Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-22T18:04:32.639Z Has data issue: false hasContentIssue false
  • English
  • Français

Disability and Functional Burden of Disease Because of Mental in Comparison to Somatic Disorders in General Practice Patients

Published online by Cambridge University Press:  26 May 2015

M. Linden ,
U. Linden  and
U. Schwantes
M. Linden*
Affiliation:
Research Group Psychosomatic Rehabilitation, Charité University Medicine, Berlin, Germany
U. Linden
Affiliation:
Research Group Psychosomatic Rehabilitation, Charité University Medicine, Berlin, Germany
U. Schwantes
Affiliation:
Department of General Practice Medicine, Charité University Medicine, Berlin, Germany
*
*Corresponding author. Research Group Psychosomatic Rehabilitation, Rehazentrum Seehof, Lichterfelder Allée 55, 14513 Teltow, Berlin, Germany. Tel.: +49 3328 345678; fax: +49 3328 345555. E-mail address: [email protected] (M. Linden).
Get access

Abstract

Background

Severity of illness is not only depending on the symptom load, but also on the burden in life. Mental disorders are among those illnesses, which in particular cause suffering to the individual and society.

Method

To study burden of disease for mental in comparison to somatic disorders, 2099 patients from 40 general practitioners filled in (a) the Burvill scale which measures acute and chronic illnesses in ten different body systems and (b) the IMET scale which measures impairment in ten different areas of life.

Results

Patients were suffering on average from acute and/or chronic illness in 3.5 (SD: 2.0) body systems and 56.6% of patients complained about acute and/or chronic mental disorders. The most significant negative impact on the IMET total score have acute and chronic mental disorders, followed by chronic neurological and musculoskeletal and acute respiratory and gastrointestinal disorders, while cardiovascular, metabolic, urogenital, haematological and ear/eye disorders have no greater impact. Acute as well as chronic mental disorders cause impairment across all areas of life and most burden of disease (functional burden of disease 1.69), followed by musculoskeletal disorders (1.62).

Conclusion

Mental disorders are among the most frequent health problems with high negative impact across all areas of life. When combining frequency and impairment mental disorders cause most burden of disease in comparison to other illnesses. This should be reflected in the organization of medical care including family medicine.

Keywords

Participation restrictionICFPrimary careDisabilityBurden of diseaseSocial psychiatry
Type
Original article
Information
European Psychiatry , Volume 30 , Issue 6 , September 2015 , pp. 789 - 792
Copyright
Copyright © Elsevier Masson SAS 2015

