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Age patterns in the prevalence of DSM-IV depressive/anxiety disorders with and without physical co-morbidity.

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Title: Age patterns in the prevalence of DSM-IV depressive/anxiety disorders with and without physical co-morbidity.
Authors: Scott KM (AUTHOR), Von Korff M (AUTHOR), Alonso J (AUTHOR), Angermeyer M (AUTHOR), Bromet EJ (AUTHOR), Bruffaerts R (AUTHOR), de Girolamo G (AUTHOR), de Graaf R (AUTHOR), Fernandez A (AUTHOR), Gureje O (AUTHOR), He Y (AUTHOR), Kessler RC (AUTHOR), Kovess V (AUTHOR), Levinson D (AUTHOR), Medina-Mora ME (AUTHOR), Browne MAO (AUTHOR), Posada-Villa J (AUTHOR), Tachimori H (AUTHOR), Williams D (AUTHOR)
Source: Psychological Medicine. Nov2008, Vol. 38 Issue 11, p1659-1669. 11p.
Abstract: BACKGROUND: Physical morbidity is a potent risk factor for depression onset and clearly increases with age, yet prior research has often found depressive disorders to decrease with age. This study tests the possibility that the relationship between age and mental disorders differs as a function of physical co-morbidity. METHOD: Eighteen general population surveys were carried out among household-residing adults as part of the World Mental Health (WMH) surveys initiative (n=42 697). DSM-IV disorders were assessed using face-to-face interviews with the Composite International Diagnostic Interview (CIDI 3.0). The effect of age was estimated for 12-month depressive and/or anxiety disorders with and without physical or pain co-morbidity, and for physical and/or pain conditions without mental co-morbidity. RESULTS: Depressive and anxiety disorders decreased with age, a result that cannot be explained by organic exclusion criteria. No significant difference was found in the relationship between mental disorders and age as a function of physical/pain co-morbidity. The majority of older persons have chronic physical or pain conditions without co-morbid mental disorders; by contrast, the majority of those with mental disorders have physical/pain co-morbidity, particularly among the older age groups. CONCLUSIONS: CIDI-diagnosed depressive and anxiety disorders in the general population decrease with age, despite greatly increasing physical morbidity with age. Physical morbidity among persons with mental disorder is the norm, particularly in older populations. Health professionals, including mental health professionals, need to address barriers to the management of physical co-morbidity among those with mental disorders. [ABSTRACT FROM AUTHOR]
Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Age patterns in the prevalence of DSM-IV depressive/anxiety disorders with and without physical co-morbidity.
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  Data: <searchLink fieldCode="AR" term="%22Scott+KM%22">Scott KM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Von+Korff+M%22">Von Korff M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Alonso+J%22">Alonso J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Angermeyer+M%22">Angermeyer M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bromet+EJ%22">Bromet EJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bruffaerts+R%22">Bruffaerts R</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22de+Girolamo+G%22">de Girolamo G</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22de+Graaf+R%22">de Graaf R</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fernandez+A%22">Fernandez A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gureje+O%22">Gureje O</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22He+Y%22">He Y</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kessler+RC%22">Kessler RC</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kovess+V%22">Kovess V</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Levinson+D%22">Levinson D</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Medina-Mora+ME%22">Medina-Mora ME</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Browne+MAO%22">Browne MAO</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Posada-Villa+J%22">Posada-Villa J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tachimori+H%22">Tachimori H</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Williams+D%22">Williams D</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psychological+Medicine%22">Psychological Medicine</searchLink>. Nov2008, Vol. 38 Issue 11, p1659-1669. 11p.
– Name: Abstract
  Label: Abstract
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  Data: BACKGROUND: Physical morbidity is a potent risk factor for depression onset and clearly increases with age, yet prior research has often found depressive disorders to decrease with age. This study tests the possibility that the relationship between age and mental disorders differs as a function of physical co-morbidity. METHOD: Eighteen general population surveys were carried out among household-residing adults as part of the World Mental Health (WMH) surveys initiative (n=42 697). DSM-IV disorders were assessed using face-to-face interviews with the Composite International Diagnostic Interview (CIDI 3.0). The effect of age was estimated for 12-month depressive and/or anxiety disorders with and without physical or pain co-morbidity, and for physical and/or pain conditions without mental co-morbidity. RESULTS: Depressive and anxiety disorders decreased with age, a result that cannot be explained by organic exclusion criteria. No significant difference was found in the relationship between mental disorders and age as a function of physical/pain co-morbidity. The majority of older persons have chronic physical or pain conditions without co-morbid mental disorders; by contrast, the majority of those with mental disorders have physical/pain co-morbidity, particularly among the older age groups. CONCLUSIONS: CIDI-diagnosed depressive and anxiety disorders in the general population decrease with age, despite greatly increasing physical morbidity with age. Physical morbidity among persons with mental disorder is the norm, particularly in older populations. Health professionals, including mental health professionals, need to address barriers to the management of physical co-morbidity among those with mental disorders. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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