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Auteur G. DE GIROLAMO
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12-Month comorbidity patterns and associated factors in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project / ESEMED in Acta Psychiatrica Scandinavica, Vol.109, Suppl. s420 (June 2004)
in Acta Psychiatrica Scandinavica > Vol.109, Suppl. s420 (June 2004) . - 28-37
Titre : 12-Month comorbidity patterns and associated factors in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project Type de document : Périodique Auteurs : ESEMED ; ESEMED-MHEDEA 2000 Investigators ; J. ALONSO ; M. C. ANGERMEYER ; S. BERNERT ; BRUFFAERTS R. ; T. S. BRUGHA ; BRYSON H. ; G. DE GIROLAMO ; GRAAF R. ; DEMYTTENAERE K. ; GASQUET I. ; HARO J. M. ; S. J. KATZ ; R. C. KESSLER ; V. KOVESS ; J. P. LEPINE ; J. ORMEL ; POLIDORI G. ; L. J. RUSSO ; VILAGUT G. ; J. ALMANSA ; S. ARBABZADEH-BOUCHEZ ; J. AUTONELL ; M. BERNAL ; BUIST-BOUWMAN M. A. ; CODONY M. ; A. DOMINGO-SALVANY ; M. FERRER ; JOO S. S. ; M. MARTINEZ-ALONSO ; MATSCHINGER H. ; MAZZI F. ; Z. MORGAN ; P. MOROSINI ; PALACIN C. ; ROMERA B. ; TAUB N. ; W. A. VOLLEBERGH Année de publication : 2004 Article en page(s) : 28-37 Langues : Anglais Mots-clés : Thésaurus TOXIBASE
COMORBIDITE ; TROUBLES DE L'HUMEUR ; PSYCHOPATHOLOGIE ; ANXIETE ; ALCOOL ; PSYCHIATRIE ; EPIDEMIOLOGIE ; ETUDE TRANSVERSALE ; DIAGNOSTIC
EUROPE ; BELGIQUE ; FRANCE ; ALLEMAGNE ; ITALIE ; PAYS-BAS ; ESPAGNE
Discipline : EPI Epidémiologie / Epidemiology Domaine : Alcool / Alcohol Résumé : OBJECTIVE: Comorbidity patterns of 12-month mood, anxiety and alcohol disorders and socio-demographic factors associated with comorbidity were studied among the general population of six European countries. METHOD: Data were derived from the European Study of the Epidemiology of Mental Disorders (ESEMeD), a cross-sectional psychiatric epidemiological study in a representative sample of adults aged 18 years or older in Belgium, France, Germany, Italy, the Netherlands and Spain. The diagnostic instrument used was the Composite International Diagnostic Interview (WMH-CIDI). Data are based on 21 425 completed interviews. RESULTS: In general, high associations were found within the separate anxiety disorders and between mood and anxiety disorders. Lowest comorbidity associations were found for specific phobia and alcohol abuse-the disorders with the least functional disabilities. Comorbidity patterns were consistent cross-nationally. Associated factors for comorbidity of mood and anxiety disorders were female gender, younger age, lower educational level, higher degree of urbanicity, not living with a partner and unemployment. Only younger people were at greater risk for comorbidity of alcohol disorder with mood, anxiety disorders or both. CONCLUSION: High levels of comorbidity are found in the general population. Comorbidity is more common in specific groups. To reduce psychiatric burden, early intervention in populations with a primary disorder is important to prevent comorbidity. (Author' s abstract) Refs biblio. : 34 Affiliation : Netherlands Institute of Mental Health and Addiction, Da Costakade 45, 3521 VS Utrecht. Pays-Bas. Netherlands. Centre Emetteur : 13 OFDT Cote : A03514 Permalink : http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=52982[article]Residential care in Italy: National survey of non-hospital facilities / G. DE GIROLAMO ; A. PICARDI ; R. MICCIOLO ; I. FALLOON ; A. FIORITTI ; P. MOROSINI in British Journal of Psychiatry, Vol.181, n°3 (September 2002)
in British Journal of Psychiatry > Vol.181, n°3 (September 2002) . - 220-225
Titre : Residential care in Italy: National survey of non-hospital facilities Type de document : Périodique Auteurs : G. DE GIROLAMO ; A. PICARDI ; R. MICCIOLO ; I. FALLOON ; A. FIORITTI ; P. MOROSINI Année de publication : 2002 Article en page(s) : 220-225 Langues : Anglais Mots-clés : Thésaurus Géographique
TRAITEMENT RESIDENTIEL ; ENQUETE ; SANTE MENTALE ; COMORBIDITE
Discipline : TRA Traitement et prise en charge / Treatment and care Domaine : Alcool / Alcohol ; Drogues illicites / Illicit drugs Résumé : Background: In Italy, where all mental hospitals have been gradually phased out since 1978, psychiatric patients requiring long-term care are being treated in non-hospital residential facilities (NHRFs). However, detailed data on these facilities are sparse.