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Arbus, C., Hergueta, T., Duburcq, A., Saleh, A., Le Guern, E.M., Robert, P., et al.Adjustment disorder with anxiety in old age: comparing prevalence and clinical management in primary care and mental health care. Eur Psychiatry 2014;29:233–238.CrossRefGoogle ScholarPubMed
Burvill, P.W., Mowry, B., Hall, W.D.Quantification of physical illness in psychiatric research in the elderly. Int J Geriatr Psych 1990;5:161–170.CrossRefGoogle Scholar
Deck, R., Mittag, O., Hüppe, A.Index zur Messung von Einschränkungen der Teilhabe (IMET) – Erste Ergebnisse eines ICF-orientierten Assessmentinstruments. Praxis Klinische Verhaltensmedizin und. Rehabilitation 2007;76:113–120. [German].Google Scholar
Effertz, T., Mann, K.The burden and cost of disorders of the brain in Europe with the inclusion of harmful alcohol use and nicotine addiction. Eur Neuropsychopharmacol 2013;23(7):742–748.CrossRefGoogle ScholarPubMed
Foss, L., Gravseth, H.M., Kristensen, P., Claussen, B., Mehlum, I.S., Skyberg, K.Risk factors for long-term absence due to psychiatric sickness: a register-based 5-year follow-up from the Oslo Health Study. J Occup Environ Med 2010;52(7):698–705.CrossRefGoogle ScholarPubMed
Galderisi, S., Rossi, A., Rocca, P., Bertolino, A., Mucci, A., Bucci, P., et al.The influence of illness-related variables, personal resources and context-related factors on real-life functioning of people with schizophrenia. World Psychiatry 2014;13:275–287.CrossRefGoogle ScholarPubMed
Goldberg, D., Privett, M., Üstün, B., Simon, G., Linden, M.The effects of detection and treatment on the outcome of major depression in primary care: a naturalistic study in 15 cities. Brit J Gen Pract 1998;48:1840–1844.Google ScholarPubMed
Griffiths, K.M., Carron-Arthur, B., Parsons, A., Reid, R.Effectiveness of programs for reducing the stigma associated with mental disorders. A meta-analysis of randomized controlled trials. World Psychiatry 2014;13:161–175.CrossRefGoogle ScholarPubMed
Institute for Health Metrics and Evaluation. The global burden of disease: Generating evidence, guiding policy. .Seattle, WA: IHME; 2013.Google Scholar
Katz, S., Moskowitz, R.W., Jackson, B.A.Studies of illness in the aged. The Index of ADL: a standardized measure of biological and psychosocial function. JAMA 1963;185:914–919.CrossRefGoogle ScholarPubMed
Koopmans, P.C., Bültmann, U., Roelen, C.A., Hoedeman, R., van der Klink, J.J., Groothoff, J.W.Recurrence of sickness absence due to common mental disorders. Int Arch Occup Environ Health 2011;84:193–201.CrossRefGoogle ScholarPubMed
Linden, M.Mental disorders in primary care. Adv Psychosom Med 2004;26:52–65.CrossRefGoogle ScholarPubMed
Morisini, P.L., Magliano, L., Brambilla, L., Ugolini, S., Piolo, R.Development, reliability and acceptability of a new version of the DSM-IV Social and Occupational Functioning Assessment Scale (SOFAS) to assess routine social functioning. Acta Psychiatr Scand 2000;101:323–329.Google Scholar
Muschalla, B., Kessler, U., Schwantes, U., Linden, M.[Medical rehabilitation by general practitioners in patients with chronic mental disorders]. Rehabilitation 2013;52:251–256. [German].Google Scholar
Nassi Ghaemi, S.Taking disease seriously in DSM. World Psychiatry 2013;12:210–212.CrossRefGoogle Scholar
Salokangas, R.K.R., Heinimaa, M., From, T., Löyttyniemi, E., Ilonen, T., Luutonen, S., et al.Short-term functional outcome and premorbid adjustment in clinical high-risk patients. Results of the EPOS project. Eur Psychiatry 2014;29:371–380.CrossRefGoogle ScholarPubMed
Silva Junior, J.S., Fischer, F.M.Disability due to mental illness: social security benefits in Brazil 2008-2011. Rev Saude Publica 2014;48:186–190.CrossRefGoogle ScholarPubMed
Stansfeld, S.A., Fuhrer, R., Head, J.Workplace: impact of common mental disorders on sickness absence in an occupational cohort study. Occup Environ Med 2011;68:408–413.CrossRefGoogle Scholar
Wittchen, H.U., Jacobi, F., Rehm, J., Gustavsson, A., Svensson, M., Jönsson, B., et al.The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacol 2011;21:655–679.CrossRefGoogle ScholarPubMed
World Bank. World Development Report 1993. Investing in Health. New York: Oxford University Press; 1993.Google Scholar
World Health Organization. Disease and injury country estimates. Persons all ages. .Geneva: WHO; 2009.Google Scholar
World Health Organization. WHO methods and data sources for global burden of disease estimates 2000–2011. Department of Health Statistics and Information Systems. .Geneva: WHO; 2013.Google Scholar
World Health Organization (WHO). International Classification of Functioning, Disability and Health: ICF. .Geneva: WHO; 2001.Google Scholar
World Health Organization (WHO). WHODAS II – Disability Assessment Schedule Training Manual: a guide to administration. .Geneva: WHO; 2004.Google Scholar
Submit a response

Comments

No Comments have been published for this article.