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Somatic multicomorbidity and disability in patients with psychiatric disorders in comparison to the general population: a quasi-epidemiological investigation in 54,826 subjects from 40 countries (COMET-G study)

Published online by Cambridge University Press:  25 January 2024

Konstantinos N. Fountoulakis Open the ORCID record for Konstantinos N. Fountoulakis [Opens in a new window] ,
Grigorios N. Karakatsoulis Open the ORCID record for Grigorios N. Karakatsoulis [Opens in a new window] ,
Seri Abraham ,
Kristina Adorjan ,
Helal Uddin Ahmed ,
Renato D. Alarcón ,
Kiyomi Arai ,
Sani Salihu Auwal ,
Michael Berk  and
Sarah Bjedov
...Show all authors
Konstantinos N. Fountoulakis
Affiliation:
3rd Department of Psychiatry, School of Medicine, Aristotle University of Thessaloniki Greece, Thessaloniki, Greece
Grigorios N. Karakatsoulis*
Affiliation:
3rd Department of Psychiatry, School of Medicine, Aristotle University of Thessaloniki Greece, Thessaloniki, Greece
Seri Abraham
Affiliation:
Pennine Care NHS Foundation Trust, Heywood, UK Manchester Metropolitan University, Manchester, UK Core Psychiatry Training, Health Education England North West, Manchester, UK
Kristina Adorjan
Affiliation:
Department of Psychiatry, Ludiwig-Maximilians-University, Munich, Germany
Helal Uddin Ahmed
Affiliation:
Child Adolescent and Family Psychiatry, National Institute of Mental Health, Dhaka, Bangladesh
Renato D. Alarcón
Affiliation:
Section of Psychiatry and Mental Health, Universidad Peruana Cayetano Heredia, Facultad de Medicina Alberto Hurtado, Lima, Peru Department of Psychiatry and Psychology, Mayo Clinic School of Medicine, Rochester, MN, USA
Kiyomi Arai
Affiliation:
School of Medicine and Health Science, Institute of Health Science Shinshu University, Matsumoto, Japan
Sani Salihu Auwal
Affiliation:
Department of Psychiatry, Bayero University, Kano, Nigeria Aminu Kano Teaching Hospital, Kano, Nigeria
Michael Berk
Affiliation:
IMPACT – The Institute for Mental and Physical Health and Clinical Translation, Deakin University, School of Medicine, Barwon Health, Geelong, Australia Orygen The National Centre of Excellence in Youth Mental Health, Centre for Youth Mental Health, Florey Institute for Neuroscience and Mental Health and the Department of Psychiatry, The University of Melbourne, Melbourne, Australia
Sarah Bjedov
Affiliation:
Department of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
Julio Bobes
Affiliation:
Psychiatry Area, Department of Medicine, University of Oviedo, Oviedo, Spain Department of Psychiatry, Hospital Universitario Central de Asturias, Oviedo, Spain ISPA, INEUROPA, CIBERSAM, Oviedo, Spain
Teresa Bobes-Bascaran
Affiliation:
ISPA, INEUROPA, CIBERSAM, Oviedo, Spain Mental Health Center of La Corredoria, Oviedo, Spain Department of Psychology, University of Oviedo, Oviedo, Spain
Julie Bourgin-Duchesnay
Affiliation:
Division of Child and Adolescent Psychiatry, Department of Psychiatry, Groupe Hospitalier Nord Essonne, Orsay, France
Cristina Ana Bredicean
Affiliation:
Department of Neuroscience, Discipline of Psychiatry, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
Laurynas Bukelskis
Affiliation:
Clinic of Psychiatry, Institute of Clinical Medicine, Medical Faculty, Vilnius University, Vilnius, Lithuania
Akaki Burkadze
Affiliation:
Mental Hub, Tbilisi, Georgia NGO Healthcare Research and Quality Agency, Tbilisi, Georgia
Indira Indiana Cabrera Abud
Affiliation:
Hospital San Juan de Dios Hospital, Guadalajara, Mexico
Ruby Castilla-Puentes
Affiliation:
Janssen Research and Development, Johnson & Johnson, American Society of Hispanic Psychiatry and WARMI Women Mental Health, Cincinnati, OH, USA
Marcelo Cetkovich
Affiliation:
Institute of Translational and Cognitive Neuroscience (INCyT), INECO Foundation, Favaloro University, Buenos Aires, Argentina National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina
