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Mental disorders among persons with heart disease — results from World Mental Health surveys

Ormel, Johan, Ph.D ; Von Korff, Michael, Sc.D ; Burger, Huibert, M.D., Ph.D ; Scott, Kate, Ph.D ; Demyttenaere, Koen, M.D., Ph.D ; Huang, Yue-qin, M.P.H., M.D., Ph.D ; Posada-Villa, José, M.D ; Pierre Lepine, Jean, M.D ; Angermeyer, Matthias C., M.D ; Levinson, Daphna, Ph.D ; de Girolamo, Giovanni, M.D ; Kawakami, Norito, M.D ; Karam, Elie, M.D ; Medina-Mora, María Elena, Ph.D ; Gureje, Oye, M.D., Ph.D., FRCPsych ; Williams, David, Ph.D., M.P.H ; Haro, Josep Maria, M.D., M.P.H., Ph.D ; Bromet, Evelyn J., Ph.D ; Alonso, Jordi, M.D., Ph.D ; Kessler, Ron, Ph.D

General hospital psychiatry, 2007-07, Vol.29 (4), p.325-334 [Periódico revisado por pares]

New York, NY: Elsevier Inc

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Título:
Mental disorders among persons with heart disease — results from World Mental Health surveys
Autor: Ormel, Johan, Ph.D ; Von Korff, Michael, Sc.D ; Burger, Huibert, M.D., Ph.D ; Scott, Kate, Ph.D ; Demyttenaere, Koen, M.D., Ph.D ; Huang, Yue-qin, M.P.H., M.D., Ph.D ; Posada-Villa, José, M.D ; Pierre Lepine, Jean, M.D ; Angermeyer, Matthias C., M.D ; Levinson, Daphna, Ph.D ; de Girolamo, Giovanni, M.D ; Kawakami, Norito, M.D ; Karam, Elie, M.D ; Medina-Mora, María Elena, Ph.D ; Gureje, Oye, M.D., Ph.D., FRCPsych ; Williams, David, Ph.D., M.P.H ; Haro, Josep Maria, M.D., M.P.H., Ph.D ; Bromet, Evelyn J., Ph.D ; Alonso, Jordi, M.D., Ph.D ; Kessler, Ron, Ph.D
Assuntos: Adult ; Adult and adolescent clinical studies ; Anxiety ; Biological and medical sciences ; Cardiology. Vascular system ; Cardiopathies: etiologic forms (general aspects and miscellaneous) ; Comorbidity ; Cross-national ; Depression ; Female ; Global Health ; Health Surveys ; Heart ; Heart disease ; Heart Diseases - epidemiology ; Humans ; Male ; Medical sciences ; Mental Disorders - epidemiology ; Middle Aged ; Mood disorders ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Substance abuse ; Substance-Related Disorders - epidemiology
É parte de: General hospital psychiatry, 2007-07, Vol.29 (4), p.325-334
Descrição: Abstract Objectives While depression and heart disease often co-occur in Western countries, less is known about the association of anxiety and alcohol use disorders with heart disease and about the cross-cultural consistency of this association. Consistency across emotional disorders and cultures would suggest that relatively universal mechanisms underlie the association. Methods Surveys with 18 random population samples of household-residing adults in 17 countries in Europe, the Americas, the Middle East, Africa, Asia and the South Pacific were carried out. Medically recognized heart disease was ascertained by self-report. Mental disorders were assessed with the World Mental Health Composite International Diagnostic Interview, a fully structured diagnostic interview. Results Specific mood and anxiety disorders occurred among persons with heart disease at rates higher than those among persons without heart disease. Adjusted for sex and age, the pooled odds ratios (95% confidence interval) were 2.1 (1.9–2.5) for mood disorders, 2.2 (1.9–2.5) for anxiety disorders and 1.4 (1.0–1.9) for alcohol abuse/dependence among persons with versus those without heart disease. These patterns were similar across countries. Conclusions An excess of anxiety disorders and that of mood disorders are found among persons with heart disease. These associations hold true across countries despite substantial between-country differences in culture and mental disorder prevalence rates. These results suggest that similar mechanisms underlie the association and that a broad spectrum of mood–anxiety disorders should be considered in research on the comorbidity of mental disorders and heart disease.
Editor: New York, NY: Elsevier Inc
Idioma: Inglês

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Mental disorders among persons with heart disease — results from World Mental Health surveys

New York, NY: Elsevier Inc

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