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Published on: December 2, 2015
Comorbidity in depression
1Western Psychiatric Institute and Clinic, University of Pittsburgh, Pittsburgh, PA 15213, USA.
Insights
Depression frequently co-occurs with medical conditions, increasing healthcare costs. Integrative treatment strategies are needed to address this comorbidity in depression.
Area of Science:
- Psychiatry
- Internal Medicine
- Health Economics
Background:
- Depression is a prevalent mental health disorder with significant global incidence.
- The co-occurrence of depression with medical illnesses, termed comorbidity, is increasingly recognized.
- Existing research highlights the substantial impact of depression on overall health and healthcare utilization.
Purpose of the Study:
- To define the extent of medical comorbidity in individuals diagnosed with depression.
- To understand the economic implications of depression co-occurring with other illnesses.
- To inform the development of integrated treatment strategies for comorbid conditions.
Main Methods:
- Literature review of empirical studies on depression comorbidity.
- Analysis of findings from the National Institute of Mental Health (NIMH) conference on 'Depression's Toll on Other Illnesses'.
- Examination of economic data from a large health insurance claims database.
Main Results:
- Depression significantly increases medical costs and the overall cost of care.
- The prevalence of depression is higher in individuals with existing medical disorders.
- The economic burden associated with comorbid depression is substantial.
Conclusions:
- Federally sponsored research centers should prioritize addressing depression comorbidity.
- Opportunities for interdisciplinary collaboration among medical specialties are crucial.
- Novel treatment approaches for comorbid depression require collaborative testing and development.
Objective:
To define the extent of comorbidity in depression.
Method:
The level of medical comorbidity in depression was assessed on the basis of the empirical literature and results from the National Institute of Mental Health (NIMH) conference on Depression's Toll on Other Illnesses.
Results:
The global incidence of depression underscores the need to develop integrative treatment strategies for these disorders. An NIMH conference entitled 'The Unwanted Cotraveler: Depression's Toll on Other Illnesses' has highlighted the impact of increased depression prevalence in the presence of medical disorders. Economic data from a large health insurance claims database concludes that the presence of a psychiatric condition, particularly depression, considerably increases the medical costs, as well as the cost of caring for the psychiatric condition.
Conclusion:
Federally sponsored research intervention centres need to address these issues and provide opportunities for diverse medical specialties to collaborate on testing novel treatment approaches.
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