Comorbidity and treatment of mental disorders and sleep problems in the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A)

2010 ◽  
Vol 51 (6) ◽  
pp. e1
Author(s):  
J. Baller ◽  
S. Swanson ◽  
S. Avenevoli ◽  
M. Burstein ◽  
R. Kessler ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Sleep Problems ◽  
National Comorbidity Survey Replication ◽  
National Comorbidity Survey ◽  
The Us

scholarly journals Lifetime co-morbidity of DSM-IV disorders in the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A)

2012 ◽  
Vol 42 (9) ◽  
pp. 1997-2010 ◽  
Author(s):  
R. C. Kessler ◽  
S. Avenevoli ◽  
K. A. McLaughlin ◽  
J. Greif Green ◽  
M. D. Lakoma ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Mental Disorders ◽  
Common Mental Disorders ◽  
Prior History ◽  
National Comorbidity Survey Replication ◽  
National Comorbidity Survey ◽  
Co Morbidity ◽  
The Us ◽  
Dsm Iv ◽  
Subsequent Onset

BackgroundResearch on the structure of co-morbidity among common mental disorders has largely focused on current prevalence rather than on the development of co-morbidity. This report presents preliminary results of the latter type of analysis based on the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A).MethodA national survey was carried out of adolescent mental disorders. DSM-IV diagnoses were based on the Composite International Diagnostic Interview (CIDI) administered to adolescents and questionnaires self-administered to parents. Factor analysis examined co-morbidity among 15 lifetime DSM-IV disorders. Discrete-time survival analysis was used to predict first onset of each disorder from information about prior history of the other 14 disorders.ResultsFactor analysis found four factors representing fear, distress, behavior and substance disorders. Associations of temporally primary disorders with the subsequent onset of other disorders, dated using retrospective age-of-onset (AOO) reports, were almost entirely positive. Within-class associations (e.g. distress disorders predicting subsequent onset of other distress disorders) were more consistently significant (63.2%) than between-class associations (33.0%). Strength of associations decreased as co-morbidity among disorders increased. The percentage of lifetime disorders explained (in a predictive rather than a causal sense) by temporally prior disorders was in the range 3.7–6.9% for earliest-onset disorders [specific phobia and attention deficit hyperactivity disorder (ADHD)] and much higher (23.1–64.3%) for later-onset disorders. Fear disorders were the strongest predictors of most other subsequent disorders.ConclusionsAdolescent mental disorders are highly co-morbid. The strong associations of temporally primary fear disorders with many other later-onset disorders suggest that fear disorders might be promising targets for early interventions.

scholarly journals Sleep Problems, Comorbid Mental Disorders, and Role Functioning in the National Comorbidity Survey Replication

2006 ◽  
Vol 60 (12) ◽  
pp. 1364-1371 ◽  
Author(s):  
Thomas Roth ◽  
Savina Jaeger ◽  
Robert Jin ◽  
Anupama Kalsekar ◽  
Paul E. Stang ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Sleep Problems ◽  
Role Functioning ◽  
National Comorbidity Survey Replication ◽  
National Comorbidity Survey ◽  
Comorbid Mental Disorders

scholarly journals The US National Comorbidity Survey Replication (NCS-R): design and field procedures

2004 ◽  
Vol 13 (2) ◽  
pp. 69-92 ◽  
Author(s):  
Ronald C. Kessler ◽  
Patricia Berglund ◽  
Wai Tat Chiu ◽  
Olga Demler ◽  
Steven Heeringa ◽  
...  
Keyword(s):  
National Comorbidity Survey Replication ◽  
National Comorbidity Survey ◽  
The Us

scholarly journals Design and field procedures in the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A)

2009 ◽  
Vol 18 (2) ◽  
pp. 69-83 ◽  
Author(s):  
Ronald C. Kessler ◽  
Shelli Avenevoli ◽  
E. Jane Costello ◽  
Jennifer Greif Green ◽  
Michael J. Gruber ◽  
...  
Keyword(s):  
National Comorbidity Survey Replication ◽  
National Comorbidity Survey ◽  
The Us

scholarly journals Should excessive worry be required for a diagnosis of generalized anxiety disorder? Results from the US National Comorbidity Survey Replication

2005 ◽  
Vol 35 (12) ◽  
pp. 1761-1772 ◽  
Author(s):  
AYELET MERON RUSCIO ◽  
MICHAEL LANE ◽  
PETER ROY-BYRNE ◽  
PAUL E. STANG ◽  
DAN J. STEIN ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Large Scale ◽  
Familial Aggregation ◽  
Generalized Anxiety ◽  
National Comorbidity Survey Replication ◽  
National Comorbidity Survey ◽  
Co Morbidity ◽  
The Us ◽  
Dsm Iv

Background. Excessive worry is required by DSM-IV, but not ICD-10, for a diagnosis of generalized anxiety disorder (GAD). No large-scale epidemiological study has ever examined the implications of this requirement for estimates of prevalence, severity, or correlates of GAD.Method. Data were analyzed from the US National Comorbidity Survey Replication, a nationally representative, face-to-face survey of adults in the USA household population that was fielded in 2001–2003. DSM-IV GAD was assessed with Version 3.0 of the WHO Composite International Diagnostic Interview. Non-excessive worriers meeting all other DSM-IV criteria for GAD were compared with respondents who met full GAD criteria as well as with other survey respondents to consider the implications of removing the excessiveness requirement.Results. The estimated lifetime prevalence of GAD increases by ~40% when the excessiveness requirement is removed. Excessive GAD begins earlier in life, has a more chronic course, and is associated with greater symptom severity and psychiatric co-morbidity than non-excessive GAD. However, non-excessive cases nonetheless evidence substantial persistence and impairment of GAD, high rates of treatment-seeking, and significantly elevated co-morbidity compared with respondents without GAD. Non-excessive cases also have sociodemographic characteristics and familial aggregation of GAD comparable to excessive cases.Conclusions. Individuals who meet all criteria for GAD other than excessiveness have a somewhat milder presentation than those with excessive worry, yet resemble excessive worriers in a number of important ways. These findings challenge the validity of the excessiveness requirement and highlight the need for further research into the optimal definition of GAD.

