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Mental-physical co-morbidity and its relationship with disability: results from the World Mental Health Surveys.

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Title: Mental-physical co-morbidity and its relationship with disability: results from the World Mental Health Surveys.
Authors: Scott KM (AUTHOR), Von Korff M (AUTHOR), Alonso J (AUTHOR), Angermeyer MC (AUTHOR), Bromet E (AUTHOR), Fayyad J (AUTHOR), de Girolamo G (AUTHOR), Demyttenaere K (AUTHOR), Gasquet I (AUTHOR), Gureje O (AUTHOR), Haro JM (AUTHOR), He Y (AUTHOR), Kessler RC (AUTHOR), Levinson D (AUTHOR), Medina Mora ME (AUTHOR), Oakley Browne M (AUTHOR), Ormel J (AUTHOR), Posada-Villa J (AUTHOR), Watanabe M (AUTHOR), Williams D (AUTHOR)
Source: Psychological Medicine. Jan2009, Vol. 39 Issue 1, p33-43. 11p.
Abstract: BACKGROUND: The relationship between mental and physical disorders is well established, but there is less consensus as to the nature of their joint association with disability, in part because additive and interactive models of co-morbidity have not always been clearly differentiated in prior research. METHOD: Eighteen general population surveys were carried out among adults as part of the World Mental Health (WMH) Survey Initiative (n=42 697). DSM-IV disorders were assessed using face-to-face interviews with the Composite International Diagnostic Interview (CIDI 3.0). Chronic physical conditions (arthritis, heart disease, respiratory disease, chronic back/neck pain, chronic headache, and diabetes) were ascertained using a standard checklist. Severe disability was defined as on or above the 90th percentile of the WMH version of the World Health Organization Disability Assessment Schedule (WHODAS-II). RESULTS: The odds of severe disability among those with both mental disorder and each of the physical conditions (with the exception of heart disease) were significantly greater than the sum of the odds of the single conditions. The evidence for synergy was model dependent: it was observed in the additive interaction models but not in models assessing multiplicative interactions. Mental disorders were more likely to be associated with severe disability than were the chronic physical conditions. CONCLUSIONS: This first cross-national study of the joint effect of mental and physical conditions on the probability of severe disability finds that co-morbidity exerts modest synergistic effects. Clinicians need to accord both mental and physical conditions equal priority, in order for co-morbidity to be adequately managed and disability reduced. [ABSTRACT FROM AUTHOR]
Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Mental-physical co-morbidity and its relationship with disability: results from the World Mental Health Surveys.
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  Data: <searchLink fieldCode="AR" term="%22Scott+KM%22">Scott KM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Von+Korff+M%22">Von Korff M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Alonso+J%22">Alonso J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Angermeyer+MC%22">Angermeyer MC</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bromet+E%22">Bromet E</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fayyad+J%22">Fayyad J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22de+Girolamo+G%22">de Girolamo G</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Demyttenaere+K%22">Demyttenaere K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gasquet+I%22">Gasquet I</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gureje+O%22">Gureje O</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Haro+JM%22">Haro JM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22He+Y%22">He Y</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kessler+RC%22">Kessler RC</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Levinson+D%22">Levinson D</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Medina+Mora+ME%22">Medina Mora ME</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Oakley+Browne+M%22">Oakley Browne M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ormel+J%22">Ormel J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Posada-Villa+J%22">Posada-Villa J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Watanabe+M%22">Watanabe M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Williams+D%22">Williams D</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psychological+Medicine%22">Psychological Medicine</searchLink>. Jan2009, Vol. 39 Issue 1, p33-43. 11p.
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  Data: BACKGROUND: The relationship between mental and physical disorders is well established, but there is less consensus as to the nature of their joint association with disability, in part because additive and interactive models of co-morbidity have not always been clearly differentiated in prior research. METHOD: Eighteen general population surveys were carried out among adults as part of the World Mental Health (WMH) Survey Initiative (n=42 697). DSM-IV disorders were assessed using face-to-face interviews with the Composite International Diagnostic Interview (CIDI 3.0). Chronic physical conditions (arthritis, heart disease, respiratory disease, chronic back/neck pain, chronic headache, and diabetes) were ascertained using a standard checklist. Severe disability was defined as on or above the 90th percentile of the WMH version of the World Health Organization Disability Assessment Schedule (WHODAS-II). RESULTS: The odds of severe disability among those with both mental disorder and each of the physical conditions (with the exception of heart disease) were significantly greater than the sum of the odds of the single conditions. The evidence for synergy was model dependent: it was observed in the additive interaction models but not in models assessing multiplicative interactions. Mental disorders were more likely to be associated with severe disability than were the chronic physical conditions. CONCLUSIONS: This first cross-national study of the joint effect of mental and physical conditions on the probability of severe disability finds that co-morbidity exerts modest synergistic effects. Clinicians need to accord both mental and physical conditions equal priority, in order for co-morbidity to be adequately managed and disability reduced. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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