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Patterns, predictors, and patient-reported reasons for antidepressant discontinuation in the WHO World Mental Health Surveys
- Alan E. Kazdin, Meredith G. Harris, Irving Hwang, Nancy A. Sampson, Dan J. Stein, Maria Carmen Viana, Daniel V. Vigo, Chi-Shin Wu, Sergio Aguilar-Gaxiola, Jordi Alonso, Corina Benjet, Ronny Bruffaerts, José Miguel Caldas-Almeida, Graça Cardoso, Elisa Caselani, Stephanie Chardoul, Alfredo Cía, Peter de Jonge, Oye Gureje, Josep Maria Haro, Elie G. Karam, Viviane Kovess-Masfety, Fernando Navarro-Mateu, Marina Piazza, José Posada-Villa, Kate M. Scott, Juan Carlos Stagnaro, Margreet ten Have, Yolanda Torres, Cristian Vladescu, Ronald C. Kessler
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- Journal:
- Psychological Medicine / Volume 54 / Issue 1 / January 2024
- Published online by Cambridge University Press:
- 14 September 2023, pp. 67-78
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Background
Despite their documented efficacy, substantial proportions of patients discontinue antidepressant medication (ADM) without a doctor's recommendation. The current report integrates data on patient-reported reasons into an investigation of patterns and predictors of ADM discontinuation.
MethodsFace-to-face interviews with community samples from 13 countries (n = 30 697) in the World Mental Health (WMH) Surveys included n = 1890 respondents who used ADMs within the past 12 months.
Results10.9% of 12-month ADM users reported discontinuation-based on recommendation of the prescriber while 15.7% discontinued in the absence of prescriber recommendation. The main patient-reported reason for discontinuation was feeling better (46.6%), which was reported by a higher proportion of patients who discontinued within the first 2 weeks of treatment than later. Perceived ineffectiveness (18.5%), predisposing factors (e.g. fear of dependence) (20.0%), and enabling factors (e.g. inability to afford treatment cost) (5.0%) were much less commonly reported reasons. Discontinuation in the absence of prescriber recommendation was associated with low country income level, being employed, and having above average personal income. Age, prior history of psychotropic medication use, and being prescribed treatment from a psychiatrist rather than from a general medical practitioner, in comparison, were associated with a lower probability of this type of discontinuation. However, these predictors varied substantially depending on patient-reported reasons for discontinuation.
ConclusionDropping out early is not necessarily negative with almost half of individuals noting they felt better. The study underscores the diverse reasons given for dropping out and the need to evaluate how and whether dropping out influences short- or long-term functioning.
Local finiteness and automorphism groups of low complexity subshifts
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- RONNIE PAVLOV, SCOTT SCHMIEDING
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- Journal:
- Ergodic Theory and Dynamical Systems / Volume 43 / Issue 6 / June 2023
- Published online by Cambridge University Press:
- 18 April 2022, pp. 1980-2001
- Print publication:
- June 2023
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We prove that for any transitive subshift X with word complexity function $c_n(X)$ , if $\liminf ({\log (c_n(X)/n)}/({\log \log \log n})) = 0$ , then the quotient group ${{\mathrm {Aut}(X,\sigma )}/{\langle \sigma \rangle }}$ of the automorphism group of X by the subgroup generated by the shift $\sigma $ is locally finite. We prove that significantly weaker upper bounds on $c_n(X)$ imply the same conclusion if the gap conjecture from geometric group theory is true. Our proofs rely on a general upper bound for the number of automorphisms of X of range n in terms of word complexity, which may be of independent interest. As an application, we are also able to prove that for any subshift X, if ${c_n(X)}/{n^2 (\log n)^{-1}} \rightarrow 0$ , then $\mathrm {Aut}(X,\sigma )$ is amenable, improving a result of Cyr and Kra. In the opposite direction, we show that for any countable infinite locally finite group G and any unbounded increasing $f: \mathbb {N} \rightarrow \mathbb {N}$ , there exists a minimal subshift X with ${{\mathrm {Aut}(X,\sigma )}/{\langle \sigma \rangle }}$ isomorphic to G and ${c_n(X)}/{nf(n)} \rightarrow 0$ .
