Association between mental disorders and subsequent adult onset asthma

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• dc.contributor.author Alonso Caballero, Jordi
• dc.contributor.author Jonge, Peter de
• dc.contributor.author Lim, Carmen
• dc.contributor.author Aguilar Gaxiola, Sergio
• dc.contributor.author Bruffaerts, Ronny
• dc.contributor.author Caldas de Almeida, José Miguel
• dc.contributor.author Liu, Zhaorui
• dc.contributor.author O'Neill, Siobhan
• dc.contributor.author Stein, Dan J.
• dc.contributor.author Viana, Maria Carmen
• dc.contributor.author Al-Hamzawi, Ali
• dc.contributor.author Angermeyer, Matthias C.
• dc.contributor.author Borges, Guilherme
• dc.contributor.author Ciutan, Marius
• dc.contributor.author Girolamo, Giovanni de
• dc.contributor.author Fiestas, Fabian
• dc.contributor.author Haro Abad, Josep Maria
• dc.contributor.author Hu, Chiyi
• dc.contributor.author Kessler, Ronald C.
• dc.contributor.author Lépine, Jean-Pierre
• dc.contributor.author Levinson, Daphna
• dc.contributor.author Nakamura, Yosikazu
• dc.contributor.author Posada Villa, José
• dc.contributor.author Wojtyniak, Bogdan J.
• dc.contributor.author Scott, Kate M.
• dc.date.accessioned 2018-12-13T08:54:40Z
• dc.date.available 2018-12-13T08:54:40Z
• dc.date.issued 2014
• dc.description.abstract BACKGROUND AND OBJECTIVES: Associations between asthma and anxiety and mood disorders are well established, but little is known about their temporal sequence. We examined associations between a wide range of DSM-IV mental disorders with adult onset of asthma and whether observed associations remain after mental comorbidity adjustments. METHODS: During face-to-face household surveys in community-dwelling adults (n = 52,095) of 19 countries, the WHO Composite International Diagnostic Interview retrospectively assessed lifetime prevalence and age at onset of 16 DSM-IV mental disorders. Asthma was assessed by self-report of physician's diagnosis together with age of onset. Survival analyses estimated associations between first onset of mental disorders and subsequent adult onset asthma, without and with comorbidity adjustment. RESULTS: 1860 adult onset (21 years+) asthma cases were identified, representing a total of 2,096,486 person-years of follow up. After adjustment for comorbid mental disorders several mental disorders were associated with subsequent adult asthma onset: bipolar (OR = 1.8; 95%CI 1.3-2.5), panic (OR = 1.4; 95%CI 1.0-2.0), generalized anxiety (OR = 1.3; 95%CI 1.1-1.7), specific phobia (OR = 1.3; 95%CI 1.1-1.6); post-traumatic stress (OR = 1.5; 95%CI 1.1-1.9); binge eating (OR = 1.8; 95%CI 1.2-2.9) and alcohol abuse (OR = 1.5; 95%CI 1.1-2.0). Mental comorbidity linearly increased the association with adult asthma. The association with subsequent asthma was stronger for mental disorders with an early onset (before age 21). CONCLUSIONS: A wide range of temporally prior mental disorders are significantly associated with subsequent onset of asthma in adulthood. The extent to which asthma can be avoided or improved among those with early mental disorders deserves study.
• 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, R01 DA016558); the Fogarty International Center (FIRCA R03-TW006481).The European surveys were funded by the European Commission (Contracts QLG5-1999-01042, SANCO 2004123, EAHC 20081308); Spain (FIS 00/0028); Ministerio de Ciencia y Tecnología, Spain (SAF 2000-158-CE); Departament de Salut, Generalitat de Catalunya, Spain; Instituto de Salud Carlos III (CIBER CB06/02/0046, RETICS RD06/0011 REM-TAP).The World Mental Health Japan (WMHJ) Survey was supported by the Grant for Research on Psychiatric and Neurological Diseases and Mental Health (H13-SHOGAI-023, H14-TOKUBETSU-026, H16-KOKORO-013) from the Japan Ministry of Health, Labour and Welfare. The Mexican National Comorbidity Survey (MNCS) was supported by The National Institute of Psychiatry Ramon de la Fuente (INPRFMDIES 4280) and by the National Council on Science and Technology (CONACyT-G30544- H). The US National Comorbidity Survey Replication (NCS-R) is supported by the National Institute of Mental Health(NIMH; U01-MH60220) and the Robert Wood Johnson Foundation (RWJF; Grant 044708)
• dc.format.mimetype application/pdf
• dc.identifier.citation Alonso J, de Jonge P, Lim CC, Aguilar-Gaxiola S, Bruffaerts R, Caldas-de-Almeida JM et al. Association between mental disorders and subsequent adult onset asthma. J Psychiatr Res. 2014 Dec;59:179-88. DOI: 10.1016/j.jpsychires.2014.09.007
• dc.identifier.doi http://dx.doi.org/10.1016/j.jpsychires.2014.09.007
• dc.identifier.issn 0022-3956
• dc.identifier.uri http://hdl.handle.net/10230/36051
• dc.language.iso eng
• dc.publisher Elsevier
• dc.relation.ispartof Journal of Psychiatric Research. 2014 Dec;59:179-88
• dc.rights © Elsevier http://dx.doi.org/10.1016/j.jpsychires.2014.09.007
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.subject.other Asma -- Epidemiologia
• dc.subject.other Malalties mentals -- Epidemiologia
• dc.title Association between mental disorders and subsequent adult onset asthma
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion