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Physical health among patients with common mental health disorders in primary care in Europe: a scoping review

Published online by Cambridge University Press:  28 February 2020

F. Fogarty ,
G. McCombe Open the ORCID record for G. McCombe [Opens in a new window] ,
K. Brown ,
T. Van Amelsvoort ,
M. Clarke  and
W. Cullen
F. Fogarty
Affiliation:
School of Medicine, University College Dublin, Ireland
G. McCombe
Affiliation:
School of Medicine, University College Dublin, Ireland
K. Brown
Affiliation:
Health Services Executive, Ireland
T. Van Amelsvoort
Affiliation:
School of Mental Health and Neuroscience, Maastricht University, Netherlands
M. Clarke
Affiliation:
Saint John of God Hospital, Dublin, Ireland
W. Cullen*
Affiliation:
School of Medicine, University College Dublin, Ireland
*
*Address for correspondence: Professor W. Cullen, UCD School of Medicine, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland. (Email: walter.cullen@ucd.ie)
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Abstract

Introduction:

Mental disorders are increasingly common among adults in both the developed and developing world and are predicted by the WHO to be the leading cause of disease burden by 2030. Many common physical conditions are more common among people who also have a common mental disorder. This scoping review aims to examine the current literature about the prevention, identification and treatment of physical problems among people with pre-existing mental health disorders in primary care in Europe.

Methods:

The scoping review framework comprised a five-stage process developed by Arksey & O’Malley (2005). The search process was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Both quantitative and qualitative studies were included, with no restriction on study design.

Results:

The initial search identified 299 studies, with a further 28 added from the hand-search (total n = 327) of which 19 were considered relevant to the review research question and included for full analysis. Depression was the mental health condition most commonly studied (nine studies), followed by depression and anxiety (seven studies), with three studies examining any mental disorder. Eleven studies examined the effects of various interventions to address physical and mental comorbidity, with the most commonly studied intervention being collaborative care.

Conclusions:

With just 19 studies meeting our criteria for inclusion, there is clearly a paucity of research in this area. Further research is essential in order to understand the pathophysiological mechanisms underlying the association between mental disorders and chronic conditions.

Keywords

Mental healthphysical healthprimary care
Type
Review Article
Information
Irish Journal of Psychological Medicine , Volume 38 , Issue 1: Themed Issue: Physical Health in Mental Illness , March 2021 , pp. 76 - 92
Copyright
© College of Psychiatrists of Ireland 2020

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