Characteristics of Comorbid Physical Disease in Patients With Severe Mental Illness in South Korea: A Nationwide Population-Based Study (2014-2019).

Autor: Na EJ; Department of Psychiatry, Seoul Medical Center, Seoul, Republic of Korea.; Seoul Mental Health Welfare Center, Seoul, Republic of Korea., Lee J; Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea., Sohn JH; Public Healthcare Center, Seoul National University Hospital, Seoul, Republic of Korea.; Department of Psychiatry, Seoul National University Hospital, Seoul, Republic of Korea., Yang M; Seoul Mental Health Welfare Center, Seoul, Republic of Korea., Park Y; Seoul Metropolitan Government, Seoul, Republic of Korea., Sim HB; Department of Psychiatry, Seoul Medical Center, Seoul, Republic of Korea., Lee H; Department of Psychiatry, Seoul Medical Center, Seoul, Republic of Korea.; Seoul Mental Health Welfare Center, Seoul, Republic of Korea.
Jazyk: angličtina
Zdroj: Psychiatry investigation [Psychiatry Investig] 2024 Apr; Vol. 21 (4), pp. 361-370. Date of Electronic Publication: 2024 Apr 23.
DOI: 10.30773/pi.2023.0224
Abstrakt: Objective: The purpose of this study was to identify the associations of chronic physical disease between patients with severe mental illness (SMI) and the general population of South Korea.
Methods: This study was conducted with National Health Insurance Corporation data from 2014 to 2019. A total of 848,058 people were diagnosed with SMI in this period, and the same number of controls were established by matching by sex and age. A descriptive analysis was conducted on the sociodemographic characteristics of patients with SMI. Conditional logistic regression analysis was performed to identify the associations between comorbid physical disease in patients with SMI and those of the general population. SAS Enterprise Guide 7.1 (SAS Inc, Cary, NC, USA) were used to perform all statistical tests.
Results: The analysis revealed significant differences in medical insurance, income level, and Charlson Comorbidity Index weighted by chronic physical disease, between patients with SMI and the general population. Conditional logistic regression analysis between the two groups also revealed significant differences in eight chronic physical diseases except hypertensive disease.
Conclusion: This study confirmed the vulnerability of patients with SMI to chronic physical diseases and we were able to identify chronic physical disease that were highly related to patients with SMI.
Databáze: MEDLINE