Schizophrenia and Diabetes

Kasin, Edwin; Parker, Sam

doi:10.1176/ajp.99.6.793

Cited by 7 publications

(3 citation statements)

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“…URING the past 20 years, many articles have appeared in the literature describing the relationship of emotions and diabetes mellitus. The emphasis has varied, but can be divided roughly into several categories: 1) the relationship between emotional disturbances and the onset of diabetes ( 6, 16); 2) the relationship of emotions and the course of the diabetes (6, 13,14,17,20); 3) the personality structure of the diabetic (2,4,5,7,11,14,15,16,17,20,23); and 4) emotional reactions to the diabetic management (1,2,3,19,22). Although the literature is quite extensive, actually there are few detailed longitudinal case reports of the psychiatric treatment of diabetes, and particularly of diabetic children, even though 5 to 8 per cent of all cases of diabetes are recognized in the period of childhood (18).…”

mentioning

confidence: 99%

Juvenile diabetes and its psychiatric implications.

Falstein¹,

Judas²

1955

American Journal of Orthopsychiatry

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mentioning

confidence: 99%

Juvenile diabetes and its psychiatric implications.

Falstein¹,

Judas²

1955

American Journal of Orthopsychiatry

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“…o i ) . Kasin and Parker's comparisons of diabetic death rates (16), which, of course, do not assure similar comparisons for living diabetics, indicate 11.9 per 100,000 among schizophrenics, 89.8 per 100,000 among all other psychotics, and 23 per 100,000 among the population of the United States as a whole.…”

Section: Discussionmentioning

confidence: 91%

The Incidence of Certain Vegetative Disturbances in Relation to Psychosis

Hay

1950

Psychosomatic Medicine

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“…Although in 1943 the combination of schizophrenia and diabetes was described as “extremely rare,” this comorbidity cluster is known to be more common in present day (Kasin and Parker, 1943; Dixon et al, 2000; Rouillon and Sorbara, 2005). When evaluating diabetes and schizophrenia more closely, the highest rates of ED visits are for all other causes than diabetes or mental health chief complaints.…”

Section: Discussionmentioning

confidence: 99%

Emergency department utilization among Medicaid beneficiaries with schizophrenia and diabetes: The consequences of increasing medical complexity

Shim

Druss

Zhang

et al. 2014

Schizophrenia Research

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Objective Individuals with both physical and mental health problems may have elevated levels of emergency department (ED) service utilization either for index conditions or for associated comorbidities. This study examines the use of ED services by Medicaid beneficiaries with comorbid diabetes and schizophrenia, a dyad with particularly high levels of clinical complexity. Methods Retrospective cohort analysis of claims data for Medicaid beneficiaries with both schizophrenia and diabetes from fourteen Southern states was compared with patients with diabetes only, schizophrenia only, and patients with any diagnosis other than schizophrenia and diabetes. Key outcome variables for individuals with comorbid schizophrenia and diabetes were ED visits for diabetes, mental health-related conditions, and other causes. Results Medicaid patients with comorbid diabetes and schizophrenia had an average number of 7.5 ED visits per year, compared to the sample Medicaid population with neither diabetes nor schizophrenia (1.9 ED visits per year), diabetes only (4.7 ED visits per year), and schizophrenia only (5.3 ED visits per year). Greater numbers of comorbidities (over and above diabetes and schizophrenia) were associated with substantial increases in diabetes-related, mental health-related and all-cause ED visits. Most ED visits in all patients, but especially in patients with more comorbidities, were for causes other than diabetes or mental health-related conditions. Conclusion Most ED utilization by individuals with diabetes and schizophrenia is for increasing numbers of comorbidities rather than the index conditions. Improving care in this population will require management of both index conditions as well as comorbid ones.

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Schizophrenia and Diabetes

Cited by 7 publications

References 0 publications

Juvenile diabetes and its psychiatric implications.

Juvenile diabetes and its psychiatric implications.

The Incidence of Certain Vegetative Disturbances in Relation to Psychosis

Emergency department utilization among Medicaid beneficiaries with schizophrenia and diabetes: The consequences of increasing medical complexity

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