Psychosomatics 45:302-310, August 2004
© 2004 The Academy of Psychosomatic Medicine
Follow-Up on Mental Illness in Medical Inpatients: Health Care Use and Self-Rated Health and Physical Fitness
Morten Steen Hansen, M.D., Ph.D.,
Per Fink, M.D., Ph.D., Dr.Med.Sc., and
Morten Frydenberg, M.Sc., Ph.D.
Received Feb. 11, 2003; revision received Sept. 20, 2003; accepted Oct. 17, 2003. From the Department of Psychiatric Demography, Psychiatric Hospital, Aarhus, Denmark; the Research Unit for Functional Disorders, Psychosomatics, and Consultation-Liaison Psychiatry and the Department of Biostatistics, Aarhus University Hospital. Address reprint requests to Dr. Hansen, Research Unit for Functional Disorders, Psychosomatics, and Consultation-Liaison Psychiatry, Aarhus University Hospital, DK-8200 Aarhus N, Denmark; brixhansen{at}mail1.stofanet.dk (e-mail).
Consecutively admitted internal medical inpatients (N=294) who were psychiatrically assessed with the Schedules for Clinical Assessment in Neuropsychiatry in a two-phase design were followed up in a review of public files on their use of medical care over 18 months. Self-rated outcome was assessed from health and fitness ratings at admission and after 1 year. ICD-10 mental disorders had a statistically significant impact on the risk (odds ratio) of high use (above the 80th percentile) of primary care, as did ICD-10 anxiety/depression, and worry about illness (as assessed by the Whiteley-7 Scale). The authors found a less-than-significant tendency for mental illness to influence the use of inpatient admissions and self-rated outcome.
Key Words: hospital treatment • anxiety • depression • somatoform • disorders • interviews
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