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
DOI
10.1016/j.genhosppsych.2014.12.005