DSM–IV and ICSD–90 insomnia symptoms and sleep dissatisfaction

1997 ◽  
Vol 171 (4) ◽  
pp. 382-388 ◽  
Author(s):  
Maurice M. Ohayon ◽  
Malijaï Caulet ◽  
Robert G. Priest ◽  
Christian Guilleminault
Keyword(s):  
General Population ◽  
Mental Disorders ◽  
Sleep Disturbances ◽  
Participation Rate ◽  
Complex Nature ◽  
Night Time ◽  
Dsm Iv ◽  
Sleep Pathology ◽  
Insomnia Symptoms ◽  
Light Sleep

BackgroundThe complex nature of insomnia and its relationship with organic and mental disorders render diagnosis problematic for epidemiologists and physicians.MethodA representative UK sample (non-institutionalised, > 14 years old) was interviewed by telephone (n=4972; 79.6% participation rate) with the Sleep-EVAL system. Subjects fell into three groups according to presence of insomnia symptom (s) and/or sleep dissatisfaction.ResultsInsomnia symptoms occurred in 36.2% of subjects. Most of these (75.9%), however, reported no sleep dissatisfaction. In comparison, those also with sleep dissatisfaction had higher prevalence of sleep and mental disorders and longer duration of insomnia symptoms, and were more likely to take sleep-promoting medication, dread bedtime, and complain of light sleep, poor night-time sleep and daytime sleepiness.ConclusionsInsomnia sufferers differ as to whether they are satisfied or dissatisfied with sleep. Although insomnia symptoms are common in the general population, sleep disturbances among sleep-dissatisfied individuals are more severe. Sleep dissatisfaction seems a better indicator of sleep pathology than insomnia symptoms.

scholarly journals Age patterns in the prevalence of DSM-IV depressive/anxiety disorders with and without physical co-morbidity

2008 ◽  
Vol 38 (11) ◽  
pp. 1659-1669 ◽  
Author(s):  
K. M. Scott ◽  
M. Von Korff ◽  
J. Alonso ◽  
M. Angermeyer ◽  
E. J. Bromet ◽  
...  
Keyword(s):  
Mental Health ◽  
General Population ◽  
Mental Disorders ◽  
Anxiety Disorders ◽  
Health Professionals ◽  
Physical Pain ◽  
Co Morbidity ◽  
Dsm Iv ◽  
The Relationship ◽  
Physical Morbidity

BackgroundPhysical morbidity is a potent risk factor for depression onset and clearly increases with age, yet prior research has often found depressive disorders to decrease with age. This study tests the possibility that the relationship between age and mental disorders differs as a function of physical co-morbidity.MethodEighteen general population surveys were carried out among household-residing adults as part of the World Mental Health (WMH) surveys initiative (n=42 697). DSM-IV disorders were assessed using face-to-face interviews with the Composite International Diagnostic Interview (CIDI 3.0). The effect of age was estimated for 12-month depressive and/or anxiety disorders with and without physical or pain co-morbidity, and for physical and/or pain conditions without mental co-morbidity.ResultsDepressive and anxiety disorders decreased with age, a result that cannot be explained by organic exclusion criteria. No significant difference was found in the relationship between mental disorders and age as a function of physical/pain co-morbidity. The majority of older persons have chronic physical or pain conditions without co-morbid mental disorders; by contrast, the majority of those with mental disorders have physical/pain co-morbidity, particularly among the older age groups.ConclusionsCIDI-diagnosed depressive and anxiety disorders in the general population decrease with age, despite greatly increasing physical morbidity with age. Physical morbidity among persons with mental disorder is the norm, particularly in older populations. Health professionals, including mental health professionals, need to address barriers to the management of physical co-morbidity among those with mental disorders.

scholarly journals Sleep disturbance mediates the link between childhood trauma and clinical outcome in severe mental disorders

2020 ◽  
pp. 1-10
Author(s):  
Jannicke Fjæra Laskemoen ◽  
Monica Aas ◽  
Anja Vaskinn ◽  
Akiah Ottesen Berg ◽  
Synve Hoffart Lunding ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Childhood Trauma ◽  
Emotional Abuse ◽  
Sleep Disturbances ◽  
Clinical Symptoms ◽  
Ordinary Least Squares ◽  
Least Squares Regression ◽  
Severe Mental Disorders ◽  
The Relationship ◽  
Insomnia Symptoms

