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Title: Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization's World Mental Health Survey Initiative
Authors: Kessler, Ronald C ×
Angermeyer, Matthias
Anthony, James C
DE Graaf, Ron
Demyttenaere, Koen
Gasquet, Isabelle
DE Girolamo, Giovanni
Gluzman, Semyon
Gureje, Oye
Haro, Josep Maria
Kawakami, Norito
Karam, Aimee
Levinson, Daphna
Medina Mora, Maria Elena
Oakley Browne, Mark A
Posada-Villa, José
Stein, Dan J
Adley Tsang, Cheuk Him
Aguilar-Gaxiola, Sergio
Alonso, Jordi
Lee, Sing
Heeringa, Steven
Pennell, Beth-Ellen
Berglund, Patricia
Gruber, Michael J
Petukhova, Maria
Chatterji, Somnath
Ustün, T Bedirhan #
Issue Date: Oct-2007
Series Title: World psychiatry : official journal of the World Psychiatric Association (WPA) vol:6 issue:3 pages:168-76
Abstract: Data are presented on the lifetime prevalence, projected lifetime risk, and age-of-onset distributions of mental disorders in the World Health Organization (WHO)'s World Mental Health (WMH) Surveys. Face-to-face community surveys were conducted in seventeen countries in Africa, Asia, the Americas, Europe, and the Middle East. The combined numbers of respondents were 85,052. Lifetime prevalence, projected lifetime risk, and age of onset of DSM-IV disorders were assessed with the WHO Composite International Diagnostic Interview (CIDI), a fully-structured lay administered diagnostic interview. Survival analysis was used to estimate lifetime risk. Median and inter-quartile range (IQR) of age of onset is very early for some anxiety disorders (7-14, IQR: 8-11) and impulse control disorders (7-15, IQR: 11-12). The age-of-onset distribution is later for mood disorders (29-43, IQR: 35-40), other anxiety disorders (24-50, IQR: 31-41), and substance use disorders (18-29, IQR: 21-26). Median and IQR lifetime prevalence estimates are: anxiety disorders 4.8-31.0% (IQR: 9.9-16.7%), mood disorders 3.3-21.4% (IQR: 9.8-15.8%), impulse control disorders 0.3-25.0% (IQR: 3.1-5.7%), substance use disorders 1.3-15.0% (IQR: 4.8-9.6%), and any disorder 12.0-47.4% (IQR: 18.1-36.1%). Projected lifetime risk is proportionally between 17% and 69% higher than estimated lifetime prevalence (IQR: 28-44%), with the highest ratios in countries exposed to sectarian violence (Israel, Nigeria, and South Africa), and a general tendency for projected risk to be highest in recent cohorts in all countries. These results document clearly that mental disorders are commonly occurring. As many mental disorders begin in childhood or adolescents, interventions aimed at early detection and treatment might help reduce the persistence or severity of primary disorders and prevent the subsequent onset of secondary disorders.
ISSN: 1723-8617
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Research Group Psychiatry
× corresponding author
# (joint) last author

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