Associations between DSM-IV mental disorders and subsequent self-reported diagnosis of cancer

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  • dc.contributor.author O'Neill, Siobhan
  • dc.contributor.author Posada Villa, José
  • dc.contributor.author Medina Mora, Maria Elena
  • dc.contributor.author Al-Hamzawi, Ali
  • dc.contributor.author Piazza, Marina
  • dc.contributor.author Tachimori, Hisateru
  • dc.contributor.author Hu, Chiyi
  • dc.contributor.author Lim, Carmen
  • dc.contributor.author Bruffaerts, Ronny
  • dc.contributor.author Lépine, Jean-Pierre
  • dc.contributor.author Matschinger, Herbert
  • dc.contributor.author Girolamo, Giovanni de
  • dc.contributor.author Jonge, Peter de
  • dc.contributor.author Alonso Caballero, Jordi
  • dc.contributor.author Caldas de Almeida, José Miguel
  • dc.contributor.author Florescu, Silvia
  • dc.contributor.author Kiejna, Andrzej
  • dc.contributor.author Levinson, Daphna
  • dc.contributor.author Kessler, Ronald C.
  • dc.contributor.author Scott, Kate M.
  • dc.date.accessioned 2019-01-21T08:49:21Z
  • dc.date.available 2019-01-21T08:49:21Z
  • dc.date.issued 2014
  • dc.description.abstract OBJECTIVE: The associations between mental disorders and cancer remain unclear. It is also unknown whether any associations vary according to life stage or gender. This paper examines these research questions using data from the World Mental Health Survey Initiative. METHODS: The World Health Organization Composite International Diagnostic Interview retrospectively assessed the lifetime prevalence of 16 DSM-IV mental disorders in face-to-face household population surveys in nineteen countries (n = 52,095). Cancer was indicated by self-report of diagnosis. Smoking was assessed in questions about current and past tobacco use. Survival analyses estimated associations between first onset of mental disorders and subsequently reported cancer. RESULTS: After adjustment for comorbidity, panic disorder, specific phobia and alcohol abuse were associated with a subsequently self-reported diagnosis of cancer. There was an association between number of mental disorders and the likelihood of reporting a cancer diagnosis following the onset of the mental disorder. This suggests that the associations between mental disorders and cancer risk may be generalised, rather than specific to a particular disorder. Depression is more strongly associated with self-reported cancers diagnosed early in life and in women. PTSD is also associated with cancers diagnosed early in life. CONCLUSION: This study reports the magnitude of the associations between mental disorders and a self-reported diagnosis of cancer and provides information about the relevance of comorbidity, gender and the impact at different stages of life. The findings point to a link between the two conditions and lend support to arguments for early identification and treatment of mental disorders.
  • 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), the Fogarty International Center (FIRCA R03-TW006481). The European surveys were funded by the European Commission (contracts QLG5-1999-01042; SANCO 2004123; EAHC 20081308), the Piedmont Region (Italy), the Fondo de Investigación Sanitaria, Instituto de Salud Carlos III, Spain (FIS 00/0028), the Ministerio de Ciencia y Tecnología, Spain (SAF 2000-158-CE), the Departament de Salut, Generalitat de Catalunya, Spain, Instituto de Salud Carlos III (CIBER CB06/02/0046, RETICS RD06/0011 REMTAP). 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), with supplemental support from the PanAmerican Health Organization (PAHO). The US National Comorbidity Survey Replication (NCS-R) is supported by the National Institute of Mental Health (NIMH; U01-MH60220) with supplemental and the Robert Wood Johnson Foundation (RWJF; grant 044708)
  • dc.format.mimetype application/pdf
  • dc.identifier.citation O'Neill S, Posada-Villa J, Medina-Mora ME, Al-Hamzawi AO, Piazza M, Tachimori H et al. Associations between DSM-IV mental disorders and subsequent self-reported diagnosis of cancer. J Psychosom Res. 2014 Mar;76(3):207-12. DOI: 10.1016/j.jpsychores.2013.12.012
  • dc.identifier.doi http://dx.doi.org/10.1016/j.jpsychores.2013.12.012
  • dc.identifier.issn 0022-3999
  • dc.identifier.uri http://hdl.handle.net/10230/36339
  • dc.language.iso eng
  • dc.publisher Elsevier
  • dc.relation.ispartof Journal of Psychosomatic Research. 2014 Mar;76(3):207-12
  • dc.rights © Elsevier http://dx.doi.org/10.1016/j.jpsychores.2013.12.012
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.subject.other Salut global
  • dc.subject.other Malalties mentals
  • dc.subject.other Tumors
  • dc.title Associations between DSM-IV mental disorders and subsequent self-reported diagnosis of cancer
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/acceptedVersion

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