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Mental Disorders in Medical Inpatients and the Association to Severity of Illness, Self-Rated Physical Disability, and Health Perception

Received April 7, 2000; revised July 25, 2000; accepted September 6, 2000. From Department of Psychiatric Demography, Psychiatric Hospital in Aarhus, Risskov, Denmark; Research Unit for Functional Disorders, Psychosomatics and C-L Psychiatry, Aarhus University Hospital, Aarhus, Denmark; Department of Biostatistics, University of Aarhus, Aarhus, Denmark; Department of Psychiatric Demography, Psychiatric Hospital in Aarhus, Risskov, Denmark; Department of Psychiatry, Vejle Sygehus, Vejle, Denmark; Department of Psychiatric Demography, Psychiatric Hospital in Aarhus, Aarhus University Hospital, Risskov, Denmark. Address correspondence and reprint requests to Dr. Hansen, Department of Psychiatric Demography, Psychiatric Hospital in Aarhus, Skovagervej 2, DK-8240 Risskov, Denmark.

In a study of 294 consecutive medical inpatients, the authors assessed a subsample of 157 patients for psychiatric diagnoses using an extensive semistructured interview, Schedules for Clinical Assessment in Neuropsychiatry (SCAN). Patients rated their health and physical functioning, and medical consultants assessed them for chronic and life-threatening diseases. A life-threatening condition increased odds for having a psychiatric diagnosis by 3.1 times (95% Confidence Interval (CI): 1.03–9.1), while a chronic medical disease had no such impact (OR=1.1; 95% CI: 0.5–2.3). In women, mental disorders were strongly associated with self-rated disability (OR=6.7; 95% CI: 1.6–27.8) and self-rated health (OR=9.4; 95% CI: 2.7–32.4). This association was absent in men (OR_disability=0.7; 95% CI: 0.2–2.7; OR_health=1.6; 95% CI: 0.6–4.7). Analyses included adjustment for age and gender.

Key Words: Disorders • Self-Report

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