Assessing the Relationship of Mood, Anxiety, and Alcohol Related Disorders on Hospital Utilization and Mortality in Adult Patients with Sickle Cell Disease.

详细信息   

• 作者：Bruton ; Sonya J.
• 学历：Psy.D.
• 年：2016
• 毕业院校：The Chicago School of Professional Psychology.bClinical Psychology.
• Department：Clinicalpsychology.
• ISBN：9781321985184
• CBH：3718618
• FileSize：3362376
• Pages：65

文摘

Background: Research indicates that physical, emotional, and cognitive manifestations of sickle cell disease SCD) put SCD patients at higher risk of developing psychological disorders and suggests that mental health diagnosis increases healthcare utilization. Previous studies on the prevalence of mental health diagnoses and healthcare utilization in the adult SCD population lacked the geographic scope and sample size needed for generalizable findings and in some cases offer conflicting conclusions. Methods: We conducted an analysis of person level data within SCD adult patients and the general African American population using datasets. The primary aim of the study was to examine the prevalence of mental health diagnoses in SCD patients and explore the relationship between having a mental health diagnosis and the pattern of healthcare utilization. Results: All patients with SCD had higher rates of alcohol related and mood disorders than the general African American population. A mental health diagnosis did not increase mortality rates. At the visit level, the presence of an anxiety disorder or mood disorder increased the risk of 30-day readmissions. SCD patients with an anxiety or mood disorder stayed in the hospital a median of 5 days. At the encounter level, the presence of a mental health disorder did not increase the total cost of care； however, the presence of a mental health diagnosis increased the median cost of care for all study years for the outpatient population. Results are not different for men and women. Mental health diagnoses had a protective association with acute crisis. Conclusions: Based on these findings, comprehensive care for SCD patients must come to mean providing interventions at the cellular, psychological e.g., emotions, thoughts, and behaviors), and environmental levels through the inclusion of mental health professionals as front line members of the care team.