scholarly journals Common mental disorders, subthreshold symptoms and disability: longitudinal study

2010 ◽  
Vol 197 (5) ◽  
pp. 411-412 ◽  
Author(s):  
Dheeraj Rai ◽  
Petros Skapinakis ◽  
Nicola Wiles ◽  
Glyn Lewis ◽  
Ricardo Araya
Keyword(s):  
Mental Disorders ◽  
Functional Disability ◽  
Psychiatric Symptoms ◽  
Common Mental Disorders ◽  
Psychiatric Morbidity ◽  
Diagnostic Categories ◽  
Icd 10 ◽  
The Uk ◽  
Aggregate Burden

SummaryIn a representative sample of the UK population we found that common mental disorders (as a group and in ICD–10 diagnostic categories) and subthreshold psychiatric symptoms at baseline were both independently associated with new-onset functional disability and significant days lost from work at 18-month follow-up. Subthreshold symptoms contributed to almost half the aggregate burden of functional disability and over 32 million days lost from work in the year preceding the study. Leaving these symptoms unaccounted for in surveys may lead to gross underestimation of disability related to psychiatric morbidity.

scholarly journals Socio-economic position and common mental disorders

2006 ◽  
Vol 189 (2) ◽  
pp. 109-117 ◽  
Author(s):  
Petros Skapinakis ◽  
Scott Weich ◽  
Glyn Lewis ◽  
Nicola Singleton ◽  
Ricardo Araya
Keyword(s):  
Mental Disorders ◽  
Common Mental Disorders ◽  
Common Mental Disorder ◽  
Psychiatric Morbidity ◽  
Population Sample ◽  
Diagnostic Categories ◽  
Longitudinal Association ◽  
Economic Position ◽  
The Uk

BackgroundIndividuals in lower socio-economic groups have an increased prevalence of common mental disorders.AimsTo investigate the longitudinal association between socio-economic position and common mental disorders in a general population sample in the UK.MethodParticipants (n=2406) were assessed at two time points 18 months apart with the Revised Clinical Interview Schedule. The sample was stratified into two cohorts according to mental health status at baseline.ResultsNone of the socio-economic indicators studied was significantly associated with an episode of common mental disorder at follow-up after adjusting for baseline psychiatric morbidity. The analysis of separate diagnostic categories showed that subjective financial difficulties at baseline were independently associated with depression at follow-up in both cohorts.ConclusionsThese findings support the view that apart from objective measures of socio-economic position, more subjective measures might be equally important from an aetiological or clinical perspective.

Australia's Mental Health: An Overview of the General Population Survey

2000 ◽  
Vol 34 (2) ◽  
pp. 197-205 ◽  
Author(s):  
Scott Henderson ◽  
Gavin Andrews ◽  
Wayne Hall
Keyword(s):  
General Population ◽  
Mental Disorders ◽  
Social Role ◽  
Common Mental Disorders ◽  
Adult Population ◽  
Psychiatric Morbidity ◽  
Composite International Diagnostic Interview ◽  
Diagnostic Interview ◽  
Icd 10 ◽  
Australian Bureau Of Statistics

Objectives: The objectives of this study were to estimate the 1-month and 1-year prevalence of mental disorders in the Australian adult population; to determine the amount of disablement associated with this; and to determine the use of health and other services by persons with common mental disorders. Method: For the Adult Survey, a household sample of 10 600 persons aged 18 years and over were interviewed across Australia by experienced field staff of the Australian Bureau of Statistics. This was 78%% of the target sample. The interview consisted of the composite international diagnostic interview in its automated presentation (CIDI-A) and other components to determine disablement, use of services and satisfaction with services received. The diagnostic classifications used in the analyses were both ICD-10 and DSM-IV. Only the results from ICD-10 are reported here. Results: A total of 17.7%% of the sample had one or more common mental disorders, anxiety, depression, alcohol or substance abuse and neurasthenia. This morbidity was associated with considerable disablement in daily life: 3 days of impaired social role performance in the previous 4 weeks, compared with 1 day for the general population. Of all cases, 64.6%% had had no contact with health services in the previous year; 29.4%% had seen GPs and 7.5%% had seen psychiatrists. Conclusion: Australia now has its own national estimates of psychiatric morbidity. The morbidity is associated with considerable disablement, but most of it is untreated. General practitioners encounter by far the largest proportion of those reaching services.

