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Mental disorders among persons with arthritis: results from the World Mental Health Surveys

Published online by Cambridge University Press:  26 February 2008

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 for correspondence: Dr Y. He, Shanghai Mental Health Center, 600 Wan Ping Nan Road, Shanghai 200030, China. (Email: heyl2001@yahoo.com.cn)

Abstract

Background

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

Method

The study was a series of cross-sectional population sample surveys. Eighteen population surveys of household-residing adults were carried out in 17 countries in different regions of the world. Most were carried out between 2001 and 2002, but others were completed as late as 2007. Mental disorders were 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 use disorders with arthritis was assessed, controlling for age and sex. Prevalence rates for specific mental disorders among persons with and without arthritis were calculated and odds ratios (ORs) with 95% confidence intervals were used to estimate the association.

Results

After adjusting for age and sex, specific mood and anxiety disorders occurred among persons with arthritis at higher rates than among persons without arthritis. Alcohol abuse/dependence showed a weaker and less consistent association with arthritis. The pooled estimates of the age- and sex-adjusted ORs were about 1.9 for mood disorders and for anxiety disorders and about 1.5 for alcohol abuse/dependence among persons with versus without arthritis. The pattern of association between specific mood and anxiety disorders and arthritis was similar across countries.

Conclusions

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

Type
Original Articles
Copyright
Copyright © 2008 Cambridge University Press

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