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Neurologische Erkrankungen und psychische Störungen: gesundheitsbezogene Lebensqualität und Kostenfaktoren

Zeitschrift für Neuropsychologie (Impact Factor: 0.64). 01/2009; 20:1-10. DOI: 10.1024/1016-264X.20.4.285

ABSTRACT Zusammenfassung. Hintergrund/ Fragestellung. Die Untersuchung vergleicht die Prävalenz psychischer Stçrungen bei Personen mit versus ohne neurologischen Erkrankungen sowie die gesundheitsbezogene Lebensqualität (HRQOL) und gesundheitsçkonomischen Kostenindikatoren zwischen diesen Gruppen. Patienten und Methoden. Die Daten basieren auf dem bundesweiten Gesundheitssurvey (BGS 1998/99; repräsentative Erwachsenen-stichprobe 18 – 65 Jahre, N=4181). Für eine Teilstichprobe von N=187 Teilnehmern mit mindestens einer neurologischen Diagnose (Lifetime) wurden die 12-Monats-Prävalenzen psychischer Stçrungen (DSM-IV; klinisches Interview: CIDI), ihr Zusammenhang mit der HRQOL (SF-36) und gesundheitsçkonomischen Indikatoren (Inanspruchnahme medizinischer Leistungen, Ausfalltage) im Vergleich zur Allgemeinbevçlkerung ohne neurologische Erkrankung untersucht. Ergebnisse. Neurologische Erkrankungen gehen mit einer erhçhten Prävalenz psychischer Stçrungen einher (38.9 % vs. 30,8 %). Wenn psychische Stçrungen vorliegen, stehen diese bei der Gruppe mit neurologischer Diagnose mit einer verminderten psychischen und kçrperlichen HRQOL sowie ungünstigeren gesundheitsçkonomischen Indikatoren (erhçhte Inanspruchnahme medizinischer Leistun-gen, erhçhte Anzahl an krankheitsbedingten Ausfalltagen) im Zusammenhang. Schlussfolgerung. Die Daten unterstreichen die besondere Bedeutung psychischer Stçrung für die HRQOL und gesundheitsçkonomische Kostenfaktoren nach neurologischen Erkrankungen. Abstract. Background/ Objectives. To compare the prevalence of mental disorders for persons with and without neurological disease, and to compare health related quality of life and health related cost indicators between these groups. Methods. Presented data are based on the Mental Health Supplement of the German National Health Interview and Examination Survey (GHS-MHS; representative adult sample age 18 – 65; N=4181) conducted in 1998/99, using the CIDI-interview to assess diagnoses of mental disorders according to DSM-IV. For a sample (N=187) with at least one neurological disease (lifetime) we determined the 12-month prevalence of mental disorders, and compared the association of mental disorders with HRQOL (SF-36) and health related cost indicators (health services utilisation, days of illness) with respect to persons without neurological disease. Results. Persons with a neurological disease have a higher prevalence of mental disorders compared to the community sample (38,9 % vs. 30,8 %). In neurological patients mental disorders are associated with lower physical and mental HRQOL, and adverse effects in health related cost indicators.

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