Patterns of multimorbidity and some psychiatric disorders: A systematic review of the literature.

Autor:	Castro-de-Araujo LFS; Center of Data and Knowledge Integration for Health (CIDACS), Fiocruz, Bahia, Brazil.; Department of Psychiatry, Austin Health, The University of Melbourne, Parkville, VIC, Australia., Cortes F; Center of Data and Knowledge Integration for Health (CIDACS), Fiocruz, Bahia, Brazil., de Siqueira Filha NT; Center of Data and Knowledge Integration for Health (CIDACS), Fiocruz, Bahia, Brazil.; Department of Health Sciences, University of York, York, United Kingdom., Rodrigues EDS; Center of Data and Knowledge Integration for Health (CIDACS), Fiocruz, Bahia, Brazil.; Federal University of Ceará, Ceará, Brazil., Machado DB; Center of Data and Knowledge Integration for Health (CIDACS), Fiocruz, Bahia, Brazil.; Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, United States., de Araujo JAP; Center of Data and Knowledge Integration for Health (CIDACS), Fiocruz, Bahia, Brazil., Lewis G; Division of Psychiatry, University College London, London, United Kingdom., Denaxas S; Institute of Health Informatics, University College London, London, United Kingdom., Barreto ML; Center of Data and Knowledge Integration for Health (CIDACS), Fiocruz, Bahia, Brazil.
Jazyk:	angličtina
Zdroj:	Frontiers in psychology [Front Psychol] 2022 Sep 16; Vol. 13, pp. 940978. Date of Electronic Publication: 2022 Sep 16 (Print Publication: 2022).
DOI:	10.3389/fpsyg.2022.940978
Abstrakt:	Objective: The presence of two or more chronic diseases results in worse clinical outcomes than expected by a simple combination of diseases. This synergistic effect is expected to be higher when combined with some conditions, depending on the number and severity of diseases. Multimorbidity is a relatively new term, with the first fundamental definitions appearing in 2015. Studies usually define it as the presence of at least two chronic medical illnesses. However, little is known regarding the relationship between mental disorders and other non-psychiatric chronic diseases. This review aims at investigating the association between some mental disorders and non-psychiatric diseases, and their pattern of association. Methods: We performed a systematic approach to selecting papers that studied relationships between chronic conditions that included one mental disorder from 2015 to 2021. These were processed using Covidence, including quality assessment. Results: This resulted in the inclusion of 26 papers in this study. It was found that there are strong associations between depression, psychosis, and multimorbidity, but recent studies that evaluated patterns of association of diseases (usually using clustering methods) had heterogeneous results. Quality assessment of the papers generally revealed low quality among the included studies. Conclusions: There is evidence of an association between depressive disorders, anxiety disorders, and psychosis with multimorbidity. Studies that tried to examine the patterns of association between diseases did not find stable results. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021216101, identifier: CRD42021216101. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2022 Castro-de-Araujo, Cortes, de Siqueira Filha, Rodrigues, Machado, Araujo, Lewis, Denaxas and Barreto.)
Databáze:	MEDLINE
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