Epidemiology of psychiatric and alcohol disorders in Ukraine.

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Title: Epidemiology of psychiatric and alcohol disorders in Ukraine.
Authors: Bromet, Evelyn J., Gluzman, Semyon F., Paniotto, Volodymyr I., Webb, Charles P. M., Tintle, Nathan L., Zakhozha, Victoria, Havenaar, Johan M., Gutkovich, Zinoviy, Kostyuchenko, Stanislav, Schwartz, Joseph E.
Source: Social Psychiatry & Psychiatric Epidemiology. Sep2005, Vol. 40 Issue 9, p681-690. 10p.
Subjects: Mental illness, Alcoholism, Epidemiology, Pathological psychology, Substance abuse
Geographic Terms: Ukraine
Abstract: Background This study presents the lifetime, 12-month, and 1-month prevalence estimates of nine psychiatric and alcohol disorders in Ukraine assessed as part of the World Health Organization (WHO) World Mental Health (WMH) research program. The Ukraine WMH survey is the first psychiatric epidemiologic study in a former Soviet Union country to administer a structured psychiatric interview to a nationally representative sample. Method In 2002, a national probability sample of 4,725 respondents ages 18 and older were interviewed with the WMH version of the Composite International Diagnostic Interview (WMH-CIDI). Prevalence estimates, age-of-onset curves, comorbidity, demographic and geographic risk factors, and treatment seeking were examined. Results Close to one third of the population experienced at least one Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) disorder in their lifetime, 17.6% experienced an episode in the past year, and 10.6% had a current disorder. There was no gender difference in the overall prevalence rates. In men, the most common diagnoses were alcohol disorders (26.5% lifetime) and mood disorders (9.7% lifetime); in women, they were mood disorders (20.8% lifetime) and anxiety disorders (7.9% lifetime). The odds ratios for most pairs of disorders were highly significant. Age of onset was primarily in the teens and early 20s. Age, education, and living in the Eastern region of Ukraine were significant risk factors across disorders, with respondents older than 50 years having the highest prevalence of mood disorder and the lowest prevalence of alcoholism and intermittent explosive disorder. Only a minority of respondents talked to a professional about their symptoms. Conclusion Prevalence estimates of alcoholism among men and recent depression among women were higher in Ukraine than in comparable European surveys. The results argue for the need to develop and implement educational programs focused on the recognition and treatment of mental and alcohol disorders for the general population, psychiatrists, and general medical providers, who are the main source of mental health care. [ABSTRACT FROM AUTHOR]
Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature 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.)
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  Data: <searchLink fieldCode="AR" term="%22Bromet%2C+Evelyn+J%2E%22">Bromet, Evelyn J.</searchLink><br /><searchLink fieldCode="AR" term="%22Gluzman%2C+Semyon+F%2E%22">Gluzman, Semyon F.</searchLink><br /><searchLink fieldCode="AR" term="%22Paniotto%2C+Volodymyr+I%2E%22">Paniotto, Volodymyr I.</searchLink><br /><searchLink fieldCode="AR" term="%22Webb%2C+Charles+P%2E+M%2E%22">Webb, Charles P. M.</searchLink><br /><searchLink fieldCode="AR" term="%22Tintle%2C+Nathan+L%2E%22">Tintle, Nathan L.</searchLink><br /><searchLink fieldCode="AR" term="%22Zakhozha%2C+Victoria%22">Zakhozha, Victoria</searchLink><br /><searchLink fieldCode="AR" term="%22Havenaar%2C+Johan+M%2E%22">Havenaar, Johan M.</searchLink><br /><searchLink fieldCode="AR" term="%22Gutkovich%2C+Zinoviy%22">Gutkovich, Zinoviy</searchLink><br /><searchLink fieldCode="AR" term="%22Kostyuchenko%2C+Stanislav%22">Kostyuchenko, Stanislav</searchLink><br /><searchLink fieldCode="AR" term="%22Schwartz%2C+Joseph+E%2E%22">Schwartz, Joseph E.</searchLink>
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  Data: Background This study presents the lifetime, 12-month, and 1-month prevalence estimates of nine psychiatric and alcohol disorders in Ukraine assessed as part of the World Health Organization (WHO) World Mental Health (WMH) research program. The Ukraine WMH survey is the first psychiatric epidemiologic study in a former Soviet Union country to administer a structured psychiatric interview to a nationally representative sample. Method In 2002, a national probability sample of 4,725 respondents ages 18 and older were interviewed with the WMH version of the Composite International Diagnostic Interview (WMH-CIDI). Prevalence estimates, age-of-onset curves, comorbidity, demographic and geographic risk factors, and treatment seeking were examined. Results Close to one third of the population experienced at least one Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) disorder in their lifetime, 17.6% experienced an episode in the past year, and 10.6% had a current disorder. There was no gender difference in the overall prevalence rates. In men, the most common diagnoses were alcohol disorders (26.5% lifetime) and mood disorders (9.7% lifetime); in women, they were mood disorders (20.8% lifetime) and anxiety disorders (7.9% lifetime). The odds ratios for most pairs of disorders were highly significant. Age of onset was primarily in the teens and early 20s. Age, education, and living in the Eastern region of Ukraine were significant risk factors across disorders, with respondents older than 50 years having the highest prevalence of mood disorder and the lowest prevalence of alcoholism and intermittent explosive disorder. Only a minority of respondents talked to a professional about their symptoms. Conclusion Prevalence estimates of alcoholism among men and recent depression among women were higher in Ukraine than in comparable European surveys. The results argue for the need to develop and implement educational programs focused on the recognition and treatment of mental and alcohol disorders for the general population, psychiatrists, and general medical providers, who are the main source of mental health care. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature 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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