title: Somatic Care with a Psychotic Disorder. Lower Somatic Health Care Utilization of Patients with a Psychotic Disorder Compared to Other Patient Groups and to Controls Without a Psychiatric Diagnosis.
abstract: Patients with non-affective psychotic disorders (NAPD) face higher risk of somatic problems and early natural death compared to the general population. Therefore, treatment guidelines for schizophrenia and psychosis stress the importance of monitoring somatic risk factors. This study examined somatic Health Care utilization (HCu) of patients with NAPD compared to non-psychiatric controls and patients with depression, anxiety or bipolar disorders using a large Health Insurance database. Results show lower specialist somatic HCu of patients with NAPD compared to matched controls and also lower percentages for prescribed somatic medication and general practitioner consultations for patients aged ≥60 years and after longer illness duration.
authors.affiliation: Altrecht Institute for Mental Health Care, Lange Nieuwstraat 119, 3512 PG, Utrecht, The Netherlands. w.swildens@altrecht.nl.
authors.forename: Wilma
authors.initials: W
authors.lastname: Swildens
authors.affiliation: Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.|Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, PO Box 80082, 3508 TB, Utrecht, The Netherlands.
authors.forename: Fabian
authors.initials: F
authors.lastname: Termorshuizen
authors.affiliation: Altrecht Institute for Mental Health Care, Gedachtengang 1, 3705 WH, Zeist, The Netherlands.
authors.forename: Alex
authors.initials: A
authors.lastname: de Ridder
authors.affiliation: Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.|Achmea Health Insurance, PO Box 19, 3800 HA, Amersfoort, The Netherlands.
authors.forename: Hugo
authors.initials: H
authors.lastname: Smeets
authors.affiliation: Altrecht Institute for Mental Health Care, Lange Nieuwstraat 119, 3512 PG, Utrecht, The Netherlands.|Department of Clinical and Health Psychology, Utrecht University, Heidelberglaan 1, 3584 CS, Utrecht, The Netherlands.
authors.forename: Iris M
authors.initials: IM
authors.lastname: Engelhard
mesh_terms: D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000453:epidemiology; D001714:Bipolar Disorder / Q000453:epidemiology; D002318:Cardiovascular Diseases / Q000453:epidemiology; D016022:Case-Control Studies; D003866:Depressive Disorder / Q000453:epidemiology; D003920:Diabetes Mellitus / Q000453:epidemiology; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008171:Lung Diseases / Q000453:epidemiology; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology; D009426:Netherlands / Q000453:epidemiology; D011618:Psychotic Disorders / Q000453:epidemiology*; D012559:Schizophrenia / Q000453:epidemiology*
keywords: Mental health; Schizophrenia; Somatic Health Care utilization