Previous disorders and depression outcomes in individuals with 12-month major depressive disorder in the World Mental Health surveys
- Annelieke M. Roest, Ymkje Anna de Vries, Ali Al-Hamzawi, Jordi Alonso, Olatunde O. Ayinde, Ronny Bruffaerts, Brendan Bunting, José Miguel Caldas de Almeida, Giovanni de Girolamo, Louisa Degenhardt, Silvia Florescu, Oye Gureje, Josep Maria Haro, Chiyi Hu, Elie G. Karam, Andrzej Kiejna, Viviane Kovess-Masfety, Sing Lee, John J. McGrath, Maria Elena Medina-Mora, Fernando Navarro-Mateu, Daisuke Nishi, Marina Piazza, José Posada-Villa, Kate M. Scott, Juan Carlos Stagnaro, Dan J. Stein, Yolanda Torres, Maria Carmen Viana, Zahari Zarkov, Ronald C. Kessler, Peter de Jonge
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- Journal:
- Epidemiology and Psychiatric Sciences / Volume 30 / 2021
- Published online by Cambridge University Press:
- 11 November 2021, e70
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Aims
Major depressive disorder (MDD) is characterised by a recurrent course and high comorbidity rates. A lifespan perspective may therefore provide important information regarding health outcomes. The aim of the present study is to examine mental disorders that preceded 12-month MDD diagnosis and the impact of these disorders on depression outcomes.
MethodsData came from 29 cross-sectional community epidemiological surveys of adults in 27 countries (n = 80 190). The Composite International Diagnostic Interview (CIDI) was used to assess 12-month MDD and lifetime DSM-IV disorders with onset prior to the respondent's age at interview. Disorders were grouped into depressive distress disorders, non-depressive distress disorders, fear disorders and externalising disorders. Depression outcomes included 12-month suicidality, days out of role and impairment in role functioning.
ResultsAmong respondents with 12-month MDD, 94.9% (s.e. = 0.4) had at least one prior disorder (including previous MDD), and 64.6% (s.e. = 0.9) had at least one prior, non-MDD disorder. Previous non-depressive distress, fear and externalising disorders, but not depressive distress disorders, predicted higher impairment (OR = 1.4–1.6) and suicidality (OR = 1.5–2.5), after adjustment for sociodemographic variables. Further adjustment for MDD characteristics weakened, but did not eliminate, these associations. Associations were largely driven by current comorbidities, but both remitted and current externalising disorders predicted suicidality among respondents with 12-month MDD.
ConclusionsThese results illustrate the importance of careful psychiatric history taking regarding current anxiety disorders and lifetime externalising disorders in individuals with MDD.
Transdiagnostic development of internalizing psychopathology throughout the life course up to age 45: a World Mental Health Surveys report
- Ymkje Anna de Vries, Ali Al-Hamzawi, Jordi Alonso, Laura Helena Andrade, Corina Benjet, Ronny Bruffaerts, Brendan Bunting, Giovanni de Girolamo, Silvia Florescu, Oye Gureje, Josep Maria Haro, Aimee Karam, Elie G. Karam, Norito Kawakami, Viviane Kovess-Masfety, Sing Lee, Zeina Mneimneh, Fernando Navarro-Mateu, Akin Ojagbemi, José Posada-Villa, Kate Scott, Juan Carlos Stagnaro, Yolanda Torres, Miguel Xavier, Zahari N. Zarkov, Ronald C. Kessler, Peter de Jonge
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- Journal:
- Psychological Medicine / Volume 52 / Issue 11 / August 2022
- Published online by Cambridge University Press:
- 10 November 2020, pp. 2134-2143
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Background
Depressive and anxiety disorders are highly comorbid, which has been theorized to be due to an underlying internalizing vulnerability. We aimed to identify groups of participants with differing vulnerabilities by examining the course of internalizing psychopathology up to age 45.
MethodsWe used data from 24158 participants (aged 45+) in 23 population-based cross-sectional World Mental Health Surveys. Internalizing disorders were assessed with the Composite International Diagnostic Interview (CIDI). We applied latent class growth analysis (LCGA) and investigated the characteristics of identified classes using logistic or linear regression.
ResultsThe best-fitting LCGA solution identified eight classes: a healthy class (81.9%), three childhood-onset classes with mild (3.7%), moderate (2.0%), or severe (1.1%) internalizing comorbidity, two puberty-onset classes with mild (4.0%) or moderate (1.4%) comorbidity, and two adult-onset classes with mild comorbidity (2.7% and 3.2%). The childhood-onset severe class had particularly unfavorable sociodemographic outcomes compared to the healthy class, with increased risks of being never or previously married (OR = 2.2 and 2.0, p < 0.001), not being employed (OR = 3.5, p < 0.001), and having a low/low-average income (OR = 2.2, p < 0.001). Moderate or severe (v. mild) comorbidity was associated with 12-month internalizing disorders (OR = 1.9 and 4.8, p < 0.001), disability (B = 1.1–2.3, p < 0.001), and suicidal ideation (OR = 4.2, p < 0.001 for severe comorbidity only). Adult (v. childhood) onset was associated with lower rates of 12-month internalizing disorders (OR = 0.2, p < 0.001).
