Abstract
Objective: This brief report describes patterns of psychiatric comorbidities among patients with epilepsy and their relationship with health care utilization. Methods: The study identified psychiatric comorbid conditions in a cohort of veterans identified as having epilepsy in fiscal year 1999. From these diagnoses, nine psychiatric disease burden profiles were created. Logistic regression examined variation in emergency, neurology, and primary care for groups having different profiles and compared them with those with only epilepsy. Results: Of the 23,752 individuals identified, 48% had comorbid psychiatric conditions; most had multiple psychiatric diagnoses. Compared with patients with epilepsy only, those with co-morbid psychiatric conditions were more likely to have emergency care and high primary care utilization; those with serious mental illness (psychotic disorders) were less likely to receive neurology care. Conclusions: Multiple co-occurring psychiatric diseases are common among patients with epilepsy. Addressing the mental health and medical needs of these patients, particularly those with serious mental illness, represents a challenge for health organizations.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 925-928 |
| Number of pages | 4 |
| Journal | Psychiatric Services |
| Volume | 59 |
| Issue number | 8 |
| DOIs | |
| State | Published - Aug 2008 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Psychiatry and Mental health
- Public Health, Environmental and Occupational Health
- Health(social science)
- Health Professions(all)
Cite this
Psychiatric disease burden profiles among veterans with epilepsy : The association with health services utilization. / Pugh, Mary Jo V; Zeber, John E.; Copeland, Laurel A.; Tabares, Jeff V.; Cramer, Joyce A.
In: Psychiatric Services, Vol. 59, No. 8, 08.2008, p. 925-928.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Psychiatric disease burden profiles among veterans with epilepsy
T2 - The association with health services utilization
AU - Pugh, Mary Jo V
AU - Zeber, John E.
AU - Copeland, Laurel A.
AU - Tabares, Jeff V.
AU - Cramer, Joyce A.
PY - 2008/8
Y1 - 2008/8
N2 - Objective: This brief report describes patterns of psychiatric comorbidities among patients with epilepsy and their relationship with health care utilization. Methods: The study identified psychiatric comorbid conditions in a cohort of veterans identified as having epilepsy in fiscal year 1999. From these diagnoses, nine psychiatric disease burden profiles were created. Logistic regression examined variation in emergency, neurology, and primary care for groups having different profiles and compared them with those with only epilepsy. Results: Of the 23,752 individuals identified, 48% had comorbid psychiatric conditions; most had multiple psychiatric diagnoses. Compared with patients with epilepsy only, those with co-morbid psychiatric conditions were more likely to have emergency care and high primary care utilization; those with serious mental illness (psychotic disorders) were less likely to receive neurology care. Conclusions: Multiple co-occurring psychiatric diseases are common among patients with epilepsy. Addressing the mental health and medical needs of these patients, particularly those with serious mental illness, represents a challenge for health organizations.
AB - Objective: This brief report describes patterns of psychiatric comorbidities among patients with epilepsy and their relationship with health care utilization. Methods: The study identified psychiatric comorbid conditions in a cohort of veterans identified as having epilepsy in fiscal year 1999. From these diagnoses, nine psychiatric disease burden profiles were created. Logistic regression examined variation in emergency, neurology, and primary care for groups having different profiles and compared them with those with only epilepsy. Results: Of the 23,752 individuals identified, 48% had comorbid psychiatric conditions; most had multiple psychiatric diagnoses. Compared with patients with epilepsy only, those with co-morbid psychiatric conditions were more likely to have emergency care and high primary care utilization; those with serious mental illness (psychotic disorders) were less likely to receive neurology care. Conclusions: Multiple co-occurring psychiatric diseases are common among patients with epilepsy. Addressing the mental health and medical needs of these patients, particularly those with serious mental illness, represents a challenge for health organizations.
UR - http://www.scopus.com/inward/record.url?scp=50149093065&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=50149093065&partnerID=8YFLogxK
U2 - 10.1176/appi.ps.59.8.925
DO - 10.1176/appi.ps.59.8.925
M3 - Article
VL - 59
SP - 925
EP - 928
JO - Psychiatric Services
JF - Psychiatric Services
SN - 1075-2730
IS - 8
ER -