Prevalence of distress, comorbid conditions and well being in the general population

Jörg Wiltink; Manfred E Beutel; Yvonne Till; Francisco M Ojeda; Philipp S Wild; Thomas Münzel; Stefan Blankenberg; Matthias Michal

doi:10.1016/j.jad.2010.10.041

Prevalence of distress, comorbid conditions and well being in the general population

Standard

Prevalence of distress, comorbid conditions and well being in the general population. / Wiltink, Jörg; Beutel, Manfred E; Till, Yvonne; Ojeda, Francisco M; Wild, Philipp S; Münzel, Thomas; Blankenberg, Stefan; Michal, Matthias.

In: J AFFECT DISORDERS, Vol. 130, No. 3, 05.2011, p. 429-437.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Wiltink, J, Beutel, ME, Till, Y, Ojeda, FM, Wild, PS, Münzel, T, Blankenberg, S & Michal, M 2011, 'Prevalence of distress, comorbid conditions and well being in the general population', J AFFECT DISORDERS, vol. 130, no. 3, pp. 429-437. https://doi.org/10.1016/j.jad.2010.10.041

APA

Wiltink, J., Beutel, M. E., Till, Y., Ojeda, F. M., Wild, P. S., Münzel, T., Blankenberg, S., & Michal, M. (2011). Prevalence of distress, comorbid conditions and well being in the general population. J AFFECT DISORDERS, 130(3), 429-437. https://doi.org/10.1016/j.jad.2010.10.041

Vancouver

Wiltink J, Beutel ME, Till Y, Ojeda FM, Wild PS, Münzel T et al. Prevalence of distress, comorbid conditions and well being in the general population. J AFFECT DISORDERS. 2011 May;130(3):429-437. https://doi.org/10.1016/j.jad.2010.10.041

Bibtex

@article{a9da7666bee646988342028b53f8100a,

title = "Prevalence of distress, comorbid conditions and well being in the general population",

abstract = "BACKGROUND: The purposes of this paper are to determine the prevalence of distress in the community, to identify its determinants and to assess its relationship to somatic conditions and subjective well being.METHODS: Distress and associated factors were investigated in a random sample of 5000 participants (35-74 years) of a community-based, prospective, observational cohort study in western Mid-Germany ({"}Gutenberg Heart Study{"}) between 04/2007 and 10/2008. The sample was stratified 1:1 for gender and residence and in equal strata for decades of age. Data were assessed by self-report instruments, interviews and medical examination.RESULTS: We found a prevalence rate for depression of 7.2% (6.5-8.0%), social anxiety 7.0% (6.3-7.7%), panic 4.6% (4.0-5.2%), generalized anxiety 3.4% (2.9-3.9%), and Type D personality 22.1% (21.0-23.2%). Mental conditions declined by age. Depression was related to diabetes (OR=1.99, 95% CI=1.26-3.15), dyslipidemia (OR=1.35, 95% CI=1.02-1.79), coronary heart disease (CHD; OR=1.88, 95% CI=1.04-3.39), and the history of stroke (OR=2.43, 95% CI=1.02-5.76). Panic was related to the history of myocardial infarction (OR=2.46, 95% CI=1.15-5.25), and generalized anxiety to obesity (OR=1.65, 95% CI=1.11-2.44). Mental distress was unrelated to hypertension, atrial fibrillation and cancer. In ordinal logistic regression subjective physical and mental well being were associated with anxiety, depression and Type D personality.CONCLUSIONS: While mental conditions are highly prevalent, especially depression is associated with several somatic conditions. Mental and physical well being are strongly related to mental conditions. Future work should take into account comorbid conditions when identifying the impact of depression on CHD.",

keywords = "Adult, Aged, Anxiety/epidemiology, Comorbidity, Coronary Disease/epidemiology, Depression/epidemiology, Diabetes Mellitus/epidemiology, Dyslipidemias/epidemiology, Female, Germany/epidemiology, Humans, Hypertension/epidemiology, Male, Mental Health, Middle Aged, Myocardial Infarction/epidemiology, Obesity/epidemiology, Panic Disorder/epidemiology, Personality Disorders/epidemiology, Prevalence, Prospective Studies, Residence Characteristics/statistics & numerical data, Stress, Psychological/epidemiology, Stroke/epidemiology",

author = "J{\"o}rg Wiltink and Beutel, {Manfred E} and Yvonne Till and Ojeda, {Francisco M} and Wild, {Philipp S} and Thomas M{\"u}nzel and Stefan Blankenberg and Matthias Michal",

year = "2011",

month = may,

doi = "10.1016/j.jad.2010.10.041",

language = "English",

volume = "130",

pages = "429--437",

journal = "J AFFECT DISORDERS",

issn = "0165-0327",

publisher = "Elsevier",

number = "3",

}

RIS

TY - JOUR

T1 - Prevalence of distress, comorbid conditions and well being in the general population

