Psychische St�rungen in der deutschen Allgemeinbev�lkerung: Inanspruchnahme von Gesundheitsleistungen und Ausfalltage

Abstract

Mental disorders are considered to be costly in terms of elevated rates of healthcare utilization and increased disability days. For the general German population there has been a lack of data on healthcare utilization and disability rates. The available administrative data are incomplete and problematic because they are based on routine clinical diagnoses that lack reliability. Using the German Health Interview and Examination Survey 1998/99 and its Mental Health Supplement (GHS-MHS) data, this paper examines healthcare utilization and disability associated with mental disorders in a representative sample of the general adult population (18-65 years, n=4181). After reviewing the size and treatment status of mental disorders in Germany, data about primary care or specialist consultations, inpatient treatment, and disability days in the last year are presented for the following groups: (1) subjects who never met the criteria of the diagnosis of a mental disorder, (2) subjects who had one or more mental disorders in the past but none in the past year ("remitted") and (3) subjects who currently (within the last year) met the criteria of one or more mental disorders. We found increased healthcare utilization as well as more disability days in those individuals with a current diagnosis. Remitted persons, however, showed results similar to those who never had a diagnosis of a mental disorder during their lifetimes. The results are consistent with the episodic course of many mental disorders and furthermore might indicate that treatment of mental disorders might contribute to a substantial reduction of direct and indirect illness costs.

Prevalence and correlates of DSM-IV-TR major depressive disorder, self-reported diagnosed depression and current depressive symptoms among adults in Germany

“…In particular, it is similar to estimates in the National Comorbidity Survey Replication (NCS-R) for the general adult population in the USA (4.9% in men and 8.6% in women) (Kessler et al, 2003) using similar methods to measure MDD and to results from the DEGS1-MH predecessor study, the German National Health Interview and Examination Survey 1998 (GNHIES98) Mental Health Supplement (5.5% in men and 11.2% in women) (Jacobi et al, 2004a)). …”

Epidemiologie psychisch komorbider Störungen bei chronisch körperlichen Erkrankungen

“…Bezogen auf alle Angststörungen findet sich für Frauen in allen Altersgruppen in etwa eine gleich hohe Zwölfmonatsprä-valenz, bei Männern lässt sich für diese nach dem 25. Lebensjahr ein deutlicher Anstieg (um zirka 25%) feststellen [28]. Die Untersuchung von Angsterkrankungen im Alter ist mit konzeptuellen und methodischen Herausforderungen verbunden und lange Zeit vernachlässigt worden, sodass zuverlässige Daten für diesen Bereich bisher weitgehend fehlen.…”

Which factors influence the psychological distress among relatives of patients with chronic functional psychoses? An exploratory study in a community mental health care setting

“…The number of such studies is still insufficient, however, and most have only interviewed relatives of patients with schizophrenic disorders. In consideration of the prevalence of patients with chronic affective disorders (e.g., Jacobi et al 2004) and the increasing evidence on the burden of relatives when informally taking care of patients with recurrent depressive and bipolar disorders (e.g., Jenkins and Schumacher 1999;Mueser et al 1996;Perlick et al 1999;Schmid et al 2007), there is a clear need for such research in these groups of relatives.…”