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Physical disorders associated with mental illness. A register investigation

  • Per Fink (a1)

Synopsis

On the basis of nationwide patient register data the diagnostic pattern of the medical admissions of a general population (17–49 year-olds; N = 30427) during an 8-year period was studied by comparing those individuals who had been admitted to the psychiatric department (i.e. psychiatric patients) with those individuals who had not. The results suggest that the high utilization of medical admissions by psychiatric patients could not be explained simply by coincident chronic physical illness or particular types of physical disease including the somatic complications of mental disorders. It is more likely to be attributable to other factors such as an increased general susceptibility to physical illness, different forms of illness behaviour, and the process of somatization.

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Corresponding author

1Address for correspondence: Dr Per Fink, Institute of Psychiatric Demography, Aarhus Psychiatric Hospital, DK-8240, Risskov, Denmark

References

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Barsky, A. J., Wyshak, G. & Klerman, G. L. (1986). Medical and psychiatric determinants of outpatient medical utilization. Medical Care 6, 548560.
Cavanaugh, S. & Wettstein, R. M. (1984). Prevalence of psychiatric morbidity in medical population. In Psychiatry Update vol. 3 (ed. Grinspoon, L.), pp. 187215. American Psychiatric Press: Washington, DC.
Cloninger, R. (1986). Somatoform and dissociative disorder. In The Medical Basis of Psychiatry (ed. Winokur, G. and Clayton, P.), pp. 123151. W. B. Saunders Company: Philadelphia.
Dixon, W. J. (1985). BMDP Statistical Software Manual. University of California Press: Berkeley, Los Angeles.
Dupont, A. (1983). A national psychiatric case register as a tool for mental health planning, research and administration: the Danish model. In Information Support to Mental Health Programs. An International Perspective (ed. Laska, E. M., Gulbinat, W. H. and Regier, D. A.), pp. 257274. Human Sciences Press: New York.
Dvoredsky, A. E. & Cooley, H. W. (1986). Comparative severity of illness in patients with combined medical and psychiatric diagnoses. Psychosomatics 27, 625630.
Eastwood, M. R. & Trevelyan, M. H. (1972). Relationship between physical and psychiatric disorder. Psychological Medicine 2, 363372.
Everitt, B. S. (1977). The Analysis of Contingency Tables. John Wiley & Sons: New York.
Fink, P. (1990). Mental illness and admissions to general hospitals. A register investigation. Acta Psychiatrica Scandinavica (in the press).
Ford, C. V. (1983). The somatizing disorders. In Illness as a Way of Life. Elsevier Biomedical: New York.
Fulop, G., Strain, J. J., Vita, J., Lyons, J. S. & Hammer, J. S. (1987). Impact of psychiatric comorbidity on length of hospital stay for medical/surgical patients: a preliminary report. American Journal of Psychiatry 144, 878882.
Hankin, J. R., Steinwachs, D. M., Regier, D. A., Burnes, B. J., Goldberg, I. D. & Hoeper, E. W. (1982). Use of general medical care services by persons with mental disorders. Archives of Genera Psychiatry 39, 225231.
Hinkle, L. E. & Wolff, H. G. (1957). The nature of man's adaptation to his total environment and the relation of this to illness. Archives of Internal Medicine 99, 442460.
Lipowski, Z. J. (1987). The interface of psychiatry and medicine: towards integrated health care. Canadian Journal of Psychiatry 32, 743748.
Mayou, R. & Hawton, K. (1986). Psychiatric disorder in the general hospital. British Journal of Psychiatry 149, 172190.
Moffic, H. S. & Paykel, E. S. (1975). Depression in medical inpatients. British Journal of Psychiatry 126, 346353.
Sundhedsstyrelsen (1985). Aktiviteter i Sygehusvasenet 1983. (1985; 24: II) (The National Board of Health. Activities Within the Medical Care System 1983. (1985; 24: II)). Sundhedsstyrelsen: Copenhagen.
World Health Organization (1977). International Classification of Diseases. Manual of the International Statistical Classification of Diseases, Injuries, and Causes of Death, 8th revision (Danish version used). World Health Organization: Geneva.

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