{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T12:27:18Z","timestamp":1788956838240,"version":"build-2803163510"},"reference-count":49,"publisher":"Medknow","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["smedj"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>INTRODUCTION Few studies have examined the changes in the prevalence of comorbidity of mental and physical disorders in recent years. The present study sought to examine whether the prevalence of comorbidity of mental and physical disorders in Singapore showed any changes between 2010 and 2016. METHODS We extracted data from two repeated nationally representative cross-sectional surveys conducted among resident adults aged \u2265 18 years in Singapore. Significant changes were tested using pooled multinomial logistic regression analyses. RESULTS The prevalence of comorbid mental and physical disorders increased significantly from 5.8% in 2010 to 6.7% in 2016. Among those with physical disorders, there were significant increases over time in the prevalence of comorbid generalised anxiety disorder (GAD) (0.1% vs. 0.4%) and obsessive-compulsive disorder (OCD) (1.4% vs. 3.9%) in diabetes mellitus, and alcohol dependence in cardiovascular disorders (0.1% vs. 1.3%). Among those with mental disorders, there were significant increases over time in the prevalence of comorbid diabetes mellitus in OCD (4.1% vs. 10.9%), cancer in major depressive disorder (0.4% vs. 2.4%), and cardiovascular disorders in GAD (0.4% vs. 6.7%) and alcohol dependence (0.9% vs. 11.8%). Significant changes in the overall prevalence of comorbid mental and physical disorders were also observed across age group, education and employment status. CONCLUSION The prevalence of comorbid mental and physical disorders increased significantly over time. This finding supports the need for more appropriate clinical management with better integration between mental health and general medical care professionals across all aspects of the healthcare system to treat this comorbidity in Singapore.<\/jats:p>","DOI":"10.11622\/smedj.2020124","type":"journal-article","created":{"date-parts":[[2020,8,17]],"date-time":"2020-08-17T03:03:41Z","timestamp":1597633421000},"page":"196-202","source":"Crossref","is-referenced-by-count":16,"title":["Changes in the prevalence of comorbidity of mental and physical disorders in Singapore between 2010 and 2016"],"prefix":"10.4103","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1016-3298","authenticated-orcid":false,"given":"E","family":"Abdin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SA","family":"Chong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JA","family":"Vaingankar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Shafie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Seah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"CT","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"James","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Heng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Subramaniam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2581","published-online":{"date-parts":[[2022,4]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1370\/afm.983","article-title":"Defining comorbidity: implications for understanding health and health services","volume":"7","author":"Valderas","year":"2009","unstructured":"1. Valderas JM, Starfield B, Sibbald B, Salisbury C, Roland M. Defining comorbidity: implications for understanding health and health services. Ann Fam Med 2009; 7:357-63.","journal-title":"Ann Fam Med"},{"key":"ref1","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1111\/acps.12888","article-title":"Comorbidity of mental and physical disorders: a key problem for medicine in the 21st century","volume":"137","author":"Sartorius","year":"2018","unstructured":"2. Sartorius N. Comorbidity of mental and physical disorders: a key problem for medicine in the 21st century. Acta Psychiatr Scand 2018; 137:369-70.","journal-title":"Acta Psychiatr Scand"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"3. Ngo VK, Rubinstein A, Ganju V, et al. Grand challenges: integrating mental health care into the non-communicable disease agenda. PLoS Med 2013; 10:e1001443.","DOI":"10.1371\/journal.pmed.1001443"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"775","DOI":"10.1016\/S2215-0366(17)30333-4","article-title":"The WPA-Lancet Psychiatry Commission on the Future of Psychiatry","volume":"4","author":"Bhugra","year":"2017","unstructured":"4. Bhugra D, Tasman A, Pathare S, et al. The WPA-Lancet Psychiatry Commission on the Future of Psychiatry. Lancet Psychiatry 2017; 4:775-818.","journal-title":"Lancet Psychiatry"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"5. Chong SA, Abdin E, Nan L, Vaingankar JA, Subramaniam