Elizabeth A DiNapoli1,2, Adam D Bramoweth1,2, Karen L Whiteman3,4, Barbara H Hanusa1, John Kasckow1,5,6. 1. 1 VISN 4 Mental Illness Research, Education and Clinical Center (MIRECC), VA Pittsburgh Healthcare System, Pittsburgh, PA, USA. 2. 2 Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA. 3. 3 Dartmouth Centers for Health and Aging, Lebanon, NH, USA. 4. 4 The Dartmouth Institute, Lebanon, NH, USA. 5. 5 Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA. 6. 6 Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Abstract
OBJECTIVE: This study identified the prevalence of and relationship between mood disorders and multimorbidity in middle-aged and older veterans. METHOD: Cross-sectional data were obtained from veterans who received primary care services at VA Pittsburgh Healthcare System from January 2007 to December 2011 ( n = 34,786). RESULTS: Most veterans had three or more organ systems with chronic disease (95.3%), of which 4.1% had a depressive disorder, 2.5% had an anxiety disorder, and 0.7% had co-occurring depression and anxiety. The odds of having a mood disorder increased with each additional organ system with chronic disease, with odds being the greatest in those with 10 to 13 organ systems with chronic disease. Younger age, female gender, non-married marital status, and having a service connected disability were also significant predictors of having a mood disorder. DISCUSSION: These findings suggest a need to integrate mental health assessment and treatment in chronic health care management for veterans.
OBJECTIVE: This study identified the prevalence of and relationship between mood disorders and multimorbidity in middle-aged and older veterans. METHOD: Cross-sectional data were obtained from veterans who received primary care services at VA Pittsburgh Healthcare System from January 2007 to December 2011 ( n = 34,786). RESULTS: Most veterans had three or more organ systems with chronic disease (95.3%), of which 4.1% had a depressive disorder, 2.5% had an anxiety disorder, and 0.7% had co-occurring depression and anxiety. The odds of having a mood disorder increased with each additional organ system with chronic disease, with odds being the greatest in those with 10 to 13 organ systems with chronic disease. Younger age, female gender, non-married marital status, and having a service connected disability were also significant predictors of having a mood disorder. DISCUSSION: These findings suggest a need to integrate mental health assessment and treatment in chronic health care management for veterans.
Entities:
Keywords:
aged; chronic health conditions; mental health; multimorbidity; veterans
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