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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Depression-anxiety relationships with chronic physical conditions: Results from the World Mental Health surveys
Journal of Affective Disorders, Volume 103, No. 1-3, Year 2007
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Description
Background: Prior research on the association between affective disorders and physical conditions has been carried out in developed countries, usually in clinical populations, on a limited range of mental disorders and physical conditions, and has seldom taken into account the comorbidity between depressive and anxiety disorders. Methods: Eighteen general population surveys were carried out among adults in 17 countries as part of the World Mental Health Surveys initiative (N = 42, 249). DSM-IV depressive and anxiety disorders were assessed using face-to-face interviews with the Composite International Diagnostic Interview (CIDI 3.0). Chronic physical conditions were ascertained via a standard checklist. The relationship between mental disorders and physical conditions was assessed by considering depressive and anxiety disorders independently (depression without anxiety; anxiety without depression) and conjointly (depression plus anxiety). Results: All physical conditions were significantly associated with depressive and/or anxiety disorders but there was variation in the strength of association (ORs 1.2-4.5). Non-comorbid depressive and anxiety disorders were associated in equal degree with physical conditions. Comorbid depressive-anxiety disorder was more strongly associated with several physical conditions than were single mental disorders. Limitations: Physical conditions were ascertained via self report, though for a number of conditions this was self-report of diagnosis by a physician. Conclusions: Given the prevalence and clinical consequences of the co-occurrence of mental and physical disorders, attention to their comorbidity should remain a clinical and research priority. © 2007 Elsevier B.V. All rights reserved.
Authors & Co-Authors
Scott, Kate Margaret
New Zealand, Dunedin
Otago Medical School
Bruffaerts, Ronny
Belgium, Leuven
Ku Leuven– University Hospital Leuven
Tsang, Adley C.
Hong Kong, Hong Kong
Chinese University of Hong Kong
Ormel, Johan Hans
Netherlands, Groningen
Universitair Medisch Centrum Groningen
Alonso Caballero, J. L.
Spain, Barcelona
Institut Municipal D'investigacio Medica
Angermeyer, Matthias Claus
Germany, Leipzig
Universität Leipzig
Benjet, Corina
Mexico, Mexico
Instituto Nacional de Psiquiatría Ramon de la Fuente
Bromet, Evelyn J.
United States, Stony Brook
Renaissance School of Medicine at Stony Brook University
de Girolamo, Giovanni
Italy, Bologna
Azienda Usl Di Bologna
de Graaf, Ron
Netherlands, Utrecht
Trimbos Institute, Netherlands Institute of Mental Health and Addiction
Gasquet, Isabelle
France, Paris
Troubles du Comportement Alimentaire de L'adolescent
Gureje, Oye
Nigeria, Ibadan
University College Hospital, Ibadan
Haro, Josep Maria
Spain, Sant Boi de Llobregat
Parc Sanitari Sant Joan de Déu
He, Yanling
China, Shanghai
Shanghai Mental Health Center
Kessler, Ronald C.
United States, Boston
Harvard Medical School
Levinson, Daphna
Israel, Jerusalem
Ministry of Health
Mneimneh, Zeina N.
Unknown Affiliation
Oakley-Browne, Mark A.
Australia, Churchill
School of Rural Health
Posada-Villa, J. A.
Colombia, Bogota
Saldarriaga Concha Foundation
Stein, Dan J.
South Africa, Observatory
Groote Schuur Hospital
Takeshima, Tadashi
Japan, Kodaira
National Center of Neurology and Psychiatry
von Korff, Michael R.
United States, Seattle
Group Health Cooperative
Statistics
Citations: 481
Authors: 22
Affiliations: 21
Identifiers
Doi:
10.1016/j.jad.2007.01.015
ISSN:
01650327
Research Areas
Mental Health
Study Design
Cross Sectional Study