Frontiers in Global Women's Health (Mar 2021)
The Added Burden of Personality Disorder on Subsidized Australian Health Service Utilization Among Women With Mental State Disorder
- Bianca E. Kavanagh,
- Stella M. Gwini,
- Stella M. Gwini,
- Julie A. Pasco,
- Julie A. Pasco,
- Julie A. Pasco,
- Julie A. Pasco,
- Amanda L. Stuart,
- Shae E. Quirk,
- Shae E. Quirk,
- Shae E. Quirk,
- James Gaston,
- Kara L. Holloway-Kew,
- Alyna Turner,
- Alyna Turner,
- Michael Berk,
- Michael Berk,
- Michael Berk,
- Michael Berk,
- Michael Berk,
- Olivia M. Dean,
- Olivia M. Dean,
- Olivia M. Dean,
- Andrew M. Chanen,
- Andrew M. Chanen,
- Heli Koivumaa-Honkanen,
- Heli Koivumaa-Honkanen,
- Paul Moran,
- Rohan Borschmann,
- Rohan Borschmann,
- Rohan Borschmann,
- Rohan Borschmann,
- Lana J. Williams
Affiliations
- Bianca E. Kavanagh
- School of Medicine, Institute for Physical and Mental Health and Clinical Translation, Barwon Health, Deakin University, Geelong, VIC, Australia
- Stella M. Gwini
- School of Medicine, Institute for Physical and Mental Health and Clinical Translation, Barwon Health, Deakin University, Geelong, VIC, Australia
- Stella M. Gwini
- University Hospital Geelong, Barwon Health, Geelong, VIC, Australia
- Julie A. Pasco
- School of Medicine, Institute for Physical and Mental Health and Clinical Translation, Barwon Health, Deakin University, Geelong, VIC, Australia
- Julie A. Pasco
- University Hospital Geelong, Barwon Health, Geelong, VIC, Australia
- Julie A. Pasco
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia
- Julie A. Pasco
- Department of Medicine-Western Health, University of Melbourne, St. Albans, VIC, Australia
- Amanda L. Stuart
- School of Medicine, Institute for Physical and Mental Health and Clinical Translation, Barwon Health, Deakin University, Geelong, VIC, Australia
- Shae E. Quirk
- School of Medicine, Institute for Physical and Mental Health and Clinical Translation, Barwon Health, Deakin University, Geelong, VIC, Australia
- Shae E. Quirk
- Institute of Clinical Medicine/Psychiatry, University of Eastern Finland, Kuopio, Finland
- Shae E. Quirk
- Institute of Clinical Medicine, Kuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland, Kuopio, Finland
- James Gaston
- School of Medicine, Institute for Physical and Mental Health and Clinical Translation, Barwon Health, Deakin University, Geelong, VIC, Australia
- Kara L. Holloway-Kew
- School of Medicine, Institute for Physical and Mental Health and Clinical Translation, Barwon Health, Deakin University, Geelong, VIC, Australia
- Alyna Turner
- School of Medicine, Institute for Physical and Mental Health and Clinical Translation, Barwon Health, Deakin University, Geelong, VIC, Australia
- Alyna Turner
- Faculty of Health and Medicine, School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW, Australia
- Michael Berk
- School of Medicine, Institute for Physical and Mental Health and Clinical Translation, Barwon Health, Deakin University, Geelong, VIC, Australia
- Michael Berk
- Florey Institute for Neuroscience and Mental Health, University of Melbourne, Parkville, VIC, Australia
- Michael Berk
- Department of Psychiatry, University of Melbourne, Parkville, VIC, Australia
- Michael Berk
- 0Orygen, Parkville, VIC, Australia
- Michael Berk
- 1Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
- Olivia M. Dean
- School of Medicine, Institute for Physical and Mental Health and Clinical Translation, Barwon Health, Deakin University, Geelong, VIC, Australia
- Olivia M. Dean
- University Hospital Geelong, Barwon Health, Geelong, VIC, Australia
- Olivia M. Dean
- Florey Institute for Neuroscience and Mental Health, University of Melbourne, Parkville, VIC, Australia
- Andrew M. Chanen
- 0Orygen, Parkville, VIC, Australia
- Andrew M. Chanen
- 1Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
- Heli Koivumaa-Honkanen
- Institute of Clinical Medicine/Psychiatry, University of Eastern Finland, Kuopio, Finland
- Heli Koivumaa-Honkanen
- 2Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland
- Paul Moran
- 3Population Health Sciences Department, Centre for Academic Mental Health, Bristol Medical School, University of Bristol, Bristol, United Kingdom
- Rohan Borschmann
- 4Justice Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia
- Rohan Borschmann
- 5Centre for Adolescent Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia
- Rohan Borschmann
- 6Health Service and Population Research Department, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, United Kingdom
- Rohan Borschmann
- 7Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, VIC, Australia
- Lana J. Williams
- School of Medicine, Institute for Physical and Mental Health and Clinical Translation, Barwon Health, Deakin University, Geelong, VIC, Australia
- DOI
- https://doi.org/10.3389/fgwh.2021.615057
- Journal volume & issue
-
Vol. 2
Abstract
This study aimed to investigate health service utilization among women with mental state disorder only (MSD-PD), mental state disorder plus personality disorder (MSD+PD), and controls in a population-based sample. Women (n = 635) from the Geelong Osteoporosis Study completed mental health assessments and were categorized into groups (MSD-PD, MSD+PD, controls). General practitioner (mental and non-mental health encounters) and specialized mental health service utilization was ascertained from data linkage to the Medicare Benefits Schedule, Australia (01/09/2008-31/12/2012). Negative binomial and binary logistic regression models were employed to assess health service utilization differences between groups. Results indicated that women with MSD+PD had more encounters of non-mental health service utilization than women with MSD-PD and controls. Age significantly modified these relationships: women with MSD+PD and MSD-PD had more encounters of health service utilization at midlife and in the seventh decade of life. No significant differences were found in the frequency of general practitioner mental health service utilization or specialized mental health service utilization between groups. These data suggest that the presence of co-occurring PD is associated with increased health service utilization among women with other common mental health problems. Healthcare providers should be vigilant to the presence of PD when establishing management plans with patients presenting with common mental health problems.
Keywords
- personality disorder (MeSH)
- mental state disorder
- health service utilization
- mental disorder
- psychiatry
