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Burden of chronic physical conditions and mental disorders in primary care
- Authors:
- FERNÁNDEZ Anna, et al
- Journal article citation:
- British Journal of Psychiatry, 196(4), April 2010, pp.302-309.
- Publisher:
- Cambridge University Press
The World Health Organization (WHO) has projected HIV/AIDS, unipolar depression and ischaemic heart disease to be the three leading causes of burden of disease in 2030. This paper estimates the health-related quality of life and quality-adjusted life-year losses associated with mental disorders and chronic physical conditions in primary healthcare using data from the diagnosis and treatment of mental disorders in primary care study, an epidemiological survey carried out with primary care patients in Catalonia, Spain. Using a cross-sectional survey of a representative sample of 3815 primary care patients, a preference-based measure of health was derived from the 12-item Short Form Health Survey (SF–12): the Short Form–6D (SF–6D) multi-attribute health-status classification. Each profile created by the questionnaire had a weight assigned to it. Using non-parametric quantile regressions to model the association between both mental disorders, chronic physical condition and SF–6D scores, findings showed that the top three causes of quality-adjusted life-year losses annually per 100 000 participants were pain (5064), mood disorders (2634) and anxiety (805). In conclusion, estimation of quality-adjusted life-year losses showed that mood disorders ranked second behind pain-related chronic medical conditions.