Age and birth cohort differences in depression in repeated cross-sectional surveys in England: the National Psychiatric Morbidity Surveys, 1993 to 2007

2012 ◽  
Vol 42 (10) ◽  
pp. 2047-2055 ◽  
Author(s):  
N. Spiers ◽  
T. S. Brugha ◽  
P. Bebbington ◽  
S. McManus ◽  
R. Jenkins ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Common Mental Disorders ◽  
Cohort Analysis ◽  
Psychiatric Morbidity ◽  
Birth Cohorts ◽  
Limited Evidence ◽  
Cross Sectional ◽  
Cohort Differences ◽  
Prevalence Of Depression ◽  
Icd 10

BackgroundThe National Psychiatric Morbidity Survey (NPMS) programme was partly designed to monitor trends in mental disorders, including depression, with comparable data spanning 1993 to 2007. Findings already published from this programme suggest that concerns about increasing prevalence of common mental disorders (CMDs) may be unfounded. This article focuses on depression and tests the hypothesis that successive birth cohorts experience the same prevalence of depression as they age.MethodWe carried out a pseudo-cohort analysis of a sequence of three cross-sectional surveys of the English household population using identical diagnostic instruments. The main outcome was ICD-10 depressive episode or disorder. Secondary outcomes were the depression subscales of the Clinical Interview Schedule – Revised (CIS-R).ResultsThere were 8670, 6977 and 6815 participants in 1993, 2000 and 2007 respectively. In men, the prevalence of depression increased between cohorts born in 1943–1949 and 1950–1956 [odds ratio (OR) 2.5, 95% confidence interval (CI) 1.4–4.2], then remained relatively stable across subsequent cohorts. In women, there was limited evidence of change in prevalence of depression. Women born in 1957–1963, surveyed aged 44–50 years in 2007, had exceptionally high prevalence. It is not clear whether this represents a trend or a quirk of sampling.ConclusionsThere is no evidence of an increase in the prevalence of depression in male cohorts born since 1950. In women, there is limited evidence of increased prevalence. Demand for mental health services may stabilize or even fall for men.

scholarly journals Socioeconomic inequalities in common mental disorders and psychotherapy treatment in the UK between 1991 and 2009

2013 ◽  
Vol 202 (2) ◽  
pp. 115-120 ◽  
Author(s):  
Markus Jokela ◽  
G. David Batty ◽  
Jussi Vahtera ◽  
Marko Elovainio ◽  
Mika Kivimäki
Keyword(s):  
Socioeconomic Status ◽  
Mental Disorders ◽  
Household Income ◽  
Social Inequalities ◽  
Common Mental Disorders ◽  
Occupational Status ◽  
Income Quintile ◽  
Public Health Issue ◽  
The Uk

BackgroundInequality in health and treatment of disease across socioeconomic status groups is a major public health issue.AimsTo examine differences in socioeconomic status in common mental disorders and use of psychotherapy provided by the public and private sector in the UK between 1991 and 2009.MethodDuring these years, 28 054 men and women responded to annual surveys by the nationally representative, population-based British Household Panel Survey (on average 7 measurements per participant; 207 545 person-observations). In each year, common mental disorders were assessed with the self-reported 12-item General Health Questionnaire and socioeconomic status was assessed on the basis of household income, occupational status and education.ResultsHigher socioeconomic status was associated with lower odds of common mental disorder (highest v. lowest household income quintile odds ratio (OR) 0.88, 95% CI 0.82–0.94) and of being treated by publicly provided psychotherapy (OR = 0.43, 95% CI 0.34–0.55), but higher odds of being a client of private psychotherapy (OR = 3.33, 95% CI 2.36–4.71). The status difference in publicly provided psychotherapy treatment was more pronounced at the end of follow-up (OR = 0.36, 95% CI 0.23–0.56, in 2005–2009) than at the beginning of the follow-up period (OR =0.96, 95% CI 0.66–1.39, in 1991–1994; time interaction P<0.001). The findings for occupational status and education were similar to those for household income.ConclusionsThe use of publicly provided psychotherapy has improved between 1991 and 2009 among those with low socioeconomic status, although social inequalities in common mental disorders remain.

