12-Month comorbidity patterns and associated factors in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project

J Alonso; M C Angermeyer; S Bernert; R Bruffaerts; T S Brugha; H Bryson; G de Girolamo; R Graaf; K Demyttenaere; I Gasquet; J M Haro; S J Katz; R C Kessler; V Kovess; J P Lépine; J Ormel; G Polidori; L J Russo; G Vilagut; Josue Almansa; S Arbabzadeh-Bouchez; J Autonell; M Bernal; M A Buist-Bouwman; M Codony; A Domingo-Salvany; M Ferrer; S S Joo; M Martínez-Alonso; H Matschinger; F Mazzi; Z Morgan; P Morosini; C Palacín; B Romera; N Taub; W A M Vollebergh; ESEMeD/MHEDEA 2000 Investigators, European Study of the Epidemiology of Mental Disorders (ESEMeD) Project

doi:10.1111/j.1600-0047.2004.00328.x

12-Month comorbidity patterns and associated factors in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project

J Alonso, M C Angermeyer, S Bernert, R Bruffaerts, T S Brugha, H Bryson, G de Girolamo, R Graaf, K Demyttenaere, I Gasquet, J M Haro, S J Katz, R C Kessler, V Kovess, J P Lépine, J Ormel, G Polidori, L J Russo, G Vilagut, Josue AlmansaS Arbabzadeh-Bouchez, J Autonell, M Bernal, M A Buist-Bouwman, M Codony, A Domingo-Salvany, M Ferrer, S S Joo, M Martínez-Alonso, H Matschinger, F Mazzi, Z Morgan, P Morosini, C Palacín, B Romera, N Taub, W A M Vollebergh, ESEMeD/MHEDEA 2000 Investigators, European Study of the Epidemiology of Mental Disorders (ESEMeD) Project

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

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 IS 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-nation ally. 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.

Original language	English
Pages (from-to)	28-37
Number of pages	10
Journal	Acta psychiatrica Scandinavica. Supplementum
Volume	109
Issue number	420
DOIs	https://doi.org/10.1111/j.1600-0047.2004.00328.x
Publication status	Published - 2004

Keywords

comorbidity
mental disorders
associated factors
DIAGNOSTIC INTERVIEW CIDI
PSYCHIATRIC-DISORDERS
ANXIETY DISORDERS
COMMUNITY SAMPLE
MAJOR DEPRESSION
HEALTH SURVEY
LIFETIME
RELIABILITY
DEPENDENCE
POPULATION

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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., Lépine, J. P., Ormel, J., Polidori, G., Russo, L. J., Vilagut, G., ... ESEMeD/MHEDEA 2000 Investigators, European Study of the Epidemiology of Mental Disorders (ESEMeD) Project (2004). 12-Month comorbidity patterns and associated factors in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta psychiatrica Scandinavica. Supplementum, 109(420), 28-37. https://doi.org/10.1111/j.1600-0047.2004.00328.x

@article{bd8a8acb46ce408a9f08a7819473d995,

title = "12-Month comorbidity patterns and associated factors in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project",

abstract = "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 IS 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-nation ally. 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.",

keywords = "comorbidity, mental disorders, associated factors, DIAGNOSTIC INTERVIEW CIDI, PSYCHIATRIC-DISORDERS, ANXIETY DISORDERS, COMMUNITY SAMPLE, MAJOR DEPRESSION, HEALTH SURVEY, LIFETIME, RELIABILITY, DEPENDENCE, POPULATION",

author = "J Alonso and Angermeyer, {M C} and S Bernert and R Bruffaerts and Brugha, {T S} and H Bryson and {de Girolamo}, G and R Graaf and K Demyttenaere and I Gasquet and Haro, {J M} and Katz, {S J} and Kessler, {R C} and V Kovess and L{\'e}pine, {J P} and J Ormel and G Polidori and Russo, {L J} and G Vilagut and Josue Almansa and S Arbabzadeh-Bouchez and J Autonell and M Bernal and Buist-Bouwman, {M A} and M Codony and A Domingo-Salvany and M Ferrer and Joo, {S S} and M Mart{\'i}nez-Alonso and H Matschinger and F Mazzi and Z Morgan and P Morosini and C Palac{\'i}n and B Romera and N Taub and Vollebergh, {W A M} and {ESEMeD/MHEDEA 2000 Investigators, European Study of the Epidemiology of Mental Disorders (ESEMeD) Project}",

