scholarly journals Physical and Mental Health Comorbidities Among Adults With Multiple Sclerosis

2022 ◽  
Vol 6 (1) ◽  
pp. 55-68
Author(s):  
Mark D. Peterson ◽  
Paul Lin ◽  
Neil Kamdar ◽  
Christina N. Marsack-Topolewski ◽  
Elham Mahmoudi
Keyword(s):  
Mental Health ◽  
Multiple Sclerosis ◽  
Physical And Mental Health ◽  
Health Comorbidities

scholarly journals Eleven-year multimorbidity burden among 637 255 people with and without type 2 diabetes: a population-based study using primary care and linked hospitalisation data

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e033866
Author(s):  
Salwa S Zghebi ◽  
Douglas T Steinke ◽  
Martin K Rutter ◽  
Darren M Ashcroft
Keyword(s):  
Mental Health ◽  
Type 2 Diabetes ◽  
Cardiovascular Disease ◽  
Population Based ◽  
Mental Illnesses ◽  
Secondary Outcome ◽  
Clinical Practice Research Datalink ◽  
Physical And Mental Health ◽  
Health Comorbidities

ObjectivesTo compare the patterns of 18 physical and mental health comorbidities between people with recently diagnosed type 2 diabetes (T2D) and people without diabetes and how these change by age, gender and deprivation over time between 2004 and 2014. Also, to develop a metric to identify most prevalent comorbidities in people with T2D.DesignPopulation-based cohort study.SettingPrimary and secondary care, England, UK.Participants108 588 people with T2D and 528 667 comparators registered in 391 English general practices. Each patient with T2D aged ≥16 years between January 2004 and December 2014 registered in Clinical Practice Research Datalink GOLD practices was matched to up to five comparators without diabetes on age, gender and general practice.Primary and secondary outcome measuresPrevalence of 18 physical and mental health comorbidities in people with T2D and comparators categorised by age, gender and deprivation. Odds for association between T2D diagnosis and comorbidities versus comparators. A metric for comorbidities with prevalence of ≥5% and/or odds ≥2 in patients with T2D.ResultsOverall, 77% of patients with T2D had ≥1 comorbidity and all comorbidities were more prevalent in patients with T2D than in comparators. Across both groups, prevalence rates were higher in older people, women and those most socially deprived. Conditional logistic regression models fitted to estimate (OR, 95% CI) for association between T2D diagnosis and comorbidities showed that T2D diagnosis was significantly associated with higher odds for all conditions including myocardial infarction (OR 2.13, 95% CI 1.85 to 2.46); heart failure (OR 2.12, 1.84 to 2.43); depression (OR 1.75, 1.62 to 1.89), but non-significant for cancer (OR 1.12, 0.98 to 1.28). In addition to cardiovascular disease, the metric identified osteoarthritis, hypothyroidism, anxiety, schizophrenia and respiratory conditions as highly prevalent comorbidities in people with T2D.ConclusionsT2D diagnosis is associated with higher likelihood of experiencing other physical and mental illnesses. People with T2D are twice as likely to have cardiovascular disease as the general population. The findings highlight highly prevalent and under-reported comorbidities in people with T2D. These findings can inform future research and clinical guidelines and can have important implications on healthcare resource allocation and highlight the need for more holistic clinical care for people with recently diagnosed T2D.

scholarly journals Chronic obstructive pulmonary disease and comorbidities: a large cross-sectional study in primary care

2017 ◽  
Vol 67 (658) ◽  
pp. e321-e328 ◽  
Author(s):  
Ula Chetty ◽  
Gary McLean ◽  
Deborah Morrison ◽  
Karolina Agur ◽  
Bruce Guthrie ◽  
...  
Keyword(s):  
Mental Health ◽  
Chronic Obstructive Pulmonary Disease ◽  
Primary Care ◽  
Pulmonary Disease ◽  
Integrated Approach ◽  
Chronic Obstructive ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
Health Comorbidities

BackgroundChronic obstructive pulmonary disease (COPD) is common, and a major cause of morbidity and mortality worldwide. Recent studies suggest that comorbidities of COPD increase the risk of hospitalisation, polypharmacy, and mortality, but their estimated prevalence varies widely in the literature.AimTo evaluate the prevalence of 38 physical and mental health comorbidities in people with COPD, and compare findings with those for people without COPD in a large nationally representative dataset.Design and settingA cross-sectional data analysis on 1 272 685 adults in Scotland from 314 primary care practices.MethodData on COPD, along with 31 physical and seven mental health comorbidities, were extracted. The prevalence of comorbidities was compared between people who did, and did not, have COPD, standardised by age, sex, and socioeconomic deprivation.ResultsFrom the total sample, 51 928 patients had COPD (4.1%). Of these, 86.0% had at least one comorbidity, compared with 48.9% of people without COPD. Of those with COPD, 22.3% had ≥5 comorbid conditions compared with 4.9% of those who did not have COPD (adjusted odds ratio 2.63, 95% confidence interval = 2.56 to 2.70). In total, 29 of the 31 physical conditions and six of the seven mental health conditions were statistically significantly more prevalent in people who had COPD than those who did not.ConclusionPatients with COPD have extensive associated comorbidities. There is a real need for guidelines and health care to reflect this complexity, including how to detect those common comorbidities that relate to both physical and mental health, and how best to manage them. Primary care, which is unique in terms of offering expert generalist care, is best placed to provide this integrated approach.

