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Mental-physical co-morbidity and its relationship with disability : results from the World Mental Health Surveys

Identifieur interne : 008222 ( Main/Exploration ); précédent : 008221; suivant : 008223

Mental-physical co-morbidity and its relationship with disability : results from the World Mental Health Surveys

Auteurs : K. M. Scott [Nouvelle-Zélande] ; M. Von Korff [États-Unis] ; J. Alonso [Espagne] ; M. C. Angermeyer [Allemagne] ; E. Bromet [États-Unis] ; J. Fayyad [Liban] ; G. De Girolamo [Italie] ; K. Demyttenaere [Belgique] ; I. Gasquet [France] ; O. Gureje [Nigeria] ; J. M. Haro [Espagne] ; Y. He [République populaire de Chine] ; R. C. Kessler [États-Unis] ; D. Levinson [Israël] ; M. E. Medina Mora [Mexique] ; M. Oakley Browne [Australie] ; J. Ormel [Pays-Bas] ; J. Posada-Villa [Colombie] ; M. Watanabe [Japon] ; D. Williams [États-Unis]

Source :

RBID : Pascal:09-0197640

Descripteurs français

English descriptors

Abstract

Background. The relationship between mental and physical disorders is well established, but there is less consensus as to the nature of their joint association with disability, in part because additive and interactive models of co-morbidity have not always been clearly differentiated in prior research. Method. Eighteen general population surveys were carried out among adults as part of the World Mental Health (WMH) Survey Initiative (n =42 697). DSM-IV disorders were assessed using face-to-face interviews with the Composite International Diagnostic Interview (CIDI 3.0). Chronic physical conditions (arthritis, heart disease, respiratory disease, chronic back/neck pain, chronic headache, and diabetes) were ascertained using a standard checklist. Severe disability was defined as on or above the 90th percentile of the WMH version of the World Health Organization Disability Assessment Schedule (WHODAS-II). Results. The odds of severe disability among those with both mental disorder and each of the physical conditions (with the exception of heart disease) were significantly greater than the sum of the odds of the single conditions. The evidence for synergy was model dependent: it was observed in the additive interaction models but not in models assessing multiplicative interactions. Mental disorders were more likely to be associated with severe disability than were the chronic physical conditions. Conclusions. This first cross-national study of the joint effect of mental and physical conditions on the probability of severe disability finds that co-morbidity exerts modest synergistic effects. Clinicians need to accord both mental and physical conditions equal priority, in order for co-morbidity to be adequately managed and disability reduced.


