Titre : | 12-Month comorbidity patterns and associated factors in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project (2004) |
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 ; G. VILAGUT ; 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 |
Type de document : | Article : Périodique |
Dans : | Acta Psychiatrica Scandinavica (Vol.109, Suppl. s420, June 2004) |
Article en page(s) : | 28-37 |
Langues: | Anglais |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus TOXIBASE COMORBIDITE ; TROUBLES DE L'HUMEUR ; PSYCHOPATHOLOGIE ; ANXIETE ; ALCOOL ; PSYCHIATRIE ; EPIDEMIOLOGIE ; ETUDE TRANSVERSALE ; DIAGNOSTICThésaurus 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) |
Domaine : | Alcool / Alcohol |
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 |
