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. 2008 Mar;5(1):23-8.

Major Depression and Recent Physical or Sexual Abuse Increase Readmissions Among High-Utilising Primary Care Patients

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Free PMC article

Major Depression and Recent Physical or Sexual Abuse Increase Readmissions Among High-Utilising Primary Care Patients

Jeffrey M Levine et al. Ment Health Fam Med. .
Free PMC article

Abstract

Objective To investigate whether current major depression and past physical/sexual victimisation is associated with recurrent general hospital admissions.Method Ninety-six inner-city primary care patients with a history of high medical service utilisation completed the PRIME-MD and the Abuse Assessment Screen; medical records were reviewed to assess reasons for re-hospitalisations. We compared hospitalisation rates over the preceding 12 months between those subjects with and without major depression and those with and without histories of abuse.Results Compared to non-abused subjects, patients with past-year abuse showed significantly increased past-year hospitalisations (3.2 versus 1.8, P = 0.007). Re-admissions were related to chronic disease management and were not because of acute physical effects of trauma. Analysis of variance revealed that major depressive disorder and past-year abuse history interacted to increase an association with re-admissions.Conclusions Past-year abuse was independently associated with increased hospital admissions. Psychological effects of recent abuse combined with depression may particularly increase rates of medical/surgical hospitalisations.

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