Title

Prevalence of behavioral health disorders and associated chronic disease burden in a commercially insured health system: findings of a case-control study

Publication Date

2014

Journal Title

Gen Hosp Psychiatry

Abstract

OBJECTIVE: The objective was to examine prevalence of behavioral health disorders (BHDs) and co-occurring chronic medical conditions in a 3.4 million-member integrated health system. METHOD: Clinical databases identified 255,993 patients diagnosed with the most prevalent BHDs (cases): depression, anxiety, substance use, bipolar spectrum and attention deficit and hyperactivity (ADHD); non-BHD matched controls were created for all unique cases. Cases and controls were compared for prevalence of general medical conditions and specific chronic diseases and the Charlson Comorbidity Index (CMI). RESULTS: The five most common BHDs were depression (58%), anxiety (42%), substance use (16%), bipolar spectrum (6%) and ADHD (4%). Compared to controls, patients with depression (80.1% vs. 66.3%), anxiety (78.0% vs. 63.0%), substance use (74.0% vs. 59.9%), bipolar (75.3% vs. 60.7%) and ADHD (60.6% vs. 53.1%; all P

Volume Number

37

Issue Number

2

Pages

101-108

Document Type

Article

EPub Date

2015/01/13

Status

Faculty

Facility

School of Medicine

Primary Department

Psychiatry

PMID

25578791

DOI

10.1016/j.genhosppsych.2014.12.005