Comorbidity between delusional disorder and chronic physical conditions. Results from the Deliranda case register

2016 ◽  
Vol 33 (S1) ◽  
pp. S145-S145
Author(s):  
A. Porras Segovia ◽  
C. Carrillo de Albornoz Calahorro ◽  
M. Guerrero Jiménez ◽  
J. Cervilla Ballesteros
Keyword(s):  
Mental Disorders ◽  
Physical Condition ◽  
Correct Diagnosis ◽  
Life Quality ◽  
Delusional Disorder ◽  
Medical Conditions ◽  
Case Register ◽  
Physical Conditions ◽  
Dsm 5 ◽  
Chronic Physical Conditions

IntroductionMental disorders are often comorbid with chronic physical conditions. This relationship has been looked into in some mental disorders, such as depression or schizophrenia. However, very few studies have explored this comorbidity in the delusional disorder.ObjectivesThe objective of this study is to establish the prevalence of common chronic medical conditions across delusional disorder.AimsThe aim is to provide useful information regarding this frequent, often disregarded, comorbidity.MethodsOur results proceed from the Andalusian delusional disorder case-register (DelirAnda). We reviewed 1927 clinical histories of patients diagnosed of delusional disorder. Upon having verified the diagnosis following DSM-5 criteria, we recollected data on the prevalence of 10 different medical conditions, which were defined based on clinical diagnosis.ResultsOne thousand four hundred and fifty-two patients matched DSM-5 delusional disorder criteria. Among them, 49.8% of our sample were women. The overall prevalence of medical conditions was 66%. Thirty-one percent of the patients with delusional disorder had only one comorbid physical condition, 20% of them suffered from two conditions, and 15% of them had three or more chronic conditions. The most prevalent physical condition among delusional disorder patients was diabetes, affecting 16% of these patients.ConclusionsChronic physical conditions are highly prevalent among patients with delusional disorder. Comorbid physical conditions may have an important impact on the course of delusional disorder. A correct diagnosis and treatment of this comorbidity should be made to help improve the prognosis and life quality of these patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Does Having a Chronic Physical Condition Affect the Likelihood of Treatment Seeking for a Mental Health Problem and Does This Vary by Ethnicity?

2011 ◽  
Vol 42 (4) ◽  
pp. 421-436 ◽  
Author(s):  
K. M. Scott ◽  
J. Kokaua ◽  
J. Baxter
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Mental Disorders ◽  
Physical Condition ◽  
Mental Health Treatment ◽  
Treatment Seeking ◽  
Health Treatment ◽  
Physical Conditions ◽  
Ethnic Subgroups ◽  
Chronic Physical Conditions

Objective: The comorbidity of mental disorders with chronic physical conditions is known to have important clinical consequences, but it is not known whether mental-physical comorbidity influences mental health treatment seeking. This study investigates whether the presence of a chronic physical condition influences the likelihood of seeking treatment for a mental health problem, and whether that varies among ethnic subgroups in New Zealand. Methods: Analyses were based on a subsample ( n = 7,435) of The New Zealand Mental Health Survey, a nationally representative household survey of adults (response rate 73.3%). Ethnic subgroups (Maori and Pacific peoples) were oversampled. DSM-IV mental disorders were measured face-to-face with the Composite International Diagnostic Interview (CIDI 3.0). Ascertainment of chronic physical conditions was via self-report. Results: In the general population, having a chronic medical condition increased the likelihood of seeking mental health treatment from a general practitioner (OR: 1.58), as did having a chronic pain condition (OR: 2.03). Comorbid chronic medical conditions increased the likelihood of seeking mental health treatment most strongly among Pacific peoples (ORs: 2.86–4.23), despite their being less likely (relative to other ethnic groups) to seek mental health treatment in the absence of physical condition comorbidity. Conclusion: In this first investigation of this topic, this study finds that chronic physical condition comorbidity increases the likelihood of seeking treatment for mental health problems. This provides reassurance to clinicians and health service planners that the difficult clinical problem of mental-physical comorbidity is not further compounded by the comorbidity itself constituting a barrier to mental health treatment seeking.

