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Associations between DSM-IV mental disorders and subsequent COPD diagnosis

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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.accessioned 2018-12-13T08:54:44Z
dc.date.available 2018-12-13T08:54:44Z
dc.date.issued 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.issn 0022-3999
dc.identifier.uri http://hdl.handle.net/10230/36052
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.sponsorship 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
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Elsevier
dc.rights © Elsevier http://dx.doi.org/10.1016/j.jpsychores.2015.08.005
dc.subject.other Malalties mentals
dc.subject.other Pulmons -- Malalties obstructives
dc.title Associations between DSM-IV mental disorders and subsequent COPD diagnosis
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1016/j.jpsychores.2015.08.005
dc.relation.projectID info:eu-repo/grantAgreement/ES/1PN/SAF2000-158-CE
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/acceptedVersion


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