Historique
Article de Périodique
12-Month comorbidity patterns and associated factors in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project (2004)
Auteur(s) :
ESEMED ;
ESEMED-MHEDEA 2000 Investigators ;
ALONSO, J. ;
ANGERMEYER, M. C. ;
BERNERT, S. ;
BRUFFAERTS R. ;
BRUGHA, T. S. ;
BRYSON H. ;
DE GIROLAMO, G. ;
GRAAF R. ;
DEMYTTENAERE K. ;
GASQUET I. ;
HARO J. M. ;
KATZ, S. J. ;
KESSLER, R. C. ;
KOVESS, V. ;
LEPINE, J. P. ;
ORMEL, J. ;
POLIDORI G. ;
RUSSO, L. J. ;
VILAGUT, G. ;
ALMANSA, J. ;
ARBABZADEH-BOUCHEZ, S. ;
AUTONELL, J. ;
BERNAL, M. ;
BUIST-BOUWMAN M. A. ;
CODONY M. ;
DOMINGO-SALVANY, A. ;
FERRER, M. ;
JOO S. S. ;
MARTINEZ-ALONSO, M. ;
MATSCHINGER H. ;
MAZZI F. ;
MORGAN, Z. ;
MOROSINI, P. ;
PALACIN C. ;
ROMERA B. ;
TAUB N. ;
VOLLEBERGH, W. A.
Année :
2004
Page(s) :
28-37
Langue(s) :
Anglais
Refs biblio. :
34
Domaine :
Alcool / Alcohol
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus mots-clés
COMORBIDITE
;
TROUBLES DE L'HUMEUR
;
PSYCHOPATHOLOGIE
;
ANXIETE
;
ALCOOL
;
PSYCHIATRIE
;
EPIDEMIOLOGIE
;
ETUDE TRANSVERSALE
;
DIAGNOSTIC
Thésaurus géographique
EUROPE
;
BELGIQUE
;
FRANCE
;
ALLEMAGNE
;
ITALIE
;
PAYS-BAS
;
ESPAGNE
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)
Affiliation :
Netherlands Institute of Mental Health and Addiction, Da Costakade 45, 3521 VS Utrecht.
Pays-Bas. Netherlands.
Pays-Bas. Netherlands.
Cote :
A03514