Mental disorders among persons with heart disease — results from World Mental Health surveys

BackgroundAssociations between specific parent and offspring mental disorders are likely to have been overestimated in studies that have failed to control for parent comorbidity.AimsTo examine the associations of parent with respondent disorders.MethodData come from the World Health Organization (WHO) World Mental Health Surveys (n = 51 507). Respondent disorders were assessed with the Composite International Diagnostic Interview and parent disorders with informant-based Family History Research Diagnostic Criteria interviews.ResultsAlthough virtually all parent disorders examined (major depressive, generalised anxiety, panic, substance and antisocial behaviour disorders and suicidality) were significantly associated with offspring disorders in multivariate analyses, little specificity was found. Comorbid parent disorders had significant sub-additive associations with offspring disorders. Population-attributable risk proportions for parent disorders were 12.4% across all offspring disorders, generally higher in high- and upper-middle- than low-/lower-middle-income countries, and consistently higher for behaviour (11.0–19.9%) than other (7.1–14.0%) disorders.ConclusionsParent psychopathology is a robust non-specific predictor associated with a substantial proportion of offspring disorders.

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Obesity and mental disorders in the general population: results from the world mental health surveys

International Journal of Obesity ◽

10.1038/sj.ijo.0803701 ◽

2007 ◽

Vol 32 (1) ◽

pp. 192-200 ◽

Cited By ~ 225

Author(s):

K M Scott ◽

R Bruffaerts ◽

G E Simon ◽

J Alonso ◽

M Angermeyer ◽

...

Keyword(s):

Mental Health ◽

General Population ◽

Mental Disorders ◽

Health Surveys ◽

World Mental Health ◽

The World

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Neighbourhood characteristics and mental disorders in three Chinese cities: multilevel models from the World Mental Health Surveys

BMJ Open ◽

10.1136/bmjopen-2017-017679 ◽

2017 ◽

Vol 7 (10) ◽

pp. e017679 ◽

Cited By ~ 2

Author(s):

Alexandre Dias Porto Chiavegatto Filho ◽

Laura Sampson ◽

Silvia S Martins ◽

Shui Yu ◽

Yueqin Huang ◽

...

Keyword(s):

Mental Health ◽

Mental Disorders ◽

Marital Status ◽

Health Surveys ◽

Chinese Cities ◽

Lower Odds ◽

Individual Level ◽

World Mental Health ◽

The World ◽

Neighbourhood Level

ObjectivesThe rapid growth of urban areas in China in the past few decades has introduced profound changes in family structure and income distribution that could plausibly affect mental health. Although multilevel studies of the influence of area-level socioeconomic factors on mental health have become more common in other parts of the world, a study of this sort has not been carried out in Chinese cities. Our objectives were to examine the associations of two key neighbourhood-level variables—median income and percentage of married individuals living in the neighbourhood—with mental disorders net of individual-level income and marital status in three Chinese cities.SettingHousehold interviews in Beijing, Shanghai and Shenzhen, PRC, as part of the cross-sectional World Mental Health Surveys.Participants4072 men and women aged 18–88 years.Primary and secondary outcome measuresLifetime and past-year internalising and externalising mental disorders.ResultsEach one-point increase in neighbourhood-level percentage of married residents was associated with a 1% lower odds of lifetime (p=0.024) and 2% lower odds of past-year (p=0.008) individual-level externalising disorder, net of individual-level marital status. When split into tertiles, individuals living in neighbourhoods in the top tertile of percentage of married residents had 54% lower odds of a past-year externalising disorder (OR=0.46, 95% CI: 0.24 to 0.87) compared with those in the bottom tertile. Neighbourhood-level marital status was not statistically associated with either lifetime or past-year internalising disorders. Neighbourhood-level income was not statistically associated with odds of either internalising or externalising disorders.ConclusionsThe proportion of married residents in respondents’ neighbourhoods was significantly inversely associated with having externalising mental disorders in this sample of Chinese cities. Possible mechanisms for this finding are discussed and related to social causation, social selection and social control theories. Future work should examine these relationships longitudinally.

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