AU - Wiltink, Jörg

AU - Beutel, Manfred E

AU - Till, Yvonne

AU - Ojeda, Francisco M

AU - Wild, Philipp S

AU - Münzel, Thomas

AU - Blankenberg, Stefan

AU - Michal, Matthias

PY - 2011/5

Y1 - 2011/5

N2 - BACKGROUND: The purposes of this paper are to determine the prevalence of distress in the community, to identify its determinants and to assess its relationship to somatic conditions and subjective well being.METHODS: Distress and associated factors were investigated in a random sample of 5000 participants (35-74 years) of a community-based, prospective, observational cohort study in western Mid-Germany ("Gutenberg Heart Study") between 04/2007 and 10/2008. The sample was stratified 1:1 for gender and residence and in equal strata for decades of age. Data were assessed by self-report instruments, interviews and medical examination.RESULTS: We found a prevalence rate for depression of 7.2% (6.5-8.0%), social anxiety 7.0% (6.3-7.7%), panic 4.6% (4.0-5.2%), generalized anxiety 3.4% (2.9-3.9%), and Type D personality 22.1% (21.0-23.2%). Mental conditions declined by age. Depression was related to diabetes (OR=1.99, 95% CI=1.26-3.15), dyslipidemia (OR=1.35, 95% CI=1.02-1.79), coronary heart disease (CHD; OR=1.88, 95% CI=1.04-3.39), and the history of stroke (OR=2.43, 95% CI=1.02-5.76). Panic was related to the history of myocardial infarction (OR=2.46, 95% CI=1.15-5.25), and generalized anxiety to obesity (OR=1.65, 95% CI=1.11-2.44). Mental distress was unrelated to hypertension, atrial fibrillation and cancer. In ordinal logistic regression subjective physical and mental well being were associated with anxiety, depression and Type D personality.CONCLUSIONS: While mental conditions are highly prevalent, especially depression is associated with several somatic conditions. Mental and physical well being are strongly related to mental conditions. Future work should take into account comorbid conditions when identifying the impact of depression on CHD.

AB - BACKGROUND: The purposes of this paper are to determine the prevalence of distress in the community, to identify its determinants and to assess its relationship to somatic conditions and subjective well being.METHODS: Distress and associated factors were investigated in a random sample of 5000 participants (35-74 years) of a community-based, prospective, observational cohort study in western Mid-Germany ("Gutenberg Heart Study") between 04/2007 and 10/2008. The sample was stratified 1:1 for gender and residence and in equal strata for decades of age. Data were assessed by self-report instruments, interviews and medical examination.RESULTS: We found a prevalence rate for depression of 7.2% (6.5-8.0%), social anxiety 7.0% (6.3-7.7%), panic 4.6% (4.0-5.2%), generalized anxiety 3.4% (2.9-3.9%), and Type D personality 22.1% (21.0-23.2%). Mental conditions declined by age. Depression was related to diabetes (OR=1.99, 95% CI=1.26-3.15), dyslipidemia (OR=1.35, 95% CI=1.02-1.79), coronary heart disease (CHD; OR=1.88, 95% CI=1.04-3.39), and the history of stroke (OR=2.43, 95% CI=1.02-5.76). Panic was related to the history of myocardial infarction (OR=2.46, 95% CI=1.15-5.25), and generalized anxiety to obesity (OR=1.65, 95% CI=1.11-2.44). Mental distress was unrelated to hypertension, atrial fibrillation and cancer. In ordinal logistic regression subjective physical and mental well being were associated with anxiety, depression and Type D personality.CONCLUSIONS: While mental conditions are highly prevalent, especially depression is associated with several somatic conditions. Mental and physical well being are strongly related to mental conditions. Future work should take into account comorbid conditions when identifying the impact of depression on CHD.

KW - Adult

KW - Aged

KW - Anxiety/epidemiology

KW - Comorbidity

KW - Coronary Disease/epidemiology

KW - Depression/epidemiology

KW - Diabetes Mellitus/epidemiology

KW - Dyslipidemias/epidemiology

KW - Female

KW - Germany/epidemiology

KW - Humans

KW - Hypertension/epidemiology

KW - Male

KW - Mental Health

KW - Middle Aged

KW - Myocardial Infarction/epidemiology

KW - Obesity/epidemiology

KW - Panic Disorder/epidemiology

KW - Personality Disorders/epidemiology

KW - Prevalence

KW - Prospective Studies

KW - Residence Characteristics/statistics & numerical data

KW - Stress, Psychological/epidemiology

KW - Stroke/epidemiology

U2 - 10.1016/j.jad.2010.10.041

DO - 10.1016/j.jad.2010.10.041

M3 - SCORING: Journal article

C2 - 21106250

VL - 130

SP - 429

EP - 437

JO - J AFFECT DISORDERS

JF - J AFFECT DISORDERS

SN - 0165-0327

IS - 3

ER -