The clustering of physical health conditions and associations with co-occurring mental health problems and problematic alcohol use: a cross-sectional study
Abstract Background There is strong evidence for the co-occurrence of mental health conditions and alcohol problems, yet physical health outcomes among this group are not well characterised. This study aimed to identify clusters of physical health conditions and their associations with mental health...
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-02-01
|
| Series: | BMC Psychiatry |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12888-023-04577-3 |
| _version_ | 1811165778746015744 |
|---|---|
| author | Katalin Ujhelyi Gomez Orla McBride Emmert Roberts Colin Angus Katherine Keyes Colin Drummond Iain Buchan Kate Fleming Ian Gilmore Kim Donoghue Laura Bonnet Laura Goodwin |
| author_facet | Katalin Ujhelyi Gomez Orla McBride Emmert Roberts Colin Angus Katherine Keyes Colin Drummond Iain Buchan Kate Fleming Ian Gilmore Kim Donoghue Laura Bonnet Laura Goodwin |
| author_sort | Katalin Ujhelyi Gomez |
| collection | DOAJ |
| description | Abstract Background There is strong evidence for the co-occurrence of mental health conditions and alcohol problems, yet physical health outcomes among this group are not well characterised. This study aimed to identify clusters of physical health conditions and their associations with mental health and problematic alcohol use in England’s general population. Methods Cross-sectional analysis of the 2014 Adult Psychiatric Morbidity Survey (N = 7546) was conducted. The survey used standardised measures of problematic alcohol use and mental health conditions, including the Alcohol Use Disorders Identification Test (AUDIT) and the Clinical Interview Schedule-Revised. Participants self-reported any lifetime physical health conditions. Latent class analysis considered 12 common physical illnesses to identify clusters of multimorbidity. Multinomial logistic regression (adjusting for age, gender, ethnicity, education, and occupational grade) was used to explore associations between mental health, hazardous drinking (AUDIT 8 +), and co-occurring physical illnesses. Results Five clusters were identified with statistically distinct and clinically meaningful disease patterns: ‘Physically Healthy’ (76.62%), ‘Emerging Multimorbidity’ (3.12%), ‘Hypertension & Arthritis’ (14.28%), ‘Digestive & Bowel Problems’’ (3.17%), and ‘Complex Multimorbidity’ (2.8%). Having a mental health problem was associated with increased odds of ‘Digestive & Bowel Problems’ (adjusted multinomial odds ratio (AMOR) = 1.58; 95% CI [1.15–2.17]) and ‘Complex Multimorbidity’ (AMOR = 2.02; 95% CI [1.49–2.74]). Individuals with co-occurring mental health conditions and problematic alcohol use also had higher odds of ‘Digestive & Bowel Problems’ (AMOR = 2.64; 95% CI [1.68–4.15]) and ‘Complex Multimorbidity’ (AMOR = 2.62; 95% CI [1.61–4.23]). Conclusions Individuals with a mental health condition concurrent with problematic alcohol use experience a greater burden of physical illnesses, highlighting the need for timely treatment which is likely to include better integration of alcohol and mental health services. |
| first_indexed | 2024-04-10T15:42:06Z |
| format | Article |
| id | doaj.art-7b11614d83c84c2d8899e1d84eba15f1 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-04-10T15:42:06Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-7b11614d83c84c2d8899e1d84eba15f12023-02-12T12:18:58ZengBMCBMC Psychiatry1471-244X2023-02-0123111410.1186/s12888-023-04577-3The clustering of physical health conditions and associations with co-occurring mental health problems and problematic alcohol use: a cross-sectional studyKatalin Ujhelyi Gomez0Orla McBride1Emmert Roberts2Colin Angus3Katherine Keyes4Colin Drummond5Iain Buchan6Kate Fleming7Ian Gilmore8Kim Donoghue9Laura Bonnet10Laura Goodwin11Department of Primary Care and Mental Health, University of LiverpoolSchool of Psychology, Ulster UniversityNational Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King’s College London and South London and the Maudsley NHS Foundation TrustSchool of Health and Related Research, University of SheffieldDepartment of Epidemiology, Columbia UniversityNational Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King’s College London and South London and the Maudsley NHS Foundation TrustDepartment of Public Health, Policy, and Systems, University of LiverpoolNational Disease Registration Service, NHS DigitalLiverpool Centre for Alcohol Research, University of LiverpoolClinical, Education & Health Psychology, University College LondonDepartment of Health Data Science, University of LiverpoolDivision of Health Research, Lancaster UniversityAbstract Background There is strong evidence for the co-occurrence of mental health conditions and alcohol problems, yet physical health outcomes among this group are not well characterised. This study aimed to identify clusters of physical health conditions and their associations with mental health and problematic alcohol use in England’s general population. Methods Cross-sectional analysis of the 2014 Adult Psychiatric Morbidity Survey (N = 7546) was conducted. The