ConclusionsWe identified eight transdiagnostic trajectories of internalizing psychopathology. Unfavorable outcomes were concentrated in the 1% of participants with childhood onset and severe comorbidity. Early identification of this group may offer opportunities for preventive interventions.
Toward measuring effective treatment coverage: critical bottlenecks in quality- and user-adjusted coverage for major depressive disorder
- Daniel Vigo, Josep Maria Haro, Irving Hwang, Sergio Aguilar-Gaxiola, Jordi Alonso, Guilherme Borges, Ronny Bruffaerts, Jose Miguel Caldas-de-Almeida, Giovanni de Girolamo, Silvia Florescu, Oye Gureje, Elie Karam, Georges Karam, Viviane Kovess-Masfety, Sing Lee, Fernando Navarro-Mateu, Akin Ojagbemi, Jose Posada-Villa, Nancy A. Sampson, Kate Scott, Juan Carlos Stagnaro, Margreet ten Have, Maria Carmen Viana, Chi-Shin Wu, Somnath Chatterji, Pim Cuijpers, Graham Thornicroft, Ronald C. Kessler
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- Journal:
- Psychological Medicine / Volume 52 / Issue 10 / July 2022
- Published online by Cambridge University Press:
- 20 October 2020, pp. 1948-1958
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Background
Major depressive disorder (MDD) is a leading cause of morbidity and mortality. Shortfalls in treatment quantity and quality are well-established, but the specific gaps in pharmacotherapy and psychotherapy are poorly understood. This paper analyzes the gap in treatment coverage for MDD and identifies critical bottlenecks.
MethodsSeventeen surveys were conducted across 15 countries by the World Health Organization-World Mental Health Surveys Initiative. Of 35 012 respondents, 3341 met DSM-IV criteria for 12-month MDD. The following components of effective treatment coverage were analyzed: (a) any mental health service utilization; (b) adequate pharmacotherapy; (c) adequate psychotherapy; and (d) adequate severity-specific combination of both.
ResultsMDD prevalence was 4.8% (s.e., 0.2). A total of 41.8% (s.e., 1.1) received any mental health services, 23.2% (s.e., 1.5) of which was deemed effective. This 90% gap in effective treatment is due to lack of utilization (58%) and inadequate quality or adherence (32%). Critical bottlenecks are underutilization of psychotherapy (26 percentage-points reduction in coverage), underutilization of psychopharmacology (13-point reduction), inadequate physician monitoring (13-point reduction), and inadequate drug-type (10-point reduction). High-income countries double low-income countries in any mental health service utilization, adequate pharmacotherapy, adequate psychotherapy, and adequate combination of both. Severe cases are more likely than mild-moderate cases to receive either adequate pharmacotherapy or psychotherapy, but less likely to receive an adequate combination.
ConclusionsDecision-makers need to increase the utilization and quality of pharmacotherapy and psychotherapy. Innovations such as telehealth for training and supervision plus non-specialist or community resources to deliver pharmacotherapy and psychotherapy could address these bottlenecks.