M. Prevalence and impact of mental and physical comorbidity in the adult Singapore population. Ann Acad Med Singapore 2012; 41:105-14.","DOI":"10.47102\/annals-acadmedsg.V41N3p105"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1017\/S0033291708003188","article-title":"Mental-physical co-morbidity and its relationship with disability: results from the World Mental Health Surveys","volume":"39","author":"Scott","year":"2009","unstructured":"6. Scott KM, Von Korff M, Alonso J, et al. Mental-physical co-morbidity and its relationship with disability: results from the World Mental Health Surveys. Psychol Med 2009; 39:33-43.","journal-title":"Psychol Med"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1180","DOI":"10.1001\/archpsyc.64.10.1180","article-title":"The impact of comorbidity of mental and physical conditions on role disability in the US adult household population","volume":"64","author":"Merikangas","year":"2007","unstructured":"7. Merikangas KR, Ames M, Cui L, et al. The impact of comorbidity of mental and physical conditions on role disability in the US adult household population. Arch Gen Psychiatry 2007; 64:1180-8.","journal-title":"Arch Gen Psychiatry"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"873","DOI":"10.1017\/S0033291710001212","article-title":"Including information about co-morbidity in estimates of disease burden: results from the World Health Organization World Mental Health Surveys","volume":"41","author":"Alonso","year":"2011","unstructured":"8. Alonso J, Vilagut G, Chatterji S, et al. Including information about co-morbidity in estimates of disease burden: results from the World Health Organization World Mental Health Surveys. Psychol Med 2011; 41:873-86.","journal-title":"Psychol Med"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"797","DOI":"10.1002\/da.21924","article-title":"Comorbidity and disease burden in the National Comorbidity Survey Replication (NCS-R)","volume":"29","author":"Gadermann","year":"2012","unstructured":"9. Gadermann AM, Alonso J, Vilagut G, Zaslavsky AM, Kessler RC. Comorbidity and disease burden in the National Comorbidity Survey Replication (NCS-R). Depress Anxiety 2012; 29:797-806.","journal-title":"Depress Anxiety"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"10. Goodyear IM. The hypothalamic-pituitary-adrenal axis: cortisol, DHEA and mental and behavioral function. In: Steptoe A, ed. Depression and Physical Illness. London: Cambridge Unversity Press, 2007: 280-98.","DOI":"10.1017\/CBO9780511544293.014"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1037\/0278-6133.14.5.374","article-title":"Pathways linking affective disturbances and physical disorders","volume":"14","author":"Cohen","year":"1995","unstructured":"11. Cohen S, Rodriguez MS. Pathways linking affective disturbances and physical disorders. Health Psychol 1995; 14:374-80.","journal-title":"Health Psychol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1002\/mpr.168","article-title":"The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI)","volume":"13","author":"Kessler","year":"2004","unstructured":"12. Kessler RC, Ust\u00fcn TB. The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Int J Methods Psychiatr Res 2004; 13:93-121.","journal-title":"Int J Methods Psychiatr Res"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"13. Scott KM, Oakley Browne MA, McGee MA, Wells JE; New Zealand Mental Health Survey Team. Mental-physical comorbidity in Te Rau Hinengaro: the New Zealand Mental Health Survey. Aust N Z J Psychiatry 2006; 40:882-8.","DOI":"10.1080\/j.1440-1614.2006.01907.x"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"606","DOI":"10.1080\/00048670902970908","article-title":"Comorbidity in Australia: findings of the 2007 National Survey of Mental Health and Wellbeing","volume":"43","author":"Teesson","year":"2009","unstructured":"14. Teesson M, Slade T, Mills K. Comorbidity in Australia: findings of the 2007 National Survey of Mental Health and Wellbeing. Aust N Z J Psychiatry 2009; 43:606-14.","journal-title":"Aust N Z J Psychiatry"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"496","DOI":"10.4306\/pi.2016.13.5.496","article-title":"Mental-physical comorbidity in Korean adults: results from a nationwide general population survey in Korea","volume":"13","author":"Kim","year":"2016","unstructured":"15. Kim JH, Chang SM, Bae JN, et al. Mental-physical comorbidity in Korean adults: results from a nationwide general population survey in Korea. Psychiatry Investig 2016; 13:496-503.","journal-title":"Psychiatry Investig"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1016\/j.jad.2012.11.033","article-title":"Impact of psychiatric disorders and chronic physical conditions on health-related quality of life: Singapore Mental Health