Mental health care use in medically unexplained and explained physical symptoms: findings from a general population study: Neuropsychiatric Disease and Treatment

J. F. V. van der Sluijs, M. ten Have, C. A. Rijnders, H. W. J. van Marwijk, R. de Graaf, C. M. van der Feltz-Cornelis

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective: The aim of this study was to explore mental health care utilization patterns in primary and specialized mental health care of people with unexplained or explained physical symptoms. Methods: Data were derived from the first wave of the Netherlands Mental Health Survey and Incidence Study-2, a nationally representative face-to-face cohort study among the general population aged 18-64 years. We selected subjects with medically unexplained symptoms (MUS) only (MUSonly; n=177), explained physical symptoms only (PHYonly, n=1,952), combined MUS and explained physical symptoms (MUS + PHY, n=209), and controls without physical symptoms (NONE, n=4,168). We studied entry into mental health care and the number of treatment contacts for mental problems, in both primary care and specialized mental health care. Analyses were adjusted for sociodemographic characteristics and presence of any 12-month mental disorder assessed with the Composite International Diagnostic Interview 3.0. Results: At the primary care level, all three groups of subjects with physical symptoms showed entry into care for mental health problems significantly more often than controls. The adjusted odds ratios were 2.29 (1.33, 3.95) for MUSonly, 1.55 (1.13, 2.12) for PHYonly, and 2.25 (1.41, 3.57) for MUS + PHY. At the specialized mental health care level, this was the case only for MUSonly subjects (adjusted odds ratio 1.65 [1.04, 2.61]). In both the primary and specialized mental health care, there were no significant differences between the four groups in the number of treatment contacts once they entered into treatment. Conclusion: All sorts of physical symptoms, unexplained as well as explained, were associated with significant higher entry into primary care for mental problems. In specialized mental health care, this was true only for MUSonly. No differences were found in the number of treatment contacts. This warrants further research aimed at the content of the treatment contacts.
Original languageEnglish
Pages (from-to)2063-2072
Number of pages10
JournalNeuropsychiatric Disease and Treatment
Volume12
DOIs
Publication statusPublished - 2016

Cite this

van der Sluijs, J. F. V. ; ten Have, M. ; Rijnders, C. A. ; van Marwijk, H. W. J. ; de Graaf, R. ; van der Feltz-Cornelis, C. M. / Mental health care use in medically unexplained and explained physical symptoms: findings from a general population study : Neuropsychiatric Disease and Treatment. In: Neuropsychiatric Disease and Treatment. 2016 ; Vol. 12. pp. 2063-2072.
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abstract = "Objective: The aim of this study was to explore mental health care utilization patterns in primary and specialized mental health care of people with unexplained or explained physical symptoms. Methods: Data were derived from the first wave of the Netherlands Mental Health Survey and Incidence Study-2, a nationally representative face-to-face cohort study among the general population aged 18-64 years. We selected subjects with medically unexplained symptoms (MUS) only (MUSonly; n=177), explained physical symptoms only (PHYonly, n=1,952), combined MUS and explained physical symptoms (MUS + PHY, n=209), and controls without physical symptoms (NONE, n=4,168). We studied entry into mental health care and the number of treatment contacts for mental problems, in both primary care and specialized mental health care. Analyses were adjusted for sociodemographic characteristics and presence of any 12-month mental disorder assessed with the Composite International Diagnostic Interview 3.0. Results: At the primary care level, all three groups of subjects with physical symptoms showed entry into care for mental health problems significantly more often than controls. The adjusted odds ratios were 2.29 (1.33, 3.95) for MUSonly, 1.55 (1.13, 2.12) for PHYonly, and 2.25 (1.41, 3.57) for MUS + PHY. At the specialized mental health care level, this was the case only for MUSonly subjects (adjusted odds ratio 1.65 [1.04, 2.61]). In both the primary and specialized mental health care, there were no significant differences between the four groups in the number of treatment contacts once they entered into treatment. Conclusion: All sorts of physical symptoms, unexplained as well as explained, were associated with significant higher entry into primary care for mental problems. In specialized mental health care, this was true only for MUSonly. No differences were found in the number of treatment contacts. This warrants further research aimed at the content of the treatment contacts.",
author = "{van der Sluijs}, {J. F. V.} and {ten Have}, M. and Rijnders, {C. A.} and {van Marwijk}, {H. W. J.} and {de Graaf}, R. and {van der Feltz-Cornelis}, {C. M.}",
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Mental health care use in medically unexplained and explained physical symptoms: findings from a general population study : Neuropsychiatric Disease and Treatment. / van der Sluijs, J. F. V.; ten Have, M.; Rijnders, C. A.; van Marwijk, H. W. J.; de Graaf, R.; van der Feltz-Cornelis, C. M.

In: Neuropsychiatric Disease and Treatment, Vol. 12, 2016, p. 2063-2072.

