Association between nonspecific severe psychological distress as an indicator of serious mental illness and increasing levels of medical multimorbidity.

Abstract:

OBJECTIVES:We sought to determine whether severe psychological distress (SPD) and serious mental illnesses (SMIs) are associated with a specific set of chronic medical conditions (CMCs) and the association between SPD-SMIs and increasing levels of medical multimorbidity and complexity (i.e., from 1 to 3 or more CMCs). METHODS:We used data from 3 administrations (2008-2010) of the National Survey on Drug Use and Health collected from 110 455 adult participants. We used binary and ordinal logistic regressions adjusting for sociodemographics and substance abuse to examine the associations between SPD-SMIs and increasing levels of multimorbidity. RESULTS:SPD-SMI was associated with higher probabilities for many CMCs generally, but we found no specific pattern for any class of conditions for SPD-SMIs and multimorbidity. The association between SPD-SMIs and multimorbidity strengthened as the number of CMCs increased. CONCLUSIONS:The finding of no discernible risk pattern for any specific CMC grouping supports broad medical assessment strategies and closely coordinated primary and behavioral health care for those with SPD-SMIs, as called for in the Patient Protection and Affordable Care Act.

journal_name

Am J Public Health

authors

Swartz JA,Jantz I

doi

10.2105/AJPH.2014.302165

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

2350-8

issue

12

eissn

0090-0036

issn

1541-0048

journal_volume

104

pub_type

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