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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Age patterns in the prevalence of DSM-IV depressive/anxiety disorders with and without physical co-morbidity
Psychological Medicine, Volume 38, No. 11, Year 2008
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Description
Background: Physical morbidity is a potent risk factor for depression onset and clearly increases with age, yet prior research has often found depressive disorders to decrease with age. This study tests the possibility that the relationship between age and mental disorders differs as a function of physical co-morbidity. Method: Eighteen general population surveys were carried out among household-residing adults as part of the World Mental Health (WMH) surveys initiative (n=42 697). DSM-IV disorders were assessed using face-to-face interviews with the Composite International Diagnostic Interview (CIDI 3.0). The effect of age was estimated for 12-month depressive and/or anxiety disorders with and without physical or pain co-morbidity, and for physical and/or pain conditions without mental co-morbidity. Results: Depressive and anxiety disorders decreased with age, a result that cannot be explained by organic exclusion criteria. No significant difference was found in the relationship between mental disorders and age as a function of physical/pain co-morbidity. The majority of older persons have chronic physical or pain conditions without co-morbid mental disorders; by contrast, the majority of those with mental disorders have physical/pain co-morbidity, particularly among the older age groups. Conclusions: CIDI-diagnosed depressive and anxiety disorders in the general population decrease with age, despite greatly increasing physical morbidity with age. Physical morbidity among persons with mental disorder is the norm, particularly in older populations. Health professionals, including mental health professionals, need to address barriers to the management of physical co-morbidity among those with mental disorders. Copyright © 2008 Cambridge University Press.
Authors & Co-Authors
Scott, Kate Margaret
New Zealand, Wellington
University of Otago, Wellington
von Korff, Michael R.
United States, Seattle
Group Health Cooperative
Alonso Caballero, J. L.
Spain, Barcelona
Institut Municipal D'investigacio Medica
Angermeyer, Matthias Claus
Austria, Vienna
Center for Public Mental Health
Bromet, Evelyn J.
United States, Stony Brook
Stony Brook University
Bruffaerts, Ronny
Belgium, Leuven
Ku Leuven– University Hospital Leuven
de Girolamo, Giovanni
Italy, Bologna
Regional Health Care Agency
de Graaf, Ron
Netherlands, Utrecht
Trimbos Institute, Netherlands Institute of Mental Health and Addiction
Fernández, Anna
Spain, Barcelona
Institut de Recerca Sant Joan de Déu
Gureje, Oye
Nigeria, Ibadan
University College Hospital, Ibadan
He, Yanling
China, Shanghai
Shanghai Mental Health Center
Kessler, Ronald C.
United States, Boston
Harvard Medical School
Kovess - Masfety, Viviane
France, Paris
Université Paris Cité
Levinson, Daphna
Israel, Jerusalem
Ministry of Health
Medina-Mora, M. E.
Mexico, Mexico
Instituto Nacional de Psiquiatría Ramon de la Fuente
Mneimneh, Zeina N.
Lebanon, Beirut
Institute for Development, Research, Advocacy and Applied Care, Beirut
Oakley-Browne, Mark A.
Australia, Clayton
Monash University
Posada-Villa, J. A.
Colombia, Bogota
Universidad Colegio Mayor de Cundinamarca
Tachimori, Hisateru
Japan, Kodaira
National Center of Neurology and Psychiatry
Williams, David R.
United States, Boston
Harvard T.h. Chan School of Public Health
Statistics
Citations: 110
Authors: 20
Affiliations: 20
Identifiers
Doi:
10.1017/S0033291708003413
ISSN:
00332917
e-ISSN:
14698978
Research Areas
Mental Health
Study Design
Cross Sectional Study