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Articles by A. T. F. Beekman
Total Records ( 2 ) for A. T. F. Beekman
  P Cuijpers , F Smit , B. W. J. H Penninx , R de Graaf , M ten Have and A. T. F. Beekman

Context  The importance of neuroticism for mental health care use and public health is well established. However, most research has focused on the association between neuroticism and a single specific disorder or health outcome, and the overall effect of neuroticism on use of somatic and mental health care and on society is not clear.

Objective  To examine the economic costs of neuroticism to get an impression of the overall effect of neuroticism on mental health care and on society in general.

Design  Cross-sectional population-based study.

Setting  General population.

Participants  A large representative sample (N = 5504) of the Dutch general population.

Main Outcome Measures  The costs (health service uptake in primary and secondary mental health care, out-of-pocket costs, and production losses) associated with neuroticism.

Results  The total per capita excess costs were $12 362 per year for the reference year 2007 in the 5% highest scorers of neuroticism, $8243 in the 10% highest scorers, and $5572 in the 25% highest scorers. The per capita excess costs of neuroticism are considerably higher than those of mental disorders. The total excess costs of neuroticism per 1 million inhabitants resulting from the 25% highest scorers ($1.393 billion) were approximately 2.5 times as high as the excess costs of common mental disorders ($585 million).

Conclusions  The economic costs of neuroticism are enormous and exceed those of common mental disorders. We should start thinking about interventions that focus not on each of the specific negative outcomes of neuroticism but rather on the starting point itself.

  K. M. van Steenbergen-Weijenburg , A. L. van Puffelen , E. K. Horn , J. Nuyen , P. Sytze van Dam , T. B. van Benthem , A. T. F. Beekman , F. F. H. Rutten , L. Hakkaart-van Roijen and C. M. van der Feltz-Cornelis
  Aims: The impact of depression on patients with chronic medical illnesses such as diabetes is well documented. Depression is relatively common in diabetes patients with diabetes-related complications and they are more likely to be referred to specialized outpatient facilities. Only a few studies have addressed the association between depression and multiple diabetes-related complications at these specialized outpatient facilities. The aim of this study was to determine the association between diabetes with multiple complications and depression in patients with Type 2 diabetes at a specialized outpatient clinic. Methods: After giving informed consent, 1194 patients were screened for depression using the Patient Health Questionnaire (PHQ-9). Additional data on the type of diabetes and complications were taken from the medical records. Logistic regression analysis was conducted, with complications as the predictor variable and the probability of depression as the dependent variable. Results: A total of 596 (63%) patients with Type 2 diabetes participated in the study. The presence of two or more complications (OR 2.23, 95% CI 1.02-2.94) was significantly associated with depression. Neuropathy (OR 1.7, 95% CI 1.10-2.77) and nephropathy (OR 1.68, 95% CI 1.00-2.48) were especially related to depression. Conclusions: Patients with Type 2 diabetes with two or more complications, especially neuropathy or nephropathy, are at high risk of depression. Knowing this can help clinicians identify patients at risk for depression and facilitate timely and adequate treatment.
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