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

Identifieur interne : 003177 ( PascalFrancis/Curation ); précédent : 003176; suivant : 003178

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.
pA  
A01 01  1    @0 0033-2917
A02 01      @0 PSMDCO
A03   1    @0 Psychol. med. : (Print)
A05       @2 39
A06       @2 1
A08 01  1  ENG  @1 Mental-physical co-morbidity and its relationship with disability : results from the World Mental Health Surveys
A11 01  1    @1 SCOTT (K. M.)
A11 02  1    @1 VON KORFF (M.)
A11 03  1    @1 ALONSO (J.)
A11 04  1    @1 ANGERMEYER (M. C.)
A11 05  1    @1 BROMET (E.)
A11 06  1    @1 FAYYAD (J.)
A11 07  1    @1 DE GIROLAMO (G.)
A11 08  1    @1 DEMYTTENAERE (K.)
A11 09  1    @1 GASQUET (I.)
A11 10  1    @1 GUREJE (O.)
A11 11  1    @1 HARO (J. M.)
A11 12  1    @1 HE (Y.)
A11 13  1    @1 KESSLER (R. C.)
A11 14  1    @1 LEVINSON (D.)
A11 15  1    @1 MORA (M. E. Medina)
A11 16  1    @1 OAKLEY BROWNE (M.)
A11 17  1    @1 ORMEL (J.)
A11 18  1    @1 POSADA-VILLA (J.)
A11 19  1    @1 WATANABE (M.)
A11 20  1    @1 WILLIAMS (D.)
A14 01      @1 Department of Psychological Medicine, Otago University @2 Wellington @3 NZL @Z 1 aut.
A14 02      @1 Center for Health Studies, Group Health Cooperative of Puget Sound @2 Seattle, WA @3 USA @Z 2 aut.
A14 03      @1 Health Services Research Unit, Institute of Municipal d'lnvestigacio Medica (IMIM) @2 Barcelona @3 ESP @Z 3 aut.
A14 04      @1 Department of Psychiatry, University of Leipzig @3 DEU @Z 4 aut.
A14 05      @1 SUNY Stony Brook @2 Stony Brook, New York @3 USA @Z 5 aut.
A14 06      @1 Institute for Development, Research, Advocacy and Applied Care (IDRAAC) @2 Beirut @3 LBN @Z 6 aut.
A14 07      @1 Department of Mental Health, AUSL di Bologna @3 ITA @Z 7 aut.
A14 08      @1 Department of Neurosciences and Psychiatry, University Hospital @2 Gasthuisberg, Leuven @3 BEL @Z 8 aut.
A14 09      @1 Hôpitaux de Paris @2 Paris @3 FRA @Z 9 aut.
A14 10      @1 Department of Psychiatry, University College Hospital @2 Ibadan @3 NGA @Z 10 aut.
A14 11      @1 Sant Joan de Deu-SSM @2 Barcelona @3 ESP @Z 11 aut.
A14 12      @1 Shanghai Mental Health Centre @2 Shanghai @3 CHN @Z 12 aut.
A14 13      @1 Department of Health Care Policy, Harvard Medical School @2 Boston, MA @3 USA @Z 13 aut.
A14 14      @1 Mental Health Services, Ministry of Health @2 Jerusalem @3 ISR @Z 14 aut.
A14 15      @1 National Institute of Psychiatry @2 Mexico City @3 MEX @Z 15 aut.
A14 16      @1 Department of Rural and Indigenous Health, School of Rural Health, Monash University @3 AUS @Z 16 aut.
A14 17      @1 Department of Psychiatry, University Medical Centre @2 Groningen @3 NLD @Z 17 aut.
A14 18      @1 Development Rehabilitation System FSC, Saldarriaga Concha Foundation @2 Bogota @3 COL @Z 18 aut.
A14 19      @1 Department of Public Health, Jichi Medical University @2 Tochigi @3 JPN @Z 19 aut.
A14 20      @1 Harvard School of Public Health @2 Boston, MA @3 USA @Z 20 aut.
A20       @1 33-43
A21       @1 2009
A23 01      @0 ENG
A43 01      @1 INIST @2 14984 @5 354000184209440040
A44       @0 0000 @1 © 2009 INIST-CNRS. All rights reserved.
A45       @0 2 p.
A47 01  1    @0 09-0197640
A60       @1 P
A61       @0 A
A64 01  1    @0 Psychological medicine : (Print)
A66 01      @0 GBR
C01 01    ENG  @0 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.
C02 01  X    @0 002B18C14
C03 01  X  FRE  @0 Association morbide @5 01
C03 01  X  ENG  @0 Concomitant disease @5 01
C03 01  X  SPA  @0 Asociación morbosa @5 01
C03 02  X  FRE  @0 Incapacité @5 02
C03 02  X  ENG  @0 Disability @5 02
C03 02  X  SPA  @0 Incapacidad @5 02
C03 03  X  FRE  @0 Trouble psychiatrique @5 03
C03 03  X  ENG  @0 Mental disorder @5 03
C03 03  X  SPA  @0 Trastorno psiquiátrico @5 03
C03 04  X  FRE  @0 Santé mentale @5 04
C03 04  X  ENG  @0 Mental health @5 04
C03 04  X  SPA  @0 Salud mental @5 04
C03 05  X  FRE  @0 Indice gravité @5 05
C03 05  X  ENG  @0 Severity score @5 05
C03 05  X  SPA  @0 Indicio gravedad @5 05
C03 06  X  FRE  @0 Etude multicentrique @5 06
C03 06  X  ENG  @0 Multicenter study @5 06
C03 06  X  SPA  @0 Estudio multicéntrico @5 06
C03 07  X  FRE  @0 Santé publique @5 07
C03 07  X  ENG  @0 Public health @5 07
C03 07  X  SPA  @0 Salud pública @5 07
C03 08  X  FRE  @0 Environnement social @5 08
C03 08  X  ENG  @0 Social environment @5 08
C03 08  X  SPA  @0 Contexto social @5 08
C03 09  X  FRE  @0 International @5 09
C03 09  X  ENG  @0 International @5 09
C03 09  X  SPA  @0 Internacional @5 09
C03 10  X  FRE  @0 Homme @5 18
C03 10  X  ENG  @0 Human @5 18
C03 10  X  SPA  @0 Hombre @5 18
C03 11  X  FRE  @0 Maladie somatique @4 CD @5 96
C03 11  X  ENG  @0 Somatic disease @4 CD @5 96
C03 11  X  SPA  @0 Enfermedad somática @4 CD @5 96
N21       @1 145

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Pascal:09-0197640

Le document en format XML

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<name sortKey="De Girolamo, G" sort="De Girolamo, G" uniqKey="De Girolamo G" first="G." last="De Girolamo">G. De Girolamo</name>
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<title level="j" type="main">Psychological medicine : (Print)</title>
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<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>
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<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>
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