Journal ArticleDOI
Comorbidity in Australia: findings of the 2007 National Survey of Mental Health and Wellbeing.
TLDR
Comorbidity is widespread and remains a significant challenge for the delivery of effective health-care services and treatment in Australia.Abstract:
Objective: The aim of the present study was to report the prevalence and patterns of 12 month comorbidity in the 2007 National Survey of Mental Health and Wellbeing (2007 NSMHWB). In this paper the comorbidity between common mental disorders (affective, substance use and anxiety) and between physical and mental disorders is examined.Method: The 2007 NSMHWB was a nationally representative household survey of 8841 Australian adults (16–85 years) that assessed participants for symptoms of the most prevalent ICD-10 mental disorders.Results: The common mental disorder classes (affective, anxiety and substance use disorders) often occur together and 25.4% of persons with an anxiety, affective or substance use disorder had at least one other class of mental disorder. A small proportion (3.5%, 95% confidence interval (CI) = 2.3–4.7%) had all three classes of disorder. Mental disorder and physical disorder comorbidity was also common, with 28% (95%CI = 25.1–30.9%) of those with a chronic physical disorder also hav...read more
Citations
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Journal ArticleDOI
The Hierarchical Taxonomy of Psychopathology (HiTOP): A Dimensional Alternative to Traditional Nosologies
Roman Kotov,Robert F. Krueger,David Watson,Thomas M. Achenbach,Robert R. Althoff,R. Michael Bagby,Timothy A. Brown,William T. Carpenter,Avshalom Caspi,Lee Anna Clark,Nicholas R. Eaton,Miriam K. Forbes,Kelsie T. Forbush,David Goldberg,Deborah S. Hasin,Steven E. Hyman,Masha Y. Ivanova,Donald R. Lynam,Kristian E. Markon,Joshua D. Miller,Terrie E. Moffitt,Leslie C. Morey,Stephanie N. Mullins-Sweatt,Johan Ormel,Christopher J. Patrick,Darrel A. Regier,Leslie Rescorla,Camilo J. Ruggero,Douglas B. Samuel,Martin Sellbom,Leonard J. Simms,Andrew E. Skodol,Tim Slade,Susan C. South,Jennifer L. Tackett,Irwin D. Waldman,Monika A. Waszczuk,Thomas A. Widiger,Aidan G. C. Wright,Mark Zimmerman +39 more
TL;DR: The HiTOP promises to improve research and clinical practice by addressing the aforementioned shortcomings of traditional nosologies and provides an effective way to summarize and convey information on risk factors, etiology, pathophysiology, phenomenology, illness course, and treatment response.
Journal ArticleDOI
Epidemiology of anxiety disorders in the Australian general population: findings of the 2007 Australian National Survey of Mental Health and Wellbeing
TL;DR: Being female, single, not in the labour force, in the middle age groups, not having post-graduate qualifications, having a comorbid physical condition, and having a family history of mental disorders were associated with lower odds of having an anxiety disorder.
Journal ArticleDOI
Development and validation of a short form of the Geriatric Anxiety Inventory – the GAI-SF
Gerard J. Byrne,Nancy A. Pachana +1 more
TL;DR: A 5-item version of the Geriatric Anxiety Inventory, which was developed and found that a score of three or greater was optimal for the detection of DSM-IV Generalized Anxiety Disorder (GAD) in this community sample, is recommended for use in epidemiological studies.
Journal ArticleDOI
Mental health research and evaluation in multicultural Australia: developing a culture of inclusion.
Harry Minas,Harry Minas,Ritsuko Kakuma,Lay San Too,Hamza Vayani,Sharon Orapeleng,Rita Prasad-Ildes,Greg Turner,Nicholas Procter,Daryl Oehm +9 more
TL;DR: Whether Australian mental health research pays adequate attention to the fact of cultural and linguistic diversity in the Australian population is examined and whether national mental health data collections support evidence-informed mental health policy and practice and mental health reform in multicultural Australia is examined.
Journal ArticleDOI
A systematic review of the prevalence of comorbid mental health disorders in people presenting for substance use treatment in Australia.
Rosemary E. F. Kingston,Rosemary E. F. Kingston,Christina Marel,Christina Marel,Katherine L. Mills,Katherine L. Mills +5 more
TL;DR: The findings emphasise the high prevalence of comorbid mental disorders are among individuals accessing substance use treatment in Australia and indicates a need for clinicians to screen and assess for these disorders as part of routine clinical care, and be familiar with evidence-based management and treatment strategies.
References
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Journal ArticleDOI
Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National Comorbidity Survey Replication
Ronald C. Kessler,Patricia A. Berglund,Olga Demler,Robert Jin,Kathleen R. Merikangas,Ellen E. Walters +5 more
TL;DR: Lifetime prevalence estimates are higher in recent cohorts than in earlier cohorts and have fairly stable intercohort differences across the life course that vary in substantively plausible ways among sociodemographic subgroups.
Journal ArticleDOI
Lifetime and 12-Month Prevalence of DSM-III-R Psychiatric Disorders in the United States: Results From the National Comorbidity Survey
Ronald C. Kessler,Katherine A. McGonagle,Shanyang Zhao,Christopher B. Nelson,Michael R. Hughes,Suzann Eshleman,Hans-Ulrich Wittchen,Kenneth S. Kendler +7 more
TL;DR: The prevalence of psychiatric disorders is greater than previously thought to be the case, and morbidity is more highly concentrated than previously recognized in roughly one sixth of the population who have a history of three or more comorbid disorders.
Journal ArticleDOI
Prevalence, Severity, and Comorbidity of 12-Month DSM-IV Disorders in the National Comorbidity Survey Replication
TL;DR: Although mental disorders are widespread, serious cases are concentrated among a relatively small proportion of cases with high comorbidity, as shown in the recently completed US National Comorbidities Survey Replication.
Journal ArticleDOI
Prevalence, Correlates, Disability, and Comorbidity of DSM-IV Alcohol Abuse and Dependence in the United States: Results From the National Epidemiologic Survey on Alcohol and Related Conditions
TL;DR: Comorbidity of alcohol dependence with other substance disorders appears due in part to unique factors underlying etiology for each pair of disorders studied while comorbidities of alcohol addiction with mood, anxiety, and personality disorders appears more attributable to factors shared among these other disorders.
Journal ArticleDOI
Prevalence, comorbidity, disability and service utilisation. Overview of the Australian National Mental Health Survey.
TL;DR: The high rate of not consulting among those with disability and comorbidity is an important public health problem as Australia has a universal health insurance scheme and the barriers to effective care must be patient knowledge and physician competence.