Comorbid mental disorders among adults in the mental health surveillance survey
| Autor: | Kathy Spagnola, Kathryn R. Batts, Valerie L. Forman-Hoffman, Sarra L. Hedden, Jonaki Bose |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Substance-Related Disorders Epidemiology Population Ethnic group Comorbidity Family income 03 medical and health sciences Sex Factors 0302 clinical medicine Surveys and Questionnaires Prevalence medicine Humans 030212 general & internal medicine education Psychiatry Poverty education.field_of_study Mood Disorders business.industry Mental Disorders Diagnostic instrument medicine.disease Anxiety Disorders Mental health 030227 psychiatry Substance abuse Mental Health Etiology Female business |
| Zdroj: | Annals of Epidemiology. 28:468-474 |
| ISSN: | 1047-2797 |
| DOI: | 10.1016/j.annepidem.2018.03.002 |
| Popis: | Purpose To examine the prevalence and correlates of mental disorder comorbidity in the adult U.S. household population. Methods Data are from a nationally representative sample of noninstitutionalized, civilian adults aged 18 years or older (n = 5653) who participated in the 2008–2012 Mental Health Surveillance Study. Mental disorders, including substance use disorders, were assessed by clinical interviewers using a semistructured diagnostic instrument. Analyses examined co-occurrence of mental disorders and associations with sociodemographic, functional impairment, and treatment correlates. Results Approximately one-third of adults (31.1%, or more than 15 million) with a past-year mental disorder had a co-occurring mental disorder. Correlates of comorbidity in adjusted models included being of young age, being of non-Hispanic white race/ethnicity, having low family income, and living in a large metropolitan area. Adults with comorbid mental disorders had lower mean levels of functioning and were more likely to report past-year treatment than adults with a single disorder; they also had higher estimates of past-year perceived unmet need for care (21.7% vs. 11.6%, P Conclusions About one in three adults with a mental disorder have a co-occurring mental disorder. Elucidating factors associated with co-occurrence may lend clues to shared etiologies, help improve prevention efforts, facilitate early identification, and improve treatment regimens. |
| Databáze: | OpenAIRE |
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