The cross-national structure of mental disorders: results from the World Mental Health Surveys

Autor(es):Mostrar menos -

de Jonge, Peter ^{[1, 2]} ; Wardenaar, Klaas J. ^[2] ; Lim, Carmen C. W. ^{[3, 4, 5]} ; Aguilar-Gaxiola, Sergio ^[6] ; Alonso, Jordi ^{[7, 8, 9]} ; Andrade, Laura Helena ^[10] ; Bunting, Brendan ^[11] ; Chatterji, Somnath ^[12] ; Ciutan, Marius ^[13] ; Gureje, Oye ^[14] ; Karam, Elie G. ^{[15, 16]} ; Lee, Sing ^[17] ; Elena Medina-Mora, Maria ^[18] ; Moskalewicz, Jacek ^[19] ; Navarro-Mateu, Fernando ^{[20, 21, 22]} ; Pennell, Beth-Ellen ^[23] ; Piazza, Marina ^{[24, 25]} ; Posada-Villa, Jose ^[26] ; Torres, Yolanda ^[27] ; Kessler, Ronald C. ^[28] ; Scott, Kate ^[3] ; Survey, WHO World Mental Hlth

Afiliação do(s) autor(es):Mostrar menos -

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

^[2] Univ Med Ctr Groningen, Interdisciplinary Ctr Psychopathol & Emot Regulat, Dept Psychiat, Groningen - Netherlands

^[3] Univ Otago, Dept Psychol Med, Dunedin, Otago - New Zealand

^[4] Univ Queensland, Queensland Brain Inst, St Lucia, Qld - Australia

^[5] Queensland Ctr Mental Hlth Res, Wacol, Qld - Australia

^[6] UC Davis Hlth Syst, Ctr Reducing Hlth Dispar, Sacramento, CA - USA

^[7] Pompeu Fabra Univ UPF, Barcelona - Spain

^[8] CIBER Epidemiol & Salud Publ CIBERESP, Barcelona - Spain

^[9] Hosp Mar Med Res Inst, IMIM, Hlth Serv Res Unit, Barcelona - Spain

^[10] Inst Psiquiatria Hosp Clin Fac Med Univ, Nucl Epidemiol Psiquiatr LIM 23, Sao Paulo - Brazil

^[11] Ulster Univ, Sch Psychol, Coleraine, Londonderry - North Ireland

^[12] WHO, Dept Informat Evidence & Res, Geneva - Switzerland

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

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

^[15] IDRAAC, Beirut - Lebanon

^[16] Balamand Univ, St George Hosp Univ, Dept Psychiat & Clin Psychol, Fac Med, Med Ctr, Beirut - Lebanon

^[17] Chinese Univ Hong Kong, Dept Psychiat, Tai Po, Hong Kong - Peoples R China

^[18] Natl Inst Psychiat Ramon Fuente Muniz, Mexico City, DF - Mexico

^[19] Inst Psychiat & Neurol, Warsaw - Poland

^[20] IMIB Arrixaca, Murcia - Spain

^[21] CIBERESP Murcia, Murcia - Spain

^[22] Serv Murciano Salud, Subdirecc Gen Planificac Innovac & Cronicidad, UDIF SM, Murcia - Spain

^[23] Univ Michigan, Inst Social Res, Survey Res Ctr, Ann Arbor, MI 48109 - USA

^[24] Natl Inst Hlth, Lima - Peru

^[25] Univ Cayetano Heredia, Lima - Peru

^[26] Colegio Mayor Cundinamarca Univ, Fac Social Sci, Bogota - Colombia

^[27] CES Univ, Ctr Excellence Res Mental Hlth, Medellin - Colombia

^[28] Harvard Med Sch, Dept Hlth Care Policy, Boston, MA - USA

• Tipo de documento: Artigo Científico
• Fonte: PSYCHOLOGICAL MEDICINE; v. 48, n. 12, p. 2073-2084, SEP 2018.
• Citações Web of Science: 5

Resumo

BackgroundThe patterns of comorbidity among mental disorders have led researchers to model the underlying structure of psychopathology. While studies have suggested a structure including internalizing and externalizing disorders, less is known with regard to the cross-national stability of this model. Moreover, little data are available on the placement of eating disorders, bipolar disorder and psychotic experiences (PEs) in this structure.MethodsWe evaluated the structure of mental disorders with data from the World Health Organization Composite International Diagnostic Interview, including 15 lifetime mental disorders and six PEs. Respondents (n = 5478-15 499) were included from 10 high-, middle- and lower middle-income countries across the world aged 18 years or older. Confirmatory factor analyses (CFAs) were used to evaluate and compare the fit of different factor structures to the lifetime disorder data. Measurement invariance was evaluated with multigroup CFA (MG-CFA).ResultsA second-order model with internalizing and externalizing factors and fear and distress subfactors best described the structure of common mental disorders. MG-CFA showed that this model was stable across countries. Of the uncommon disorders, bipolar disorder and eating disorder were best grouped with the internalizing factor, and PEs with a separate factor.ConclusionsThese results indicate that cross-national patterns of lifetime common mental-disorder comorbidity can be explained with a second-order underlying structure that is stable across countries and can be extended to also cover less common mental disorders. (AU)

• Processo FAPESP: 03/00204-3 - Estudo epidemiológico dos transtornos psiquiátricos na região metropolitana de São Paulo: prevalências, fatores de risco e sobrecarga social e econômica
• Beneficiário: Laura Helena Silveira Guerra de Andrade
• Modalidade de apoio: Auxílio à Pesquisa - Temático