The IntCal20 Northern Hemisphere Radiocarbon Age Calibration Curve (0–55 cal kBP)
- Part of
- Paula J Reimer, William E N Austin, Edouard Bard, Alex Bayliss, Paul G Blackwell, Christopher Bronk Ramsey, Martin Butzin, Hai Cheng, R Lawrence Edwards, Michael Friedrich, Pieter M Grootes, Thomas P Guilderson, Irka Hajdas, Timothy J Heaton, Alan G Hogg, Konrad A Hughen, Bernd Kromer, Sturt W Manning, Raimund Muscheler, Jonathan G Palmer, Charlotte Pearson, Johannes van der Plicht, Ron W Reimer, David A Richards, E Marian Scott, John R Southon, Christian S M Turney, Lukas Wacker, Florian Adolphi, Ulf Büntgen, Manuela Capano, Simon M Fahrni, Alexandra Fogtmann-Schulz, Ronny Friedrich, Peter Köhler, Sabrina Kudsk, Fusa Miyake, Jesper Olsen, Frederick Reinig, Minoru Sakamoto, Adam Sookdeo, Sahra Talamo
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- Journal:
- Radiocarbon / Volume 62 / Issue 4 / August 2020
- Published online by Cambridge University Press:
- 12 August 2020, pp. 725-757
- Print publication:
- August 2020
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Radiocarbon (14C) ages cannot provide absolutely dated chronologies for archaeological or paleoenvironmental studies directly but must be converted to calendar age equivalents using a calibration curve compensating for fluctuations in atmospheric 14C concentration. Although calibration curves are constructed from independently dated archives, they invariably require revision as new data become available and our understanding of the Earth system improves. In this volume the international 14C calibration curves for both the Northern and Southern Hemispheres, as well as for the ocean surface layer, have been updated to include a wealth of new data and extended to 55,000 cal BP. Based on tree rings, IntCal20 now extends as a fully atmospheric record to ca. 13,900 cal BP. For the older part of the timescale, IntCal20 comprises statistically integrated evidence from floating tree-ring chronologies, lacustrine and marine sediments, speleothems, and corals. We utilized improved evaluation of the timescales and location variable 14C offsets from the atmosphere (reservoir age, dead carbon fraction) for each dataset. New statistical methods have refined the structure of the calibration curves while maintaining a robust treatment of uncertainties in the 14C ages, the calendar ages and other corrections. The inclusion of modeled marine reservoir ages derived from a three-dimensional ocean circulation model has allowed us to apply more appropriate reservoir corrections to the marine 14C data rather than the previous use of constant regional offsets from the atmosphere. Here we provide an overview of the new and revised datasets and the associated methods used for the construction of the IntCal20 curve and explore potential regional offsets for tree-ring data. We discuss the main differences with respect to the previous calibration curve, IntCal13, and some of the implications for archaeology and geosciences ranging from the recent past to the time of the extinction of the Neanderthals.
Chapter 12 - Sexual Assault among Women
- from Section 4 - Factors Influencing the Onset and Course of Posttraumatic Stress Disorder
- Edited by Evelyn J. Bromet, State University of New York, Stony Brook, Elie G. Karam, Karestan C. Koenen, Harvard University, Massachusetts, Dan J. Stein, University of Cape Town
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- Trauma and Posttraumatic Stress Disorder
- Published online:
- 26 July 2018
- Print publication:
- 09 August 2018, pp 181-193
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Psychotic experiences and general medical conditions: a cross-national analysis based on 28 002 respondents from 16 countries in the WHO World Mental Health Surveys
- Kate M. Scott, Sukanta Saha, Carmen C.W. Lim, Sergio Aguilar-Gaxiola, Ali Al-Hamzawi, Jordi Alonso, Corina Benjet, Evelyn J. Bromet, Ronny Bruffaerts, José Miguel Caldas-de-Almeida, Giovanni de Girolamo, Peter de Jonge, Louisa Degenhardt, Silvia Florescu, Oye Gureje, Josep M. Haro, Chiyi Hu, Elie G. Karam, Viviane Kovess-Masfety, Sing Lee, Jean-Pierre Lepine, Zeina Mneimneh, Fernando Navarro-Mateu, Marina Piazza, José Posada-Villa, Nancy A. Sampson, Juan Carlos Stagnaro, Ronald C. Kessler, John J. McGrath,
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- Journal:
- Psychological Medicine / Volume 48 / Issue 16 / December 2018
- Published online by Cambridge University Press:
- 26 February 2018, pp. 2730-2739
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Background
Previous work has identified associations between psychotic experiences (PEs) and general medical conditions (GMCs), but their temporal direction remains unclear as does the extent to which they are independent of comorbid mental disorders.
MethodsIn total, 28 002 adults in 16 countries from the WHO World Mental Health (WMH) Surveys were assessed for PEs, GMCs and 21 Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) mental disorders. Discrete-time survival analyses were used to estimate the associations between PEs and GMCs with various adjustments.
ResultsAfter adjustment for comorbid mental disorders, temporally prior PEs were significantly associated with subsequent onset of 8/12 GMCs (arthritis, back or neck pain, frequent or severe headache, other chronic pain, heart disease, high blood pressure, diabetes and peptic ulcer) with odds ratios (ORs) ranging from 1.3 [95% confidence interval (CI) 1.1–1.5] to 1.9 (95% CI 1.4–2.4). In contrast, only three GMCs (frequent or severe headache, other chronic pain and asthma) were significantly associated with subsequent onset of PEs after adjustment for comorbid GMCs and mental disorders, with ORs ranging from 1.5 (95% CI 1.2–1.9) to 1.7 (95% CI 1.2–2.4).