Aims: The Progetto Residenze (PROGRES) residential care project is a three-phase study, the first phase of which aims to survey the main characteristics of all Italian NHRFs.
Method: Structured interviews were conducted with the manager of each NHRF.
Results: On 31 May 2000 there were 1370 NHRFs with 17 138 beds; an average of 12.5 beds each and a rate of 2.98 beds per 10 000 inhabitants. Residential provision varied ten-fold between regions and discharge rates were very low. Most had 24-hour staffing with 1.42 patients per full-time worker.
Conclusions: There is marked variability in the provision of residential places between different regions; discharge rates are generally low.
Affiliation : Department of Mental Health, Bologna, Italy Lien : http://dx.doi.org/10.1192/bjp.181.3.220 Permalink : http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=70965[article]Toward a global view of alcohol, tobacco, cannabis, and cocaine use: findings from the WHO World Mental Health Surveys / L. DEGENHARDT in PLoS Medicine, Vol.5, n°7 (2008)
in PLoS Medicine > Vol.5, n°7 (2008) . - e141 ; 15 p.
Titre : Toward a global view of alcohol, tobacco, cannabis, and cocaine use: findings from the WHO World Mental Health Surveys Titre traduit : (Vers un vision globale de la consommation d'alcool, de tabac, de cannabis et de cocaïne : résultats des enquêtes mondiales de l'OMS sur la santé mentale.) Type de document : Périodique Auteurs : L. DEGENHARDT ; CHIU W. T. ; SAMPSON N. ; R. C. KESSLER ; J. C. ANTHONY ; M. ANGERMEYER ; BRUFFAERTS R. ; G. DE GIROLAMO ; GUREJE O. ; Y. HUANG ; A. KARAM ; KOSTYUCHENKO S. ; J. P. LEPINE ; M. E. M. MORA ; Y. NEUMARK ; J. H. ORMEL ; A. PINTO-MEZA ; POSADA-VILLA J. ; D. J. STEIN ; TAKESHIMA T. ; J. E. WELLS Année de publication : 2008 Article en page(s) : e141 ; 15 p. Langues : Français Mots-clés : Thésaurus TOXIBASE
ALCOOL ; TABAC ; CANNABIS ; COCAINE ; CONSOMMATION ; ENQUETE ; INCIDENCE ; AGE ; PREMIER USAGE ; SEXE
Discipline : EPI Epidémiologie / Epidemiology Domaine : Alcool / Alcohol ; Drogues illicites / Illicit drugs ; Tabac / Tobacco Résumé : Background: Alcohol, tobacco, and illegal drug use cause considerable morbidity and mortality, but good cross-national epidemiological data are limited. This paper describes such data from the first 17 countries participating in the World Health Organization's (WHO's) World Mental Health (WMH) Survey Initiative.
Methods and Findings: Household surveys with a combined sample size of 85,052 were carried out in the Americas (Colombia, Mexico, United States), Europe (Belgium, France, Germany, Italy, Netherlands, Spain, Ukraine), Middle East and Africa (Israel, Lebanon, Nigeria, South Africa), Asia (Japan, People's Republic of China), and Oceania (New Zealand). The WHO Composite International Diagnostic Interview (CIDI) was used to assess the prevalence and correlates of a wide variety of mental and substance disorders. This paper focuses on lifetime use and age of initiation of tobacco, alcohol, cannabis, and cocaine. Alcohol had been used by most in the Americas, Europe, Japan, and New Zealand, with smaller proportions in the Middle East, Africa, and China. Cannabis use in the US and New Zealand (both 42%) was far higher than in any other country. The US was also an outlier in cocaine use (16%). Males were more likely than females to have used drugs; and a sexcohort interaction was observed, whereby not only were younger cohorts more likely to use all drugs, but the malefemale gap was closing in more recent cohorts. The period of risk for drug initiation also appears to be lengthening longer into adulthood among more recent cohorts. Associations with sociodemographic variables were consistent across countries, as were the curves of incidence of lifetime use.
Conclusions: Globally, drug use is not distributed evenly and is not simply related to drug policy, since countries with stringent user-level illegal drug policies did not have lower levels of use than countries with liberal ones. Sex differences were consistently documented, but are decreasing in more recent cohorts, who also have higher levels of illegal drug use and extensions in the period of risk for initiation. (Author' s abstract)
Refs biblio. : 53 Affiliation : Australia Numéro Toxibase : 1302525 Centre Emetteur : 13 OFDT Cote : A03689 Lien : http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.0050141 Permalink : http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=52495[article]