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Mental disorders among persons with arthritis: resultsfrom the World Mental Health Surveys

Published online by Cambridge University Press:  26 February 2008

Y. He ,
M. Zhang ,
E. H. B. Lin ,
R. Bruffaerts ,
J. Posada-Villa ,
M. C. Angermeyer ,
D. Levinson ,
G. de Girolamo ,
H. Uda  and
Z. Mneimneh
...Show all authors
Y. He*
Affiliation:
Shanghai Mental Health Center, Shanghai, China
M. Zhang
Affiliation:
Shanghai Mental Health Center, Shanghai, China
E. H. B. Lin
Affiliation:
Center for Health Studies, Group Health Cooperative, Seattle, WA, USA
R. Bruffaerts
Affiliation:
Department of Neurosciences and Psychiatry, University Hospital Gasthuisberg, Leuven, Belgium
J. Posada-Villa
Affiliation:
Colegio mayor de Cundinamarca University, Saldarriaga Concha Foundation, Bogotá, Colombia
M. C. Angermeyer
Affiliation:
Department of Psychiatry, University of Leipzig, Germany
D. Levinson
Affiliation:
Research and Planning, Mental Health Services, Ministry of Health, Israel
G. de Girolamo
Affiliation:
Department of Mental Health, AUSL di Bologna, Italy
H. Uda
Affiliation:
Sensatsu Public Health Center, Kagoshima, Japan
Z. Mneimneh
Affiliation:
Institute for Development, Research, and Applied Care (IDRAC), Beirut, Lebanon
C. Benjet
Affiliation:
National Institute of Psychiatry, Calzada Mexico Xochimilco, Mexico City, Mexico
R. de Graaf
Affiliation:
Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands
K. M. Scott
Affiliation:
Department of Psychological Medicine, Wellington School of Medicine and Health Sciences, Otago University, Wellington South, New Zealand
O. Gureje
Affiliation:
Department of Psychiatry, University College Hospital, Ibadan, Nigeria
S. Seedat
Affiliation:
Department of Psychiatry, University of Stellenbosch, Cape Town, South Africa
J. M. Haro
Affiliation:
Sant Joan de Deu-SSM, Barcelona, Spain
E. J. Bromet
Affiliation:
Department of Psychiatry, SUNY Stony Brook, NY, USA
J. Alonso
Affiliation:
Health Services Research Unit, Institut Municipal d'Investigacio Medica (IMIM), Barcelona, Spain
V. Kovess
Affiliation:
Fondation MGEN pour la santé publique, Université Paris 5, Paris, France
M. von Korff
Affiliation:
Center for Health Studies, Group Health Cooperative, Seattle, WA, USA
R. Kessler
Affiliation:
Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
*
*Address forcorrespondence: Dr Y. He, Shanghai Mental HealthCenter, 600 Wan Ping Nan Road,Shanghai 200030, China.(Email: [email protected])
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Abstract

Background

Prior studies in the USA have reported higher rates of mental disorders amongpersons with arthritis but no cross-national studies have been conducted. Inthis study the prevalence of specific mental disorders among persons witharthritis was estimated and their association with arthritis across diversecountries assessed.

Method

The study was a series of cross-sectional population sample surveys. Eighteenpopulation surveys of household-residing adults were carried out in 17countries in different regions of the world. Most were carried out between2001 and 2002, but others were completed as late as 2007. Mental disorderswere assessed with the World Health Organization (WHO)World Mental Health–Composite International Diagnostic Interview(WMH-CIDI). Arthritis was ascertained by self-report.The association of anxiety disorders, mood disorders and alcohol usedisorders with arthritis was assessed, controlling for age and sex.Prevalence rates for specific mental disorders among persons with andwithout arthritis were calculated and odds ratios(ORs) with 95% confidence intervals wereused to estimate the association.

Results

After adjusting for age and sex, specific mood and anxiety disorders occurredamong persons with arthritis at higher rates than among persons withoutarthritis. Alcohol abuse/dependence showed a weaker and lessconsistent association with arthritis. The pooled estimates of the age- andsex-adjusted ORs were about 1.9 for mood disorders and for anxiety disordersand about 1.5 for alcohol abuse/dependence among persons withversus without arthritis. The patternof association between specific mood and anxiety disorders and arthritis wassimilar across countries.

Conclusions

Mood and anxiety disorders occur with greater frequency among persons witharthritis than those without arthritis across diverse countries. Thestrength of association of specific mood and anxiety disorders witharthritis was generally consistent across disorders and acrosscountries.

Keywords

Arthritismental disorderscross-sectional
Type
Original Articles
Information
Psychological Medicine , Volume 38 , Issue 11 , November 2008 , pp. 1639 - 1650
Copyright
Copyright © 2008 Cambridge University Press

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