantial proportion of individuals with mental disorders already having physical comorbidities on their first year of contact with state-funded health services, and the comorbidity combinations becoming more diverse, there is a need to implement more comprehensive joint mental and physical health services.

精神和行为障碍患者的长期慢性疾病:一项数据链接研究。
目的:本研究旨在调查西澳大利亚州被诊断为精神障碍的卫生服务使用者第一年的身体健康状况。方法:分析了在国家资助的卫生服务中记录有精神障碍诊断的年龄大于或小于18岁的个体的社区心理健康、急诊科(ED)和住院记录。我们确定了在首次记录的精神障碍诊断的第一年内记录的长期身体健康状况。使用多项逻辑回归估计身体合并症的患病率。使用广义线性模型获得记录精神障碍诊断的第一年卫生服务接触的平均次数。结果:共纳入253362人。在首次记录的精神障碍的第一年,至少有一种身体合并症的患病率从2006年的20.0%到2020年的14.5%不等。心血管疾病是最常见的合并症,但随着时间的推移,最常见的合并症组合变得更加多样化。在身体合并症数量较多的亚组中,ED和住院接触者的数量更高(ED接触者:无合并症的2.4[95%置信区间:2.4,2.4]到大于或等于3合并症的3.6 [3.4,3.8];住院接触:没有合并症的2.6[2.6,2.7]到大于或等于3合并症的4.5[4.1,4.9])。结论:由于相当比例的精神障碍患者在与国家资助的卫生服务机构接触的第一年就已经患有身体合并症,并且合并症的组合越来越多样化,因此有必要实施更全面的精神和身体联合卫生服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
8.00
自引率
2.20%
发文量
149
审稿时长
6-12 weeks
期刊介绍: Australian & New Zealand Journal of Psychiatry is the official Journal of The Royal Australian and New Zealand College of Psychiatrists (RANZCP). The Australian & New Zealand Journal of Psychiatry is a monthly journal publishing original articles which describe research or report opinions of interest to psychiatrists. These contributions may be presented as original research, reviews, perspectives, commentaries and letters to the editor. The Australian & New Zealand Journal of Psychiatry is the leading psychiatry journal of the Asia-Pacific region.
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