Mental health problems and the presentation of minor illnesses: Data from a 30-year follow-up in general practice

Hartman, Tim olde; Rijswijk, Eric van; Ravesteijn, Hiske van; Hassink-Franke, L.J.A.; Bor, Hans; Weel‐Baumgarten, Evelyn van

doi:10.1080/13814780802436150

Cited by 14 publications

(12 citation statements)

References 25 publications

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“…[11][12][13][14][15] As a result of this comorbidity, patients with depression or anxiety are intensive users of medical care. 11,15 The long-term prognosis of depression and anxiety is generally poor, with a substantial proportion of patients not recovering and with many recurrences; the initial severity is an important predictor. [16][17][18][19][20][21][22][23] Regarding the long-term presentation of depression in general practice, it has been reported that about 40% of patients have a recurrence of depression in general practice within a 10-year period.…”

Section: Introductionmentioning

confidence: 99%

“…2,3 From cross-sectional studies, [4][5][6][7][8][9][10] it is known that not all mental health conditions are recognised in general practice, partly because psychiatric and somatic comorbidity are common. [11][12][13][14][15] As a result of this comorbidity, patients with depression or anxiety are intensive users of medical care. 11,15 The long-term prognosis of depression and anxiety is generally poor, with a substantial proportion of patients not recovering and with many recurrences; the initial severity is an important predictor.…”

Section: Introductionmentioning

confidence: 99%

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Use of general practice services 5 years after an episode of mental illness: case–control study using electronic records

2016

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BackgroundDepression, anxiety, and emotional distress occur frequently and are usually treated in general practice. Little has been reported about the long-term course of these conditions and the long-term use of medical services.AimTo follow up patients with depression, anxiety, and emotional distress in general practice for 5 years and examine the length and number of index episodes, prescribing behaviour, and the use of services in general practice.Design and settingA case–control study using data from electronic medical records.MethodThree cohorts of patients with depression (n= 453), anxiety (n= 442), and emotional distress (n= 185) were compared against a cohort of control patients (n= 4156) during a 5-year follow-up from 2007 to 2011. The occurrence or recurrence of the index disorders, other psychological disorders or medical conditions, the numbers of prescriptions, and the number of contacts with the general practice were all examined.ResultsPatients in the depression group had 1.1 followup episodes of depression, those in the anxiety group had 0.9 follow-up episodes of anxiety, and those in the emotional distress group had 0.5 follow-up episodes of emotional distress during the 5 years. All three groups had more consultations (for both psychological and somatic reasons) during each of the follow-up years than control patients. Furthermore, the groups with mental health disorders were given more prescriptions for psychopharmacological treatment.ConclusionFive years after the index episode in 2007, patients with an episode of depression, anxiety, or emotional distress are still not comparable with control patients, in terms of the prevalence of mental health conditions, the number of prescriptions, and healthcare use.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Use of general practice services 5 years after an episode of mental illness: case–control study using electronic records

2016

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“…Boundaries of syndromal diagnoses are relatively 'soft' and therefore include much overlap and co-morbidity (Mergl et al, 2007;Regier et al, 1990). More than 50% of patients with common mental disorders visit general practitioners with physical, rather than psychological or emotional, complaints (Haftgoli et al, 2010;Hartman et al, 2008). Furthermore, 75% of patients presenting with depression have also anxiety and/ or somatisation (Lowe et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

The prevalence of common mental and substance use disorders in general practice: a literature review and discussion paper

Klimas

Neary

McNicholas

et al. 2014

Mental Health and Substance Use

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Enhanced primary care management of common mental and substance use disorders is a key healthcare target. Though primary care may be well placed to achieve this target, a greater understanding of the prevalence and profile of common mental and substance use disorders in primary care settings is needed. We searched the MEDLINE database (2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012) to provide an update on biomedical literature describing the prevalence of common mental and substance use disorders in European general practice. Following 'PRISMA' guidelines, seventeen studies were kept for qualitative synthesis. Prevalence, profile, screening instruments, associated co-morbidities and gender distribution were tabulated. Depending on the screening method, the prevalence of common mental and substance use disorders ranged from 10.4% (Luxemburg) to 53.6% (Spain). Mood disorders were the most common. High co-morbidity with anxiety and somatisation hindered early identification and management.The continuing burden of common mental and substance use disorders, coupled with poor identification described in the updated EU biomedical literature, suggests that the unmet need for health care -identified by the World Health Organization a decade ago -remains unmet.Understanding prevalence of common mental and substance use disorders, associated morbidity, and the extent to which general practice represents an important catchment mechanism, can enhance their management at this level. General practitioners should be trained in accurate screening. Short screening instruments for general practitioners should be unified and promoted.

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“…Some of these studies have long duration with many assessments (i.e., more than 10 repeated measurements) (Harrison et al 2001;Hartman et al 2008). Recently, with the rapid development of technology-based behavioral health interventions, technological tools, such as mobile devices (e.g., wearable sensors, smartphones) capture real-world and real-time assessments (e.g., ecological momentary assessment) data with abundant observations (Marsch 2012;Ramsey 2015).…”

Section: Introductionmentioning

confidence: 99%

Analyzing Long-Duration and High-Frequency Data Using the Time-Varying Effect Model

Xie

Drake

Kim

et al. 2016

Adm Policy Ment Health

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With the rapid development of methods for electronic data capture, longitudinal data sets with many assessment points have become common in mental health services and addiction research. These data typically exhibit complex and irregular patterns of change, and the relationship between variables may also change over time. Existing statistical methods are not flexible enough to capture this complexity, but a new method, the time-varying effect model (TVEM), permits modeling nearly any shape of change, and allows the effect of an independent variable on outcome to change over time. This paper introduces TVEM and illustrates its application using data from a 16-year study of 223 participants with serious mental illness and substance abuse.

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Mental health problems and the presentation of minor illnesses: Data from a 30-year follow-up in general practice

Cited by 14 publications

References 25 publications

Use of general practice services 5 years after an episode of mental illness: case–control study using electronic records

Use of general practice services 5 years after an episode of mental illness: case–control study using electronic records

The prevalence of common mental and substance use disorders in general practice: a literature review and discussion paper

Analyzing Long-Duration and High-Frequency Data Using the Time-Varying Effect Model

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