Previous disorders and depression outcomes in individuals with 12-month major depressive disorder in the World Mental Health surveys.
Por:
Roest AM, de Vries YA, Al-Hamzawi A, Alonso J, Ayinde OO, Bruffaerts R, Bunting B, Caldas de Almeida JM, de Girolamo G, Degenhardt L, Florescu S, Gureje O, Haro JM, Hu C, Karam EG, Kiejna A, Kovess-Masfety V, Lee S, McGrath JJ, Medina-Mora ME, Navarro-Mateu F, Nishi D, Piazza M, Posada-Villa J, Scott KM, Stagnaro JC, Stein DJ, Torres Y, Viana MC, Zarkov Z, Kessler RC, de Jonge P and WHO World Mental Health Survey collaborators
Publicada:
11 nov 2021
Ahead of Print:
11 nov 2021
Categoría:
Epidemiology
Resumen:
AIMS: Major depressive disorder (MDD) is characterised by a recurrent course and high comorbidity rates. A lifespan perspective may therefore provide important information regarding health outcomes. The aim of the present study is to examine mental disorders that preceded 12-month MDD diagnosis and the impact of these disorders on depression outcomes. METHODS: Data came from 29 cross-sectional community epidemiological surveys of adults in 27 countries (n = 80 190). The Composite International Diagnostic Interview (CIDI) was used to assess 12-month MDD and lifetime DSM-IV disorders with onset prior to the respondent's age at interview. Disorders were grouped into depressive distress disorders, non-depressive distress disorders, fear disorders and externalising disorders. Depression outcomes included 12-month suicidality, days out of role and impairment in role functioning. RESULTS: Among respondents with 12-month MDD, 94.9% (s.e. = 0.4) had at least one prior disorder (including previous MDD), and 64.6% (s.e. = 0.9) had at least one prior, non-MDD disorder. Previous non-depressive distress, fear and externalising disorders, but not depressive distress disorders, predicted higher impairment (OR = 1.4-1.6) and suicidality (OR = 1.5-2.5), after adjustment for sociodemographic variables. Further adjustment for MDD characteristics weakened, but did not eliminate, these associations. Associations were largely driven by current comorbidities, but both remitted and current externalising disorders predicted suicidality among respondents with 12-month MDD. CONCLUSIONS: These results illustrate the importance of careful psychiatric history taking regarding current anxiety disorders and lifetime externalising disorders in individuals with MDD.
Filiaciones:
Roest AM:
Department of Developmental Psychology, University of Groningen, Groningen, The Netherlands
de Vries YA:
Department of Developmental Psychology, University of Groningen, Groningen, The Netherlands
Al-Hamzawi A:
College of Medicine, Al-Qadisiya University, Diwaniya governorate, Iraq
Alonso J:
Health Services Research Unit, IMIM-Hospital del Mar Medical Research Institute, Barcelona, Spain
CIBER en Epidemiología y Salud Pública (CIBERESP), Spain
Pompeu Fabra University (UPF), Barcelona, Spain
Ayinde OO:
Department of Psychiatry, University of Ibadan, Ibadan, Nigeria
Bruffaerts R:
Universitair Psychiatrisch Centrum - Katholieke Universiteit Leuven (UPC-KUL), Campus Gasthuisberg, Leuven, Belgium
Bunting B:
School of Psychology, Ulster University, Londonderry, UK
Caldas de Almeida JM:
Lisbon Institute of Global Mental Health and Chronic Diseases Research Center (CEDOC), NOVA Medical School|Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal
de Girolamo G:
IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy
Degenhardt L:
National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia
Florescu S:
National School of Public Health, Management and Development, Bucharest, Romania
Gureje O:
Department of Psychiatry, University College Hospital, Ibadan, Nigeria
Haro JM:
Parc Sanitari Sant Joan de Déu, CIBERSAM, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain
Hu C:
Shenzhen Institute of Mental Health & Shenzhen Kangning Hospital, Shenzhen, China
Karam EG:
Department of Psychiatry and Clinical Psychology, St George Hospital University Medical Center, Beirut, Lebanon
Balamand University, Faculty of Medicine, Beirut, Lebanon
Institute for Development, Research, Advocacy and Applied Care (IDRAAC), Beirut, Lebanon
Kiejna A:
WSB University, Torun, Poland
University of Lower Silesia, Wroclaw, Poland
Kovess-Masfety V:
Ecole des Hautes Etudes en Santé Publique (EHESP), EA 4057, Paris Descartes University, Paris, France
Lee S:
Department of Psychiatry, Chinese University of Hong Kong, Tai Po, Hong Kong
McGrath JJ:
Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wacol QLD4072, Australia
Queensland Brain Institute, The University of Queensland, St Lucia QLD4065, Australia
National Centre for Register-based Research, Aarhus University, Aarhus V8000, Denmark
Medina-Mora ME:
National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
Navarro-Mateu F:
UDIF-SM, Servicio Murciano de Salud. IMIB-Arrixaca. CIBERESP-Murcia, Región de Murcia, Spain
Nishi D:
Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
Piazza M:
Instituto Nacional de Salud, Lima, Peru
Universidad Cayetano Heredia, Lima, Peru
Posada-Villa J:
Colegio Mayor de Cundinamarca University, Faculty of Social Sciences, Bogota, Colombia
Scott KM:
Department of Psychological Medicine, University of Otago, Dunedin, Otago, New Zealand
Stagnaro JC:
Departamento de Psiquiatría y Salud Mental, Facultad de Medicina, Universidad de Buenos Aires, Argentina
Stein DJ:
Department of Psychiatry & Mental Health and South African Medical Council Research Unit on Risk and Resilience in Mental Disorders, University of Cape Town and Groote Schuur Hospital, Cape Town, Republic of South Africa
Torres Y:
Center for Excellence on Research in Mental Health, CES University, Medellin, Colombia
Viana MC:
Department of Social Medicine, Postgraduate Program in Public Health, Federal University of Espírito Santo, Vitoria, Brazil
Zarkov Z:
Department of Mental Health, National Center of Public Health and Analyses, Sofia, Bulgaria
Kessler RC:
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA
de Jonge P:
Department of Developmental Psychology, University of Groningen, Groningen, The Netherlands
Green Published, gold
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