Cited by 201Chronic Disease Management StrategiesMental Health Treatment and AccessSurvey Methodology and Nonresponse

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High agreement of self-report and physician-diagnosed somatic conditions yields limited bias in examining mental–physical comorbidity

Baumeister, Harald, Kriston, Levente, Bengel, Jürgen, Härter, Martin·2010·Journal of Clinical Epidemiology

DOI 10.1016/j.jclinepi.2009.08.009

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Abstract

Objective To quantify the misclassification bias of self-reported somatic diseases and its impact on the estimation of comorbidity with mental disorders.Study design and setting Data were drawn from the German National Health Interview and Examination Survey (N=7,124), which assessed both self-reported and physician-diagnosed somatic diseases. Eight chronic diseases were examined: coronary heart disease, heart failure, asthma, chronic bronchitis, diabetes, cancer, arthrosis, and arthritis. Mental disorders were assessed by means of the Munich-Composite International Interview.Results The agreement of case ascertainment by patient self-report and physician diagnosis was high (kappa: 0.74-0.92), except for arthritis (0.53). False-positive and false-negative disease statuses were partly associated with age, sex, socioeconomic status, somatic comorbidities, marital status, and mood and anxiety disorders. In most conditions, the odds ratios (ORs) of comorbid mental disorders based on self-reported diseases were slightly overestimated with regard to mood disorders (relative OR: 0.91-1.38), whereas there proved to be no such trend regarding anxiety disorders (0.82-1.05). Substance disorders were partly biased without showing an interpretable trend across diseases (0.49-2.58).Conclusions Evaluation of mental-physical comorbidity based on self-reported and physician-diagnosed physical conditions yielded similar results, with modestly inflated ORs for mood disorders for several self-reported physical conditions.

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Authors: Baumeister, H., Kriston, L., Bengel, J., & Härter, M.
Affiliations: University of Freiburg (DE)
University Medical Center Hamburg-Eppendorf (DE)
Corresponding author: Baumeister, Harald
ORCID: Baumeister, Harald
Kriston, Levente
Bengel, Jürgen
Härter, Martin
Venue: Journal of Clinical Epidemiology
Publisher: Elsevier BV
Published: 2010-05
Volume: 63
Issue: 5
Pages: 558-565
ISSN: 0895-4356 (ISSN-L)
DOI: 10.1016/j.jclinepi.2009.08.009
OpenAlex: W2045088712
Cited by: 201
References: 32
Citations by year: 2026: 4 · 2025: 14 · 2024: 8 · 2023: 8 · 2022: 13 · 2021: 13 · 2020: 11 · 2019: 9 · 2018: 19 · 2017: 10 · 2016: 12 · 2015: 14 · 2014: 21 · 2013: 15 · 2012: 13
FWCI: 6.75
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Clinical Epidemiology (publishedVersion)
PubMed (publishedVersion)
Funders: World Health Organization
Technische Universität Dresden
Robert Koch Institut
Topics: Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
Keywords: misclassification bias, mood disorders, anxiety disorders, chronic disease, arthritis, coronary artery disease, diabetes mellitus, cancer, arthrosis, asthma, chronic bronchitis
MeSH terms: Adolescent, Adult, Age Factors, Aged, Mental Disorders, Chronic Disease, Diagnostic Errors, Epidemiologic Methods, Female, Germany, Humans, Male, Middle Aged, Self Disclosure, Sex Factors, Socioeconomic Factors, Comorbidity, Bias, Young Adult

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High agreement of self-report and physician-diagnosed somatic conditions yields limited bias in examining mental–physical comorbidity

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