Study","volume":"147","author":"Subramaniam","year":"2013","unstructured":"16. Subramaniam M, Abdin E, Vaingankar JA, et al. Impact of psychiatric disorders and chronic physical conditions on health-related quality of life: Singapore Mental Health Study. J Affect Disord 2013; 147:325-30.","journal-title":"J Affect Disord"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"17. Abdin E, Ong C, Chong SA, Vaingankar JA, Subramaniam M. Days out of role due to mental and physical conditions: results from the Singapore Mental Health Study. PLoS One 2016; 11:e0148248.","DOI":"10.1371\/journal.pone.0148248"},{"key":"ref17","unstructured":"18. Department of Statistics, Singapore. Population Trends 2018. Department of Statistics, Ministry of Trade & Industry, Republic of Singapore. ISSN: 2591-8028. Available at: https:\/\/www.singstat.gov.sg\/-\/media\/files\/publications\/population\/population2018.pdf. Accessed June 20, 2019."},{"key":"ref18","doi-asserted-by":"crossref","unstructured":"19. Chong SA, Abdin E, Vaingankar JA, et al. A population-based survey of mental disorders in Singapore. Ann Acad Med Singapore 2012; 41:49-66.","DOI":"10.47102\/annals-acadmedsg.V41N2p49"},{"key":"ref19","doi-asserted-by":"publisher","unstructured":"20. Subramaniam M, Abdin E, Vaingankar JA, et al. Tracking the mental health of a nation: prevalence and correlates of mental disorders in the second Singapore mental health study. Epidemiol Psychiatr Sci 2019 Apr 5. doi: 10.1017\/S2045796019000179. [Epub ahead of print]","DOI":"10.1017\/S2045796019000179"},{"key":"ref20","unstructured":"21. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Washington, DC: American Psychiatric Association, 2000."},{"key":"ref21","doi-asserted-by":"publisher","unstructured":"22. Tran J, Norton R, Conrad N, et al. Patterns and temporal trends of comorbidity among adult patients with incident cardiovascular disease in the UK between 2000 and 2014: a population-based cohort study. PLoS Med 2018; 15:e1002513.","DOI":"10.1371\/journal.pmed.1002513"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"2157","DOI":"10.1002\/ijc.27871","article-title":"Increasing prevalence of comorbidity in patients with colorectal cancer in the South of the Netherlands 1995-2010","volume":"132","author":"van Leersum","year":"2013","unstructured":"23. van Leersum NJ, Janssen-Heijnen ML, Wouters MW, et al. Increasing prevalence of comorbidity in patients with colorectal cancer in the South of the Netherlands 1995-2010. Int J Cancer 2013; 132:2157-63.","journal-title":"Int J Cancer"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"686","DOI":"10.1186\/1471-2458-14-686","article-title":"Lifestyle factors and multimorbidity: a cross sectional study","volume":"14","author":"Fortin","year":"2014","unstructured":"24. Fortin M, Haggerty J, Almirall J, et al. Lifestyle factors and multimorbidity: a cross sectional study. BMC Public Health 2014; 14:686.","journal-title":"BMC Public Health"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1186\/1471-2458-12-201","article-title":"Multimorbidity prevalence and patterns across socioeconomic determinants: a cross-sectional survey","volume":"12","author":"Agborsangaya","year":"2012","unstructured":"25. Agborsangaya CB, Lau D, Lahtinen M, Cooke T, Johnson JA. Multimorbidity prevalence and patterns across socioeconomic determinants: a cross-sectional survey. BMC Public Health 2012; 12:201.","journal-title":"BMC Public Health"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"246","DOI":"10.30773\/pi.2017.06.17.2","article-title":"The impact of general medical conditions in obsessive-compulsive disorder","volume":"15","author":"Aguglia","year":"2018","unstructured":"26. Aguglia A, Signorelli MS, Albert U, Maina G. The impact of general medical conditions in obsessive-compulsive disorder. Psychiatry Investig 2018; 15:246-53.","journal-title":"Psychiatry Investig"},{"key":"ref26","unstructured":"27. Epidemiology and Disease Control Division, Ministry of Health, Singapore; Institute for Health Metrics and Evaluation. The burden of disease in Singapore, 1990-2017: an overview of the Global Burden of Disease Study 2017 results. Seattle, WA: Institute for Health Metrics and Evaluation, 2019."},{"key":"ref27","doi-asserted-by":"publisher","unstructured":"28. Subramaniam M, Abdin E, Vaingankar JA, et al. Minding the treatment gap: results of the Singapore Mental Health Study. Soc Psychiatry Psychiatr Epidemiol 2019 Jul 17. doi: 10.1007\/s00127-019-01748-0. [Epub ahead of print]","DOI":"10.1007\/s00127-019-01748-0"},{"key":"ref28","unstructured":"29. Ministry of Health, Singapore. $3 billion action plan to enable Singaporeans to age successfully. Available at: https:\/\/www.moh.gov.sg\/news-highlights\/details\/3billion-action-plan-to-enable-singaporeans-to-age-successfully. Accessed June 20, 2019."