Mental disorders among persons with arthritis: results from the World Mental Health Surveys

被引：68

作者：

He, Y. ^{[1
]}

Zhang, M. ^{[1
]}

Lin, E. H. B. ^{[2
]}

Bruffaerts, R. ^{[3
]}

Posada-Villa, J. ^{[4
]}

Angenneyer, M. C. ^{[5
]}

Levinson, D.

de Girolamo, G. ^{[6
]}

Uda, H. ^{[7
]}

Mneimneh, Z. ^{[8
]}

Benjet, C. ^{[9
]}

de Graaf, R. ^{[10
]}

Scott, K. M. ^{[11
]}

Gureje, O. ^{[12
]}

Seedat, S. ^{[13
]}

Haro, J. M. ^{[14
]}

Bromet, E. J. ^{[15
]}

Alonso, J. ^{[16
]}

Kovess, V. ^{[17
]}

von Korff, M. ^{[2
]}

Kessler, R. ^{[18
]}

机构：

[1] Shanghai Mental Hlth Ctr, Shanghai 200030, Peoples R China

[2] Grp Hlth Cooperat Puget Sound, Ctr Hlth Studies, Seattle, WA 98101 USA

[3] Univ Hosp Gasthuisberg, Dept Neurosci & Psychiat, B-3000 Louvain, Belgium

[4] Colegio Mayor Cundinamarca Univ, Saldarriaga Concha Fdn, Bogota, Colombia

[5] Univ Leipzig, Dept Psychiat, Leipzig, Germany

[6] AUSL Bologna, Dept Mental Hlth, Bologna, Italy

[7] Sensatsu Publ Hlth Ctr, Kagoshima, Japan

[8] IDRAC, Beirut, Lebanon

[9] Calzada Mexico Xochimilco, Natl Inst Psychiat, Mexico City, DF, Mexico

[10] Netherlands Inst Mental Hlth & Addict, Utrecht, Netherlands

[11] Univ Otago, Wellington Sch Med & Hlth Sci, Dept Psychol Med, Wellington, New Zealand

[12] Univ Coll Ibadan Hosp, Dept Psychiat, Ibadan, Nigeria

[13] Univ Stellenbosch, Dept Psychiat, Cape Town, South Africa

[14] St Joan de Deu SSM, Barcelona, Spain

[15] SUNY Stony Brook, Dept Psychiat, Stony Brook, NY USA

[16] Inst Municipal Invest Med, Hlth Serv Res Unit, E-08003 Barcelona, Spain

[17] Univ Paris 05, Fdn MGEN Sante Publ, Paris, France

[18] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA

来源：

PSYCHOLOGICAL MEDICINE | 2008年 / 38卷 / 11期

关键词：

Arthritis; mental disorders; cross-sectional;

D O I：

10.1017/S0033291707002474

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Background. Prior studies in the USA have reported higher rates of mental disorders among persons with arthritis but no cross-national studies have been conducted. In this study the prevalence of specific mental disorders among persons with arthritis was estimated and their association with arthritis across diverse countries assessed. Method. The study was a series of cross-sectional population sample surveys. Eighteen population surveys of household-residing adults were carried out in 17 countries in different regions of the world. Most were carried out between 2001 and 2002, but others were completed as late as 2007. Mental disorders were assessed with the World Health Organization (WHO) World Mental Health-Composite International Diagnostic Interview (WMH-CIDI). Arthritis was ascertained by self-report. The association of anxiety disorders, mood disorders and alcohol use disorders with arthritis was assessed, controlling for age and sex. Prevalence rates for specific mental disorders among persons with and without arthritis were calculated and odds ratios (ORs) with 95% confidence intervals were used to estimate the association. Results. After adjusting for age and sex, specific mood and anxiety disorders occurred among persons with arthritis at higher rates than among persons without arthritis. Alcohol abuse/dependence showed a weaker and less consistent association with arthritis. The pooled estimates of the age- and sex-adjusted ORs were about 1.9 for mood disorders and for anxiety disorders and about 1.5 for alcohol abuse/dependence among persons with versus without arthritis. The pattern of association between specific mood and anxiety disorders and arthritis was similar across countries. Conclusions. Mood and anxiety disorders occur with greater frequency among persons with arthritis than those without arthritis across diverse countries. The strength of association of specific mood and anxiety disorders with arthritis was generally consistent across disorders and across countries.

引用

页码：1639 / 1650

页数：12

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