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Le document en format XML

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<sZ>15 aut.</sZ>
</inist:fA14>
<country>Mexique</country>
<wicri:noRegion>National Institute of Psychiatry</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Oakley Browne, M" sort="Oakley Browne, M" uniqKey="Oakley Browne M" first="M." last="Oakley Browne">M. Oakley Browne</name>
<affiliation wicri:level="1">
<inist:fA14 i1="16">
<s1>Department of Rural and Indigenous Health, School of Rural Health, Monash University</s1>
<s3>AUS</s3>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Department of Rural and Indigenous Health, School of Rural Health, Monash University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Ormel, J" sort="Ormel, J" uniqKey="Ormel J" first="J." last="Ormel">J. Ormel</name>
<affiliation wicri:level="3">
<inist:fA14 i1="17">
<s1>Department of Psychiatry, University Medical Centre</s1>
<s2>Groningen</s2>
<s3>NLD</s3>
<sZ>17 aut.</sZ>
</inist:fA14>
<country>Pays-Bas</country>
<placeName>
<settlement type="city">Groningue</settlement>
<region nuts="2" type="province">Groningue (province)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Posada Villa, J" sort="Posada Villa, J" uniqKey="Posada Villa J" first="J." last="Posada-Villa">J. Posada-Villa</name>
<affiliation wicri:level="1">
<inist:fA14 i1="18">
<s1>Development Rehabilitation System FSC, Saldarriaga Concha Foundation</s1>
<s2>Bogota</s2>
<s3>COL</s3>
<sZ>18 aut.</sZ>
</inist:fA14>
<country>Colombie</country>
<wicri:noRegion>Bogota</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Watanabe, M" sort="Watanabe, M" uniqKey="Watanabe M" first="M." last="Watanabe">M. Watanabe</name>
<affiliation wicri:level="1">
<inist:fA14 i1="19">
<s1>Department of Public Health, Jichi Medical University</s1>
<s2>Tochigi</s2>
<s3>JPN</s3>
<sZ>19 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Tochigi</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Williams, D" sort="Williams, D" uniqKey="Williams D" first="D." last="Williams">D. Williams</name>
<affiliation wicri:level="1">
<inist:fA14 i1="20">
<s1>Harvard School of Public Health</s1>
<s2>Boston, MA</s2>
<s3>USA</s3>
<sZ>20 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Harvard School of Public Health</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j" type="main">Psychological medicine : (Print)</title>
<title level="j" type="abbreviated">Psychol. med. : (Print)</title>
<idno type="ISSN">0033-2917</idno>
<imprint>
<date when="2009">2009</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<title level="j" type="main">Psychological medicine : (Print)</title>
<title level="j" type="abbreviated">Psychol. med. : (Print)</title>
<idno type="ISSN">0033-2917</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Concomitant disease</term>
<term>Disability</term>
<term>Human</term>
<term>International</term>
<term>Mental disorder</term>
<term>Mental health</term>
<term>Multicenter study</term>
<term>Public health</term>
<term>Severity score</term>
<term>Social environment</term>
<term>Somatic disease</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Association morbide</term>
<term>Incapacité</term>
<term>Trouble psychiatrique</term>
<term>Santé mentale</term>
<term>Indice gravité</term>
<term>Etude multicentrique</term>
<term>Santé publique</term>
<term>Environnement social</term>
<term>International</term>
<term>Homme</term>
<term>Maladie somatique</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Santé mentale</term>
<term>Santé publique</term>
<term>Homme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Background. The relationship between mental and physical disorders is well established, but there is less consensus as to the nature of their joint association with disability, in part because additive and interactive models of co-morbidity have not always been clearly differentiated in prior research. Method. Eighteen general population surveys were carried out among adults as part of the World Mental Health (WMH) Survey Initiative (n =42 697). DSM-IV disorders were assessed using face-to-face interviews with the Composite International Diagnostic Interview (CIDI 3.0). Chronic physical conditions (arthritis, heart disease, respiratory disease, chronic back/neck pain, chronic headache, and diabetes) were ascertained using a standard checklist. Severe disability was defined as on or above the 90th percentile of the WMH version of the World Health Organization Disability Assessment Schedule (WHODAS-II). Results. The odds of severe disability among those with both mental disorder and each of the physical conditions (with the exception of heart disease) were significantly greater than the sum of the odds of the single conditions. The evidence for synergy was model dependent: it was observed in the additive interaction models but not in models assessing multiplicative interactions. Mental disorders were more likely to be associated with severe disability than were the chronic physical conditions. Conclusions. This first cross-national study of the joint effect of mental and physical conditions on the probability of severe disability finds that co-morbidity exerts modest synergistic effects. Clinicians need to accord both mental and physical conditions equal priority, in order for co-morbidity to be adequately managed and disability reduced.</div>
