Title: 12-Month comorbidity patterns and associated factors in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project
Authors: Alonso, J
Angermeyer, M C
Bernert, S
Bruffaerts, Ronny
Brugha, T S
Bryson, H
de Girolamo, G
Graaf, R ×
Demyttenaere, Koen
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
Almansa, J
Arbabzadeh-Bouchez, S
Autonell, J
Bernal, M
Buist-Bouwman, M A
Codony, M
Domingo-Salvany, A
Ferrer, M
Joo, S S
Martínez-Alonso, M
Matschinger, H
Mazzi, F
Morgan, Z
Morosini, P
Palacín, C
Romera, B
Taub, N
Vollebergh, W A M #
Issue Date: 2004
Series Title: Acta psychiatrica Scandinavica. Supplementum vol:109 issue:Suppl. 420 pages:28-37
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 18 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-nationally. 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.
ISSN: 0065-1591
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Research Group Psychiatry
× corresponding author
# (joint) last author

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