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

Identifieur interne : 008B58 ( Main/Exploration ); précédent : 008B57; suivant : 008B59

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

Auteurs : K. M. Scott [Nouvelle-Zélande] ; R. Bruffaerts [Belgique] ; G. E. Simon [États-Unis] ; J. Alonso [Espagne] ; M. Angermeyer [Allemagne] ; G. De Girolamo [Italie] ; K. Demyttenaere [Belgique] ; I. Gasquet [France] ; J. M. Haro [Espagne] ; E. Karam [Liban] ; R. C. Kessler [États-Unis] ; D. Levinson [Israël] ; M. E. Medina Mora [Mexique] ; M. A. Oakley Browne [Australie] ; J. Ormel [Pays-Bas] ; J. P. Villa [Colombie] ; H. Uda [Japon] ; M. Von Korff [États-Unis]

Source :

RBID : Pascal:08-0178737

Descripteurs français

English descriptors

Abstract

Objectives: (1) To investigate whether there is an association between obesity and mental disorders in the general populations of diverse countries, and (2) to establish whether demographic variables (sex, age, education) moderate any associations observed. Design: Thirteen cross-sectional, general population surveys conducted as part of the World Mental Health Surveys initiative. Subjects: Household residing adults, 18 years and over (n = 62 277). Measurements: DSM-IV mental disorders (anxiety disorders, depressive disorders, alcohol use disorders) were assessed with the Composite International Diagnostic Interview (CIDI 3.0), a fully structured diagnostic interview. Obesity was defined as a body mass index (BMI) of 30 kg/m2 or greater; severe obesity as BMI 35 +. Persons with BMI less than 18.5 were excluded from analysis. Height and weight were self-reported. Results: Statistically significant, albeit modest associations (odds ratios generally in the range of 1.2-1.5) were observed between obesity and depressive disorders, and between obesity and anxiety disorders, in pooled data across countries. These associations were concentrated among those with severe obesity, and among females. Age and education had variable effects across depressive and anxiety disorders. Conclusions: The findings are suggestive of a modest relationship between obesity (particularly severe obesity) and emotional disorders among women in the general population. The study is limited by the self-report of BMI and cannot clarify the direction or nature of the relationship observed, but it may indicate a need for a research and clinical focus on the psychological heterogeneity of the obese population.