ConclusionsPEs were associated with the subsequent onset of a wide range of GMCs, independent of comorbid mental disorders. There were also associations between some medical conditions (particularly those involving chronic pain) and subsequent PEs. Although these findings will need to be confirmed in prospective studies, clinicians should be aware that psychotic symptoms may be risk markers for a wide range of adverse health outcomes. Whether PEs are causal risk factors will require further research.
Trauma and psychotic experiences: transnational data from the World Mental Health Survey
- John J. McGrath, Sukanta Saha, Carmen C. W. Lim, Sergio Aguilar-Gaxiola, Jordi Alonso, Laura H. Andrade, Evelyn J. Bromet, Ronny Bruffaerts, José M. Caldas de Almeida, Graça Cardoso, Giovanni de Girolamo, John Fayyad, Silvia Florescu, Oye Gureje, Josep M. Haro, Norito Kawakami, Karestan C. Koenen, Viviane Kovess-Masfety, Sing Lee, Jean-Pierre Lepine, Katie A. McLaughlin, Maria E. Medina-Mora, Fernando Navarro-Mateu, Akin Ojagbemi, Jose Posada-Villa, Nancy Sampson, Kate M. Scott, Hisateru Tachimori, Margreet ten Have, Kenneth S. Kendler, Ronald C. Kessler,
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- Journal:
- The British Journal of Psychiatry / Volume 211 / Issue 6 / December 2017
- Published online by Cambridge University Press:
- 02 January 2018, pp. 373-380
- Print publication:
- December 2017
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Background
Traumatic events are associated with increased risk of psychotic experiences, but it is unclear whether this association is explained by mental disorders prior to psychotic experience onset.
AimsTo investigate the associations between traumatic events and subsequent psychotic experience onset after adjusting for post-traumatic stress disorder and other mental disorders.
MethodWe assessed 29 traumatic event types and psychotic experiences from the World Mental Health surveys and examined the associations of traumatic events with subsequent psychotic experience onset with and without adjustments for mental disorders.
ResultsRespondents with any traumatic events had three times the odds of other respondents of subsequently developing psychotic experiences (OR=3.1, 95% CI 2.7–3.7), with variability in strength of association across traumatic event types. These associations persisted after adjustment for mental disorders.
ConclusionsExposure to traumatic events predicts subsequent onset of psychotic experiences even after adjusting for comorbid mental disorders.
Compatibility of Atmospheric 14CO2 Measurements: Comparing the Heidelberg Low-Level Counting Facility to International Accelerator Mass Spectrometry (AMS) Laboratories
- Samuel Hammer, Ronny Friedrich, Bernd Kromer, Alexander Cherkinsky, Scott J Lehman, Harro A J Meijer, Toshio Nakamura, Vesa Palonen, Ron W Reimer, Andrew M Smith, John R Southon, Sönke Szidat, Jocelyn Turnbull, Masao Uchida
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- Journal:
- Radiocarbon / Volume 59 / Issue 3 / June 2017
- Published online by Cambridge University Press:
- 19 September 2016, pp. 875-883
- Print publication:
- June 2017
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Combining atmospheric Δ14CO2 data sets from different networks or laboratories requires secure knowledge on their compatibility. In the present study, we compare Δ14CO2 results from the Heidelberg low-level counting (LLC) laboratory to 12 international accelerator mass spectrometry (AMS) laboratories using distributed aliquots of five pure CO2 samples. The averaged result of the LLC laboratory has a measurement bias of –0.3±0.5‰ with respect to the consensus value of the AMS laboratories for the investigated atmospheric Δ14C range of 9.6 to 40.4‰. Thus, the LLC measurements on average are not significantly different from the AMS laboratories, and the most likely measurement bias is smaller than the World Meteorological Organization (WMO) interlaboratory compatibility goal for Δ14CO2 of 0.5‰. The number of intercomparison samples was, however, too small to determine whether the measurement biases of the individual AMS laboratories fulfilled the WMO goal.