Hector Colon-Rivera
Affiliation:
APM Board Certified in General Psychiatry and Neurology, Addiction Psychiatry, & Addiction Medicine, UPMC, DDAP, Philadelphia, PA, USA
Ricardo Corral
Affiliation:
Department of Teaching and Research, Hospital Borda, Buenos Aires, Argentina University of Buenos Aires, Buenos Aires, Argentina
Carla Cortez-Vergara
Affiliation:
Universidad Peruana Cayetano Heredia, Clínica AngloAmericana, Lima, Peru
Piirika Crepin
Affiliation:
Sanitaire and Social Union for Accompaniment and Prevention, Center of Ambulatory Psychiatry of Narbonne and Lezigan, Narbonne, France
Domenico De Berardis
Affiliation:
Department of Mental Health, Psychiatric Service of Diagnosis and Treatment, Hospital “G. Mazzini”, ASL Teramo, Teramo, Italy School of Nursing, University of L’Aquila, Italy Department of Neuroscience and Imaging, School of Psychiatry, University of Chieti, Chieti, Italy
Sergio Zamora Delgado
Affiliation:
Child and Adolescent Psychiatry Department, Hospital Luis Calvo Mackenna, Santiago, Chile
David De Lucena
Affiliation:
Departamento de Fisiología e Farmacología, Universidade Federal do Ceará, Fortaleza, Ceará, Brazil
Avinash De Sousa
Affiliation:
Department of Psychiatry, Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India Desousa Foundation, Mumbai, Maharashtra, India
Ramona Di Stefano
Affiliation:
Department of Biotechnological and Applied Clinical Sciences, Section of Psychiatry, University of L’Aquila, L’Aquila, Italy
Seetal Dodd
Affiliation:
IMPACT – The Institute for Mental and Physical Health and Clinical Translation, Deakin University, School of Medicine, Barwon Health, Geelong, Australia Orygen The National Centre of Excellence in Youth Mental Health, Centre for Youth Mental Health, Florey Institute for Neuroscience and Mental Health and the Department of Psychiatry, The University of Melbourne, Melbourne, Australia University Hospital Geelong, Barwon Health, Geelong, Victoria, Australia
Livia Priyanka Elek
Affiliation:
Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary
Anna Elissa
Affiliation:
Department of Psychiatry, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National Referral Hospital, Jakarta, Indonesia
Berta Erdelyi-Hamza
Affiliation:
Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary
Gamze Erzin
Affiliation:
Department of Psychiatry, Ankara Dışkapı Training and Research Hospital, Ankara, Turkey Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Center, Maastricht, The Netherlands
Martin J. Etchevers
Affiliation:
Faculty of Psychology, University of Buenos Aires (UBA), Buenos Aires, Argentina
Peter Falkai
Affiliation:
Department of Psychiatry, Ludiwig-Maximilians-University, Munich, Germany
Adriana Farcas
Affiliation:
Centre of Neuroscience, Queen’s University, Kingston, Ontario, Canada
Ilya Fedotov
Affiliation:
Department of Psychiatry and Narcology, Ryazan State Medical University n.a. Academician I.P. Pavlov, Ryazan, Russia
Viktoriia Filatova
Affiliation:
State Budgetary Institution of the Rostov Region “Psychoneurological Dispensary”, Rostov-on-Don, Russia
Nikolaos K. Fountoulakis
Affiliation:
Faculty of Medicine, Medical University of Sofia, Sofia, Bulgaria
Iryna Frankova
Affiliation:
Medical Psychology, Psychosomatic Medicine and Psychotherapy Department, Bogomolets National Medical University, Kyiv, Ukraine
Francesco Franza
Affiliation:
“Villa dei Pini” Psychiatric Rehabilitation Center, Avellino, Italy Psychiatric Studies Centre, Provaglio d’Iseo, Italy
Pedro Frias
Affiliation:
Hospital Magalhães Lemos, Porto, Portugal
Tatiana Galako
Affiliation:
Department of Psychiatry, Medical Psychology and Drug Abuse, Kyrgyz State Medical Academy, Bishkek, Kyrgyz Republic
Cristian J. Garay
Affiliation:
Faculty of Psychology, University of Buenos Aires (UBA), Buenos Aires, Argentina