Mental-Physical Comorbidity in Te Rau Hinengaro: The New Zealand Mental Health Survey

2006 ◽  
Vol 40 (10) ◽  
pp. 882-888 ◽  
Author(s):  
Kate M. Scott ◽  
Mark A. Oakley Browne ◽  
Magnus A. Mcgee ◽  
J. Elisabeth Wells ◽  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Cardiovascular Disease ◽  
New Zealand ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Composite International Diagnostic Interview ◽  
Hazardous Alcohol Use ◽  
Physical Conditions ◽  
Chronic Physical Conditions

Objective: To estimate the prevalence of chronic physical conditions, and the risk factors for those conditions, among those with 12 month mental disorder; to estimate the prevalence of 12 month mental disorder among those with chronic physical conditions. Method: A nationally representative face-to-face household survey was carried out in October 2003 to December 2004 with 12 992 participants aged 16 years and over, achieving a response rate of 73.3%. Mental disorders were measured with the World Mental Health version of the Composite International Diagnostic Interview (CIDI 3.0). Physical conditions were self-reported. All associations are reported adjusted for age and sex. Results: People with (any) mental disorder, relative to those without mental disorder, had higher prevalences of several chronic physical conditions (chronic pain, cardiovascular disease, high blood pressure and respiratory conditions) and chronic condition risk factors (smoking, overweight/obesity, hazardous alcohol use). Around a quarter of people with chronic physical conditions had a comorbid mental disorder compared with 15% of the population without chronic conditions. Significant relationships occurred between some mental disorders and obesity, cardiovascular disease and diabetes for females, but not for males. Conclusions: This paper provides evidence of substantial comorbidity between mental disorders and chronic physical conditions in New Zealand. This should be borne in mind by clinicians working in both mental health and medical services.

Toxic consumption among patients suffering delusional disorder

2016 ◽  
Vol 33 (S1) ◽  
pp. S375-S376
Author(s):  
C.M. Carrillo de Albornoz Calahorro ◽  
A. Porras ◽  
M. Guerrero ◽  
J. Cervilla Ballesteros
Keyword(s):  
Cannabinoid Receptors ◽  
Digital Health ◽  
Epidemiological Studies ◽  
Delusional Disorder ◽  
Psychotic Symptoms ◽  
Case Register ◽  
Dsm 5 ◽  
Different Types ◽  
Competing Interest ◽  
Do So

IntroductionSeveral epidemiological studies describe the association between substance abuse and appearance of psychotic symptoms. There is a higher prevalence of psychotic symptoms among cannabis and cocaine consumers compared to the general population.The cannabinoid receptors regulate the release of dopamine and cocaine has a strong inhibitory action on reuptake of the same. This may explain the greater proportion of subjects moderately or heavily dependent on cocaine or cannabis experience symptoms of psychotic sphere.Objectives/AimsDescribing the profile of drug consumption among a group of patients diagnosed with delusional disorder.MethodsOur data come from a case register study of delusional disorder in Andalucía (Spanish largest region). By accessing digital health data, we selected 1927 cases who meet criteria DSM 5 for delusional disorder collecting different toxic consumption habits.ResultsIt was found that 1070 (93.4%) of patients diagnosed as delusional disorder according DSM 5 did not consume cannabis, compared to 75 (6.6%) who do so. Among patients diagnosed as “other psychoses”, 243 (85%) did not use drugs and 43 (15%) consume other drugs of different types of cannabis.ConclusionIn our sample, we found that the use of drugs such as cannabis and cocaine is less common among patients diagnosed with delusional disorder compared with other individuals diagnosed as “other psychosis”.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Affective and Anxiety Disorders and their Relationship with Chronic Physical Conditions in Australia: Findings of the 2007 National Survey of Mental Health and Wellbeing