Maritime Havens in Earlier Prehistoric Britain
- Richard Bradley, Alice Rogers, Fraser Sturt, Aaron Watson, Diana Coles, Julie Gardiner, Ronnie Scott
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- Journal:
- Proceedings of the Prehistoric Society / Volume 82 / December 2016
- Published online by Cambridge University Press:
- 09 February 2016, pp. 125-159
- Print publication:
- December 2016
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It is widely accepted that between the beginning of the Early Neolithic period and the end of the Early Bronze Age different regions of Britain were connected to one another by sea, but little is known about the nature of maritime contacts before plank-built boats developed during the 2nd millennium bc. This paper considers a series of coastal sites, some of which were first settled from Mesolithic times. From the early 4th millennium they were also associated with artefact production and the use of imported objects and raw materials. Their distribution focuses on the region of isostatic uplift in northern Britain where the ancient shoreline still survives. It is considered in relation to a new model of coastal change which suggests that these locations were characterised by natural havens sheltered behind islands or bars. The sites can be compared with the ‘landing places’ and ‘beach markets’ discussed by historical archaeologists in recent years.
Contributors
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- By Núria Duran Adroher, Sergio Aguilar-Gaxiola, Jordi Alonso, Ali Obaid Al-Hamzawi, Laura Helena Andrade, Matthias C. Angermeyer, James Anthony, Corina Benjet, Guilherme Borges, Joshua Breslau, Evelyn J. Bromet, Ronny Bruffaerts, Brendan Bunting, Huibert Burger, José Miguel Caldas de Almeida, Graça Cardoso, Somnath Chatterji, Wai Tat Chiu, Giovanni de Girolamo, Ron de Graaf, Peter de Jonge, Koen Demyttenaere, John Fayyad, Alize J. Ferrari, Silvia Florescu, Anne M. Gadermann, Meyer Glantz, Jen Green, Michael J. Gruber, Oye Gureje, Josep Maria Haro, Yanling He, Steven G. Heeringa, Hristo Hinkov, Chiyi Hu, Yueqin Huang, Irving Hwang, Robert Jin, Elie G. Karam, Norito Kawakami, Ronald C. Kessler, Lola Kola, Viviane Kovess-Masféty, Michael C. Lane, Carmen Lara, William LeBlanc, Sing Lee, Jean-Pierre Lépine, Daphna Levinson, Zhaorui Liu, Gustavo Loera, Herbert Marschinger, Katie A. McLaughlin, Maria Elena Medina-Mora, Elizabeth Miller, Samuel D. Murphy, Aimee Nasser Karam, Matthew K. Nock, Mark A. Oakley Browne, Siobhan O’Neill, Johan Ormel, Beth-Ellen Pennell, Maria V. Petukhova, José Posada-Villa, Rajesh Sagar, Mohammad Salih Khalaf, Nancy A. Sampson, Kathleen Saunders, Michael Schoenbaum, Kate M. Scott, Soraya Seedat, Victoria Shahly, Dan J. Stein, Hisateru Tachimori, Nezar Ismet Taib, Adley Tsang, T. Bedirhan Üstün, Maria Carmen Viana, Gemma Vilagut, Michael R. Von Korff, J. Elisabeth Wells, Harvey A. Whiteford, David R. Williams, Ben Wu, Miguel Xavier, Alan M. Zaslavsky
- Edited by Jordi Alonso, Universitat Pompeu Fabra, Barcelona, Somnath Chatterji, World Health Organization, Geneva, Yanling He
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- Book:
- The Burdens of Mental Disorders
- Print publication:
- 09 May 2013, pp ix-xii
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Role of common mental and physical disorders in partial disability around the world
- Ronny Bruffaerts, Gemma Vilagut, Koen Demyttenaere, Jordi Alonso, Ali AlHamzawi, Laura Helena Andrade, Corina Benjet, Evelyn Bromet, Brendan Bunting, Giovanni de Girolamo, Silvia Florescu, Oye Gureje, Josep Maria Haro, Yanling He, Hristo Hinkov, Chiyi Hu, Elie G. Karam, Jean-Pierre Lepine, Daphna Levinson, Herbert Matschinger, Yoshibumi Nakane, Johan Ormel, Jose Posada-Villa, Kate M. Scott, Matthew Varghese, David R. Williams, Miguel Xavier, Ronald C. Kessler
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- Journal:
- The British Journal of Psychiatry / Volume 200 / Issue 6 / June 2012
- Published online by Cambridge University Press:
- 02 January 2018, pp. 454-461
- Print publication:
- June 2012
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Background
Mental and physical disorders are associated with total disability, but their effects on days with partial disability (i.e. the ability to perform some, but not full-role, functioning in daily life) are not well understood.
