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Disability and Functional Burden of Disease Because of Mental in Comparison to Somatic Disorders in General Practice Patients

Published online by Cambridge University Press:  26 May 2015

M. Linden ,
U. Linden  and
U. Schwantes
M. Linden*
Affiliation:
Research Group Psychosomatic Rehabilitation, Charité University Medicine, Berlin, Germany
U. Linden
Affiliation:
Research Group Psychosomatic Rehabilitation, Charité University Medicine, Berlin, Germany
U. Schwantes
Affiliation:
Department of General Practice Medicine, Charité University Medicine, Berlin, Germany
*
*Corresponding author. Research Group Psychosomatic Rehabilitation, Rehazentrum Seehof, Lichterfelder Allée 55, 14513 Teltow, Berlin, Germany. Tel.: +49 3328 345678; fax: +49 3328 345555. E-mail address: michael.linden@charite.de (M. Linden).
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Abstract

Background

Severity of illness is not only depending on the symptom load, but also on the burden in life. Mental disorders are among those illnesses, which in particular cause suffering to the individual and society.

Method

To study burden of disease for mental in comparison to somatic disorders, 2099 patients from 40 general practitioners filled in (a) the Burvill scale which measures acute and chronic illnesses in ten different body systems and (b) the IMET scale which measures impairment in ten different areas of life.

Results

Patients were suffering on average from acute and/or chronic illness in 3.5 (SD: 2.0) body systems and 56.6% of patients complained about acute and/or chronic mental disorders. The most significant negative impact on the IMET total score have acute and chronic mental disorders, followed by chronic neurological and musculoskeletal and acute respiratory and gastrointestinal disorders, while cardiovascular, metabolic, urogenital, haematological and ear/eye disorders have no greater impact. Acute as well as chronic mental disorders cause impairment across all areas of life and most burden of disease (functional burden of disease 1.69), followed by musculoskeletal disorders (1.62).

Conclusion

Mental disorders are among the most frequent health problems with high negative impact across all areas of life. When combining frequency and impairment mental disorders cause most burden of disease in comparison to other illnesses. This should be reflected in the organization of medical care including family medicine.

Keywords

Participation restrictionICFPrimary careDisabilityBurden of diseaseSocial psychiatry
Type
Original article
Information
European Psychiatry , Volume 30 , Issue 6 , September 2015 , pp. 789 - 792
Copyright
Copyright © Elsevier Masson SAS 2015

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