Leticia Garcia-Álvarez
Affiliation:
ISPA, INEUROPA, CIBERSAM, Oviedo, Spain Department of Psychology, University of Oviedo, Oviedo, Spain
Maria Paz García-Portilla
Affiliation:
Psychiatry Area, Department of Medicine, University of Oviedo, Oviedo, Spain ISPA, INEUROPA, CIBERSAM, Oviedo, Spain Mental Health Center of La Ería, Oviedo, Spain
Xenia Gonda
Affiliation:
Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary
Tomasz M. Gondek
Affiliation:
Specialty Training Section, Polish Psychiatric Association, Wroclaw, Poland
Daniela Morera González
Affiliation:
Instituto Nacional de Psiquiatría Ramón De la Fuente Muñiz, Mexico City, Mexico
Hilary Gould
Affiliation:
Department of Psychiatry, University of California San Diego, San Diego, USA
Paolo Grandinetti
Affiliation:
Department of Mental Health, Psychiatric Service of Diagnosis and Treatment, Hospital “G. Mazzini”, ASL Teramo, Teramo, Italy
Arturo Grau
Affiliation:
Child and Adolescent Psychiatry Department, Hospital Luis Calvo Mackenna, Santiago, Chile Universidad Diego Portales, Santiago, Chile
Violeta Groudeva
Affiliation:
Department of Diagnostic Imaging, University Hospital Saint Ekaterina, Sofia, Bulgaria
Michal Hagin
Affiliation:
Forensic Psychiatry Unit, Abarbanel Mental Health Center, Bat Yam, Israel
Takayuki Harada
Affiliation:
Faculty of Human Sciences, Education Bureau of the Laboratory Schools, University of Tsukuba, Tokyo, Japan
Tasdik M. Hasan
Affiliation:
Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK Public Health Foundation, Dhaka, Bangladesh
Nurul Azreen Hashim
Affiliation:
Department of Psychiatry, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia
Jan Hilbig
Affiliation:
Clinic of Psychiatry, Institute of Clinical Medicine, Medical Faculty, Vilnius University, Vilnius, Lithuania
Sahadat Hossain
Affiliation:
Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh
Rossitza Iakimova
Affiliation:
Second Psychiatric Clinic, University Hospital for Active Treatment in Neurology and Psychiatry “Saint Naum”, Sofia, Bulgaria
Mona Ibrahim
Affiliation:
Okasha Institute of Psychiatry, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Felicia Iftene
Affiliation:
Department of Psychiatry, Queens University, Kingston, ON, Canada
Yulia Ignatenko
Affiliation:
Education Center, Mental Health Clinic No. 1 named after N.A. Alexeev of Moscow Healthcare Department, Moscow, Russia
Matias Irarrazaval
Affiliation:
Ministry of Health, Millenium Institute for Research in Depression and Personality, Santiago, Chile
Zaliha Ismail
Affiliation:
Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia
Jamila Ismayilova
Affiliation:
National Mental Health Center of the Ministry of Health of the Republic of Azerbaijan, Baku, Azerbaijan
Asaf Jakobs
Affiliation:
Department of Psychiatry, Westchester Medical Center Health System, Valhalla, NY, USA New York Medical College, Valhalla, NY, USA
Miro Jakovljević
Affiliation:
School of Medicine, University of Zagreb, Zagreb, Croatia
Nenad Jakšić
Affiliation:
Department of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
Afzal Javed
Affiliation:
Institute of Applied Health Research, University of Birmingham, Birmingham, UK Warwick Medical School, University of Warwick, Coventry, UK Pakistan Psychiatric Research Centre, Fountain House, Lahore, Pakistan
Helin Yilmaz Kafali
Affiliation:
Department of Child Psychiatry, Ankara City Hospital, Ankara, Turkey
Sagar Karia
Affiliation:
Department of Psychiatry, Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India
Olga Kazakova
Affiliation:
Faculty of Medicine, Lund University, Malmö, Sweden
Doaa Khalifa
Affiliation:
Okasha Institute of Psychiatry, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Olena Khaustova
Affiliation:
Medical Psychology, Psychosomatic Medicine and Psychotherapy Department, Bogomolets National Medical University, Kyiv, Ukraine
