Cited by 320Mental Health Treatment and AccessSchizophrenia research and treatmentChronic Disease Management Strategies

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Comorbidity of Medical Illnesses Among Adults With Serious Mental Illness Who Are Receiving Community Psychiatric Services

Sokal, Joseph, Messias, Erick, Dickerson, Faith B., Kreyenbuhl, Julie, Brown, Clayton H., Goldberg, Richard W., Dixon, Lisa B.·2004·Journal of Nervous & Mental Disease

DOI 10.1097/01.nmd.0000130135.78017.96

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Abstract

We studied the medical comorbidity among individuals with serious mental illness who were receiving community-based psychiatric treatment. A total of 200 psychiatric outpatients divided between those with schizophrenia and affective disorder diagnoses were recruited from samples receiving outpatient care at two psychiatric centers. Interviews used questions from national health surveys. Logistic regression analyses compared responses from each sample with those of matched subsets of individuals from the general population. Both patient groups had greater odds of having many medical conditions. The odds of respiratory illnesses remained elevated in the patient groups even after controlling for smoking, as did the odds of diabetes in the affective disorder group after controlling for weight. Persons with serious mental illness who are in outpatient care are more likely to have comorbid medical conditions than persons in the general population. The odds of diabetes, lung diseases, and liver problems are particularly elevated. These findings underscore the need for intensified preventive health interventions and medical services for this population.

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Authors: Sokal, J., Messias, E., Dickerson, F. B., Kreyenbuhl, J., Brown, C. H., Goldberg, R. W., & Dixon, L. B.
Affiliations: University of Maryland, Baltimore (US)
Johns Hopkins University (US)
Sheppard Pratt Health System (US)
Corresponding author: Sokal, Joseph
Kreyenbuhl, Julie
Goldberg, Richard W.
Dixon, Lisa B.
ORCID: Messias, Erick
Dickerson, Faith B.
Kreyenbuhl, Julie
Goldberg, Richard W.
Dixon, Lisa B.
Venue: Journal of Nervous & Mental Disease
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2004-06
Volume: 192
Issue: 6
Pages: 421-427
ISSN: 0022-3018 (ISSN-L)
DOI: 10.1097/01.nmd.0000130135.78017.96
OpenAlex: W1990250378
Cited by: 320
References: 15
Citations by year: 2026: 2 · 2025: 2 · 2024: 7 · 2023: 7 · 2022: 8 · 2021: 9 · 2020: 11 · 2019: 14 · 2018: 12 · 2017: 14 · 2016: 22 · 2015: 22 · 2014: 18 · 2013: 16 · 2012: 23
FWCI: 25.91
Type: journal article
Language: en
Open access: closed
Locations: The Journal of Nervous and Mental Disease (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Mental Health (K01MH066009)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
Keywords: comorbidities, severe mental illness, schizophrenia, mood disorders, community mental health services, psychiatric outpatients, respiratory diseases, diabetes mellitus, liver disease, lung disease, preventive health measures, smoking, body weight
MeSH terms: Adult, Age Factors, Ambulatory Care, Mental Disorders, Chronic Disease, Community Mental Health Services, Female, Health Status, Health Surveys, Humans, Male, Surveys and Questionnaires, Schizophrenia, Smoking, United States, Comorbidity, Prevalence, Logistic Models, Health Care Surveys

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Comorbidity of Medical Illnesses Among Adults With Serious Mental Illness Who Are Receiving Community Psychiatric Services

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