title: Disease Burden Among Individuals with Severe Mental Illness in a Community Setting.
abstract: This study examines the prevalence of comorbid physical health conditions within a community sample of individuals with severe mental illness (SMI), compares them to a matched national sample without SMI, and identifies which comorbidities create the greatest disease burden for those with SMI. Self-reported health status, co-morbid medical conditions and perceived disease burden were collected from 203 adults with SMI. Prevalence of chronic health conditions was compared to a propensity-matched sample without SMI from the National Comorbidity Survey-Replication (NCS-R). Compared to NCS-R sample without SMI, our sample with SMI had a higher prevalence of seven out of nine categories of chronic health conditions. Chronic pain and headaches, as well as the number of chronic conditions, were associated with increased disease burden for individuals with SMI. Further investigation of possible interventions, including effective pain management, is needed to improve the health status of this population.
authors.affiliation: Department of Family and Community Medicine, Northeast Ohio Medical University, 1409 State Route 44, PO Box 95, Rootstown, OH, 44272, USA. kbaughma@neomed.edu.
authors.forename: Kristin R
authors.identifier: http://orcid.org/0000-0002-3128-3627
authors.initials: KR
authors.lastname: Baughman
authors.affiliation: Department of Psychiatry, Northeast Ohio Medical University, 1409 State Route 44, PO Box 95, Rootstown, OH, 44272, USA.
authors.forename: Natalie
authors.initials: N
authors.lastname: Bonfine
authors.affiliation: Pharmacy Practice Department, Northeast Ohio Medical University, 1409 State Route 44, PO Box 95, Rootstown, OH, 44272, USA.
authors.forename: Sara E
authors.initials: SE
authors.lastname: Dugan
authors.affiliation: Department of Sociology, Kent State University, 215 Merrill Hall, PO Box 5190, Kent, OH, 44242, USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Adams
authors.affiliation: Department of Sociology, Kent State University at Stark, 6000 Frank Ave NW, North Canton, OH, 44720, USA.
authors.forename: Mary
authors.initials: M
authors.lastname: Gallagher
authors.affiliation: Department of Family and Community Medicine, University of New Mexico, 1 University of New Mexico Bldg 177, Albuquerque, NM, 87131, USA.
authors.forename: R Scott
authors.initials: RS
authors.lastname: Olds
authors.affiliation: Department of Sociology, Hiram College, 6832 Hinsdale St, Hiram, OH, 44234, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Piatt
authors.affiliation: Department of Psychiatry, Northeast Ohio Medical University, 1409 State Route 44, PO Box 95, Rootstown, OH, 44272, USA.
authors.forename: Christian
authors.initials: C
authors.lastname: Ritter
mesh_terms: D000328:Adult; D002908:Chronic Disease / Q000453:epidemiology*; D015897:Comorbidity; D017281:Cost of Illness; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000453:epidemiology*; D008875:Middle Aged; D015995:Prevalence; D055815:Young Adult
keywords: Chronic pain; Co-morbid illness; Health status; Severe mental illness