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1097\/00002508-200209000-00001","article-title":"Prevalence of common chronic pain in Hong Kong adults","volume":"18","author":"KF","year":"2002","unstructured":"30. Ng KF, Tsui SL, Chan WS. Prevalence of common chronic pain in Hong Kong adults. Clin J Pain 2002; 18:275-81.","journal-title":"Clin J Pain"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"883","DOI":"10.1016\/j.jpain.2008.05.005","article-title":"Common chronic pain conditions in developed and developing countries: gender and age differences and comorbidity with depression-anxiety disorders","volume":"9","author":"Tsang","year":"2008","unstructured":"31. Tsang A, Von Korff M, Lee S, et al. Common chronic pain conditions in developed and developing countries: gender and age differences and comorbidity with depression-anxiety disorders. J Pain 2008; 9:883-91.","journal-title":"J Pain"},{"key":"ref31","unstructured":"32. Alonso J, Angermeyer MC, Bernert S, et al; ESEMeD\/MHEDEA 2000 Investigators, European Study of the Epidemiology of Mental Disorders (ESEMeD) Project. Prevalence of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatr Scand Suppl 2004; (420):21-7."},{"key":"ref32","doi-asserted-by":"publisher","unstructured":"33. Patten SB, Williams JV, Lavorato DH, et al. Major depression in Canada: what has changed over the past 10 years? Can J Psychiatry 2016; 61:80-5.","DOI":"10.1177\/0706743715625940"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"506","DOI":"10.1002\/da.22230","article-title":"Challenging the myth of an \"epidemic\" of common mental disorders: trends in the global prevalence of anxiety and depression between 1990 and 2010","volume":"31","author":"Baxter","year":"2014","unstructured":"34. Baxter AJ, Scott KM, Ferrari AJ, et al. Challenging the myth of an \"epidemic\" of common mental disorders: trends in the global prevalence of anxiety and depression between 1990 and 2010. Depress Anxiety 2014; 31:506-16.","journal-title":"Depress Anxiety"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"274","DOI":"10.4103\/2230-8210.85579","article-title":"Diabetes and psychiatric disorders","volume":"15","author":"Balhara","year":"2011","unstructured":"35. Balhara YP. Diabetes and psychiatric disorders. Indian J Endocrinol Metab 2011; 15:274-83.","journal-title":"Indian J Endocrinol Metab"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1016\/j.genhosppsych.2010.10.008","article-title":"Prevalence and incidence of anxiety disorders in diabetic patients: a national population-based cohort study","volume":"33","author":"Huang","year":"2011","unstructured":"36. Huang CJ, Chiu HC, Lee MH, Wang SY. Prevalence and incidence of anxiety disorders in diabetic patients: a national population-based cohort study. Gen Hosp Psychiatry 2011; 33:8-15.","journal-title":"Gen Hosp Psychiatry"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1111\/j.1464-5491.2005.01414.x","article-title":"Affective and anxiety disorders in a German sample of diabetic patients: prevalence, comorbidity and risk factors","volume":"22","author":"Hermanns","year":"2005","unstructured":"37. Hermanns N, Kulzer B, Krichbaum M, Kubiak T, Haak T. Affective and anxiety disorders in a German sample of diabetic patients: prevalence, comorbidity and risk factors. Diabet Med 2005; 22:293-300.","journal-title":"Diabet Med"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1016\/j.jpsychores.2006.07.009","article-title":"The role of depression and anxiety in onset of diabetes in a large population-based study","volume":"62","author":"Engum","year":"2007","unstructured":"38. Engum A. The role of depression and anxiety in onset of diabetes in a large population-based study. J Psychosom Res 2007; 62:31-8.","journal-title":"J Psychosom Res"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1016\/j.jpsychores.2016.05.003","article-title":"Increased risk of diabetes in patients with anxiety disorders: a population-based study","volume":"86","author":"IC","year":"2016","unstructured":"39. Chien IC, Lin CH. Increased risk of diabetes in patients with anxiety disorders: a population-based study. J Psychosom Res 2016; 86:47-52.","journal-title":"J Psychosom Res"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1001\/jama.2014.8040","article-title":"The mental health comorbidity of diabetes","volume":"312","author":"Ducat","year":"2014","unstructured":"40. Ducat L, Philipson LH, Anderson B. The mental health comorbidity of diabetes. JAMA 2014; 312:691-2.","journal-title":"JAMA"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1192\/apt.bp.114.013532","article-title":"Psychiatric aspects of diabetes mellitus","volume":"21","author":"Doherty","year":"2015","unstructured":"41. Doherty AM. Psychiatric aspects of diabetes