Depression-anxiety relationships with chronic physical conditions: results from the World Mental Health Surveys.
J Affect Disord
; 103(1-3): 113-20, 2007 Nov.
Article
en En
| MEDLINE
| ID: mdl-17292480
ABSTRACT
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.
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Bases de datos:
MEDLINE
Asunto principal:
Trastornos de Ansiedad
/
Enfermedad Crónica
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Trastorno Distímico
/
Trastorno Depresivo Mayor
Tipo de estudio:
Clinical_trials
/
Diagnostic_studies
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Observational_studies
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Prevalence_studies
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Qualitative_research
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Risk_factors_studies
Límite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Affect Disord
Año:
2007
Tipo del documento:
Article
País de afiliación:
Nueva Zelanda