Literature DB >> 26944393

Associations between DSM-IV mental disorders and subsequent onset of arthritis.

Sergio Aguilar-Gaxiola1, Gustavo Loera2, Estella M Geraghty2, Hendry Ton2, Carmen C W Lim2, Peter de Jonge2, Ronald C Kessler2, José Posada-Villa2, María Elena Medina-Mora2, Chiyi Hu2, Fabian Fiestas2, Ronny Bruffaerts2, Viviane Kovess-Masféty2, Ali Obaid Al-Hamzawi2, Daphna Levinson2, Giovanni de Girolamo2, Yoshibumi Nakane2, Margreet Ten Have2, Siobhan O'Neill2, Bogdan Wojtyniak2, José Miguel Caldas de Almeida2, Silvia Florescu2, Josep Maria Haro2, Kate M Scott2.   

Abstract

OBJECTIVE: We 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.
METHOD: Data 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.
RESULTS: After 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.
CONCLUSION: This 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.
Copyright © 2016 Elsevier Inc. All rights reserved.

Entities:  

Keywords:  Arthritis; Comorbidity; Mental disorders; Substance abuse

Mesh:

Year:  2016        PMID: 26944393      PMCID: PMC4884652          DOI: 10.1016/j.jpsychores.2016.01.006

Source DB:  PubMed          Journal:  J Psychosom Res        ISSN: 0022-3999            Impact factor:   3.006


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