TY - JOUR
KW - Adult
KW - Aged
KW - Comorbidity
KW - Continuity of Patient Care/economics
KW - Depressive Disorder/economics/epidemiology
KW - Female
KW - Health Care Costs/statistics & numerical data
KW - Health Status
KW - Health Surveys
KW - Humans
KW - Longitudinal Studies
KW - Male
KW - Mass Screening/methods
KW - Mental Disorders/economics/epidemiology
KW - Middle Aged
KW - Models, Econometric
KW - Patient Acceptance of Health Care
KW - Primary Health Care/economics/methods/utilization
KW - Questionnaires
KW - Risk Assessment
KW - Somatoform Disorders/economics/epidemiology
AU - H. J. Grabe
AU - S. E. Baumeister
AU - U. John
AU - H. J. Freyberger
AU - H. Volzke
A1 - 
AB - OBJECTIVE: Previous studies have associated mental distress and disorders with increased health care utilization and costs. However, most studies have selected subjects from treatment facilities or have applied retrospective designs. METHODS: N = 3,300 subjects from the baseline cohort of the Study of Health in Pomerania were followed up 5 years later. Mental distress was assessed with the SF-12 Health Survey and the Composite Diagnostic Screener for mental disorders. Two-part econometric models were applied adjusting for medical confounders and baseline services use. RESULTS: At 5-year follow-up somatization at baseline predicted an increase of inpatient (+39.9%) and outpatient costs (+11.9%). Depression predicted an increase of inpatient (+24.1%) and outpatient costs (+8.9%). Comorbidity of somatization and depression and somatization and anxiety predicted an increase in overall health care costs of > or =50%. CONCLUSION: Simple and time-efficient screening procedures for mental disorders may help to identify subjects at risk for increased future health care utilization. Standardized therapeutic interventions should be evaluated in subjects at risk in primary care.
BT - Social psychiatry and psychiatric epidemiology
C5 - Financing & Sustainability; Medically Unexplained Symptoms
CP - 10
CY - Germany
DO - 10.1007/s00127-009-0005-9
IS - 10
JF - Social psychiatry and psychiatric epidemiology
N2 - OBJECTIVE: Previous studies have associated mental distress and disorders with increased health care utilization and costs. However, most studies have selected subjects from treatment facilities or have applied retrospective designs. METHODS: N = 3,300 subjects from the baseline cohort of the Study of Health in Pomerania were followed up 5 years later. Mental distress was assessed with the SF-12 Health Survey and the Composite Diagnostic Screener for mental disorders. Two-part econometric models were applied adjusting for medical confounders and baseline services use. RESULTS: At 5-year follow-up somatization at baseline predicted an increase of inpatient (+39.9%) and outpatient costs (+11.9%). Depression predicted an increase of inpatient (+24.1%) and outpatient costs (+8.9%). Comorbidity of somatization and depression and somatization and anxiety predicted an increase in overall health care costs of > or =50%. CONCLUSION: Simple and time-efficient screening procedures for mental disorders may help to identify subjects at risk for increased future health care utilization. Standardized therapeutic interventions should be evaluated in subjects at risk in primary care.
PP - Germany
PY - 2009
SN - 1433-9285; 0933-7954
SP - 835
EP - 844
EP - 
T1 - Association of mental distress with health care utilization and costs: A 5-year observation in a general population
T2 - Social psychiatry and psychiatric epidemiology
TI - Association of mental distress with health care utilization and costs: A 5-year observation in a general population
U1 - Financing & Sustainability; Medically Unexplained Symptoms
U2 - 19247560
U3 - 10.1007/s00127-009-0005-9
VL - 44
VO - 1433-9285; 0933-7954
Y1 - 2009
ER -