Concurrent Morbidity Between Physical and Mental Illness: An Epidemiologic Examination

  • Linda K. George
  • Richard Landerman
  • Dan Blazer
  • Mary Lou Melville


Two broad research traditions have examined the relationship between physical and mental illness: epidemiologic surveys and clinical studies (Houpt, Orleans, George, et al., 1979; 1980). Epidemiologic surveys typically are based on community samples, obtain data about both physical and mental illness from respondents’ self-reports, and measure both physical and mental illness in terms of symptom counts or degree of functional impairment. Clinical studies typically are based on the patient population of a single health service setting, rely upon patient charts for information about physical and mental illness, and emphasize diagnosis rather than impairment.


Mental Illness Psychiatric Disorder Anxiety Disorder Affective Disorder Physical Illness 
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  1. Aday, L.A. & Andersen, R. (1975). Access to medical care. Ann Arbor, MI: Health Administration Press.Google Scholar
  2. American Psychiatric Association (1980). Diagnostic and statistical manual of mental disorders (third edition). Washington, D.C.: American Psychiatric Association.Google Scholar
  3. Blazer, D.G., George, L.K., Landerman, R., Pennybacker, M., Melville, M.L., Woodbury, M., Manton, K.G., Jordan, K. & Locke, B.Z. (1985). Psychiatric disorders: A rural/urban comparison. Archives of General Psychiatry, 42, 651–656.PubMedCrossRefGoogle Scholar
  4. Blazer, D.G. & Houpt, J.L. (1979). Perception of poor health in the healthy older adult. Journal of the American Geriatrics Society, 27, 330–334.PubMedGoogle Scholar
  5. Boyd, J.H., Burke, J.D. Jr., Gruenberg, E., Holzer, C.E., Rae, D.S., George, L.K., Karno, M., Stoltzman, R., McEvoy, L. & Nestadt, G. (1984). The exclusion criteria of DSM-III: A study of the co-occurrence of hierarchy-free syndromes. Archives of General Psychiatry, 41, 983–989.PubMedCrossRefGoogle Scholar
  6. Dohrenwend, B.P. & Dohrenwend, B.S. (1969). Social status and psychological disorder. New York: Wiley-Interscience.Google Scholar
  7. Eaton, W.W. & Kessler, L.G. (Eds.) (1985). Epidemiologic methods in psychiatry: The NIMH Epidemiologic Catchment Area Program. New York: Academic Press.Google Scholar
  8. Eaton, W.W., Regier, D.A., Locke, B.Z. & Taube, C.A. (1981). The Epidemiologic Catchment Area Program of the National Institute of Mental Health. Public Health Reports, 96, 319–325.PubMedGoogle Scholar
  9. Folstein, M.F., Folstein, S.E. & McHugh, P.R. (1975). Mini Mental State: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12,189–198.PubMedCrossRefGoogle Scholar
  10. Habot, B. & Leibow, L.S. (1980). The interrelationship of mental and physical status and its assessment in the older adult: Mind-body interaction. In J.E. Birren & R.B. Stone (Eds.), Handbook of Mental Health and Aging. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
  11. Houpt, J.L., Orleans, C.S., George, L.K. & Brodie, H.K.H. (1979). The importance of mental health services to general health care. Lexington, MA: Ballinger.Google Scholar
  12. Houpt, J.L., Orleans, C.S., George, L.K. & Brodie, H.K.H. (1980). The role of psychiatric and behavioral factors in the practice of medicine. American Journal of Psychiatry, 137, 37–47.PubMedGoogle Scholar
  13. Kay, D.W.K. & Bergmann, K. (1966). Physical disability and mental health in old age. Journal of Psychosomatic Research, 10, 3–12.PubMedCrossRefGoogle Scholar
  14. Langner, T.S. & Michael, S.T. (1963). Life stress and mental health. Glencoe, IL: Free Press.Google Scholar
  15. Lowenthal, M.F. & Berkman, P.L. (1967). Aging and mental disorder in San Francisco. San Francisco: Jossey-Bass.Google Scholar
  16. Okun, M.A. & George, L.K. (1984). Physician- and self-ratings of health, neuroticism, and subjective well-being among men and women. Personality and Individual Differences, 5, 533–540.CrossRefGoogle Scholar
  17. Myers, J.K., Weissman, M.M., Tischler, G.L., Holzer, C.E., Leaf, P.J., Orvaschel, H., Anthony, J.C., Boyd, J.H., Burke, J.D., Kramer, M. & Stoltzman, R. (1984). Six-month prevalence of psychiatric disorders in three communities. Archives of General Psychiatry, 41, 959–970.PubMedCrossRefGoogle Scholar
  18. Peterson, D.R. & Thomas, D.B. (1973). Fundamentals of epidemiology. Lexington, MA: Lexington Books.Google Scholar
  19. Robins, L.N., Heizer, J.E., Croughan, J. & Ratcliff, K. (1981). National Institute of Mental Health Diagnostic Interview Schedule: Its history, characteristics and validity. Archives of General Psychiatry, 38, 381–389PubMedCrossRefGoogle Scholar

Copyright information

© Plenum Press, New York 1989

Authors and Affiliations

  • Linda K. George
    • 1
  • Richard Landerman
    • 1
  • Dan Blazer
    • 1
  • Mary Lou Melville
    • 1
  1. 1.Department of PsychiatryDuke University Medical CenterDurhamUK

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