1. Associations between DSM-IV mental disorders and subsequent onset of arthritis
- Author
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Aguilar-Gaxiola, Sergio, Loera, Gustavo, Geraghty, Estella M, Ton, Hendry, Lim, Carmen CW, de Jonge, Peter, Kessler, Ronald C, Posada-Villa, José, Medina-Mora, María Elena, Hu, Chiyi, Fiestas, Fabian, Bruffaerts, Ronny, Kovess-Masféty, Viviane, Al-Hamzawi, Ali Obaid, Levinson, Daphna, de Girolamo, Giovanni, Nakane, Yoshibumi, Have, Margreet ten, O'Neill, Siobhan, Wojtyniak, Bogdan, de Almeida, José Miguel Caldas, Florescu, Silvia, Haro, Josep Maria, and Scott, Kate M
- Subjects
Biological Psychology ,Clinical and Health Psychology ,Psychology ,Depression ,Mental Health ,Behavioral and Social Science ,Clinical Research ,Aging ,Arthritis ,Brain Disorders ,Detection ,screening and diagnosis ,4.1 Discovery and preclinical testing of markers and technologies ,Mental health ,Inflammatory and immune system ,Good Health and Well Being ,Adolescent ,Adult ,Age of Onset ,Anxiety Disorders ,Comorbidity ,Databases ,Factual ,Diagnostic and Statistical Manual of Mental Disorders ,Female ,Humans ,Impulsive Behavior ,Male ,Mental Disorders ,Mood Disorders ,Odds Ratio ,Prevalence ,Retrospective Studies ,Self Report ,Severity of Illness Index ,Substance-Related Disorders ,Young Adult ,Mental disorders ,Substance abuse ,Medical and Health Sciences ,Psychology and Cognitive Sciences ,Psychiatry ,Biological psychology ,Clinical and health psychology - Abstract
ObjectiveWe investigated the associations between DSM-IV mental disorders and subsequent arthritis onset, with and without mental disorder comorbidity adjustment. We aimed to determine whether specific types of mental disorders and increasing numbers of mental disorders were associated with the onset of arthritis later in life.MethodData were collected using face-to-face household surveys, conducted in 19 countries from different regions of the world (n=52,095). Lifetime prevalence and age at onset of 16 DSM-IV mental disorders were assessed retrospectively with the World Health Organization (WHO) Composite International Diagnostic Interview (WHO-CIDI). Arthritis was assessed by self-report of lifetime history of arthritis and age at onset. Survival analyses estimated the association of initial onset of mental disorders with subsequent onset of arthritis.ResultsAfter adjusting for comorbidity, the number of mood, anxiety, impulse-control, and substance disorders remained significantly associated with arthritis onset showing odds ratios (ORs) ranging from 1.2 to 1.4. Additionally, the risk of developing arthritis increased as the number of mental disorders increased from one to five or more disorders.ConclusionThis study suggests links between mental disorders and subsequent arthritis onset using a large, multi-country dataset. These associations lend support to the idea that it may be possible to reduce the severity of mental disorder-arthritis comorbidity through early identification and effective treatment of mental disorders.
- Published
- 2016