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Title

Building an Evidence Base for the Co-Occurrence of Chronic Disease and Psychiatric Distress and Impairment (Preventing Chronic Disease, CDC)

Publication Topics

California Health Interview Survey; Mental and Emotional Health; Chronic Condition Prevalence

Publication Type

CHIS Journal Article

Publication Date

2014-10-23T07:00:00Z

Author 1

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1164&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1164&RootFolder=*">Gina M. Piane</a>

Author 2

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1165&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1165&RootFolder=*">Tyler C. Smith</a>

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Abstract

​​Mental disorders and chronic diseases have been reported to independently affect half of the US population. The objective of this study was to evaluate the comorbid nature of these conditions.

The authors analyzed data from 39,954 participants from the 2009 California Health Interview Survey who reported both psychological distress and impairment, on the basis of the Kessler 6 and the Sheehan Disability Scale, and 1 or more of 4 chronic diseases (type 2 diabetes, high blood pressure, asthma, heart disease).

After controlling for covariates in the model, authors found a significant dose–response relationship between reported chronic diseases and psychiatric distress and impairment that ranged from 1.50 for 1 reported chronic disease to 4.68 for 4 reported chronic diseases.

The growing chronic disease burden should be understood clinically in the context of mental health conditions. Further research is needed to identify ways to integrate mental health and chronic disease prevention in primary care.

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Building an Evidence Base for the Co-Occurrence of Chronic Disease and Psychiatric Distress and Impairment

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Last modified at 10/28/2014 2:12 PM by i:0#.f|uclachissqlmembershipprovider|venetia