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Long Term Conditions
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Physical illness, when co-morbid with
mental illness, is significantly associated with increased
prevalence of mental illness and poorer outcomes, and with
increased utilization of resources, particularly in the common
chronic diseases.
For example:
* Patients with
depressive disorder are twice as likely to use emergency department
services as those without depression.
* In diabetes,
total health expenditure is four and a half times higher for
individuals with depression than for those without depression.
* In chronic
heart disease, depressed patients have higher rates of
complications and are more likely to undergo invasive
procedures.
* People with chronic obstructive pulmonary disease (COPD) who
are also depressed have longer hospital stays and increased symptom
burden.
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