year = "2004",

doi = "10.1111/j.1600-0047.2004.00328.x",

language = "English",

volume = "109",

pages = "28--37",

journal = "Acta psychiatrica Scandinavica. Supplementum",

issn = "0065-1591",

number = "420",

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Alonso, J, Angermeyer, MC, Bernert, S, Bruffaerts, R, Brugha, TS, Bryson, H, de Girolamo, G, Graaf, R, Demyttenaere, K, Gasquet, I, Haro, JM, Katz, SJ, Kessler, RC, Kovess, V, Lépine, JP, Ormel, J, Polidori, G, Russo, LJ, Vilagut, G, Almansa, J, Arbabzadeh-Bouchez, S, Autonell, J, Bernal, M, Buist-Bouwman, MA, Codony, M, Domingo-Salvany, A, Ferrer, M, Joo, SS, Martínez-Alonso, M, Matschinger, H, Mazzi, F, Morgan, Z, Morosini, P, Palacín, C, Romera, B, Taub, N, Vollebergh, WAM & ESEMeD/MHEDEA 2000 Investigators, European Study of the Epidemiology of Mental Disorders (ESEMeD) Project 2004, '12-Month comorbidity patterns and associated factors in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project', Acta psychiatrica Scandinavica. Supplementum, vol. 109, no. 420, pp. 28-37. https://doi.org/10.1111/j.1600-0047.2004.00328.x

TY - JOUR

T1 - 12-Month comorbidity patterns and associated factors in Europe

T2 - results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project

AU - Alonso, J

AU - Angermeyer, M C

AU - Bernert, S

AU - Bruffaerts, R

AU - Brugha, T S

AU - Bryson, H

AU - de Girolamo, G

AU - Graaf, R

AU - Demyttenaere, K

AU - Gasquet, I

AU - Haro, J M

AU - Katz, S J

AU - Kessler, R C

AU - Kovess, V

AU - Lépine, J P

AU - Ormel, J

AU - Polidori, G

AU - Russo, L J

AU - Vilagut, G

AU - Almansa, Josue

AU - Arbabzadeh-Bouchez, S

AU - Autonell, J

AU - Bernal, M

AU - Buist-Bouwman, M A

AU - Codony, M

AU - Domingo-Salvany, A

AU - Ferrer, M

AU - Joo, S S

AU - Martínez-Alonso, M

AU - Matschinger, H

AU - Mazzi, F

AU - Morgan, Z

AU - Morosini, P

AU - Palacín, C

AU - Romera, B

AU - Taub, N

AU - Vollebergh, W A M

AU - ESEMeD/MHEDEA 2000 Investigators, European Study of the Epidemiology of Mental Disorders (ESEMeD) Project

PY - 2004

Y1 - 2004

N2 - 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 IS 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-nation ally. 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.

AB - 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 IS 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-nation ally. 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.

KW - comorbidity

KW - mental disorders

KW - associated factors

KW - DIAGNOSTIC INTERVIEW CIDI

KW - PSYCHIATRIC-DISORDERS

KW - ANXIETY DISORDERS

KW - COMMUNITY SAMPLE

KW - MAJOR DEPRESSION

KW - HEALTH SURVEY

KW - LIFETIME

KW - RELIABILITY

KW - DEPENDENCE

KW - POPULATION

U2 - 10.1111/j.1600-0047.2004.00328.x

DO - 10.1111/j.1600-0047.2004.00328.x

M3 - Article

C2 - 15128385

SN - 0065-1591

VL - 109

SP - 28

EP - 37

JO - Acta psychiatrica Scandinavica. Supplementum

JF - Acta psychiatrica Scandinavica. Supplementum

IS - 420

ER -

12-Month comorbidity patterns and associated factors in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project

Abstract

Keywords

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