Psychiatric disease burden profiles among veterans with epilepsy

The association with health services utilization

Mary Jo V Pugh, John E. Zeber, Laurel A. Copeland, Jeff V. Tabares, Joyce A. Cramer

Research output: Contribution to journalArticle

13 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)925-928
Number of pages4
JournalPsychiatric Services
Volume59
Issue number8
DOIs
StatePublished - Aug 2008
Externally publishedYes

Fingerprint

epilepsy
Veterans
Health Services
Psychiatry
Epilepsy
health service
utilization
Disease
neurology
Emergency Medical Services
Neurology
Mental Disorders
mental illness
Primary Health Care
Patient Acceptance of Health Care
comorbidity
Psychotic Disorders
Comorbidity
Mental Health
Logistic Models

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 journalArticle

Pugh, Mary Jo V ; Zeber, John E. ; Copeland, Laurel A. ; Tabares, Jeff V. ; Cramer, Joyce A. / Psychiatric disease burden profiles among veterans with epilepsy : The association with health services utilization. In: Psychiatric Services. 2008 ; Vol. 59, No. 8. pp. 925-928.
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