scholarly journals Secondary Impacts of COVID-19 Pandemic in Fatigue, Self-Compassion, Physical and Mental Health of People with Multiple Sclerosis and Caregivers: The Teruel Study

2021 ◽  
Vol 11 (9) ◽  
pp. 1233
Author(s):  
Lydia Giménez-Llort ◽  
Juan José Martín-González ◽  
Sara Maurel
Keyword(s):  
Mental Health ◽  
Multiple Sclerosis ◽  
Global Health ◽  
Strongly Correlated ◽  
Physical And Mental Health ◽  
Psychological Constructs ◽  
Self Compassion ◽  
The Family ◽  
Life Threatening ◽  
The Impact

The secondary impacts of the COVID-19 pandemic are distress triggers and risk factors for mental health. Conversely, self-compassion skills and compassionate thoughts/behaviors towards suffering may contribute to their alleviation. Both psychological constructs are interrelated in life-threatening diseases such as multiple sclerosis (MS). The Teruel Study retrospectively evaluated the impact of strict confinement on the 44 people with MS of this Spanish province and 24 caregivers, specifically assessing (1) fears and perceptions; (2) self-compassion (people with MS) and compassion (caregivers); (3) physical and mental health, and fatigue. Despite better housing conditions, people with MS considered confinement very difficult to handle, more than their caregivers, but they were less afraid of COVID-19 and worsening of MS. Still, they recognized worse health than before confinement. Reclusion and lack of walks were the worst of confinement. Caregivers also referred to lack of leisure and uncertainty–fear. All agreed the best was staying with the family, but some found ‘nothing’ positive. Self-compassion remained moderate–high and strongly correlated with their moderate levels of social function, vitality, physical role, and global health. Physical and cognitive fatigue scores were high, and self-compassion negatively correlated with them, explaining a 19% variance in global health. The high compassion of the caregivers did not correlate with any variable.

scholarly journals Depression, Anxiety and Health Status in Patients with Multiple Sclerosis

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
M. Chylova ◽  
J.P. van Dijk ◽  
J. Rosenberger ◽  
I. Nagyova ◽  
M. Gavelova ◽  
...  
Keyword(s):  
Mental Health ◽  
Multiple Sclerosis ◽  
Health Status ◽  
Physical Health ◽  
Functional Disability ◽  
Age Groups ◽  
Mental Health Status ◽  
Depression And Anxiety ◽  
Physical Health Status ◽  
Physical And Mental Health

Aims:Multiple sclerosis (MS) is the most common cause of neurological disability in young adults and is frequently accompanied by symptoms of depression and anxiety. The aim of this study was to explore the association of depression and anxiety with health status in younger and older MS patients.Method:223 MS patients (67.3% female; mean age 38.9±10.8 years; mean disease duration 5.8±5.2 years) were divided into younger and older age groups (< 45 and ≥45 years). They completed questionnaires focusing on sociodemographic data, depression and anxiety (HADS), and physical and mental health status (SF-36). Functional disability (EDSS) was assessed by a neurologist. To analyse the data, a U-test and multiple linear regression analyses were performed.Results:A model consisting of age, gender, marital status, EDSS, depression and anxiety explained 46.6% of the variance in physical health status and 60.8% of the variance in mental health status (p≤.001). Depression was a significant predictor of physical health status in older MS patients and was associated with mental health status in both age groups (p≤0.001). Anxiety was related to worse physical and mental health status in younger MS patients, but not in the older ones.Conclusion:Depression in MS patients is associated with mental health status and with physical health status only in the older group; anxiety is associated only in younger MS patients with regard to their health status. Psychiatric diagnostics focusing on depression and anxiety might be important for treatment of MS patients in order to contribute to improving a patient's health status.

Comparing Learning Outcomes for Mental Health Simulation Training Delivered to Entire Clinical Teams Versus Professionals Not Working Together Clinically

2017 ◽  
Vol 41 (S1) ◽  
pp. S301-S301
Author(s):  
L. Valdearenas ◽  
C. Attoe ◽  
S. Cross
Keyword(s):  
Mental Health ◽  
Human Factors ◽  
Physical Health ◽  
Learning Outcomes ◽  
Simulation Training ◽  
Course Evaluation ◽  
Physical And Mental Health ◽  
Health Simulation ◽  
Mental And Physical Health ◽  
Health Comorbidities

IntroductionWorking effectively with colleagues using a multidisciplinary and interprofessional approach is vital in healthcare, particularly mental health, where the interface between physical and mental health is often missed due to involvement with different specialties. Collaborative clinical practice is essential to provide the best clinical care to people experiencing mental and physical health comorbidities. Simulation training encourages experiential learning for human factors (or non-technical) skills, such as teamwork and interprofessional collaboration. This study explored the differences in learning outcomes between team and non-team training for physical and mental health comorbidities.Aims and objectivesThis project aimed to establish differences in human factors learning, confidence and knowledge, following training for teams that work together versus interprofessional groups from various teams. The project hoped to continue improving mental health simulation training and promote and enhance human factor skills that are basic pillars of multi-disciplinary and interprofessional care.MethodsThe human factors skills for healthcare instrument (HFSHI), alongside confidence and knowledge measures were administered to all participants pre and post simulation training on interacting mental and physical health. A post-course evaluation survey with open questions was used to collect qualitative feedback on the impact of the training course.ResultsWith data collection ongoing, preliminary results indicate differences between team and non-team simulation training, with particularly interesting qualitative findings.ConclusionsLearning outcomes may differ for team versus non-team simulation training, evidencing the different value of these two training set-ups.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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