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.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.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.doi http://dx.doi.org/10.1016/j.jpsychores.2015.08.005
  • dc.identifier.issn 0022-3999
  • dc.identifier.uri http://hdl.handle.net/10230/36052
  • dc.language.iso eng
  • dc.publisher Elsevier
  • dc.relation.ispartof Journal of Psychosomatic Research. 2015 Nov;79(5):333-9
  • dc.relation.projectID info:eu-repo/grantAgreement/ES/1PN/SAF2000-158-CE
  • dc.rights © Elsevier http://dx.doi.org/10.1016/j.jpsychores.2015.08.005
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • 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.type.version info:eu-repo/semantics/acceptedVersion