Association between mental disorders and physical diseases in adolescents from a nationally representative cohort
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 3387569
Author(s) Tegethoff, Marion; Belardi, Angelo; Stalujanis, Esther; Meinlschmidt, Gunther
Author(s) at UniBasel Meinlschmidt, Gunther
Tegethoff, Marion
Belardi, Angelo
Stalujanis, Esther Patricia
Year 2015
Title Association between mental disorders and physical diseases in adolescents from a nationally representative cohort
Journal Psychosomatic Medicine
Volume 77
Number 3
Pages / Article-Number 319-332
Mesh terms Adolescent; Anxiety Disorders, epidemiology; Arthritis, epidemiology; Cohort Studies; Comorbidity; Epilepsy, epidemiology; Feeding and Eating Disorders, epidemiology; Female; Gastrointestinal Diseases, epidemiology; Heart Diseases, epidemiology; Humans; Male; Mental Disorders, epidemiology; Mood Disorders, epidemiology; Prevalence; Respiratory Tract Diseases, epidemiology; Seizures, epidemiology; Skin Diseases, epidemiology; United States, epidemiology
Abstract Pediatric health care and research focus mostly on single morbidities, although the single-disease framework has been challenged. The main objective was to estimate associations between childhood mental disorders and physical diseases.; This study is based on weighted data (n = 6482) from the National Comorbidity Survey Replication Adolescent Supplement (age, 13-18 years). Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition lifetime mental disorders were assessed using the fully structured World Health Organization Composite International Diagnostic Interview, complemented by parent report. Lifetime medical conditions and doctor-diagnosed diseases were assessed by adolescent self-report.; Of 6469 participants, 2137 (35.33%) reported at least one mental disorder and one physical disease. The most substantial associations included those between affective disorders and diseases of the digestive system (odds ratio [OR] = 3.46, 95% confidence interval [CI] = 2.28-5.24), anxiety disorders and arthritis (OR = 2.27, CI = 1.34-3.85), anxiety disorders and heart diseases (OR = 2.41, CI = 1.56-3.73), anxiety disorders and diseases of the digestive system (OR = 2.18, CI = 1.35-3.53), and eating disorders and epilepsy/seizures (OR = 5.45, CI = 1.57-18.87). Sociodemographic factors did not account for the association between mental disorders and physical diseases.; Findings suggest that mental disorders and physical diseases often co-occur in childhood. This association is a major public health challenge, and the child health system needs additional strategies in patient-centered care, research, medical education, health policy, and economics to develop well-coordinated interdisciplinary approaches linking mental and physical care in children.
Publisher Lippincott Williams & Wilkins
ISSN/ISBN 0033-3174 ; 1534-7796
edoc-URL http://edoc.unibas.ch/40875/
Full Text on edoc No
Digital Object Identifier DOI 10.1097/PSY.0000000000000151
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/25851547
ISI-Number WOS:000352860000066
Document type (ISI) Article
 
   

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