Steve Koh
Affiliation:
Department of Psychiatry, University of California San Diego, San Diego, USA
Svetlana Kopishinskaia
Affiliation:
International Centre for Education and Research in Neuropsychiatry (ICERN), Samara State Medical University, Samara, Russia Kirov State Medical University, Kirov, Russia
Korneliia Kosenko
Affiliation:
Department of Psychiatry, Drug Abuse and Psychology, Odessa National Medical University, Odessa, Ukraine
Sotirios A. Koupidis
Affiliation:
Occupational and Environmental Health Sector, Public Health Policy Department, School of Public Health, University of West Attica, Athens, Greece
Illes Kovacs
Affiliation:
Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary
Barbara Kulig
Affiliation:
Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary
Alisha Lalljee
Affiliation:
Desousa Foundation, Mumbai, Maharashtra, India
Justine Liewig
Affiliation:
Division of Child and Adolescent Psychiatry, Department of Psychiatry, Groupe Hospitalier Nord Essonne, Orsay, France
Abdul Majid
Affiliation:
Department of Psychiatry, SKIMS Medical College, Srinagar, India
Evgeniia Malashonkova
Affiliation:
Division of Child and Adolescent Psychiatry, Department of Psychiatry, Groupe Hospitalier Nord Essonne, Orsay, France
Khamelia Malik
Affiliation:
Department of Psychiatry, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National Referral Hospital, Jakarta, Indonesia
Najma Iqbal Malik
Affiliation:
Department of Psychology, University of Sargodha, Sargodha, Pakistan
Gulay Mammadzada
Affiliation:
Department of Psychiatry, Azerbaijan Medical University, Baku, Azerbaijan
Bilvesh Mandalia
Affiliation:
Desousa Foundation, Mumbai, Maharashtra, India
Donatella Marazziti
Affiliation:
Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Pisa, Italy Unicamillus, Saint Camillus International University of Health Sciences, Rome, Italy Brain Research Foundation onus, Lucca, Italy
Darko Marčinko
Affiliation:
Department of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb, Zagreb, Croatia School of Medicine, University of Zagreb, Zagreb, Croatia
Stephanie Martinez
Affiliation:
Department of Psychiatry, University of California San Diego, San Diego, USA
Eimantas Matiekus
Affiliation:
Clinic of Psychiatry, Institute of Clinical Medicine, Medical Faculty, Vilnius University, Vilnius, Lithuania
Gabriela Mejia
Affiliation:
Department of Psychiatry, University of California San Diego, San Diego, USA
Roha Saeed Memon
Affiliation:
Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
Xarah Elenne Meza Martínez
Affiliation:
Postgraduate Program in Psychiatry, National Autonomous University of Honduras, Tegucigalpa, Honduras
Dalia Mickevičiūtė
Affiliation:
Private outpatient clinics “JSC InMedica Klinika”, Vilnius, Lithuania
Roumen Milev
Affiliation:
Department of Psychiatry, Queens University, Kingston, ON, Canada
Muftau Mohammed
Affiliation:
Department of Clinical Services, Federal Neuropsychiatric Hospital, Kaduna, Nigeria
Alejandro Molina-López
Affiliation:
General Office for the Psychiatric Services of the Ministry of Health, Mexico City, Mexico
Petr Morozov
Affiliation:
Department of Postgraduate Education, Russian National Research Medical University n.a. N.I. Pirogov, Moscow, Russia
Nuru Suleiman Muhammad
Affiliation:
Department of Community Medicine, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
Filip Mustač
Affiliation:
Department of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
Mika S. Naor
Affiliation:
Sackler School of Medicine New York State American Program, Tel Aviv University, Tel Aviv-Yafo, Israel
Amira Nassieb
Affiliation:
Okasha Institute of Psychiatry, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Alvydas Navickas
Affiliation:
Clinic of Psychiatry, Institute of Clinical Medicine, Medical Faculty, Vilnius University, Vilnius, Lithuania
Tarek Okasha
