The effect of chronic physical illnesses on psychiatric hospital admission in patients with recurrent major depression

Impact of Co-occurring Mental Disorders and Chronic Physical Illnesses on Frequency of Emergency Department Use and Hospitalization for Mental Health Reasons

“…They are also hospitalized and readmitted more often than patients without MD or CPI (10)(11)(12)(13). Co-occurring CPI frequently occurs among patients with MD (14)(15)(16)(17)(18). Mental disorders-chronic physical illnesses are associated with patient disability (19), social dysfunction (20), treatment complications (21), poor quality of life (19), and higher risk of mortality (22).…”

“…Most studies comparing patients with MD-CPI to those with MD or CPI only have controlled for few clinical and sociodemographic variables (18,25,(33)(34)(35)(36)(37). Results showed that the risk of frequent ED use and hospitalization increased with severity of CPI in patients with serious MD (24,33) or depressive disorders (18). Being a woman, younger and living in poorer neighborhoods reportedly increased ED use among patients with co-occurring schizophrenia and diabetes (31).…”

“…Patients with MD-CPI also face challenges in seeking care ( 6 , 23 ), as healthcare systems tend to favor treatment of individual diseases rather than multimorbidity, whereas treating MD and CPI in isolation is generally ineffective ( 24 , 25 ). As well, CPI in patients with MD are often under-diagnosed or undertreated ( 18 , 23 ), particularly among patients with serious MD-CPI making limited use of primary care ( 23 , 26 , 27 ). Other care-related challenges involve socio-economic barriers ( 28 ) and social stigma ( 29 ).…”

“…Most studies comparing patients with MD-CPI to those with MD or CPI only have controlled for few clinical and socio-demographic variables ( 18 , 25 , 33 – 37 ). Results showed that the risk of frequent ED use and hospitalization increased with severity of CPI in patients with serious MD ( 24 , 33 ) or depressive disorders ( 18 ).…”