HOME HELP FEEDBACK SUBSCRIPTIONS ALL ISSUES SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a Colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Kilbourne, A. M. Articles by Pincus, H. A. Search for Related Content PubMed PubMed Citation Articles by Kilbourne, A. M. Articles by Pincus, H. A.

General-Medical Conditions in Older Patients With Serious Mental Illness

Received October 7, 2004; revised November 11, December 7, 2004; accepted December 21, 2004. From the VA Pittsburgh Healthcare System, Pittsburgh, PA (AMK,JRC,XH,GLH,IS,JC), the Dept. of Medicine, Univ. of Pittsburgh, Pittsburgh, PA (AMK,JC), the Dept. of Psychiatry, Univ. of Pittsburgh, Pittsburgh, PA (AMK,JRC,GLH,IS,HAP), and RAND; Univ. of Pittsburgh Health Institute, Pittsburgh, PA (HAP). Send correspondence and reprint requests to Amy M. Kilbourne, Ph.D., M.P.H., VA Pittsburgh Center for Health Equity Research and Promotion (151-C), University Drive C, Pittsburgh, PA 15240. e-mail: Amy.Kilbourne{at}med.va.gov
© 2005 American Association for Geriatric Psychiatry

Objective: The burden of medical comorbidities was compared between older (60 years) and younger patients with serious mental illness. Methods: Patients (N=8,083) diagnosed with schizophrenia, schizoaffective disorder, or bipolar disorder in 2001 were identified from VA facilities in the mid-Atlantic region. Medical comorbidities were identified by an ICD-9–based clinical classification algorithm. Results: Older, versus younger, patients were more likely to be diagnosed with cardiovascular or pulmonary conditions, and less likely to be diagnosed with substance-use disorders or hepatic conditions. Conclusions: More aggressive detection and management of general-medical comorbidities in older patients with serious mental illness is paramount.

Key Words: Medical Comorbidity Cognition • Depression

This article has been cited by other articles:

				E. L. O'Neal, J. R. Adams, G. J. McHugo, A. D. Van Citters, R. E. Drake, and S. J. Bartels Preferences of Older and Younger Adults With Serious Mental Illness for Involvement in Decision-Making in Medical and Psychiatric Settings Am J Geriatr Psychiatry, October 1, 2008; 16(10): 826 - 833. [Abstract] [Full Text] [PDF]

				A. M. Kilbourne, E. P. Post, A. Nossek, L. Drill, S. Cooley, and M. S. Bauer Improving Medical and Psychiatric Outcomes Among Individuals With Bipolar Disorder: A Randomized Controlled Trial Psychiatr Serv, July 1, 2008; 59(7): 760 - 768. [Abstract] [Full Text] [PDF]

				E. A. Miller and R. A. Rosenheck Mental Illness and Use of Home Care Nationally in the U.S. Department of Veterans Affairs Am J Geriatr Psychiatry, December 1, 2007; 15(12): 1046 - 1056. [Abstract] [Full Text] [PDF]

				A. M. Kilbourne, J. S. Brar, R. A. Drayer, X. Xu, and E. P. Post Cardiovascular Disease and Metabolic Risk Factors in Male Patients With Schizophrenia, Schizoaffective Disorder, and Bipolar Disorder Psychosomatics, October 1, 2007; 48(5): 412 - 417. [Abstract] [Full Text] [PDF]

				C. P. Carney and L. E. Jones Medical comorbidity in women and men with bipolar disorders: a population-based controlled study. Psychosom Med, September 1, 2006; 68(5): 684 - 691. [Abstract] [Full Text] [PDF]

				L. A. Chwastiak, R. A. Rosenheck, J. P. McEvoy, R. S. Keefe, M. S. Swartz, and J. A. Lieberman Interrelationships of Psychiatric Symptom Severity, Medical Comorbidity, and Functioning in Schizophrenia Psychiatr Serv, August 1, 2006; 57(8): 1102 - 1109. [Abstract] [Full Text] [PDF]

				O. I. Okereke and D. P. Folsom Medical Comorbidity in Geriatric Psychiatry Am J Geriatr Psychiatry, March 1, 2005; 13(3): 177 - 179. [Full Text] [PDF]