survey used standardised measures of problematic alcohol use and mental health conditions, including the Alcohol Use Disorders Identification Test (AUDIT) and the Clinical Interview Schedule-Revised. Participants self-reported any lifetime physical health conditions. Latent class analysis considered 12 common physical illnesses to identify clusters of multimorbidity. Multinomial logistic regression (adjusting for age, gender, ethnicity, education, and occupational grade) was used to explore associations between mental health, hazardous drinking (AUDIT 8 +), and co-occurring physical illnesses. Results Five clusters were identified with statistically distinct and clinically meaningful disease patterns: ‘Physically Healthy’ (76.62%), ‘Emerging Multimorbidity’ (3.12%), ‘Hypertension & Arthritis’ (14.28%), ‘Digestive & Bowel Problems’’ (3.17%), and ‘Complex Multimorbidity’ (2.8%). Having a mental health problem was associated with increased odds of ‘Digestive & Bowel Problems’ (adjusted multinomial odds ratio (AMOR) = 1.58; 95% CI [1.15–2.17]) and ‘Complex Multimorbidity’ (AMOR = 2.02; 95% CI [1.49–2.74]). Individuals with co-occurring mental health conditions and problematic alcohol use also had higher odds of ‘Digestive & Bowel Problems’ (AMOR = 2.64; 95% CI [1.68–4.15]) and ‘Complex Multimorbidity’ (AMOR = 2.62; 95% CI [1.61–4.23]). Conclusions Individuals with a mental health condition concurrent with problematic alcohol use experience a greater burden of physical illnesses, highlighting the need for timely treatment which is likely to include better integration of alcohol and mental health services.https://doi.org/10.1186/s12888-023-04577-3MultimorbidityMental healthAlcoholPhysical healthLatent class analysis |
| spellingShingle | Katalin Ujhelyi Gomez Orla McBride Emmert Roberts Colin Angus Katherine Keyes Colin Drummond Iain Buchan Kate Fleming Ian Gilmore Kim Donoghue Laura Bonnet Laura Goodwin The clustering of physical health conditions and associations with co-occurring mental health problems and problematic alcohol use: a cross-sectional study BMC Psychiatry Multimorbidity Mental health Alcohol Physical health Latent class analysis |
| title | The clustering of physical health conditions and associations with co-occurring mental health problems and problematic alcohol use: a cross-sectional study |
| title_full | The clustering of physical health conditions and associations with co-occurring mental health problems and problematic alcohol use: a cross-sectional study |
| title_fullStr | The clustering of physical health conditions and associations with co-occurring mental health problems and problematic alcohol use: a cross-sectional study |
| title_full_unstemmed | The clustering of physical health conditions and associations with co-occurring mental health problems and problematic alcohol use: a cross-sectional study |
| title_short | The clustering of physical health conditions and associations with co-occurring mental health problems and problematic alcohol use: a cross-sectional study |
| title_sort | clustering of physical health conditions and associations with co occurring mental health problems and problematic alcohol use a cross sectional study |
| topic | Multimorbidity Mental health Alcohol Physical health Latent class analysis |
| url | https://doi.org/10.1186/s12888-023-04577-3 |
| work_keys_str_mv | AT katalinujhelyigomez theclusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT orlamcbride theclusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT emmertroberts theclusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT colinangus theclusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT katherinekeyes theclusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT colindrummond theclusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT iainbuchan theclusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT katefleming theclusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT iangilmore theclusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT kimdonoghue theclusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT laurabonnet theclusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT lauragoodwin theclusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT katalinujhelyigomez clusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT orlamcbride clusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT emmertroberts clusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT colinangus clusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT katherinekeyes clusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT colindrummond clusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT iainbuchan clusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT katefleming clusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT iangilmore clusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT kimdonoghue clusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT laurabonnet clusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy AT lauragoodwin clusteringofphysicalhealthconditionsandassociationswithcooccurringmentalhealthproblemsandproblematicalcoholuseacrosssectionalstudy |