Multimorbidity in General Practice: Prevalence, Incidence, and Determinants of Co-Occurring Chronic and Recurrent Diseases

Clustering of psychiatric and somatic illnesses in the general population: multimorbidity and socioeconomic correlates

“…However, our values of 34.1% for medical conditions and 20% for psychiatric disorders are consistent with previous reports. Examples are the rate of 29.7% for medical multimorbidity in the general practice setting found by van den Akker et al (20), and of 6% for 12-month psychiatric comorbidity in the NCS-R (8). Recently, the pattern of comorbidity of major mental disorders (e.g., internalizing anxiety and depressive disorders, and externalizing disorders such as alcohol/substance use disorders and behavioral disorders) has been extensively explored through different multivariate techniques in large population-based data sets (23,24), underscoring the importance of this topic.…”

“…The underlying rationale was to allow the detection of subthreshold levels of distress associated with physical morbidity and overall multimorbidity (5,6,20) by creating a continuous measure of the presence of symptoms with hierarchical-free rules. The following symptoms were considered for this score: worrying, feeling of anxiety, muscle tension, restlessness, irritability, depressed mood, feeling worthless, feeling overwhelmed by everyday tasks, and loss of interest, according to the following CIDI questions: I.…”

Geographic and Racial/Ethnic Variations in Patterns of Multimorbidity Burden in Patients with Type 2 Diabetes

“…The synergistic effect of the greater number of medical and mental health comorbidities present in more disadvantaged populations is a contributing factor to the gap in health equity evidenced in the literature. [7][8][9][13][14][15][16][17][18] The prevalence of coexisting medical and mental health conditions is clear among disadvantaged populations, with a convincing base of evidence. One study in a Scottish population (1.75 million) found that individuals in the most socioeconomically deprived areas had 10-15 years' earlier onset of multimorbidity and 11-fold higher odds of both physical and mental health disorders than their wealthier counterparts.…”

“…2,7,8 Multimorbidity increases with age, and is associated with a variety of untoward health outcomes, including poor functional status, lower quality of life, higher healthcare utilization, and higher mortality. 2,[9][10][11][12] It is conceptualized not simply as a list of diseases conferring varying degrees of health risk, but as non-randomly occurring clusters of diseases within populations.…”

Patient Priorities in Osteoarthritis and Comorbid Conditions: A Secondary Analysis of Qualitative Data

“…The prevalence of many other conditions also rises with age, and consequently many OA patients often have coexisting chronic conditions or comorbidities (4). Indeed, studies suggest that the cooccurrence of multiple conditions in individuals is the norm rather than the exception (5). People with comorbidities are at higher risk of morbidity, mortality, and frequent health care utilization (6,7).…”