Aim: Research has revealed higher risks of somatic problems among patients with non-affective psychotic disorders (NAPD) compared to the general population. The aim of this study was to examine whether NAPD patients also show increased somatic health care utilization compared to personally-matched controls without a psychiatric diagnosis and patients with unipolar depression, anxiety disorder or bipolar disorder. Methods: Data from a large Health Insurance agency were used to analyze prescribed somatic medication, general practitioner consultations, and treatment by a somatic specialist. Results: Patients with NAPD showed serious somatic under treatment, which was associated with older age and longer illness duration. Conclusion: In view of the high risk on natural death causes among patients with NAPD, our data indicate under treatment for physical disorders, especially at older age and with longer duration of the mental disorder. Presentatie voor UMCU Psychiatrie All-in 24 oktober 2017
Aim: Research has revealed higher risks of somatic problems among patients with non-affective psychotic disorders (NAPD) compared to the general population. The aim of this study was to examine whether NAPD patients also show increased somatic health care utilization compared to personally-matched controls without a psychiatric diagnosis and patients with unipolar depression, anxiety disorder or bipolar disorder. Methods: Data from a large Health Insurance agency were used to analyze prescribed somatic medication, general practitioner consultations, and treatment by a somatic specialist. Results: Patients with NAPD showed serious somatic under treatment, which was associated with older age and longer illness duration. Conclusion: In view of the high risk on natural death causes among patients with NAPD, our data indicate under treatment for physical disorders, especially at older age and with longer duration of the mental disorder.
ABSTRACT: Introduction: The literature shows that Korsakoff’s syndrome is associated with a wide range of severe comorbid somatic and psychiatric health problems that lead to care needs in several domains of functioning. Aim: To provide a comprehensive overview of Korsakoff patients’ health conditions and related care needs. Method: Following the PRISMA guidelines, we searched MedLine, PsycInfo, Cochrane Library and CINAHL up to January 2019. After applying our inclusion criteria, two reviewers independently selected the studies, extracted the data, and assessed methodological quality. Results: Twelve articles were included. The commonest somatic comorbid conditions were liver disease, cardiovascular disease, COPD and diabetes mellitus. The commonest psychiatric comorbid conditions were mood disorder, personality disorder and psychotic disorder. Anxiety, aggressive/agitated behaviour, depressive symptoms and care needs in social functioning and (instrumental) activities of daily living were also very commonly reported. Discussion: In patients with Korsakoff's syndrome, somatic and psychiatric comorbid conditions co-occur with behavioural and functional problems. They are compounded by patients’ poor self-awareness regarding their health status and functioning. Adequate responses to their care needs require high-quality integrated care.
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