Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National Comorbidity Survey Replication

全国共病调查 共病 焦虑 情绪障碍 精神科 心情 发病年龄 精神障碍患病率 医学 心理干预 焦虑症 流行 心理学 人口学 流行病学 临床心理学 疾病 内科学 社会学
作者
Ronald C. Kessler,Patricia A. Berglund,Olga Demler,Robert Jin,Kathleen R. Merikangas,Ellen E. Walters
出处
期刊:Archives of General Psychiatry [American Medical Association]
卷期号:62 (6): 593-593 被引量:18416
标识
DOI:10.1001/archpsyc.62.6.593
摘要

Little is known about lifetime prevalence or age of onset of DSM-IV disorders.To estimate lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the recently completed National Comorbidity Survey Replication.Nationally representative face-to-face household survey conducted between February 2001 and April 2003 using the fully structured World Health Organization World Mental Health Survey version of the Composite International Diagnostic Interview.Nine thousand two hundred eighty-two English-speaking respondents aged 18 years and older.Lifetime DSM-IV anxiety, mood, impulse-control, and substance use disorders.Lifetime prevalence estimates are as follows: anxiety disorders, 28.8%; mood disorders, 20.8%; impulse-control disorders, 24.8%; substance use disorders, 14.6%; any disorder, 46.4%. Median age of onset is much earlier for anxiety (11 years) and impulse-control (11 years) disorders than for substance use (20 years) and mood (30 years) disorders. Half of all lifetime cases start by age 14 years and three fourths by age 24 years. Later onsets are mostly of comorbid conditions, with estimated lifetime risk of any disorder at age 75 years (50.8%) only slightly higher than observed lifetime prevalence (46.4%). 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.About half of Americans will meet the criteria for a DSM-IV disorder sometime in their life, with first onset usually in childhood or adolescence. Interventions aimed at prevention or early treatment need to focus on youth.
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