Affiliation:
Okasha Institute of Psychiatry, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Milena Pandova
Affiliation:
Second Psychiatric Clinic, University Hospital for Active Treatment in Neurology and Psychiatry “Saint Naum”, Sofia, Bulgaria
Anca-Livia Panfil
Affiliation:
Compartment of Liaison Psychiatry, “Pius Brinzeu” County Emergency Clinical Hospital, Timisoara, Romania
Liliya Panteleeva
Affiliation:
Department of Medical Psychology, Psychiatry and Psychotherapy, Kyrgyz-Russian Slavic University, Bishkek, Kyrgyz Republic
Ion Papava
Affiliation:
Department of Neuroscience, Discipline of Psychiatry, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
Mikaella E. Patsali
Affiliation:
School of Social Sciences, Hellenic Open University, Patras, Greece Department of Internal Medicine, Nicosia General Hospital, Nicosia, Cyprus
Alexey Pavlichenko
Affiliation:
Education Center, Mental Health Clinic No. 1 named after N.A. Alexeev of Moscow Healthcare Department, Moscow, Russia
Bojana Pejuskovic
Affiliation:
Faculty of Medicine, University of Belgrade, Belgrade, Serbia Clinical Department for Crisis and Affective Disorders, Institute of Mental Health, Belgrade, Serbia
Mariana Pinto Da Costa
Affiliation:
South London and Maudsley NHS Foundation Trust, London, UK Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
Mikhail Popkov
Affiliation:
Department of the Introduction to Internal Medicine and Family Medicine, International Higher School of Medicine, Bishkek, Kyrgyz Republic
Dina Popovic
Affiliation:
Abarbanel Mental Health Center, Bat-Yam, Israel
Nor Jannah Nasution Raduan
Affiliation:
Department of Psychiatry, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia
Francisca Vargas Ramírez
Affiliation:
Child and Adolescent Psychiatry Department, Hospital Luis Calvo Mackenna, Santiago, Chile Universidad Diego Portales, Santiago, Chile
Elmars Rancans
Affiliation:
Department of Psychiatry and Narcology, Riga Stradins University, Riga, Latvia Riga Centre of Psychiatry and Narcology, Riga, Latvia
Salmi Razali
Affiliation:
Department of Psychiatry, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia
Federico Rebok
Affiliation:
Servicio de Emergencia, Acute inpatient Unit, Hospital Moyano, Buenos Aires, Argentina Argentine Institute of Clinical Psychiatry (IAPC), Buenos Aires, Argentina
Anna Rewekant
Affiliation:
General Psychiatry Unit I, Greater Poland Neuropsychiatric Center, Kościan, Poland
Elena Ninoska Reyes Flores
Affiliation:
Department of Psychiatry, National Autonomous University of Honduras, Tegucigalpa, Honduras
María Teresa Rivera-Encinas
Affiliation:
Centro de Investigación en Salud Pública, Facultad de Medicina, Universidad de San Martín de Porres, Instituto Nacional de Salud Mental “Honorio Delgado – Hideyo Noguchi”, Lima, Perú
Pilar Saiz
Affiliation:
Psychiatry Area, Department of Medicine, University of Oviedo, Oviedo, Spain ISPA, INEUROPA, CIBERSAM, Oviedo, Spain Mental Health Center of La Corredoria, Oviedo, Spain
Manuel Sánchez de Carmona
Affiliation:
Faculty of Health Sciences, Anahuac University, Mexico City, Mexico
David Saucedo Martínez
Affiliation:
Department of Psychiatry, Escuela Nacional de Medicina, TEC de Monterrey, Servicio de geriatría. Hospital Universitario “José Eleuterio González” UANL, Monterrey, Nuevo León, Mexico
Jo Anne Saw
Affiliation:
Department of Psychiatry, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia
Görkem Saygili
Affiliation:
Department of Cognitive Science and Artificial Intelligence, Tilburg University, Tilburg, The Netherlands
Patricia Schneidereit
Affiliation:
Klinik für Allgemeine Psychiatrie und Psychotherapie Ost, Psychiatrische Institutsambulanz, Klinikum am Weissenhof, Weissenhof, Germany
Bhumika Shah
Affiliation:
DY Patil Medical College, Navi Mumbai, Maharashtra, India
Tomohiro Shirasaka
Affiliation:
Department of Psychiatry, Teine Keijinkai Medical Center, Sapporo, Japan
Ketevan Silagadze
Affiliation:
Mental Hub, Tbilisi, Georgia
Satti Sitanggang
Affiliation:
Psychiatric Unit, Pambalah Batung General Hospital, South Kalimantan, Amuntai, Indonesia
Oleg Skugarevsky
Affiliation:
Department of Psychiatry and Medical Psychology, Belarusian State Medical University, Minsk, Belarus
Anna Spikina
Affiliation:
Saint Petersburg Psychoneurological Dispensary No. 2, Saint Petersburg, Russia
Sridevi Sira Mahalingappa
Affiliation:
Derbyshire Healthcare NHS Foundation Trust, The Liasion Team, Royal Derby Hospital, Derby, Derbyshire, UK
Maria Stoyanova
Affiliation:
Second Psychiatric Clinic, University Hospital for Active Treatment in Neurology and Psychiatry “Saint Naum”, Sofia, Bulgaria
Anna Szczegielniak
Affiliation:
Department of Psychiatric Rehabilitation, Department of Psychiatry and Psychotherapy, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Poland
Simona Claudia Tamasan
Affiliation:
Compartment of Liaison Psychiatry, “Pius Brinzeu” County Emergency Clinical Hospital, Timisoara, Romania
Giuseppe Tavormina
Affiliation:
Psychiatric Studies Centre, Provaglio d’Iseo, Italy European Depression Association and Italian Association on Depression, Brussels, Belgium Bedforshire Center for Mental Health Research, University of Cambridge, Cambridge, UK
Maurilio Giuseppe Maria Tavormina
Affiliation:
Psychiatric Studies Centre, Provaglio d’Iseo, Italy
Pavlos N. Theodorakis
Affiliation:
Health Policy, WHO Regional Office for Europe, Copenhagen, Denmark
Mauricio Tohen
Affiliation:
Department of Psychiatry and Behavioral Sciences, School of Medicine, University of New Mexico, Albuquerque, Nm, USA
Eva Maria Tsapakis
Affiliation:
“Agios Charalambos” Mental Health Clinic, Heraklion, Crete, Greece 1st Department of Academic Psychiatry, School of Medicine, Aristotle University of Thessaloniki, Greece
Dina Tukhvatullina
Affiliation:
Centre for Global Public Health, Institute of Population Health Sciences, Queen Mary University of London, London, UK
Irfan Ullah
Affiliation:
Kabir Medical College, Gandhara University, Peshawar, Pakistan
Ratnaraj Vaidya
Affiliation:
Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK
Johann M. Vega-Dienstmaier
Affiliation:
Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Perú
Jelena Vrublevska
Affiliation:
Department of Psychiatry and Narcology, Riga Stradins University, Riga, Latvia Riga Centre of Psychiatry and Narcology, Riga, Latvia Institute of Public Health, Riga Stradins University, Riga, Latvia
Olivera Vukovic
Affiliation:
Faculty of Medicine, University of Belgrade, Belgrade, Serbia Department of Research and Education, Institute of Mental Health, Belgrade, Serbia
Olga Vysotska
Affiliation:
Educational and Research Center − Ukrainian Family Medicine Training Center, Bogomolets National Medical University, Kyiv, Ukraine
Natalia Widiasih
Affiliation:
Department of Psychiatry, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National Referral Hospital, Jakarta, Indonesia
Anna Yashikhina
Affiliation:
International Centre for Education and Research in Neuropsychiatry (ICERN), Samara State Medical University, Samara, Russia Department of Psychiatry, Narcology, Psychotherapy and Clinical Psychology, Samara State Medical University, Samara, Russia
Panagiotis E. Prezerakos
Affiliation:
Department of Nursing, University of Peloponnese, Laboratory of Integrated Health Care, Tripoli, Greece
Daria Smirnova
Affiliation:
International Centre for Education and Research in Neuropsychiatry (ICERN), Samara State Medical University, Samara, Russia Department of Psychiatry, Narcology, Psychotherapy and Clinical Psychology, Samara State Medical University, Samara, Russia
*
Corresponding author: Gregory Karakatsoulis; Email: gregkarakatsoulis@gmail.com
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Abstract