2011 ◽  
Vol 45 (11) ◽  
pp. 939-946 ◽  
Author(s):  
Maree Teesson ◽  
Philip B. Mitchell ◽  
Mark Deady ◽  
Sonja Memedovic ◽  
Tim Slade ◽  
...  
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
National Survey ◽  
Physical Condition ◽  
Service Use ◽  
Health And Wellbeing ◽  
Physical Conditions ◽  
Chronic Physical Conditions ◽  
Nationally Representative

Objective: The aim of this study was to report nationally representative data on the prevalence and patterns of 12 month comorbidity of chronic physical conditions (diabetes, asthma, coronary heart disease, stroke, cancer, arthritis) and DSM-IV affective and anxiety disorders in Australian adults. Method: The 2007 National Survey of Mental Health and Wellbeing (NSMHWB) was a nationally representative household survey of 8841 Australian adults (16–85 years) assessing symptoms of ICD-10 mental disorders and the presence of chronic physical conditions. Results: Prevalence of at least one National Health Priority Area chronic physical condition was 32.2% (95%CI = 30.9%–33.5%). Among those with chronic physical conditions 21.9% had an affective or anxiety disorder. Affective and anxiety disorders were more common among people with physical conditions than among people without chronic physical conditions (affective OR 1.5; anxiety OR 1.8). Of those with a 12 month affective or anxiety disorder, 45.6% had a chronic physical condition. Physical disorders were more common in those with an affective or anxiety disorder than among people without an affective or anxiety disorder (affective OR 1.6; anxiety OR 2.0). Disability was high in those with an anxiety disorder, an affective disorder and a physical condition and 43.4% were classified as high service users. Conclusions: Comorbidity between chronic physical conditions and affective and anxiety disorders is widespread and is associated with high levels of disability and service use.

scholarly journals Burden of chronic physical conditions and mental disorders in primary care

2010 ◽  
Vol 196 (4) ◽  
pp. 302-309 ◽  
Author(s):  
Anna Fernández ◽  
Juan Ángel Bellón Saameño ◽  
Alejandra Pinto-Meza ◽  
Juan Vicente Luciano ◽  
Jaume Autonell ◽  
...  
Keyword(s):  
Primary Care ◽  
Mental Disorders ◽  
Mood Disorders ◽  
Short Form ◽  
World Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Physical Conditions ◽  
Primary Care Patients ◽  
Chronic Physical Conditions

BackgroundThe World Health Organization (WHO) has stated that the three leading causes of burden of disease in 2030 are projected to include HIV/AIDS, unipolar depression and ischaemic heart disease.AimsTo estimate health-related quality of life (HRQoL) and quality-adjusted life-year (QALY) losses associated with mental disorders and chronic physical conditions in primary healthcare using data from the diagnosis and treatment of mental disorders in primary care (DASMAP) study, an epidemiological survey carried out with primary care patients in Catalonia (Spain).MethodA cross-sectional survey of a representative sample of 3815 primary care patients. A preference-based measure of health was derived from the 12-item Short Form Health Survey (SF–12): the Short Form–6D (SF–6D) multi-attribute health-status classification. Each profile generated by this questionnaire has a utility (or weight) assigned. We used non-parametric quantile regressions to model the association between both mental disorders and chronic physical condition and SF–6D scores.ResultsConditions associated with SF–6D were: mood disorders, β =−0.20 (95% CI −0.18 to −0.21); pain, β = −0.08 (95%CI −0.06 to −0.09) and anxiety, β =−0.04 (95% CI −0.03 to −0.06). The top three causes of QALY losses annually per 100 000 participants were pain (5064), mood disorders (2634) and anxiety (805).ConclusionsEstimation of QALY losses showed that mood disorders ranked second behind pain-related chronic medical conditions.

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