PMID- 30672876 OWN - NLM STAT- MEDLINE DCOM- 20191126 LR - 20191126 IS - 1539-736X (Electronic) IS - 0022-3018 (Linking) VI - 207 IP - 2 DP - 2019 Feb TI - Severe Mental Illness in Community Mental Health Care in Spain: Prevalence and Related Factors. PG - 106-111 LID - 10.1097/NMD.0000000000000929 [doi] AB - The aims of this study were to determine the prevalence of severe mental illness (SMI) in patients in contact with mental health services and to determine the factors associated with SMI. A total of 260 patients who met diagnostic criteria for SMI were assessed using the Global Assessment of Functioning (GAF) scale and Health of the Nation Outcome Scales. The overall prevalence of SMI was 6.08 per thousand. According to the three different cutoff points with GAF, the prevalence of SMI ranged from 5.38 per thousand under the weak criterion (GAF < 70) to 1.01 per thousand under the strict criterion (GAF < 50). In the regression model, the dependent variable (presence of SMI) was defined using a GAF < 60, and the variables independently associated with the dependent variable were years of disease duration since diagnose, mental health service use, alcohol or other substance abuse, and depressive anxiety and other psychological symptoms. FAU - Martin-Perez, Carlos AU - Martin-Perez C FAU - Herrero-Martin, Juan Jesus AU - Herrero-Martin JJ AD - Guadix Community Mental Health Unit, Avenida Mariana Pineda. FAU - Perez-Lopez, Gonzalo AU - Perez-Lopez G AD - Guadix Community Mental Health Unit, Avenida Mariana Pineda. FAU - Pedrosa-Garcia, Rafael AU - Pedrosa-Garcia R AD - Guadix Community Mental Health Unit, Avenida Mariana Pineda. FAU - Ibanez-Casas, Inmaculada AU - Ibanez-Casas I AD - CIBERSAM University of Granada, Biomedical Research Centre. FAU - Torres-Gonzalez, Francisco AU - Torres-Gonzalez F AD - Maristan Network, Faculty of Medicine, University of Granada, Granada. FAU - Moreno-Kustner, Berta AU - Moreno-Kustner B LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Nerv Ment Dis JT - The Journal of nervous and mental disease JID - 0375402 SB - IM MH - Adolescent MH - Adult MH - Affective Disorders, Psychotic/*epidemiology/therapy MH - Aged MH - Aged, 80 and over MH - Behavioral Symptoms/*epidemiology/therapy MH - Community Mental Health Services/*statistics & numerical data MH - Cross-Sectional Studies MH - Facilities and Services Utilization/*statistics & numerical data MH - Female MH - Humans MH - Male MH - Middle Aged MH - Personality Disorders/*epidemiology/therapy MH - Prevalence MH - Psychotic Disorders/*epidemiology/therapy MH - Schizophrenia/*epidemiology/therapy MH - Spain/epidemiology MH - Substance-Related Disorders/*epidemiology/therapy MH - Young Adult EDAT- 2019/01/24 06:00 MHDA- 2019/11/27 06:00 CRDT- 2019/01/24 06:00 PHST- 2019/01/24 06:00 [pubmed] PHST- 2019/11/27 06:00 [medline] PHST- 2019/01/24 06:00 [entrez] AID - 10.1097/NMD.0000000000000929 [doi] PST - ppublish SO - J Nerv Ment Dis. 2019 Feb;207(2):106-111. doi: 10.1097/NMD.0000000000000929.