Is preexisting mental illness associated with lower patient satisfaction for older trauma patients? A cross-sectional descriptive study

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Abstract

Background

The purpose of this study was to examine if satisfaction with care differs among older trauma patients with and without preexisting mental illness (PMI+/PMI-).

Methods

Data from two level I trauma centers were examined from 11/2016 through 12/2017. Trauma patients ≥55 years were included and satisfaction of those who had a diagnosis of mental illness prior to the trauma admission (PMI+) to those without a diagnosis (PMI-) ( n = 299; 62 PMI+ and 237 PMI-) were compared. Enrolled patients completed the Family Satisfaction with Advanced Care Cancer Scale Patient Survey (FAMCARE-P13) prior to discharge. Associations between mental illness status and patient baseline characteristics, overall mean satisfaction, and mean satisfaction by question were compared. Generalized linear models adjusted for differences in patient satisfaction by mental illness status. Analyses were stratified by hospital to account for the interaction between hospital and mental illness status.

Results

Compared to PMI- patients, PMI+ patients were more likely to be younger, female, have multiple comorbidities, and to report lower overall satisfaction with care. Among PMI+ patients, the most common diagnoses were depression and anxiety. After adjustment, PMI+ was associated with lower patient satisfaction at hospital 1; after examining individual questions lower satisfaction was associated with information provided on procedures and questions surrounding “Physical care.” Conversely, PMI+ did not affect satisfaction at hospital 2 after adjustment.

Conclusions

At hospital 1, room for improvement was identified in providing information about prognosis and procedures, symptom management, and continuity of care. Reexamining practices for older PMI+ trauma patients is warranted.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12888-021-03071-y.

Related collections

Most cited references 31

Record: found
Abstract: found
Article: not found

Prevalence, persistence, and sociodemographic correlates of DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement.

Ronald C Kessler, Shelli Avenevoli, E. Jane Costello … (2012)

Community epidemiological data on the prevalence and correlates of adolescent mental disorders are needed for policy planning purposes. Only limited data of this sort are available. To present estimates of 12-month and 30-day prevalence, persistence (12-month prevalence among lifetime cases and 30-day prevalence among 12-month cases), and sociodemographic correlates of commonly occurring DSM-IV disorders among adolescents in the National Comorbidity Survey Replication Adolescent Supplement. The National Comorbidity Survey Replication Adolescent Supplement is a US national survey of DSM-IV anxiety, mood, behavior, and substance disorders among US adolescents based on face-to-face interviews in the homes of respondents with supplemental parent questionnaires. Dual-frame household and school samples of US adolescents. A total of 10,148 adolescents aged 13 to 17 years (interviews) and 1 parent of each adolescent (questionnaires). The DSM-IV disorders assessed with the World Health Organization Composite International Diagnostic Interview and validated with blinded clinical interviews based on the Schedule for Affective Disorders and Schizophrenia for School-Age Children. Good concordance (area under the receiver operating characteristic curve ≥0.80) was found between Composite International Diagnostic Interview and Schedule for Affective Disorders and Schizophrenia for School-Age Children diagnoses. The prevalence estimates of any DSM-IV disorder are 40.3% at 12 months (79.5% of lifetime cases) and 23.4% at 30 days (57.9% of 12-month cases). Anxiety disorders are the most common class of disorders, followed by behavior, mood, and substance disorders. Although relative disorder prevalence is quite stable over time, 30-day to 12-month prevalence ratios are higher for anxiety and behavior disorders than mood or substance disorders, suggesting that the former are more chronic than the latter. The 30-day to 12-month prevalence ratios are generally lower than the 12-month to lifetime ratios, suggesting that disorder persistence is due more to episode recurrence than to chronicity. Sociodemographic correlates are largely consistent with previous studies. Among US adolescents, DSM-IV disorders are highly prevalent and persistent. Persistence is higher for adolescents than among adults and appears to be due more to recurrence than chronicity of child-adolescent onset disorders.

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Record: found
Abstract: not found
Article: not found

Cognitive dysfunction in major depressive disorder: effects on psychosocial functioning and implications for treatment.

Raymond W Lam, Sidney H Kennedy, Roger S. Mclntyre … (2014)

0 comments Cited 99 times – based on 0 reviews      Review now

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Record: found
Abstract: found
Article: not found

Quality of medical care for people with and without comorbid mental illness and substance misuse: systematic review of comparative studies.

J. F. Mitchell, Darren Malone, Caroline Carney Doebbeling (2009)

There has been long-standing concern about the quality of medical care offered to people with mental illness. To investigate whether the quality of medical care received by people with mental health conditions, including substance misuse, differs from the care received by people who have no comparable mental disorder. A systematic review of studies that examined the quality of medical care in those with and without mental illness was conducted using robust critical appraisal techniques. Of 31 valid studies, 27 examined receipt of medical care in those with and without mental illness and 10 examined medical care in those with and without substance use disorder (or dual diagnosis). Nineteen of 27 and 10 of 10, respectively, suggested inferior quality of care in at least one domain. Twelve studies found no appreciable differences in care or failed to detect a difference in at least one key area. Several studies showed an increase in healthcare utilisation but without any increase in quality. Three studies found superior care for individuals with mental illness in specific subdomains. There was inadequate information concerning patient satisfaction and structural differences in healthcare delivery. There was also inadequate separation of delivery of care from uptake in care on which to base causal explanations. Despite similar or more frequent medical contacts, there are often disparities in the physical healthcare delivered to those with psychiatric illness although the magnitude of this effect varies considerably.

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Author and article information

Contributors

David Bar-Or:

ORCID: http://orcid.org/0000-0002-3685-314X

davidbme49@gmail.com

Journal

Journal ID (nlm-ta): BMC Psychiatry

Journal ID (iso-abbrev): BMC Psychiatry

Title: BMC Psychiatry

Publisher: BioMed Central (London )

ISSN (Electronic): 1471-244X

Publication date (Electronic): 30 January 2021

Publication date PMC-release: 30 January 2021

Publication date Collection: 2021

Volume: 21

Electronic Location Identifier: 67

Affiliations

[1 ]GRID grid.490409.0, Trauma Research Department, , St. Anthony Hospital, ; CO Lakewood, USA

[2 ]GRID grid.430183.d, Trauma Research Department, , Penrose-St. Francis Health Services, ; Colorado Springs, CO USA

[3 ]GRID grid.490409.0, Trauma Services Department, , St. Anthony Hospital, ; Lakewood, CO USA

[4 ]GRID grid.430183.d, Trauma Services Department, , Penrose St.-Francis Health Services, ; Colorado Springs, CO USA

Author information

David Bar-Or http://orcid.org/0000-0002-3685-314X

Article

Publisher ID: 3071

DOI: 10.1186/s12888-021-03071-y

PMC ID: 7847564

PubMed ID: 33516194

SO-VID: 419af86d-d284-45f7-9521-3699fb62d932

License:

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