Associations between DSM-IV mental disorders and subsequent self-reported diagnosis of cancer
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Associations between DSM-IV mental disorders and subsequent self-reported diagnosis of cancer. / O'Neill, Siobhan; Posada-Villa, Jose; Medina-Mora, Maria Elena; Al-Hamzawi, Ali Obaid; Piazza, Marina; Tachimori, Hisateru; Hu, Chiyi; Lim, Carmen; Bruffaerts, Ronny; Lépine, Jean-Pierre; Matschinger, Herbert; de Girolamo, Giovanni; de Jonge, Peter; Alonso, Jordi; Caldas-de-Almeida, Jose Miguel; Florescu, Silvia; Kiejna, Andrzej; Levinson, Daphna; Kessler, Ronald C; Scott, Kate M.
in: J PSYCHOSOM RES, Jahrgang 76, Nr. 3, 01.03.2014, S. 207-12.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Associations between DSM-IV mental disorders and subsequent self-reported diagnosis of cancer
AU - O'Neill, Siobhan
AU - Posada-Villa, Jose
AU - Medina-Mora, Maria Elena
AU - Al-Hamzawi, Ali Obaid
AU - Piazza, Marina
AU - Tachimori, Hisateru
AU - Hu, Chiyi
AU - Lim, Carmen
AU - Bruffaerts, Ronny
AU - Lépine, Jean-Pierre
AU - Matschinger, Herbert
AU - de Girolamo, Giovanni
AU - de Jonge, Peter
AU - Alonso, Jordi
AU - Caldas-de-Almeida, Jose Miguel
AU - Florescu, Silvia
AU - Kiejna, Andrzej
AU - Levinson, Daphna
AU - Kessler, Ronald C
AU - Scott, Kate M
N1 - Copyright © 2014 Elsevier Inc. All rights reserved.
PY - 2014/3/1
Y1 - 2014/3/1
N2 - OBJECTIVE: The associations between mental disorders and cancer remain unclear. It is also unknown whether any associations vary according to life stage or gender. This paper examines these research questions using data from the World Mental Health Survey Initiative.METHODS: The World Health Organization Composite International Diagnostic Interview retrospectively assessed the lifetime prevalence of 16 DSM-IV mental disorders in face-to-face household population surveys in nineteen countries (n = 52,095). Cancer was indicated by self-report of diagnosis. Smoking was assessed in questions about current and past tobacco use. Survival analyses estimated associations between first onset of mental disorders and subsequently reported cancer.RESULTS: After adjustment for comorbidity, panic disorder, specific phobia and alcohol abuse were associated with a subsequently self-reported diagnosis of cancer. There was an association between number of mental disorders and the likelihood of reporting a cancer diagnosis following the onset of the mental disorder. This suggests that the associations between mental disorders and cancer risk may be generalised, rather than specific to a particular disorder. Depression is more strongly associated with self-reported cancers diagnosed early in life and in women. PTSD is also associated with cancers diagnosed early in life.CONCLUSION: This study reports the magnitude of the associations between mental disorders and a self-reported diagnosis of cancer and provides information about the relevance of comorbidity, gender and the impact at different stages of life. The findings point to a link between the two conditions and lend support to arguments for early identification and treatment of mental disorders.
AB - OBJECTIVE: The associations between mental disorders and cancer remain unclear. It is also unknown whether any associations vary according to life stage or gender. This paper examines these research questions using data from the World Mental Health Survey Initiative.METHODS: The World Health Organization Composite International Diagnostic Interview retrospectively assessed the lifetime prevalence of 16 DSM-IV mental disorders in face-to-face household population surveys in nineteen countries (n = 52,095). Cancer was indicated by self-report of diagnosis. Smoking was assessed in questions about current and past tobacco use. Survival analyses estimated associations between first onset of mental disorders and subsequently reported cancer.RESULTS: After adjustment for comorbidity, panic disorder, specific phobia and alcohol abuse were associated with a subsequently self-reported diagnosis of cancer. There was an association between number of mental disorders and the likelihood of reporting a cancer diagnosis following the onset of the mental disorder. This suggests that the associations between mental disorders and cancer risk may be generalised, rather than specific to a particular disorder. Depression is more strongly associated with self-reported cancers diagnosed early in life and in women. PTSD is also associated with cancers diagnosed early in life.CONCLUSION: This study reports the magnitude of the associations between mental disorders and a self-reported diagnosis of cancer and provides information about the relevance of comorbidity, gender and the impact at different stages of life. The findings point to a link between the two conditions and lend support to arguments for early identification and treatment of mental disorders.
KW - Adolescent
KW - Adult
KW - Age of Onset
KW - Aged
KW - Comorbidity
KW - Diagnostic and Statistical Manual of Mental Disorders
KW - Early Diagnosis
KW - Female
KW - Global Health
KW - Health Surveys
KW - Humans
KW - Male
KW - Mental Disorders
KW - Mental Health
KW - Middle Aged
KW - Neoplasms
KW - Self Report
U2 - 10.1016/j.jpsychores.2013.12.012
DO - 10.1016/j.jpsychores.2013.12.012
M3 - SCORING: Journal article
C2 - 24529039
VL - 76
SP - 207
EP - 212
JO - J PSYCHOSOM RES
JF - J PSYCHOSOM RES
SN - 0022-3999
IS - 3
ER -