Abstract

Comorbid medical and behavioral conditions are associated with greater functional disability, increased morbidity and suicide-related mortality, and greater total healthcare use and costs.1,2 Mental and substance use disorders are twice as likely to occur among the chronically ill, with depression being the most common comorbid condition among medical patients (approximate prevalence of 25%).3 Although there is evidence of bidirectionality of medical and mental health conditions,4 research on their comorbidity has focused primarily on prevalence rates of

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