Abstract Background The experience of childhood trauma is linked to more severe symptoms and poorer functioning in severe mental disorders; however, the mechanisms behind this are poorly understood. We investigate the relationship between childhood trauma and sleep disturbances in severe mental disorders including the role of sleep disturbances in mediating the relationship between childhood trauma and the severity of clinical symptoms and poorer functioning. Methods In total, 766 participants with schizophrenia-spectrum (n = 418) or bipolar disorders (n = 348) were assessed with the Childhood Trauma Questionnaire. Sleep disturbances were assessed through the sleep items in the self-reported Inventory of Depressive Symptoms. Clinical symptoms and functioning were assessed with The Positive and Negative Syndrome Scale and the Global Assessment of Functioning Scale. Mediation analyses using ordinary least squares regression were conducted to test if sleep disturbances mediated the relationship between childhood trauma and the severity of clinical symptoms and poorer functioning. Results Symptoms of insomnia, but not hypersomnia or delayed sleep phase, were significantly more frequent in participants with childhood trauma experiences compared to those without. Physical abuse, emotional abuse, and emotional neglect were significantly associated with insomnia symptoms. Insomnia symptoms partly mediate the relationship between childhood trauma and the severity of positive and depressive/anxiety symptoms, in addition to poorer functioning. Conclusion We found frequent co-occurrence of childhood trauma history and current insomnia in severe mental disorders. Insomnia partly mediated the relationship between childhood trauma and the severity of clinical symptoms and functional impairment.

scholarly journals Differentiating DSM-IV Anxiety and Depressive Disorders in the General Population: Comorbidity and Treatment Consequences

2000 ◽  
Vol 45 (2) ◽  
pp. 166-172 ◽  
Author(s):  
Maurice M Ohayon ◽  
Colin M Shapiro ◽  
Sidney H Kennedy
Keyword(s):  
Anxiety Disorder ◽  
General Population ◽  
Mood Disorder ◽  
Health Care Services ◽  
Depressive Disorders ◽  
Participation Rate ◽  
Telephone Interviews ◽  
The Past ◽  
Care Services ◽  
Dsm Iv

Objective: To attempt, for the first time, to apply a positive and differential diagnosis process in the general population during interviews using DSM-IV classification to ascertain the profile and occurrence of concomitant mental disorders. Method: A representative sample of 1832 individuals aged 15 years or older living in the metropolitan area of Toronto were interviewed by means of telephone interviews. The participation rate was 72.8%. Results: Overall, 13.2% (n = 242) of the sample had either a mood disorder (n = 127; 6.9%) or an anxiety disorder (n = 770; 9.3%) at the time of their interview. The prevalence was higher among women (16.5%) than amongmen (9.7%), with an odds ratio of 1.8. The comorbidity of mood and anxiety disorders was found in 3%(n = 55) of the sample. Less than one-third of respondents with a mood and/or anxiety disorder were being treated by aphysician for a mental disorder. However, these individuals were greater consumers of health care services. Most of them consulted a physician an average of 5 times in the past year. Individuals on medication diagnosed with a mood and an anxiety disorder consulted a physician an average of 12 times in the past year. Only 13% of them were treated with antidepressants and under 9% with anxiolytics. Conclusions: More than 70% of subjects with a mood disorder also complained of insomnia. With the differential process, 12%> of the subjects manifesting a full-fledged anxiety disorder were diagnosed with only a mood disorder because the anxiety occurred only in the course of the mood disorder. About two-thirds of the subjects diagnosed in this study were undiagnosed and untreated by their physician.

