Previous disorders and depression outcomes in individuals with 12-month major depressive disorder in the World Mental Health surveys

Author(s):Show less -

Roest, Annelieke M. ^[1] ; de Vries, Ymkje Anna ^[1] ; Al-Hamzawi, Ali ^[2] ; Alonso, Jordi ^{[3, 4, 5]} ; Ayinde, Olatunde O. ^[6] ; Bruffaerts, Ronny ^[7] ; Bunting, Brendan ^[8] ; Caldas de Almeida, Jose Miguel ^{[9, 10]} ; de Girolamo, Giovanni ^[11] ; Degenhardt, Louisa ^[12] ; Florescu, Silvia ^[13] ; Gureje, Oye ^[14] ; Maria Haro, Josep ^[15] ; Hu, Chiyi ^{[16, 17]} ; Karam, Elie G. ^{[18, 19, 20]} ; Kiejna, Andrzej ^{[21, 22]} ; Kovess-Masfety, Viviane ^[23] ; Lee, Sing ^[24] ; McGrath, John J. ^{[25, 26, 27]} ; Medina-Mora, Maria Elena ^[28] ; Navarro-Mateu, Fernando ^[29] ; Nishi, Daisuke ^[30] ; Piazza, Marina ^{[31, 32]} ; Posada-Villa, Jose ^[33] ; Scott, Kate M. ^[34] ; Carlos Stagnaro, Juan ^[35] ; Stein, Dan J. ^{[36, 37, 38]} ; Torres, Yolanda ^[39] ; Viana, Maria Carmen ^[40] ; Zarkov, Zahari ^[41] ; Kessler, Ronald C. ^[42] ; de Jonge, Peter ^[1] ; Colla, WHO World Mental Hlth Survey

Affiliation:Show less -

^[1] Univ Groningen, Dept Dev Psychol, Groningen - Netherlands

^[2] Al Qadisiya Univ, Coll Med, Diwaniya Governorate - Iraq

^[3] Pompeu Fabra Univ UPF, Barcelona - Spain

^[4] CIBER Epidemiol & Salud Publ CIBERESP, Barcelona - Spain

^[5] IMIM Hosp Mar Med Res Inst, Hlth Serv Res Unit, Barcelona - Spain

^[6] Univ Ibadan, Dept Psychiat, Ibadan - Nigeria

^[7] Katholieke Univ Leuven UPC KUL, Univ Psychiat Ctr, Campus Gasthuisberg, Leuven - Belgium

^[8] Ulster Univ, Sch Psychol, Coleraine, Londonderry - North Ireland

^[9] Univ Nova Lisboa, Fac Ciencias Med, Lisbon Inst Global Mental Hlth, NOVA Med Sch, Lisbon - Portugal

^[10] Univ Nova Lisboa, Fac Ciencias Med, Chron Dis Res Ctr CEDOC, NOVA Med Sch, Lisbon - Portugal

^[11] IRCCS Ist Ctr San Giovanni Dio Fatebenefratelli, Brescia - Italy

^[12] Univ New South Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW - Australia

^[13] Natl Sch Publ Hlth Management & Dev, Bucharest - Romania

^[14] Univ Coll Hosp, Dept Psychiat, Ibadan - Nigeria

^[15] Univ Barcelona, CIBERSAM, Parc Sanitari St Joan Deu, Barcelona - Spain

^[16] Shenzhen Inst Mental Hlth, Shenzhen - Peoples R China

^[17] Shenzhen Kangning Hosp, Shenzhen - Peoples R China

^[18] Inst Dev Res Advocacy & Appl Care IDRAAC, Beirut - Lebanon

^[19] Balamand Univ, Fac Med, Beirut - Lebanon

^[20] St George Hosp Univ, Dept Psychiat & Clin Psychol, Med Ctr, Beirut - Lebanon

^[21] Univ Lower Silesia, Wroclaw - Poland

^[22] WSB Univ, Torun - Poland

^[23] Paris Descartes Univ, Ecole Hautes Etud Sante Publ EHESP, EA 4057, Paris - France

