Fountoulakis, Konstantinos N. (7005197466)Konstantinos N. (7005197466)FountoulakisKarakatsoulis, Grigorios N. (57228040800)Grigorios N. (57228040800)KarakatsoulisAbraham, Seri (57202677282)Seri (57202677282)AbrahamAdorjan, Kristina (56395403700)Kristina (56395403700)AdorjanAhmed, Helal Uddin (56454801400)Helal Uddin (56454801400)AhmedAlarcón, Renato D. (35570086800)Renato D. (35570086800)AlarcónArai, Kiyomi (57324561600)Kiyomi (57324561600)AraiAuwal, Sani Salihu (56419773200)Sani Salihu (56419773200)AuwalBerk, Michael (56760657800)Michael (56760657800)BerkBjedov, Sarah (57191404150)Sarah (57191404150)BjedovBobes, Julio (7005688230)Julio (7005688230)BobesBobes-Bascaran, Teresa (36625050600)Teresa (36625050600)Bobes-BascaranBourgin-Duchesnay, Julie (36967463700)Julie (36967463700)Bourgin-DuchesnayBredicean, Cristina Ana (37033574200)Cristina Ana (37033574200)BrediceanBukelskis, Laurynas (36738700900)Laurynas (36738700900)BukelskisBurkadze, Akaki (57325122800)Akaki (57325122800)BurkadzeAbud, Indira Indiana Cabrera (57324749300)Indira Indiana Cabrera (57324749300)AbudCastilla-Puentes, Ruby (16237948000)Ruby (16237948000)Castilla-PuentesCetkovich, Marcelo (23995136500)Marcelo (23995136500)CetkovichColon-Rivera, Hector (55763655100)Hector (55763655100)Colon-RiveraCorral, Ricardo (35733558000)Ricardo (35733558000)CorralCortez-Vergara, Carla (56403258900)Carla (56403258900)Cortez-VergaraCrepin, Piirika (57210364089)Piirika (57210364089)CrepinDe Berardis, Domenico (7801377515)Domenico (7801377515)De BerardisDelgado, Sergio Zamora (57323816400)Sergio Zamora (57323816400)DelgadoDe Lucena, David (35242053500)David (35242053500)De LucenaDe Sousa, Avinash (23026946100)Avinash (23026946100)De SousaDi Stefano, Ramona (57388953700)Ramona (57388953700)Di StefanoDodd, Seetal (7102997494)Seetal (7102997494)DoddElek, Livia Priyanka (57220151541)Livia Priyanka (57220151541)ElekElissa, Anna (57324190600)Anna (57324190600)ElissaErdelyi-Hamza, Berta (57220150789)Berta (57220150789)Erdelyi-HamzaErzin, Gamze (57189375175)Gamze (57189375175)ErzinEtchevers, Martin J. (57211781540)Martin J. (57211781540)EtcheversFalkai, Peter (7006453025)Peter (7006453025)FalkaiFarcas, Adriana (57324752000)Adriana (57324752000)FarcasFedotov, Ilya (57188826791)Ilya (57188826791)FedotovFilatova, Viktoriia (57295212900)Viktoriia (57295212900)FilatovaFountoulakis, Nikolaos K. (57219939175)Nikolaos K. (57219939175)FountoulakisFrankova, Iryna (57192974170)Iryna (57192974170)FrankovaFranza, Francesco (14022778100)Francesco (14022778100)FranzaFrias, Pedro (57324752100)Pedro (57324752100)FriasGalako, Tatiana (57224812685)Tatiana (57224812685)GalakoGaray, Cristian J. (24764558200)Cristian J. (24764558200)GarayGarcia-Álvarez, Leticia (55865157500)Leticia (55865157500)Garcia-ÁlvarezGarcía-Portilla, Maria Paz (6508280070)Maria Paz (6508280070)García-PortillaGonda, Xenia (8701430000)Xenia (8701430000)GondaGondek, Tomasz M. (57015264400)Tomasz M. (57015264400)GondekGonzález, Daniela Morera (57324003900)Daniela Morera (57324003900)GonzálezGould, Hilary (57323816500)Hilary (57323816500)GouldGrandinetti, Paolo (55487378900)Paolo (55487378900)GrandinettiGrau, Arturo (25825013900)Arturo (25825013900)GrauGroudeva, Violeta (55845165900)Violeta (55845165900)GroudevaHagin, Michal (26321588200)Michal (26321588200)HaginHarada, Takayuki (57324940800)Takayuki (57324940800)HaradaHasan, Tasdik M. (58851153100)Tasdik M. (58851153100)HasanHashim, Nurul Azreen (56581558800)Nurul Azreen (56581558800)HashimHilbig, Jan (55862200500)Jan (55862200500)HilbigHossain, Sahadat (57188667199)Sahadat (57188667199)HossainIakimova, Rossitza (57214127026)Rossitza (57214127026)IakimovaIbrahim, Mona (57324190700)Mona (57324190700)IbrahimIftene, Felicia (6505797229)Felicia (6505797229)IfteneIgnatenko, Yulia (57295645400)Yulia (57295645400)IgnatenkoIrarrazaval, Matias (56421961200)Matias (56421961200)IrarrazavalIsmail, Zaliha (57215491732)Zaliha (57215491732)IsmailIsmayilova, Jamila (57192540096)Jamila (57192540096)IsmayilovaJakobs, Asaf (57213715111)Asaf (57213715111)JakobsJakovljević, Miro (7005875600)Miro (7005875600)JakovljevićJakšić, Nenad (54585265200)Nenad (54585265200)JakšićJaved, Afzal (25225885000)Afzal (25225885000)JavedKafali, Helin Yilmaz (57214879279)Helin Yilmaz (57214879279)KafaliKaria, Sagar (55822005400)Sagar (55822005400)KariaKazakova, Olga (56875280700)Olga (56875280700)KazakovaKhalifa, Doaa (6507861834)Doaa (6507861834)KhalifaKhaustova, Olena (57200616532)Olena (57200616532)KhaustovaKoh, Steve (37008574800)Steve (37008574800)KohKopishinskaia, Svetlana (57212340616)Svetlana (57212340616)KopishinskaiaKosenko, Korneliia (57324562800)Korneliia (57324562800)KosenkoKoupidis, Sotirios A. (6504441020)Sotirios A. (6504441020)KoupidisKovacs, Illes (7202438859)Illes (7202438859)KovacsKulig, Barbara (57220152661)Barbara (57220152661)KuligLalljee, Alisha (57324378600)Alisha (57324378600)LalljeeLiewig, Justine (57323816700)Justine (57323816700)LiewigMajid, Abdul (57201841192)Abdul (57201841192)MajidMalashonkova, Evgeniia (57324752300)Evgeniia (57324752300)MalashonkovaMalik, Khamelia (57204114533)Khamelia (57204114533)MalikMalik, Najma Iqbal (56804470900)Najma Iqbal (56804470900)MalikMammadzada, Gulay (57200580925)Gulay (57200580925)MammadzadaMandalia, Bilvesh (57323816800)Bilvesh (57323816800)MandaliaMarazziti, Donatella (35429670600)Donatella (35429670600)MarazzitiMarčinko, Darko (56265554700)Darko (56265554700)MarčinkoMartinez, Stephanie (57324563000)Stephanie (57324563000)MartinezMatiekus, Eimantas (57324378700)Eimantas (57324378700)MatiekusMejia, Gabriela (57324940900)Gabriela (57324940900)MejiaMemon, Roha Saeed (57201852660)Roha Saeed (57201852660)MemonMartínez, Xarah Elenne Meza (57324190800)Xarah Elenne Meza (57324190800)MartínezMickevičiūtė, Dalia (57324378800)Dalia (57324378800)MickevičiūtėMilev, Roumen (12784225100)Roumen (12784225100)MilevMohammed, Muftau (57218541690)Muftau (57218541690)MohammedMolina-López, Alejandro (56724150300)Alejandro (56724150300)Molina-LópezMorozov, Petr (56654943200)Petr (56654943200)MorozovMuhammad, Nuru Suleiman (57324378900)Nuru Suleiman (57324378900)MuhammadMustač, Filip (57215776819)Filip (57215776819)MustačNaor, Mika S. (57220896671)Mika S. (57220896671)NaorNassieb, Amira (57324563200)Amira (57324563200)NassiebNavickas, Alvydas (6504772836)Alvydas (6504772836)NavickasOkasha, Tarek (55893320000)Tarek (55893320000)OkashaPandova, Milena (55876756600)Milena (55876756600)PandovaPanfil, Anca-Livia (57212058859)Anca-Livia (57212058859)PanfilPanteleeva, Liliya (57217825931)Liliya (57217825931)PanteleevaPapava, Ion (36998654900)Ion (36998654900)PapavaPatsali, Mikaella E. (57216865663)Mikaella E. (57216865663)PatsaliPavlichenko, Alexey (55340951600)Alexey (55340951600)PavlichenkoPejuskovic, Bojana (57212194956)Bojana (57212194956)PejuskovicDa Costa, Mariana Pinto (55846062800)Mariana Pinto (55846062800)Da CostaPopkov, Mikhail (57324941000)Mikhail (57324941000)PopkovPopovic, Dina (23992990300)Dina (23992990300)PopovicRaduan, Nor Jannah Nasution (57208686813)Nor Jannah Nasution (57208686813)RaduanRamírez, Francisca Vargas (57324563300)Francisca Vargas (57324563300)RamírezRancans, Elmars (6507132500)Elmars (6507132500)RancansRazali, Salmi (56270543400)Salmi (56270543400)RazaliRebok, Federico (28568080400)Federico (28568080400)RebokRewekant, Anna (57210125491)Anna (57210125491)RewekantFlores, Elena Ninoska Reyes (57323816900)Elena Ninoska Reyes (57323816900)FloresRivera-Encinas, María Teresa (57202954297)María Teresa (57202954297)Rivera-EncinasSaiz, Pilar (6701773042)Pilar (6701773042)Saizde Carmona, Manuel Sánchez (47461601300)Manuel Sánchez (47461601300)de CarmonaMartínez, David Saucedo (57323817000)David Saucedo (57323817000)MartínezSaw, Jo Anne (57221306758)Jo Anne (57221306758)SawSaygili, Görkem (36062133300)Görkem (36062133300)SaygiliSchneidereit, Patricia (57324190900)Patricia (57324190900)SchneidereitShah, Bhumika (57224662604)Bhumika (57224662604)ShahShirasaka, Tomohiro (7005625709)Tomohiro (7005625709)ShirasakaSilagadze, Ketevan (57211533424)Ketevan (57211533424)SilagadzeSitanggang, Satti (57200191325)Satti (57200191325)SitanggangSkugarevsky, Oleg (24173625800)Oleg (24173625800)SkugarevskySpikina, Anna (58888387000)Anna (58888387000)SpikinaMahalingappa, Sridevi Sira (55071048300)Sridevi Sira (55071048300)MahalingappaStoyanova, Maria (57215481695)Maria (57215481695)StoyanovaSzczegielniak, Anna (55586445900)Anna (55586445900)SzczegielniakTamasan, Simona Claudia (57196050056)Simona Claudia (57196050056)TamasanTavormina, Giuseppe (56002001900)Giuseppe (56002001900)TavorminaTavormina, Maurilio Giuseppe Maria (56451127100)Maurilio Giuseppe Maria (56451127100)TavorminaTheodorakis, Pavlos N. (6602908162)Pavlos N. (6602908162)TheodorakisTohen, Mauricio (7005960357)Mauricio (7005960357)TohenTsapakis, Eva Maria (6602304391)Eva Maria (6602304391)TsapakisTukhvatullina, Dina (57321013900)Dina (57321013900)TukhvatullinaUllah, Irfan (57211152020)Irfan (57211152020)UllahVaidya, Ratnaraj (57325125000)Ratnaraj (57325125000)VaidyaVega-Dienstmaier, Johann M. (6602693575)Johann M. (6602693575)Vega-DienstmaierVrublevska, Jelena (55976721400)Jelena (55976721400)VrublevskaVukovic, Olivera (14044368800)Olivera (14044368800)VukovicVysotska, Olga (57204504528)Olga (57204504528)VysotskaWidiasih, Natalia (55645736200)Natalia (55645736200)WidiasihYashikhina, Anna (57200702945)Anna (57200702945)YashikhinaPrezerakos, Panagiotis E. (22235321600)Panagiotis E. (22235321600)PrezerakosSmirnova, Daria (55086067800)Daria (55086067800)Smirnova2025-06-122025-06-122024https://doi.org/10.1017/S1092852924000026https://www.scopus.com/inward/record.uri?eid=2-s2.0-85184507914&doi=10.1017%2fS1092852924000026&partnerID=40&md5=bcf92b683d06385e0c862a76b91ad222https://remedy.med.bg.ac.rs/handle/123456789/1167Background. The prevalence of medical illnesses is high among patients with psychiatric disorders. The current study aimed to investigate multi-comorbidity in patients with psychiatric disorders in comparison to the general population. Secondary aims were to investigate factors associated with metabolic syndrome and treatment appropriateness of mental disorders. Methods. The sample included 54,826 subjects (64.73% females; 34.15% males; 1.11% nonbinary gender) from 40 countries (COMET-G study). The analysis was based on the registration of previous history that could serve as a fair approximation for the lifetime prevalence of various medical conditions. Results. About 24.5% reported a history of somatic and 26.14% of mental disorders. Mental disorders were by far the most prevalent group of medical conditions. Comorbidity of any somatic with any mental disorder was reported by 8.21%. One-third to almost two-thirds of somatic patients were also suffering from a mental disorder depending on the severity and multicomorbidity. Bipolar and psychotic patients and to a lesser extent depressives, manifested an earlier (15–20 years) manifestation of somatic multicomorbidity, severe disability, and probably earlier death. The overwhelming majority of patients with mental disorders were not receiving treatment or were being treated in a way that was not recommended. Antipsychotics and antidepressants were not related to the development of metabolic syndrome. Conclusions. The finding that one-third to almost two-thirds of somatic patients also suffered from a mental disorder strongly suggests that psychiatry is the field with the most trans-specialty and interdisciplinary value and application points to the importance of teaching psychiatry and mental health in medical schools and also to the need for more technocratically oriented training of psychiatric residents. © The Author(s), 2024. Published by Cambridge University Press.disabilityEpidemiologymulticomorbiditypremature deathsomatic-mental comorbidity