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Soc Psychiat Epidemiol (2009) 44:835–844 DOI 10.1007/s00127-009-0005-9 OR IGINAL PAPER Association of mental distress with health care utilization and costs: a 5-year observation in a general population Hans Jo ¨ rgen Grabe Æ Sebastian E. Baumeister Æ Ulrich John Æ Harald J. Freyberger Æ Henry Vo ¨ lzke Received: 26 June 2008 / Accepted: 27 January 2009 / Published online: 27 February 2009 Springer-Verlag 2009 Abstract Conclusion Simple and time-efficient screening proce- Objective Previous studies have associated mental dis- dures for mental disorders may help to identify subjects at tress and disorders with increased health care utilization risk for increased future health care utilization. Standard- and costs. However, most studies have selected subjects ized therapeutic interventions should be evaluated in from treatment facilities or have applied retrospective subjects at risk in primary care. designs. Methods N = 3,300 subjects from the baseline cohort of Keywords Health care utilization Mental health the Study of Health in Pomerania were followed up 5 years Study of Health in Pomerania Depression Somatization later. Mental distress was assessed with the SF-12 Health Anxiety disorder Survey and the Composite Diagnostic Screener for mental disorders. Two-part econometric models were applied adjusting for medical
Social Psychiatry and Psychiatric Epidemiology – Springer Journals
Published: Feb 27, 2009
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