^[24] Chinese Univ Hong Kong, Dept Psychiat, Tai Po, Hong Kong - Peoples R China

^[25] Queensland Ctr Mental Hlth Res, Pk Ctr Mental Hlth, Wacol, Qld 4072 - Australia

^[26] Univ Queensland, Queensland Brain Inst, St Lucia, Qld 4065 - Australia

^[27] Aarhus Univ, Natl Ctr Register Based Res, DK-8000 Aarhus V - Denmark

^[28] Natl Inst Psychiat Ramon de la Fuente Muniz, Mexico City, DF - Mexico

^[29] CIBERESP Murcia, Serv Murciano Salud, UDIF SM, IMIB Arrixaca, Murcia, Region De Murci - Spain

^[30] Univ Tokyo, Grad Sch Med, Dept Mental Hlth, Tokyo - Japan

^[31] Univ Cayetano Heredia, Lima - Peru

^[32] Inst Nacl Salud, Lima - Peru

^[33] Colegio Mayor Cundinamarca Univ, Fac Social Sci, Bogota - Colombia

^[34] Univ Otago, Dept Psychol Med, Dunedin, Otago - New Zealand

^[35] Univ Buenos Aires, Fac Med, Dept Psiquiatria & Salud Mental, Buenos Aires, DF - Argentina

^[36] Univ Cape Town, Dept Psychiat & Mental Hlth, Cape Town - South Africa

^[37] Groote Schuur Hosp, Cape Town - South Africa

^[38] Univ Cape Town, South African Med Council Res Unit Risk & Resilie, Cape Town - South Africa

^[39] CES Univ, Ctr Excellence Res Mental Hlth, Medellin - Colombia

^[40] Univ Fed Espirito Santo, Dept Social Med, Postgrad Program Publ Hlth, Vitoria, ES - Brazil

^[41] Natl Ctr Publ Hlth & Anal, Dept Mental Hlth, Sofia - Bulgaria

^[42] Harvard Med Sch, Dept Hlth Care Policy, Boston, MA 02115 - USA

• Document type: Journal article
• Source: EPIDEMIOLOGY AND PSYCHIATRIC SCIENCES; v. 30, NOV 11 2021.
• Web of Science Citations: 0

Abstract

Aims Major depressive disorder (MDD) is characterised by a recurrent course and high comorbidity rates. A lifespan perspective may therefore provide important information regarding health outcomes. The aim of the present study is to examine mental disorders that preceded 12-month MDD diagnosis and the impact of these disorders on depression outcomes. Methods Data came from 29 cross-sectional community epidemiological surveys of adults in 27 countries (n = 80 190). The Composite International Diagnostic Interview (CIDI) was used to assess 12-month MDD and lifetime DSM-IV disorders with onset prior to the respondent's age at interview. Disorders were grouped into depressive distress disorders, non-depressive distress disorders, fear disorders and externalising disorders. Depression outcomes included 12-month suicidality, days out of role and impairment in role functioning. Results Among respondents with 12-month MDD, 94.9% (s.e. = 0.4) had at least one prior disorder (including previous MDD), and 64.6% (s.e. = 0.9) had at least one prior, non-MDD disorder. Previous non-depressive distress, fear and externalising disorders, but not depressive distress disorders, predicted higher impairment (OR = 1.4-1.6) and suicidality (OR = 1.5-2.5), after adjustment for sociodemographic variables. Further adjustment for MDD characteristics weakened, but did not eliminate, these associations. Associations were largely driven by current comorbidities, but both remitted and current externalising disorders predicted suicidality among respondents with 12-month MDD. Conclusions These results illustrate the importance of careful psychiatric history taking regarding current anxiety disorders and lifetime externalising disorders in individuals with MDD. (AU)

• FAPESP's process: 03/00204-3 - Epidemiological study of psychiatric disorders in the São Paulo Metropolitan Region: prevalence, risk factors, and social and economical burden
• Grantee: Laura Helena Silveira Guerra de Andrade
• Support Opportunities: Research Projects - Thematic Grants