Archives of general psychiatry · 2005
Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication.
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Kessler Ronald C, Chiu Wai Tat, Demler Olga, Merikangas Kathleen R, Walters Ellen E
Аннотация
BACKGROUND: Little is known about the general population prevalence or severity of DSM-IV mental disorders.
OBJECTIVE: To estimate 12-month prevalence, severity, and comorbidity of DSM-IV anxiety, mood, impulse control, and substance disorders in the recently completed US National Comorbidity Survey Replication.
DESIGN AND SETTING: Nationally representative face-to-face household survey conducted between February 2001 and April 2003 using a fully structured diagnostic interview, the World Health Organization World Mental Health Survey Initiative version of the Composite International Diagnostic Interview.
PARTICIPANTS: Nine thousand two hundred eighty-two English-speaking respondents 18 years and older.
MAIN OUTCOME MEASURES: Twelve-month DSM-IV disorders.
RESULTS: Twelve-month prevalence estimates were anxiety, 18.1%; mood, 9.5%; impulse control, 8.9%; substance, 3.8%; and any disorder, 26.2%. Of 12-month cases, 22.3% were classified as serious; 37.3%, moderate; and 40.4%, mild. Fifty-five percent carried only a single diagnosis; 22%, 2 diagnoses; and 23%, 3 or more diagnoses. Latent class analysis detected 7 multivariate disorder classes, including 3 highly comorbid classes representing 7% of the population.
CONCLUSION: Although mental disorders are widespread, serious cases are concentrated among a relatively small proportion of cases with high comorbidity.
OBJECTIVE: To estimate 12-month prevalence, severity, and comorbidity of DSM-IV anxiety, mood, impulse control, and substance disorders in the recently completed US National Comorbidity Survey Replication.
DESIGN AND SETTING: Nationally representative face-to-face household survey conducted between February 2001 and April 2003 using a fully structured diagnostic interview, the World Health Organization World Mental Health Survey Initiative version of the Composite International Diagnostic Interview.
PARTICIPANTS: Nine thousand two hundred eighty-two English-speaking respondents 18 years and older.
MAIN OUTCOME MEASURES: Twelve-month DSM-IV disorders.
RESULTS: Twelve-month prevalence estimates were anxiety, 18.1%; mood, 9.5%; impulse control, 8.9%; substance, 3.8%; and any disorder, 26.2%. Of 12-month cases, 22.3% were classified as serious; 37.3%, moderate; and 40.4%, mild. Fifty-five percent carried only a single diagnosis; 22%, 2 diagnoses; and 23%, 3 or more diagnoses. Latent class analysis detected 7 multivariate disorder classes, including 3 highly comorbid classes representing 7% of the population.
CONCLUSION: Although mental disorders are widespread, serious cases are concentrated among a relatively small proportion of cases with high comorbidity.
Предметные рубрики MeSH
AdolescentAdultComorbidityMajor Depressive DisorderDiagnostic and Statistical Manual of Mental DisordersDisruptive, Impulse Control, and Conduct DisordersFemaleHealth SurveysHumansMaleMental DisordersMiddle AgedMood DisordersPhobic DisordersPrevalencePsychiatric Status Rating ScalesSeverity of Illness IndexSubstance-Related DisordersUnited States