OBJECTIVES: Many reports indicate that @entity1 with combined @entity102 and @entity308 symptomatology have more disability than those with illness alone, which may influence physician visits. Studies suggest that these combined conditions are unevenly accommodated by the delivery system and nonpsychiatric physicians often fail to recognize or treat these symptoms. To address this need, this study aimed to provide further information on combined conditions and report on relations found among @entity625 disease symptoms, @entity308 , and disability. METHODS: The data was derived from a series of statewide surveys assessing the influence of psychosocial factors on disease course and treatment in a community sample of 277 @entity1 under the care of a rheumatologist. A multivariate model was developed to assess these interrelationships, using measures of symptom severity, @entity308 (CESD), disability (activities of daily living, days of restrictive activities, days in bed), service utilizations, and a few personal and health variables. RESULTS: Even after removing somatic items from the CESD to reduce the risk of inflation due to physical disease, evidence was found for additive impact of @entity308 on one measure of disability, days of restrictive activities. @entity1 with comorbid conditions also were a high-service utilization group. Very few @entity1 reported receiving help in dealing with emotional problems, suggesting presence of substantial unmet need. CONCLUSIONS: Nonpsychiatric physicians need to be aware of the mental health status of chronically ill @entity1 . Although the association between medication use and @entity308 suggests some awareness of the need to treat @entity308 , especially in physically compromised @entity1 , there may be some need to dispense psychological and psychosocial support to those in need.

Combined medical and psychological symptoms: impact on disability and health care utilization of @entity1 with XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity308 :: ('MESH:D003866', 'Disease') :: ['depression', 'depressive'] @entity625 :: ('MESH:D001168', 'Disease') :: ['arthritis'] @entity102 :: ('MESH:D002908', 'Disease') :: ['chronic illness']
@entity625 :: (MESH:D001168,Disease) :: ['arthritis']
