dc.contributor.author |
Rapsey, Charlene M. |
dc.contributor.author |
Lim, Carmen |
dc.contributor.author |
Al-Hamzawi, Ali |
dc.contributor.author |
Alonso Caballero, Jordi |
dc.contributor.author |
Bruffaerts, Ronny |
dc.contributor.author |
Caldas de Almeida, José Miguel |
dc.contributor.author |
Florescu, Silvia |
dc.contributor.author |
Girolamo, Giovanni de |
dc.contributor.author |
Hu, Chiyi |
dc.contributor.author |
Kessler, Ronald C. |
dc.contributor.author |
Kovess, Viviane |
dc.contributor.author |
Levinson, Daphna |
dc.contributor.author |
Medina Mora, Maria Elena |
dc.contributor.author |
Murphy, Sam |
dc.contributor.author |
Ono, Yutaka |
dc.contributor.author |
Piazza, Marina |
dc.contributor.author |
Posada Villa, José |
dc.contributor.author |
Have, Margeet ten |
dc.contributor.author |
Wojtyniak, Bogdan J. |
dc.contributor.author |
Scott, Kate M. |
dc.date |
2015 |
dc.identifier.citation |
Rapsey CM, Lim CC, Al-Hamzawi A, Alonso J, Bruffaerts R, Caldas-de-Almeida JM
et al. Associations between DSM-IV mental disorders and subsequent COPD diagnosis. J Psychosom Res. 2015 Nov; 79(5): 333-9. DOI: 10.1016/j.jpsychores.2015.08.005 |
dc.identifier.citation |
0022-3999 |
dc.identifier.citation |
http://dx.doi.org/10.1016/j.jpsychores.2015.08.005 |
dc.identifier.uri |
http://hdl.handle.net/10230/36052 |
dc.format |
application/pdf |
dc.language.iso |
eng |
dc.publisher |
Elsevier |
dc.relation |
info:eu-repo/grantAgreement/ES/1PN/SAF2000-158-CE |
dc.rights |
info:eu-repo/semantics/openAccess |
dc.rights |
© Elsevier http://dx.doi.org/10.1016/j.jpsychores.2015.08.005 |
dc.subject |
Malalties mentals |
dc.subject |
Pulmons -- Malalties obstructives |
dc.title |
Associations between DSM-IV mental disorders and subsequent COPD diagnosis |
dc.type |
info:eu-repo/semantics/article |
dc.type |
info:eu-repo/semantics/acceptedVersion |
dc.description.abstract |
OBJECTIVES: COPD and mental disorder comorbidity is commonly reported, although findings are limited by substantive weaknesses. Moreover, few studies investigate mental disorder as a risk for COPD onset. This research aims to investigate associations between current (12-month) DSM-IV mental disorders and COPD, associations between temporally prior mental disorders and subsequent COPD diagnosis, and cumulative effect of multiple mental disorders. METHODS:
Data were collected using population surveys of 19 countries (n=52,095). COPD diagnosis was assessed by self-report of physician's diagnosis. The World Mental Health-Composite International Diagnostic Interview (WMH-CIDI) was used to retrospectively assess lifetime prevalence and age at onset of 16 DSM-IV disorders. Adjusting for age, gender, smoking, education, and country, survival analysis estimated associations between first onset of mental disorder and subsequent COPD diagnosis. RESULTS: COPD and several mental disorders were concurrently associated across the 12-month period (ORs 1.5-3.8). When examining associations between temporally prior disorders and COPD, all but two mental disorders were associated with COPD diagnosis (ORs 1.7-3.5). After comorbidity adjustment, depression, generalized anxiety disorder, and alcohol abuse were significantly associated with COPD (ORs 1.6-1.8). There was a substantive cumulative risk of COPD diagnosis following multiple mental disorders experienced over the lifetime. CONCLUSIONS:
Mental disorder prevalence is higher in those with COPD than those without COPD. Over time, mental disorders are associated with subsequent diagnosis of COPD; further, the risk is cumulative for multiple diagnoses. Attention should be given to the role of mental disorders in the pathogenesis of COPD using prospective study designs. |
dc.description.abstract |
The World Health Organization World Mental Health (WMH) Survey Initiative is supported by the National Institute of Mental Health (NIMH; R01 MH070884), the John D. and Catherine T. MacArthur Foundation, the Pfizer Foundation, the US Public Health Service (R13- MH066849, R01-MH069864, and R01 DA016558) and the Fogarty International Center (FIRCA R03-TW006481). The ESEMeD project is funded by the European Commission (Contracts QLG5-1999-01042; SANCO 2004123, and EAHC 20081308), the Piedmont Region (Italy)), Fondo de Investigación Sanitaria, Instituto de Salud Carlos III, Spain (FIS 00/0028), Ministerio de Ciencia y Tecnología, Spain (SAF 2000- 158-CE), Departament de Salut, Generalitat de Catalunya, Spain and the Instituto de Salud Carlos III (CIBER CB06/02/0046, RETICS RD06/0011 REM-TAP), Spain |