AimsTo estimate individual (i.e. the consequences for an individual with a disorder) and societal effects (i.e. the avoidable partial disability in the society due to disorders) of mental and physical disorders on days with partial disability around the world.
MethodRespondents from 26 nationally representative samples (n = 61 259, age 18+) were interviewed regarding mental and physical disorders, and day-to-day functioning. The Composite International Diagnostic Interview, version 3.0 (CIDI 3.0) was used to assess mental disorders; partial disability (expressed in full day equivalents) was assessed with the World Health Organization Disability Assessment Schedule in the CIDI 3.0.
ResultsRespondents with disorders reported about 1.58 additional disability days per month compared with respondents without disorders. At the individual level, mental disorders (especially post-traumatic stress disorder, depression and bipolar disorder) yielded a higher number of days with disability than physical disorders. At the societal level, the population attributable risk proportion due to physical and mental disorders was 49% and 15% respectively.
ConclusionsMental and physical disorders have a considerable impact on partial disability, at both the individual and at the societal level. Physical disorders yielded higher effects on partial disability than mental disorders.
Contributors
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- By Rose Teteki Abbey, K. C. Abraham, David Tuesday Adamo, LeRoy H. Aden, Efrain Agosto, Victor Aguilan, Gillian T. W. Ahlgren, Charanjit Kaur AjitSingh, Dorothy B E A Akoto, Giuseppe Alberigo, Daniel E. Albrecht, Ruth Albrecht, Daniel O. Aleshire, Urs Altermatt, Anand Amaladass, Michael Amaladoss, James N. Amanze, Lesley G. Anderson, Thomas C. Anderson, Victor Anderson, Hope S. Antone, María Pilar Aquino, Paula Arai, Victorio Araya Guillén, S. Wesley Ariarajah, Ellen T. Armour, Brett Gregory Armstrong, Atsuhiro Asano, Naim Stifan Ateek, Mahmoud Ayoub, John Alembillah Azumah, Mercedes L. García Bachmann, Irena Backus, J. Wayne Baker, Mieke Bal, Lewis V. Baldwin, William Barbieri, António Barbosa da Silva, David Basinger, Bolaji Olukemi Bateye, Oswald Bayer, Daniel H. Bays, Rosalie Beck, Nancy Elizabeth Bedford, Guy-Thomas Bedouelle, Chorbishop Seely Beggiani, Wolfgang Behringer, Christopher M. Bellitto, Byard Bennett, Harold V. Bennett, Teresa Berger, Miguel A. Bernad, Henley Bernard, Alan E. Bernstein, Jon L. Berquist, Johannes Beutler, Ana María Bidegain, Matthew P. Binkewicz, Jennifer Bird, Joseph Blenkinsopp, Dmytro Bondarenko, Paulo Bonfatti, Riet en Pim Bons-Storm, Jessica A. Boon, Marcus J. Borg, Mark Bosco, Peter C. Bouteneff, François Bovon, William D. Bowman, Paul S. Boyer, David Brakke, Richard E. Brantley, Marcus Braybrooke, Ian Breward, Ênio José da Costa Brito, Jewel Spears Brooker, Johannes Brosseder, Nicholas Canfield Read Brown, Robert F. Brown, Pamela K. Brubaker, Walter Brueggemann, Bishop Colin O. Buchanan, Stanley M. Burgess, Amy Nelson Burnett, J. Patout Burns, David B. Burrell, David Buttrick, James P. Byrd, Lavinia Byrne, Gerado Caetano, Marcos Caldas, Alkiviadis Calivas, William J. Callahan, Salvatore Calomino, Euan K. Cameron, William S. Campbell, Marcelo Ayres Camurça, Daniel F. Caner, Paul E. Capetz, Carlos F. Cardoza-Orlandi, Patrick W. Carey, Barbara Carvill, Hal Cauthron, Subhadra Mitra Channa, Mark D. Chapman, James H. Charlesworth, Kenneth R. Chase, Chen Zemin, Luciano Chianeque, Philip Chia Phin Yin, Francisca H. Chimhanda, Daniel Chiquete, John T. Chirban, Soobin Choi, Robert Choquette, Mita Choudhury, Gerald Christianson, John Chryssavgis, Sejong Chun, Esther Chung-Kim, Charles M. A. Clark, Elizabeth A. Clark, Sathianathan Clarke, Fred Cloud, John B. Cobb, W. Owen Cole, John A Coleman, John J. Collins, Sylvia Collins-Mayo, Paul K. Conkin, Beth A. Conklin, Sean Connolly, Demetrios J. Constantelos, Michael A. Conway, Paula M. Cooey, Austin Cooper, Michael L. Cooper-White, Pamela Cooper-White, L. William Countryman, Sérgio Coutinho, Pamela Couture, Shannon Craigo-Snell, James L. Crenshaw, David Crowner, Humberto Horacio Cucchetti, Lawrence S. Cunningham, Elizabeth Mason Currier, Emmanuel Cutrone, Mary L. Daniel, David D. Daniels, Robert Darden, Rolf Darge, Isaiah Dau, Jeffry C. Davis, Jane Dawson, Valentin Dedji, John W. de Gruchy, Paul DeHart, Wendy J. 