scholarly journals Age differences in major depression: results from the National Comorbidity Survey Replication (NCS-R)

2009 ◽  
Vol 40 (2) ◽  
pp. 225-237 ◽  
Author(s):  
R. C. Kessler ◽  
H. Birnbaum ◽  
E. Bromet ◽  
I. Hwang ◽  
N. Sampson ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Old Age ◽  
Age Differences ◽  
Late Life ◽  
The Elderly ◽  
National Comorbidity Survey Replication ◽  
National Comorbidity Survey ◽  
Co Morbidity ◽  
Physical Disorders ◽  
Dsm Iv

BackgroundAlthough depression appears to decrease in late life, this could be due to misattribution of depressive symptom to physical disorders that increase in late life.MethodWe studied age differences in major depressive episodes (MDE) in the National Comorbidity Survey Replication, a national survey of the US household population. DSM-IV MDE was defined without organic exclusions or diagnostic hierarchy rules to facilitate analysis of co-morbidity. Physical disorders were assessed with a standard chronic conditions checklist and mental disorders with the WHO Composite International Diagnostic Interview (CIDI) version 3.0.ResultsLifetime and recent DSM-IV/CIDI MDE were significantly less prevalent among respondents aged ⩾65 years than among younger adults. Recent episode severity, but not duration, was also lower among the elderly. Despite prevalence of mental disorders decreasing with age, co-morbidity of hierarchy-free MDE with these disorders was either highest among the elderly or unrelated to age. Co-morbidity of MDE with physical disorders, in comparison, generally decreased with age despite prevalence of co-morbid physical disorders usually increasing. Somewhat more than half of respondents with 12-month MDE received past-year treatment, but the percentage in treatment was lowest and most concentrated in the general medical sector among the elderly.ConclusionsGiven that physical disorders increase with age independent of depression, their lower associations with MDE in old age argue that causal effects of physical disorders on MDE weaken in old age. This result argues against the suggestion that the low estimated prevalence of MDE among the elderly is due to increased confounding with physical disorders.

scholarly journals Sleep problems and suicidality in the National Comorbidity Survey Replication

2009 ◽  
Vol 43 (5) ◽  
pp. 526-531 ◽  
Author(s):  
Marcin Wojnar ◽  
Mark A. Ilgen ◽  
Julita Wojnar ◽  
Ryan J. McCammon ◽  
Marcia Valenstein ◽  
...  
Keyword(s):  
Sleep Problems ◽  
National Comorbidity Survey Replication ◽  
National Comorbidity Survey

scholarly journals Barriers to mental health treatment: results from the National Comorbidity Survey Replication

2010 ◽  
Vol 41 (8) ◽  
pp. 1751-1761 ◽  
Author(s):  
R. Mojtabai ◽  
M. Olfson ◽  
N. A. Sampson ◽  
R. Jin ◽  
B. Druss ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Mental Health Treatment ◽  
Common Mental Disorders ◽  
Drop Out ◽  
Common Reason ◽  
Treatment Seeking ◽  
Structural Barriers ◽  
National Comorbidity Survey Replication ◽  
Perceived Need ◽  
National Comorbidity Survey

BackgroundThe aim was to examine barriers to initiation and continuation of treatment among individuals with common mental disorders in the US general population.MethodRespondents in the National Comorbidity Survey Replication with common 12-month DSM-IV mood, anxiety, substance, impulse control and childhood disorders were asked about perceived need for treatment, structural barriers and attitudinal/evaluative barriers to initiation and continuation of treatment.ResultsLow perceived need was reported by 44.8% of respondents with a disorder who did not seek treatment. Desire to handle the problem on one's own was the most common reason among respondents with perceived need both for not seeking treatment (72.6%) and for dropping out of treatment (42.2%). Attitudinal/evaluative factors were much more important than structural barriers both to initiating (97.4% v. 22.2%) and to continuing (81.9% v. 31.8%) of treatment. Reasons for not seeking treatment varied with illness severity. Low perceived need was a more common reason for not seeking treatment among individuals with mild (57.0%) than moderate (39.3%) or severe (25.9%) disorders, whereas structural and attitudinal/evaluative barriers were more common among respondents with more severe conditions.ConclusionsLow perceived need and attitudinal/evaluative barriers are the major barriers to treatment seeking and staying in treatment among individuals with common mental disorders. Efforts to increase treatment seeking and reduce treatment drop-out need to take these barriers into consideration as well as to recognize that barriers differ as a function of sociodemographic and clinical characteristics.

scholarly journals Validation of diagnoses of distress disorders in the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A)

2011 ◽  
Vol 21 (1) ◽  
pp. 41-51 ◽  
Author(s):  
Jennifer Greif Green ◽  
Shelli Avenevoli ◽  
Michael J. Gruber ◽  
Ronald C. Kessler ◽  
Matthew D. Lakoma ◽  
...  
Keyword(s):  
National Comorbidity Survey Replication ◽  
National Comorbidity Survey ◽  
The Us
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