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Le document en format XML

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<name sortKey="Uda, H" sort="Uda, H" uniqKey="Uda H" first="H." last="Uda">H. Uda</name>
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<name sortKey="Oakley Browne, M A" sort="Oakley Browne, M A" uniqKey="Oakley Browne M" first="M. A." last="Oakley Browne">M. A. Oakley Browne</name>
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<name sortKey="Ormel, J" sort="Ormel, J" uniqKey="Ormel J" first="J." last="Ormel">J. Ormel</name>
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<country>Colombie</country>
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</author>
<author>
<name sortKey="Uda, H" sort="Uda, H" uniqKey="Uda H" first="H." last="Uda">H. Uda</name>
<affiliation wicri:level="1">
<inist:fA14 i1="16">
<s1>Sensatsu Public Health Center, Kagoshima Prefecture</s1>
<s3>JPN</s3>
<sZ>17 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Sensatsu Public Health Center, Kagoshima Prefecture</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Von Korff, M" sort="Von Korff, M" uniqKey="Von Korff M" first="M." last="Von Korff">M. Von Korff</name>
<affiliation wicri:level="1">
<inist:fA14 i1="03">
<s1>Center for Health Studies, Group Health Cooperative</s1>
<s2>Seattle, WA</s2>
<s3>USA</s3>
<sZ>3 aut.</sZ>
<sZ>18 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Seattle, WA</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j" type="main">International journal of obesity</title>
<title level="j" type="abbreviated">Int. j. obes.</title>
<idno type="ISSN">0307-0565</idno>
<imprint>
<date when="2008">2008</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<title level="j" type="main">International journal of obesity</title>
<title level="j" type="abbreviated">Int. j. obes.</title>
<idno type="ISSN">0307-0565</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Cross sectional study</term>
<term>Epidemiology</term>
<term>Health status</term>
<term>Human</term>
<term>Mental disorder</term>
<term>Mental health</term>
<term>Metabolic diseases</term>
<term>Nutrition</term>
<term>Nutritional status</term>
<term>Obesity</term>
<term>Public health</term>
<term>Sex</term>
<term>Surveillance</term>
<term>Survey</term>
<term>World</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Obésité</term>
<term>Trouble psychiatrique</term>
<term>Homme</term>
<term>Epidémiologie</term>
<term>Santé publique</term>
<term>Monde</term>
<term>Santé mentale</term>
<term>Etat sanitaire</term>
<term>Enquête</term>
<term>Etude transversale</term>
<term>Surveillance</term>
<term>Sexe</term>
<term>Maladie métabolique</term>
<term>Nutrition</term>
<term>Etat nutritionnel</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Homme</term>
<term>Santé publique</term>
<term>Santé mentale</term>
<term>Nutrition</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Objectives: (1) To investigate whether there is an association between obesity and mental disorders in the general populations of diverse countries, and (2) to establish whether demographic variables (sex, age, education) moderate any associations observed. Design: Thirteen cross-sectional, general population surveys conducted as part of the World Mental Health Surveys initiative. Subjects: Household residing adults, 18 years and over (n = 62 277). Measurements: DSM-IV mental disorders (anxiety disorders, depressive disorders, alcohol use disorders) were assessed with the Composite International Diagnostic Interview (CIDI 3.0), a fully structured diagnostic interview. Obesity was defined as a body mass index (BMI) of 30 kg/m
<sup>2</sup>
or greater; severe obesity as BMI 35 +. Persons with BMI less than 18.5 were excluded from analysis. Height and weight were self-reported. Results: Statistically significant, albeit modest associations (odds ratios generally in the range of 1.2-1.5) were observed between obesity and depressive disorders, and between obesity and anxiety disorders, in pooled data across countries. These associations were concentrated among those with severe obesity, and among females. Age and education had variable effects across depressive and anxiety disorders. Conclusions: The findings are suggestive of a modest relationship between obesity (particularly severe obesity) and emotional disorders among women in the general population. The study is limited by the self-report of BMI and cannot clarify the direction or nature of the relationship observed, but it may indicate a need for a research and clinical focus on the psychological heterogeneity of the obese population.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<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>Nouvelle-Zélande</li>
<li>Pays-Bas</li>
<li>États-Unis</li>
</country>
<region>
<li>Catalogne</li>
<li>District de Leipzig</li>
<li>Saxe (Land)</li>
<li>Utrecht (province)</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Barcelone</li>
<li>Leipzig</li>
<li>Paris</li>
<li>Utrecht</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="Belgique">
<noRegion>
<name sortKey="Bruffaerts, R" sort="Bruffaerts, R" uniqKey="Bruffaerts R" first="R." last="Bruffaerts">R. Bruffaerts</name>
</noRegion>
<name sortKey="Demyttenaere, K" sort="Demyttenaere, K" uniqKey="Demyttenaere K" first="K." last="Demyttenaere">K. Demyttenaere</name>
</country>
<country name="États-Unis">
<noRegion>
<name sortKey="Simon, G E" sort="Simon, G E" uniqKey="Simon G" first="G. E." last="Simon">G. E. Simon</name>
</noRegion>
<name sortKey="Kessler, R C" sort="Kessler, R C" uniqKey="Kessler R" first="R. C." last="Kessler">R. C. Kessler</name>
<name sortKey="Von Korff, M" sort="Von Korff, M" uniqKey="Von Korff M" first="M." last="Von Korff">M. Von Korff</name>
</country>
<country name="Espagne">
<region name="Catalogne">
<name sortKey="Alonso, J" sort="Alonso, J" uniqKey="Alonso J" first="J." last="Alonso">J. Alonso</name>
</region>
<name sortKey="Haro, J M" sort="Haro, J M" uniqKey="Haro J" first="J. M." last="Haro">J. M. Haro</name>
</country>
<country name="Allemagne">
<region name="Saxe (Land)">
<name sortKey="Angermeyer, M" sort="Angermeyer, M" uniqKey="Angermeyer M" first="M." last="Angermeyer">M. Angermeyer</name>
</region>
</country>
<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="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="Liban">
<noRegion>
<name sortKey="Karam, E" sort="Karam, E" uniqKey="Karam E" first="E." last="Karam">E. Karam</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 A" sort="Oakley Browne, M A" uniqKey="Oakley Browne M" first="M. A." last="Oakley Browne">M. A. Oakley Browne</name>
</noRegion>
</country>
<country name="Pays-Bas">
<region name="Utrecht (province)">
<name sortKey="Ormel, J" sort="Ormel, J" uniqKey="Ormel J" first="J." last="Ormel">J. Ormel</name>
</region>
</country>
<country name="Colombie">
<noRegion>
<name sortKey="Villa, J P" sort="Villa, J P" uniqKey="Villa J" first="J. P." last="Villa">J. P. Villa</name>
</noRegion>
</country>
<country name="Japon">
<noRegion>
<name sortKey="Uda, H" sort="Uda, H" uniqKey="Uda H" first="H." last="Uda">H. Uda</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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