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Yee, Viktor Yelensky, Yeo Khiok-Khng, Gustav K. K. Yeung, Angela Yiu, Amos Yong, Yong Ting Jin, You Bin, Youhanna Nessim Youssef, Eliana Yunes, Robert Michael Zaller, Valarie H. Ziegler, Barbara Brown Zikmund, Joyce Ann Zimmerman, Aurora Zlotnik, Zhuo Xinping
- Edited by Daniel Patte, Vanderbilt University, Tennessee
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- The Cambridge Dictionary of Christianity
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- 05 August 2012
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- 20 September 2010, pp xi-xliv
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Childhood adversities as risk factors for onset and persistence of suicidal behaviour
- Ronny Bruffaerts, Koen Demyttenaere, Guilherme Borges, Josep Maria Haro, Wai Tat Chiu, Irving Hwang, Elie G. Karam, Ronald C. Kessler, Nancy Sampson, Jordi Alonso, Laura Helena Andrade, Matthias Angermeyer, Corina Benjet, Evelyn Bromet, Giovanni de Girolamo, Ron de Graaf, Silvia Florescu, Oye Gureje, Itsuko Horiguchi, Chiyi Hu, Viviane Kovess, Daphna Levinson, Jose Posada-Villa, Rajesh Sagar, Kate Scott, Adley Tsang, Svetlozar M. Vassilev, David R. Williams, Matthew K. Nock
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- The British Journal of Psychiatry / Volume 197 / Issue 1 / July 2010
- Published online by Cambridge University Press:
- 02 January 2018, pp. 20-27
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- July 2010
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Background
Suicide is a leading cause of death worldwide, but the precise effect of childhood adversities as risk factors for the onset and persistence of suicidal behaviour (suicide ideation, plans and attempts) are not well understood.
AimsTo examine the associations between childhood adversities as risk factors for the onset and persistence of suicidal behaviour across 21 countries worldwide.
MethodRespondents from nationally representative samples (η = 55 299) were interviewed regarding childhood adversities that occurred before the age of 18 years and lifetime suicidal behaviour.
ResultsChildhood adversities were associated with an increased risk of suicide attempt and ideation in both bivariate and multivariate models (odds ratio range 1.2–5.7). The risk increased with the number of adversities experienced, but at a decreasing rate. Sexual and physical abuse were consistently the strongest risk factors for both the onset and persistence of suicidal behaviour, especially during adolescence. Associations remained similar after additional adjustment for respondents' lifetime mental disorder status.
ConclusionsChildhood adversities (especially intrusive or aggressive adversities) are powerful predictors of the onset and persistence of suicidal behaviours.
Contributors
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- By Sergio Aguilar-Gaxiola, Jordi Alonso, Evelyn J. Bromet, Ronny Bruffaerts, Huibert Burger, Andrea Buron, Paul K. Crane, Koen Demyttenaere, David Goldberg, Oye Gureje, Ronald C. Kessler, Carmen Lara, Sing Lee, Bibilola Oladeji, Johan Ormel, Maria V. Petukhova, Kathleen Saunders, Kate M. Scott, Gregory E. Simon, Dan J. Stein, Adley Tsang, Gemma Vilagut, Michael R. Von Korff
- Edited by Michael R. Von Korff, Kate M. Scott, University of Otago, New Zealand, Oye Gureje
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- Global Perspectives on Mental-Physical Comorbidity in the WHO World Mental Health Surveys
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- 05 July 2016
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- 31 July 2009, pp vii-viii
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