期刊
INTERNATIONAL JOURNAL OF METHODS IN PSYCHIATRIC RESEARCH
卷 21, 期 3, 页码 169-184出版社
WILEY
DOI: 10.1002/mpr.1359
关键词
anxiety disorders; mood disorders; lifetime morbid risk; prevalence; epidemiology
类别
资金
- National Institute of Mental Health (NIMH) [U01-MH60220, R01-MH66627, U01MH060220-09S1]
- National Institute on Drug Abuse (NIDA)
- Substance Abuse and Mental Health Services Administration (SAMHSA)
- Robert Wood Johnson Foundation (RWJF) [044780]
- John W. Alden Trust
- NIMH [R01-MH070884, R13-MH066849, R01-MH069864, R01-MH077883]
- NIDA [R01-DA016558]
- Fogarty International Center of the National Institutes of Health [FIRCA R03-TW006481]
- John D. and Catherine T. MacArthur Foundation
- Pfizer Foundation
- Pan American Health Organization
- Astra Zeneca
- BristolMyersSquibb
- Eli Lilly and Company
- GlaxoSmithKline
- Ortho-McNeil
- Pfizer
- SanofiAventis
- Wyeth
Estimates of 12-month and lifetime prevalence and of lifetime morbid risk (LMR) of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) anxiety and mood disorders are presented based on US epidemiological surveys among people aged 13+. The presentation is designed for use in the upcoming DSM-5 manual to provide more coherent estimates than would otherwise be available. Prevalence estimates are presented for the age groups proposed by DSM-5 workgroups as the most useful to consider for policy planning purposes. The LMR/12-month prevalence estimates ranked by frequency are as follows: major depressive episode: 29.9%/8.6%; specific phobia: 18.4/12.1%; social phobia: 13.0/7.4%; post-traumatic stress disorder: 10.1/3.7%; generalized anxiety disorder: 9.0/2.0%; separation anxiety disorder: 8.7/1.2%; panic disorder: 6.8%/2.4%; bipolar disorder: 4.1/1.8%; agoraphobia: 3.7/1.7%; obsessive-compulsive disorder: 2.7/1.2. Four broad patterns of results are most noteworthy: first, that the most common (lifetime prevalence/morbid risk) lifetime anxiety-mood disorders in the United States are major depression (16.6/29.9%), specific phobia (15.6/18.4%), and social phobia (10.7/13.0%) and the least common are agoraphobia (2.5/3.7%) and obsessive-compulsive disorder (2.3/2.7%); second, that the anxiety-mood disorders with the earlier median ages-of-onset are phobias and separation anxiety disorder (ages 1517) and those with the latest are panic disorder, major depression, and generalized anxiety disorder (ages 2330); third, that LMR is considerably higher than lifetime prevalence for most anxiety-mood disorders, although the magnitude of this difference is much higher for disorders with later than earlier ages-of-onset; and fourth, that the ratio of 12-month to lifetime prevalence, roughly characterizing persistence, varies meaningfully in ways consistent with independent evidence about differential persistence of these disorders. Copyright (c) 2012 John Wiley & Sons, Ltd.
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