Background

The prevalence of medical illnesses is high among patients with psychiatric disorders. The current study aimed to investigate multi-comorbidity in patients with psychiatric disorders in comparison to the general population. Secondary aims were to investigate factors associated with metabolic syndrome and treatment appropriateness of mental disorders.

Methods

The sample included 54,826 subjects (64.73% females; 34.15% males; 1.11% nonbinary gender) from 40 countries (COMET-G study). The analysis was based on the registration of previous history that could serve as a fair approximation for the lifetime prevalence of various medical conditions.

Results

About 24.5% reported a history of somatic and 26.14% of mental disorders. Mental disorders were by far the most prevalent group of medical conditions. Comorbidity of any somatic with any mental disorder was reported by 8.21%. One-third to almost two-thirds of somatic patients were also suffering from a mental disorder depending on the severity and multicomorbidity. Bipolar and psychotic patients and to a lesser extent depressives, manifested an earlier (15–20 years) manifestation of somatic multicomorbidity, severe disability, and probably earlier death. The overwhelming majority of patients with mental disorders were not receiving treatment or were being treated in a way that was not recommended. Antipsychotics and antidepressants were not related to the development of metabolic syndrome.

Conclusions

The finding that one-third to almost two-thirds of somatic patients also suffered from a mental disorder strongly suggests that psychiatry is the field with the most trans-specialty and interdisciplinary value and application points to the importance of teaching psychiatry and mental health in medical schools and also to the need for more technocratically oriented training of psychiatric residents.

Keywords

Epidemiologymulticomorbiditydisabilitypremature deathsomatic-mental comorbidity
Type
Original Research
Information
CNS Spectrums , Volume 29 , Issue 2 , April 2024 , pp. 126 - 149
Copyright
© The Author(s), 2024. Published by Cambridge University Press

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