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Published in: Community Mental Health Journal 4/2016

01-05-2016 | Original Paper

Disease Burden Among Individuals with Severe Mental Illness in a Community Setting

Authors: Kristin R. Baughman, Natalie Bonfine, Sara E. Dugan, Richard Adams, Mary Gallagher, R. Scott Olds, Elizabeth Piatt, Christian Ritter

Published in: Community Mental Health Journal | Issue 4/2016

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Abstract

This study examines the prevalence of comorbid physical health conditions within a community sample of individuals with severe mental illness (SMI), compares them to a matched national sample without SMI, and identifies which comorbidities create the greatest disease burden for those with SMI. Self-reported health status, co-morbid medical conditions and perceived disease burden were collected from 203 adults with SMI. Prevalence of chronic health conditions was compared to a propensity-matched sample without SMI from the National Comorbidity Survey-Replication (NCS-R). Compared to NCS-R sample without SMI, our sample with SMI had a higher prevalence of seven out of nine categories of chronic health conditions. Chronic pain and headaches, as well as the number of chronic conditions, were associated with increased disease burden for individuals with SMI. Further investigation of possible interventions, including effective pain management, is needed to improve the health status of this population.
Footnotes
1
Random selection was employed to ensure that potential participants would not be included in or excluded from participating in this study on the basis of psychological functioning, service utilization history, standing at the CMHC (beyond being an active client) or any other demographic factor. The methodological benefit of drawing the sample directly from the mental health services board, as opposed to drawing it directly from the CMHC, is that CMHC administrators and staff were not involved in the selection of potential study participants.
 
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Metadata
Title
Disease Burden Among Individuals with Severe Mental Illness in a Community Setting
Authors
Kristin R. Baughman
Natalie Bonfine
Sara E. Dugan
Richard Adams
Mary Gallagher
R. Scott Olds
Elizabeth Piatt
Christian Ritter
Publication date
01-05-2016
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 4/2016
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-015-9973-2

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