</front>
</TEI>
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<li>Allemagne</li>
<li>Australie</li>
<li>Belgique</li>
<li>Colombie</li>
<li>Espagne</li>
<li>France</li>
<li>Israël</li>
<li>Italie</li>
<li>Japon</li>
<li>Liban</li>
<li>Mexique</li>
<li>Nigeria</li>
<li>Nouvelle-Zélande</li>
<li>Pays-Bas</li>
<li>République populaire de Chine</li>
<li>États-Unis</li>
</country>
<region>
<li>Catalogne</li>
<li>Groningue (province)</li>
<li>État de New York</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Barcelone</li>
<li>Groningue</li>
<li>Paris</li>
</settlement>
</list>
<tree>
<country name="Nouvelle-Zélande">
<noRegion>
<name sortKey="Scott, K M" sort="Scott, K M" uniqKey="Scott K" first="K. M." last="Scott">K. M. Scott</name>
</noRegion>
</country>
<country name="États-Unis">
<noRegion>
<name sortKey="Von Korff, M" sort="Von Korff, M" uniqKey="Von Korff M" first="M." last="Von Korff">M. Von Korff</name>
</noRegion>
<name sortKey="Bromet, E" sort="Bromet, E" uniqKey="Bromet E" first="E." last="Bromet">E. Bromet</name>
<name sortKey="Kessler, R C" sort="Kessler, R C" uniqKey="Kessler R" first="R. C." last="Kessler">R. C. Kessler</name>
<name sortKey="Williams, D" sort="Williams, D" uniqKey="Williams D" first="D." last="Williams">D. Williams</name>
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<region name="Catalogne">
<name sortKey="Alonso, J" sort="Alonso, J" uniqKey="Alonso J" first="J." last="Alonso">J. Alonso</name>
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<name sortKey="Angermeyer, M C" sort="Angermeyer, M C" uniqKey="Angermeyer M" first="M. C." last="Angermeyer">M. C. Angermeyer</name>
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<country name="Liban">
<noRegion>
<name sortKey="Fayyad, J" sort="Fayyad, J" uniqKey="Fayyad J" first="J." last="Fayyad">J. Fayyad</name>
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<country name="Italie">
<noRegion>
<name sortKey="De Girolamo, G" sort="De Girolamo, G" uniqKey="De Girolamo G" first="G." last="De Girolamo">G. De Girolamo</name>
</noRegion>
</country>
<country name="Belgique">
<noRegion>
<name sortKey="Demyttenaere, K" sort="Demyttenaere, K" uniqKey="Demyttenaere K" first="K." last="Demyttenaere">K. Demyttenaere</name>
</noRegion>
</country>
<country name="France">
<region name="Île-de-France">
<name sortKey="Gasquet, I" sort="Gasquet, I" uniqKey="Gasquet I" first="I." last="Gasquet">I. Gasquet</name>
</region>
</country>
<country name="Nigeria">
<noRegion>
<name sortKey="Gureje, O" sort="Gureje, O" uniqKey="Gureje O" first="O." last="Gureje">O. Gureje</name>
</noRegion>
</country>
<country name="République populaire de Chine">
<noRegion>
<name sortKey="He, Y" sort="He, Y" uniqKey="He Y" first="Y." last="He">Y. He</name>
</noRegion>
</country>
<country name="Israël">
<noRegion>
<name sortKey="Levinson, D" sort="Levinson, D" uniqKey="Levinson D" first="D." last="Levinson">D. Levinson</name>
</noRegion>
</country>
<country name="Mexique">
<noRegion>
<name sortKey="Mora, M E Medina" sort="Mora, M E Medina" uniqKey="Mora M" first="M. E. Medina" last="Mora">M. E. Medina Mora</name>
</noRegion>
</country>
<country name="Australie">
<noRegion>
<name sortKey="Oakley Browne, M" sort="Oakley Browne, M" uniqKey="Oakley Browne M" first="M." last="Oakley Browne">M. Oakley Browne</name>
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</country>
<country name="Pays-Bas">
<region name="Groningue (province)">
<name sortKey="Ormel, J" sort="Ormel, J" uniqKey="Ormel J" first="J." last="Ormel">J. Ormel</name>
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</country>
<country name="Colombie">
<noRegion>
<name sortKey="Posada Villa, J" sort="Posada Villa, J" uniqKey="Posada Villa J" first="J." last="Posada-Villa">J. Posada-Villa</name>
</noRegion>
</country>
<country name="Japon">
<noRegion>
<name sortKey="Watanabe, M" sort="Watanabe, M" uniqKey="Watanabe M" first="M." last="Watanabe">M. Watanabe</name>
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