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ArticleIndian journal of psychiatry2025

Undetected comorbidities in older adults with serious mental illness, and opportunities for screening - A cross-sectional study from Kerala.

Priya Chandran, Jayakrishnan Thavody, C M Sujina, Neethu Mohan, Shibu Kumar, Harish M Tharayil, Anusha Prabakarana, C B Sooria, Smita N Deshpande

Abstract read
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Article in Indian journal of psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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5 · Who and what money

Authors and funding

9 authors.

Priya ChandranDepartment of Community Medicine, Government Medical College Manjeri, Kerala, India.
Jayakrishnan ThavodyDepartment of Community Medicine, Government Medical College Manjeri, Kerala, India.
C M SujinaDepartment of Community Medicine, Government Medical College Manjeri, Kerala, India.
Neethu MohanDepartment of Community Medicine, Government Medical College Manjeri, Kerala, India.
Shibu KumarDepartment of Psychiatry, Government Medical College Kozhikode, Kerala, India.
Harish M TharayilDepartment of Psychiatry, Government Medical College Kozhikode, Kerala, India.
Anusha PrabakaranaDepartment of Community Medicine, Government Medical College Manjeri, Kerala, India.
C B SooriaDepartment of Community Medicine, Government Medical College Manjeri, Kerala, India.
Smita N DeshpandeDepartment of Psychiatry, St. Johns National Academy of Health Sciences, Bengaluru, Karnataka, India.

Funding

Psychiatric research infrastructure for intervention and implementation in India – TEAMSD43TW009114 · FIC · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Smita N Deshpande, Mary Elizabeth Hawk · 2014 to 2026
$3.2M
FIC NIH HHS D43 TW009114
6 · The paper itself

Abstract

Background: The Older adults with serious mental illness (OASMI) have a shorter life expectancy than the general population. Comorbidities are mainly responsible for this "mortality gap." India lacks field studies on comorbidities among the OASMI. Aim: We aimed to determine the prevalence of self-reported medical comorbidities and associated factors among the OASMI in Kerala living in the community. Materials and Methods: The present study is a part of the Support system Evaluation of Neuropsychiatric Illness in Old age (SENIOR) research project. SENIOR used a cross-sectional study design, among OASMI participants identified through multistage cluster sampling from three districts in Kerala. For data collection trained research fellows conducted participant interviews at the participant households. The analysis of self-reported comorbidities for this paper was a secondary analysis derived from the primary data of the SENIOR study. Results: More than half (53.98%) of the 917 OASMI participants self-reported at least one medical comorbidity, with hypertension (32.2%) and diabetes (25.1%) being the most common. Reported comorbidity prevalence was lower, among those without partners ( Conclusion: The lower prevalence of self-reported comorbidity in our study indicates that comorbidities among the OASMI often go undetected. To address this issue, we propose that their contact with the healthcare system/provider must be utilized for comorbidities screening, and awareness on this created among all stakeholders. Implementing targeted screening for high-risk OASMI groups identified in our study can help narrow their mortality gap.

Indexed as

ComorbidityOASMIolder adultsscreeningserious mental illness

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.