mellitus. BJPsych Advances 2015; 21:407-16.","journal-title":"BJPsych Advances"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"1724","DOI":"10.1177\/1535370216657613","article-title":"Anxiety and diabetes: innovative approaches to management in primary care","volume":"241","author":"Bickett","year":"2016","unstructured":"42. Bickett A, Tapp H. Anxiety and diabetes: innovative approaches to management in primary care. Exp Biol Med (Maywood) 2016; 241:1724-31.","journal-title":"Exp Biol Med (Maywood)"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"2126","DOI":"10.2337\/dc16-2053","article-title":"Psychosocial care for people with diabetes: a position statement of the American Diabetes Association","volume":"39","author":"Young-Hyman","year":"2016","unstructured":"43. Young-Hyman D, de Groot M, Hill-Briggs F, et al. Psychosocial care for people with diabetes: a position statement of the American Diabetes Association. Diabetes Care 2016; 39:2126-40.","journal-title":"Diabetes Care"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1503\/jpn.140327","article-title":"An integrated molecular landscape implicates the regulation of dendritic spine formation through insulin-related signalling in obsessive-compulsive disorder","volume":"41","author":"van de Vondervoort","year":"2016","unstructured":"44. van de Vondervoort I, Poelmans G, Aschrafi A, et al. An integrated molecular landscape implicates the regulation of dendritic spine formation through insulin-related signalling in obsessive-compulsive disorder. J Psychiatry Neurosci 2016; 41:280-5.","journal-title":"J Psychiatry Neurosci"},{"key":"ref44","unstructured":"45. American Psychiatric Association. Practice guideline for the treatment of patients with obsessive-compulsive disorder. Arlington, VA: American Psychiatric Association, 2007: 23."},{"key":"ref45","doi-asserted-by":"publisher","first-page":"1234","DOI":"10.1038\/mp.2010.101","article-title":"Days out of role due to common physical and mental conditions: results from the WHO World Mental Health surveys","volume":"16","author":"Alonso","year":"2011","unstructured":"46. Alonso J, Petukhova M, Vilagut G, et al. Days out of role due to common physical and mental conditions: results from the WHO World Mental Health surveys. Mol Psychiatry 2011; 16:1234-46.","journal-title":"Mol Psychiatry"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1017\/S1121189X00001421","article-title":"The global burden of mental disorders: an update from the WHO World Mental Health (WMH) surveys","volume":"18","author":"Kessler","year":"2009","unstructured":"47. Kessler RC, Aguilar-Gaxiola S, Alonso J, et al. The global burden of mental disorders: an update from the WHO World Mental Health (WMH) surveys. Epidemiol Psichiatr Soc 2009; 18:23-33.","journal-title":"Epidemiol Psichiatr Soc"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"1407","DOI":"10.1016\/S0895-4356(96)00274-0","article-title":"A study on the accuracy of patients' self-reports and on determinants of inaccuracy","volume":"49","author":"Kriegsman","year":"1996","unstructured":"48. Kriegsman DM, Penninx BW, van Eijk JT, Boeke AJ, Deeg DJ. Self-reports and general practitioner information on the presence of chronic diseases in community dwelling elderly. A study on the accuracy of patients' self-reports and on determinants of inaccuracy. J Clin Epidemiol 1996; 49:1407-17.","journal-title":"J Clin Epidemiol"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1186\/1471-2296-15-39","article-title":"Agreement between self-reported and general practitioner-reported chronic conditions among multimorbid patients in primary care - results of the MultiCare Cohort Study","volume":"15","author":"Hansen","year":"2014","unstructured":"49. Hansen H, Sch\u00e4fer I, Sch\u00f6n G, et al. Agreement between self-reported and general practitioner-reported chronic conditions among multimorbid patients in primary care - results of the MultiCare Cohort Study. BMC Fam Pract 2014; 15:39.","journal-title":"BMC Fam Pract"}],"container-title":["Singapore Medical Journal"],"original-title":[],"link":[{"URL":"http:\/\/www.smj.org.sg\/sites\/default\/files\/OA-2019-083-epub.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T21:23:38Z","timestamp":1696541018000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.smj.org.sg\/article\/changes-prevalence-comorbidity-mental-and-physical-disorders-singapore-between-2010-and-2016"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":49,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,4]]},"published-print":{"date-parts":[[2022,4]]}},"URL":"https:\/\/doi.org\/10.11622\/smedj.2020124","relation":{},"ISSN":["0037-5675","2737-5935"],"issn-type":[{"value":"0037-5675","type":"print"},{"value":"2737-5935","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}