scholarly journals Common mental disorders in Santiago, Chile

2001 ◽  
Vol 178 (3) ◽  
pp. 228-233 ◽  
Author(s):  
Ricardo Araya ◽  
Graciela Rojas ◽  
Rosemarie Fritsch ◽  
Julia Acuña ◽  
Glyn Lewis
Keyword(s):  
Mental Disorders ◽  
Urban Areas ◽  
Common Mental Disorders ◽  
Psychiatric Morbidity ◽  
Female Gender ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Probabilistic Sampling ◽  
Private Households ◽  
Icd 10

BackgroundThere have been relatively few surveys in Latin America that have attempted to estimate the prevalence of psychiatric morbidity in private households.AimsTo determine the prevalence of common mental disorders and socio-demographic correlates among adults from Santiago, Chile.MethodCross-sectional survey of private households with a probabilistic sampling design was used. Common mental disorders were measured using the Clinical Interview Schedule–Revised (CIS–R).ResultsThree thousand eight hundred and seventy adults were interviewed. Twenty-five per cent were CIS–R cases and 13% met criteria for an ICD–10 diagnosis. Low education, female gender, unemployment, separation, low social status and lone parenthood were associated with a higher prevalence.ConclusionsPrevalence rates were higher than those found in urban areas of Great Britain, both for ICD–10 diagnoses and ‘non-specific neurotic disorders’. Similar socio-demographic factors were associated with an increased prevalence of common mental disorders in Chile as in the UK. There is a need to unify methodologies to be able to compare results internationally.

Diabetes, Common Mental Disorders, and Disability: Findings From the UK National Psychiatric Morbidity Survey

2007 ◽  
Vol 69 (6) ◽  
pp. 543-550 ◽  
Author(s):  
Jayati Das-Munshi ◽  
Rob Stewart ◽  
Khalida Ismail ◽  
Paul E. Bebbington ◽  
Rachel Jenkins ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Common Mental Disorders ◽  
Psychiatric Morbidity ◽  
The Uk

scholarly journals Common Mental Disorders, Explanatory Models and Consultation Behaviour among Indian Women Living in the UK

1998 ◽  
Vol 91 (2) ◽  
pp. 66-71 ◽  
Author(s):  
K S Jacob ◽  
D Bhugra ◽  
K R Lloyd ◽  
A H Mann
Keyword(s):  
Primary Care ◽  
Mental Disorders ◽  
Common Mental Disorders ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Medical Intervention ◽  
Explanatory Models ◽  
Indian Women ◽  
Indian Origin ◽  
The Uk

Women of Indian origin are said to have a lower rate of recognized common mental disorders and a higher frequency of consultation in primary care than white British. The aim of this study was to evaluate factors, including explanatory models (patient perspectives) of illness, associated with common mental disorders and with frequency of consultation among women of Indian origin in primary care. The investigation was conducted in a general practice in West London with a large Indian population. Consecutive woman attenders of Indian descent were screened with the General Health Questionnaire-12 to identify probable cases of psychiatric morbidity. 100 patients were interviewed with the Revised Clinical Interview Schedule (CIS-R), a specific tool for the diagnosis of common mental disorders, and the Short Explanatory Model Interview, which elicits the individual's conceptualization of his or her illness. Those patients who satisfied CIS-R criteria were classified as ‘cases’, the others as ‘controls’. Common mental disorders were documented in 30% of patients. The general practitioner's diagnosis of common mental disorders had a sensitivity of 17% and a specificity of 91%. Individuals with common mental disorders had a higher frequency of consultation (P=0.017), were less likely to see depression as an indication for medical intervention and were more likely to withhold some of their concerns from the general practitioner. Incorrect diagnosis by the GP was most likely to occur when patients did not disclose all their complaints. These associations were all statistically significant after adjustment for possible confounders by multiple linear and logistic regression. Women of Indian origin in this sample had rates of common mental disorders similar to those in other UK populations. Differing conceptualizations of common mental disorders may contribute to their underrecognition in women of Indian origin.

scholarly journals International and regional variation in the prevalence of common mental disorders: do we need more surveys?

