Excess non‐psychiatric hospitalizations among employees with mental disorders: a 10‐year prospective study of the GAZEL cohort. (7th October 2014)

• Record Type: Journal Article
• Authors: Azevedo Da Silva, M.; Lemogne, C.; Melchior, M.; Zins, M.; Van Der Waerden, J.; Consoli, S. M.; Goldberg, M.; Elbaz, A.; Singh‐Manoux, A.; Nabi, H.
• Is Part Of: Acta psychiatrica Scandinavica. Volume 131:Number 4(2015:Apr.)
• Page Start: 307
• Page End: 317
• Publication Date: 2014-10-07
• Subjects: Psychiatry -- Periodicals; 616.89
• DOI: 10.1111/acps.12341
• Languages: English
• ISSNs: 0001-690X

Abstract

<abstract abstract-type="main" id="acps12341-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="acps12341-sec-0001" sec-type="section"> <title>Objective</title> <p>To examine whether non‐psychiatric hospitalizations rates were higher in those with mental disorders.</p> </sec> <sec id="acps12341-sec-0002" sec-type="section"> <title>Method</title> <p>In a cohort of 15 811 employees, aged 35–50 years in 1989, mental disorder status was defined from 1989 to 2000. Hospitalizations for all‐causes, myocardial infarction (MI), stroke, and cancer, were recorded yearly from 2001 to 2011. Negative binomial regression models were used to estimate hospitalization rates over the follow‐up.</p> </sec> <sec id="acps12341-sec-0003" sec-type="section"> <title>Results</title> <p>After controlling for baseline sociodemographic factors, health‐related behaviors, self‐rated health, and self‐reported medical conditions, participants with a mental disorder had significantly higher rates of all‐cause hospitalization [incidence rate ratio, IRR = 1.20 (95%, 1.14–1.26)], as well as hospitalization due to MI [IRR = 1.44 (95%, 1.12–1.85)]. For stroke, the IRR did not reach statistical significance [IRR = 1.37 (95%, 0.95–1.99)] and there was no association with cancer [IRR = 1.01 (95%, 0.86–1.19)]. A similar trend was observed when mental disorders groups were considered (no mental disorder, depressive disorder, mental disorders due to psychoactive substance use, other mental disorders, mixed mental disorders, and severe mental disorder).</p> </sec> <sec id="acps12341-sec-0004" sec-type="section"> <title>Conclusion</title> <p>In this prospective cohort of employees with stable employment as well as universal access to healthcare, we found participants with mental disorders to have higher rates of non‐psychiatric hospitalizations.</p> </sec> </abstract>