Increased 12-month prevalence rates of mental disorders in patients with chronic somatic diseases
Open accessAbstract
Background: Although it is well established that chronic somatic diseases are significantly associated with a wide range of psychopathology, it remains unclear to what extent subjects with chronic somatic diseases are at increased risk of experiencing mental disorders. The present epidemiological study investigates age- and sex-adjusted 12-month prevalence rates of mental disorders in patients with cancer, and musculoskeletal, cardiovascular and respiratory tract diseases, based on comprehensive physicians’ diagnoses and compared with physically healthy probands. Methods: Prevalence rates were calculated from two large epidemiological surveys. These studies investigated inpatients and patients from the general population with cancer (n = 174) and musculoskeletal (n = 1,416), cardiovascular (n = 915) and respiratory tract diseases (n = 453) as well as healthy controls (n = 1,083). The prevalence rates were based on the Munich Composite International Diagnostic Interview, a standardized interview for the assessment of mental disorders. Results: Prevalence rates were very similar for inpatients (43.7%) and patients from the general population (42.2%). The adjusted odds ratios (OR) of patients with chronic somatic diseases were significantly elevated for mental disorders in comparison with healthy probands (OR: 2.2). Mood, anxiety and somatoform disorders were most frequent. The prevalence rates did not differ significantly between the somatic index diseases. The number of somatic diseases per patient had a higher association with mental disorders. Conclusions: There is a strong relationship between chronic somatic diseases and mental disorders. A future task is to improve the care of mental disorders in patients with chronic physical illness, specifically with multimorbid conditions.
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The most common mental comorbidities with somatic diseases are affective disorders (12-month prevalence 21.1%) and anxiety disorders (12-month prevalence 22.9%).
“The most common mental comorbidities with somatic diseases are affective disorders (12-month prevalence: 21.1 %) and anxiety disorders (12-month prevalence: 22.9 %) [4].”
Prevalence rates of mental disorders do not differ significantly for patients with different somatic diseases.
“The prevalence rates of mental disorders do not differ significantly for patients with different somatic diseases [4].”
Patients with chronic somatic diseases have a significantly increased risk of mental disorders, with a 12-month prevalence of 42.5% compared with 25% in a physically healthy comparison group (odds ratio 2.2).
“Härter et al. [4] reported a 12-month prevalence rate of 42.5 % for mental disorders in patients with chronic somatic diseases. A physically healthy comparison group showed a significantly lower prevalence rate of 25 % (odds ratio: 2.2) for mental disorders.”
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“…a long period of time, coping with symptoms, functional limitations and treatment side-effects, as well as dealing with social issues (e.g. stigma, role functioning) and an increased risk for mental health problems such as depression and anxiety (H ¨ arter et al., 2007; Petrie and Jones, 2019).”
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Self-citation
- Authors
- Härter, M., Baumeister, H., Reuter, K., Jacobi, F., Höfler, M., Bengel, J., & Wittchen, H.-U.
- Affiliations
- University Medical Center Freiburg (DE)
- Technische Universität Dresden (DE)
- University of Freiburg (DE)
- Venue
- Psychotherapy and Psychosomatics
- Publisher
- S. Karger AG
- Published
- 2007
- Volume
- 76
- Issue
- 6
- Pages
- 354-360
- ISSN
- 0033-3190 (ISSN-L)
- 1423-0348
- OpenAlex
- W2097010889
- Cited by
- 236
- References
- 36
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 9 · 2023: 11 · 2022: 14 · 2021: 15 · 2020: 10 · 2019: 12 · 2018: 14 · 2017: 12 · 2016: 15 · 2015: 12 · 2014: 14 · 2013: 19 · 2012: 12
- FWCI
- 16.48
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psychotherapy and Psychosomatics (publishedVersion)
- PubMed (publishedVersion)
- Qucosa (Saxon State and University Library Dresden) (submittedVersion, other-oa)
- Funders
- Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology
- Deutsche Rentenversicherung
- Bundesministerium für Bildung und Forschung (01GD0101)
- Robert Koch Institut
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- chronic somatic diseases, mental illness, prevalence, cancer, musculoskeletal disorders, cardiovascular disease, respiratory diseases, multimorbidity, mood disorders, anxiety disorders, somatoform disorders, psychosomatic comorbidity
- MeSH terms
- Adult, Aged, Mental Disorders, Cardiovascular Diseases, Chronic Disease, Cross-Sectional Studies, Female, Follow-Up Studies, Germany, Health Surveys, Humans, Male, Middle Aged, Musculoskeletal Diseases, Neoplasms, Respiratory Tract Diseases, Risk Factors, Somatoform Disorders, Statistics as Topic, Comorbidity, Odds Ratio
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