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

Jonna F van Eck van der Sluijs,1,2 Margreet ten Have,3 Cees A Rijnders,4 Harm WJ van Marwijk,5,6 Ron de Graaf,3 Christina M van der Feltz-Cornelis1,2 1Clinical Centre of Excellence for Body, Mind and Health, GGz Breburg, 2Tranzo Department, Tilburg University, Tilburg, 3Netherlands Institute of Men...

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Autores principales:	van Eck van der Sluijs JF, ten Have M, Rijnders CA, van Marwijk HWJ, de Graaf R, van der Feltz-Cornelis CM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Medically Unexplained Symptoms Mental health care use General population Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/89c98f96eadb4ee3b04e3823548d936c
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spelling	oai:doaj.org-article:89c98f96eadb4ee3b04e3823548d936c2021-12-02T05:59:34ZMental health care use in medically unexplained and explained physical symptoms: findings from a general population study1178-2021https://doaj.org/article/89c98f96eadb4ee3b04e3823548d936c2016-08-01T00:00:00Zhttps://www.dovepress.com/mental-health-care-use-in-medically-unexplained-and-explained-physical-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Jonna F van Eck van der Sluijs,1,2 Margreet ten Have,3 Cees A Rijnders,4 Harm WJ van Marwijk,5,6 Ron de Graaf,3 Christina M van der Feltz-Cornelis1,2 1Clinical Centre of Excellence for Body, Mind and Health, GGz Breburg, 2Tranzo Department, Tilburg University, Tilburg, 3Netherlands Institute of Mental Health and Addiction, Utrecht, 4Department of Residency training, GGz Breburg, Tilburg, the Netherlands; 5Centre for Primary Care, Institute of Population Health, University of Manchester, Manchester, UK; 6Department of General Practice and Elderly Care Medicine, EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam, the Netherlands 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. Keywords: medically unexplained symptoms, explained physical symptoms, mental health care use, general populationvan Eck van der Sluijs JFten Have MRijnders CAvan Marwijk HWJde Graaf Rvan der Feltz-Cornelis CMDove Medical PressarticleMedically Unexplained SymptomsMental health care useGeneral populationNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 12, Pp 2063-2072 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medically Unexplained Symptoms Mental health care use General population Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Medically Unexplained Symptoms Mental health care use General population Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 van Eck van der Sluijs JF ten Have M Rijnders CA van Marwijk HWJ de Graaf R van der Feltz-Cornelis CM Mental health care use in medically unexplained and explained physical symptoms: findings from a general population study
description	Jonna F van Eck van der Sluijs,1,2 Margreet ten Have,3 Cees A Rijnders,4 Harm WJ van Marwijk,5,6 Ron de Graaf,3 Christina M van der Feltz-Cornelis1,2 1Clinical Centre of Excellence for Body, Mind and Health, GGz Breburg, 2Tranzo Department, Tilburg University, Tilburg, 3Netherlands Institute of Mental Health and Addiction, Utrecht, 4Department of Residency training, GGz Breburg, Tilburg, the Netherlands; 5Centre for Primary Care, Institute of Population Health, University of Manchester, Manchester, UK; 6Department of General Practice and Elderly Care Medicine, EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam, the Netherlands 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. Keywords: medically unexplained symptoms, explained physical symptoms, mental health care use, general population
format	article
author	van Eck van der Sluijs JF ten Have M Rijnders CA van Marwijk HWJ de Graaf R van der Feltz-Cornelis CM
author_facet	van Eck van der Sluijs JF ten Have M Rijnders CA van Marwijk HWJ de Graaf R van der Feltz-Cornelis CM
author_sort	van Eck van der Sluijs JF
title	Mental health care use in medically unexplained and explained physical symptoms: findings from a general population study
title_short	Mental health care use in medically unexplained and explained physical symptoms: findings from a general population study
title_full	Mental health care use in medically unexplained and explained physical symptoms: findings from a general population study
title_fullStr	Mental health care use in medically unexplained and explained physical symptoms: findings from a general population study
title_full_unstemmed	Mental health care use in medically unexplained and explained physical symptoms: findings from a general population study
title_sort	mental health care use in medically unexplained and explained physical symptoms: findings from a general population study
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/89c98f96eadb4ee3b04e3823548d936c
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Mental health care use in medically unexplained and explained physical symptoms: findings from a general population study

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