Somatoform disorder in primary care: The influence of co-morbidity with anxiety and depression on health care utilization

Journal of Evaluation in Clinical Practice
Paul HüsingMeike Shedden-Mora

Abstract

Patients with somatoform disorders are frequent attenders in primary and secondary care. While co-morbid mental disorders, especially depression and anxiety, are frequently present, there is controversy on whether mental co-morbidity leads to higher health care utilization (HCU). The present paper investigates the influence of co-morbid depressive and anxiety disorders on primary, specialized somatic and mental HCU in primary care patients with somatoform disorders. Additionally, we investigated the predictive value of self-rated health and illness perception on HCU. Patients in 19 primary care practices were screened with the Patient Health Questionnaire, and patients at high risk for somatoform disorders were assessed using the Composite International Diagnostic Interview. N = 71 patients with somatoform disorders were analysed. We analysed whether having one vs two co-morbidities (depression and/or anxiety), self-rated health, and illness perception were predictors for primary, specialized somatic and mental HCU using binominal and hierarchical regression analyses. Having both co-morbid depressive and anxiety disorder predicted higher primary HCU (IRR = 1.96, 95% CI, 1.30-2.93), and increased the odds of being in mental heal...Continue Reading

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Citations

Dec 12, 2018·Behavioral Medicine·Amina K KubyMeike C Shedden-Mora
Mar 25, 2020·The Journal of Nervous and Mental Disease·Claudia CarmassiLiliana Dell'Osso
Aug 5, 2021·Indian Journal of Psychological Medicine·Jaison JacobS M Azhar
Jan 8, 2022·Psychiatric Services : a Journal of the American Psychiatric Association·Elizabeth R PfohMichael B Rothberg

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