Research output: Contribution to journalArticleAcademicpeer-review

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T1 - Mental health care use in medically unexplained and explained physical symptoms: findings from a general population study

T2 - Neuropsychiatric Disease and Treatment

AU - van der Sluijs, J. F. V.

AU - ten Have, M.

AU - Rijnders, C. A.

AU - van Marwijk, H. W. J.

AU - de Graaf, R.

AU - van der Feltz-Cornelis, C. M.

N1 - ISI Document Delivery No.: DU4UV Times Cited: 0 Cited Reference Count: 55 van der Sluijs, Jonna F. van Eck ten Have, Margreet Rijnders, Cees A. van Marwijk, Harm W. J. de Graaf, Ron van der Feltz-Cornelis, Christina M. Van der Feltz, Christina/0000-0001-6925-8956 Ministry of Health, Welfare and Sport; Netherlands Organization for Health Research and Development (ZonMw); Genetic Risk and Outcome of Psychosis (GROUP) investigators NEMESIS-2 is conducted by the Netherlands Institute of Mental Health and Addiction (Trimbos Institute) in Utrecht. Financial support has been received from the Ministry of Health, Welfare and Sport, with supplementary support from the Netherlands Organization for Health Research and Development (ZonMw) and the Genetic Risk and Outcome of Psychosis (GROUP) investigators. 0 2 6 DOVE MEDICAL PRESS LTD ALBANY NEUROPSYCH DIS TREAT

PY - 2016

Y1 - 2016

N2 - Objective: The aim of this study was to explore mental health care utilization patterns in primary and specialized mental health care of people with unexplained or explained physical symptoms. Methods: Data were derived from the first wave of the Netherlands Mental Health Survey and Incidence Study-2, a nationally representative face-to-face cohort study among the general population aged 18-64 years. We selected subjects with medically unexplained symptoms (MUS) only (MUSonly; n=177), explained physical symptoms only (PHYonly, n=1,952), combined MUS and explained physical symptoms (MUS + PHY, n=209), and controls without physical symptoms (NONE, n=4,168). We studied entry into mental health care and the number of treatment contacts for mental problems, in both primary care and specialized mental health care. Analyses were adjusted for sociodemographic characteristics and presence of any 12-month mental disorder assessed with the Composite International Diagnostic Interview 3.0. Results: At the primary care level, all three groups of subjects with physical symptoms showed entry into care for mental health problems significantly more often than controls. The adjusted odds ratios were 2.29 (1.33, 3.95) for MUSonly, 1.55 (1.13, 2.12) for PHYonly, and 2.25 (1.41, 3.57) for MUS + PHY. At the specialized mental health care level, this was the case only for MUSonly subjects (adjusted odds ratio 1.65 [1.04, 2.61]). In both the primary and specialized mental health care, there were no significant differences between the four groups in the number of treatment contacts once they entered into treatment. Conclusion: All sorts of physical symptoms, unexplained as well as explained, were associated with significant higher entry into primary care for mental problems. In specialized mental health care, this was true only for MUSonly. No differences were found in the number of treatment contacts. This warrants further research aimed at the content of the treatment contacts.

AB - Objective: The aim of this study was to explore mental health care utilization patterns in primary and specialized mental health care of people with unexplained or explained physical symptoms. Methods: Data were derived from the first wave of the Netherlands Mental Health Survey and Incidence Study-2, a nationally representative face-to-face cohort study among the general population aged 18-64 years. We selected subjects with medically unexplained symptoms (MUS) only (MUSonly; n=177), explained physical symptoms only (PHYonly, n=1,952), combined MUS and explained physical symptoms (MUS + PHY, n=209), and controls without physical symptoms (NONE, n=4,168). We studied entry into mental health care and the number of treatment contacts for mental problems, in both primary care and specialized mental health care. Analyses were adjusted for sociodemographic characteristics and presence of any 12-month mental disorder assessed with the Composite International Diagnostic Interview 3.0. Results: At the primary care level, all three groups of subjects with physical symptoms showed entry into care for mental health problems significantly more often than controls. The adjusted odds ratios were 2.29 (1.33, 3.95) for MUSonly, 1.55 (1.13, 2.12) for PHYonly, and 2.25 (1.41, 3.57) for MUS + PHY. At the specialized mental health care level, this was the case only for MUSonly subjects (adjusted odds ratio 1.65 [1.04, 2.61]). In both the primary and specialized mental health care, there were no significant differences between the four groups in the number of treatment contacts once they entered into treatment. Conclusion: All sorts of physical symptoms, unexplained as well as explained, were associated with significant higher entry into primary care for mental problems. In specialized mental health care, this was true only for MUSonly. No differences were found in the number of treatment contacts. This warrants further research aimed at the content of the treatment contacts.

U2 - 10.2147/ndt.s109504

DO - 10.2147/ndt.s109504

M3 - Article

VL - 12

SP - 2063

EP - 2072

JO - Neuropsychiatric Disease and Treatment

JF - Neuropsychiatric Disease and Treatment

SN - 1178-2021

ER -