2004 ◽  
Vol 184 (4) ◽  
pp. 289-290 ◽  
Author(s):  
Scott Weich ◽  
Ricardo Araya
Keyword(s):  
Mental Disorders ◽  
Regional Variation ◽  
Common Mental Disorders ◽  
Psychiatric Morbidity ◽  
Epidemiological Survey ◽  
Decision Makers ◽  
Local Decision ◽  
Local Decision Makers ◽  
Geographical Locations

Vicente and his colleagues present admirably concise findings from a large epidemiological survey of non-psychotic psychiatric morbidity in four different geographical locations in Chile (Vicente et al, 2004, this issue). Without gainsaying the importance of psychiatric morbidity in that country, many readers, including local decision-makers, may find it difficult to assimilate these results.

scholarly journals The case of inorganic hypersomnia treated with light therapy in the course of schizoaffective disorder

2016 ◽  
Vol 17 (1) ◽  
pp. 17-18
Author(s):  
Jolanta Masiak ◽  
Elżbieta Masiak ◽  
Katarzyna Ziniuk
Keyword(s):  
Mental Disorders ◽  
Schizoaffective Disorder ◽  
Excessive Daytime Sleepiness ◽  
Light Therapy ◽  
Mood Stabilizers ◽  
Definite Evidence ◽  
Her Family ◽  
Icd 10 ◽  
One Year

AbstractAccording to ICD 10, nonorganic hypersomnia is defined as “a condition of either excessive daytime sleepiness and sleep attacks (not accounted for by an inadequate amount of sleep) or prolonged transition to the fully aroused state upon awakening. When no definite evidence of organic etiology can be found, this condition is usually associated with mental disorders”. The severe hypersomnia in the course of schizoaffective disorder is rather a rare phenomenon. The paper presents the case of 41-year-old female patient with severe hypersomnia during the course of the schizoaffective disorder. The course of hypersomnia was severe. The patient slept constantly day and night and was awoken by her family for about three-hour period of time. The duration of hypersomnia was about one year until the onset of treatment. The patient was successfully treated with light therapy that caused gradual resolution of the symptoms of hypersomnia. The patient is also treated as prior to the onset of hypersomnia with antipsychotics and the mood stabilizers for schizoaffective disorder. Since that time there were six-year-period of follow up when the patient was free of any symptoms of hypersomnia.

scholarly journals Claims for sickness and disability benefits owing to mental disorders in the UK: trends from 1995 to 2014

BJPsych Open ◽  
2016 ◽  
Vol 2 (1) ◽  
pp. 18-24 ◽  
Author(s):  
Sebastião Viola ◽  
Joanna Moncrieff
Keyword(s):  
Anxiety Disorder ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Common Mental Disorders ◽  
Disability Benefits ◽  
Common Cause ◽  
Individual Support ◽  
Government Data ◽  
The Uk

BackgroundThere is international concern about the levels of sickness and disability benefits, with mental disorders known to account for a large proportion of claims.AimsTo examine trends in sickness and disability benefits awarded for mental disorders in the UK.MethodThe researchers analysed UK Government data from 1995 to 2014.ResultsMental disorders have become the most common cause of receiving benefits, with the number of claimants rising by 103% from 1995 to 1.1 million in 2014. Claimants with other conditions fell by 35%. In 2014, 47% of claims were attributed to a mental disorder. The number of long-term claimants (claiming over 5 years) with mental disorders increased by 87% from 2000 to 2011. Two-thirds of mental disorder claimants were classified as having a depressive or anxiety disorder.ConclusionsCommon mental disorders may involve greater morbidity and social costs than usually recognised. Availability of suitable employment, as well as individual support, may be necessary to reduce benefit levels.

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