Epidemiology of Bipolar Spectrum Disorder: Results from the General Population Survey of South Korea

2017 ◽  
Vol 41 (S1) ◽  
pp. S74-S75
Author(s):  
S. Chang ◽  
C. Tae Young ◽  
J. Sung-Won
Keyword(s):  
General Population ◽  
Mental Disorders ◽  
South Korea ◽  
Spectrum Disorder ◽  
Lifetime Prevalence ◽  
Bipolar Spectrum ◽  
South Korean ◽  
Korean Adults ◽  
Bipolar Spectrum Disorder ◽  
Dsm Iv

IntroductionPatients with subthreshold bipolar disorder (sub-BP) experience severe clinical courses and functional impairments, which are comparable to those with bipolar I and II disorders (BP-I and -II). Nevertheless, lifetime prevalence, socioeconomic correlates and diagnostic overlaps of bipolar spectrum disorder (BPS) have not yet been estimated in the general population of South Korean adults.AimsThis study aimed to estimate the lifetime prevalence, correlates and diagnostic comorbidities of BPS using a validated screening instrument in the nationwide general population of South Korea.MethodsA total of 3013 adults among the 2011 Korean Epidemiologic Catchment Area survey (KECA-2011) completed face-to-face interviews using the Korean versions of the composite international diagnostic interview 2.1 and mood disorder questionnaire (K-CIDI and K-MDQ).ResultsThe lifetime prevalence of BPS in the South Korean adults was measured to be 4.3% (95% CI 2.6–6.9). Nearly 80% of the subjects with BPS were codiagnosed with other DSM-IV nonpsychotic mental disorders: 35.4% (95% CI 24.2–48.5) for major depression and dysthymic disorder, 35.1% (95% CI 27.7–43.3) for anxiety disorders and 51.9% (95% CI 40.5–63.1) for alcohol and nicotine use disorders. Younger age (18–34 years) was the only sociodemographic predictor of BPS positivity (P = 0.014) and the diagnostic overlap patterns were different between men and women.ConclusionsPositivity for BPS was estimated to be much greater than the prevalence of DSM-IV BP in South Korea. Most of the respondents with BPS were diagnosed with other major mental disorders and this might be related with mis and/or underdiagnosis of clinically relevant Sub-BP.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Hippocampal regenerative medicine: neurogenic implications for addiction and mental disorders

2021 ◽  
Author(s):  
Lee Peyton ◽  
Alfredo Oliveros ◽  
Doo-Sup Choi ◽  
Mi-Hyeon Jang
Keyword(s):  
Decision Making ◽  
Prefrontal Cortex ◽  
Executive Function ◽  
General Population ◽  
Mental Disorders ◽  
Psychiatric Illness ◽  
Neural Circuitry ◽  
Brain Regions ◽  
Neuropsychiatric Disease ◽  
Motivated Behavior

AbstractPsychiatric illness is a prevalent and highly debilitating disorder, and more than 50% of the general population in both middle- and high-income countries experience at least one psychiatric disorder at some point in their lives. As we continue to learn how pervasive psychiatric episodes are in society, we must acknowledge that psychiatric disorders are not solely relegated to a small group of predisposed individuals but rather occur in significant portions of all societal groups. Several distinct brain regions have been implicated in neuropsychiatric disease. These brain regions include corticolimbic structures, which regulate executive function and decision making (e.g., the prefrontal cortex), as well as striatal subregions known to control motivated behavior under normal and stressful conditions. Importantly, the corticolimbic neural circuitry includes the hippocampus, a critical brain structure that sends projections to both the cortex and striatum to coordinate learning, memory, and mood. In this review, we will discuss past and recent discoveries of how neurobiological processes in the hippocampus and corticolimbic structures work in concert to control executive function, memory, and mood in the context of mental disorders.

scholarly journals Association of Edentulism with Various Chronic Diseases in Mexican Elders 60+ Years: Results of a Population-Based Survey

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 404
Author(s):  
Alejandro José Casanova-Rosado ◽  
Juan Fernando Casanova-Rosado ◽  
Mirna Minaya-Sánchez ◽  
José Luís Robles-Minaya ◽  
Juan Alejandro Casanova-Sarmiento ◽  
...  
Keyword(s):  
Angina Pectoris ◽  
Mental Disorders ◽  
Chronic Diseases ◽  
Population Based ◽  
Self Report ◽  
World Health ◽  
Complex Nature ◽  
Cluster Sampling ◽  
World Health Survey ◽  
Cross Sectional

Objective: To determine the association of edentulism with different chronic diseases and mental disorders in Mexicans aged 60 years and over. Material and Methods: A cross-sectional study was carried out using data from the World Health Survey for Mexico, in a probabilistic, multi-stage cluster sampling framework. Data for self-report of chronic diseases (diabetes, arthritis, angina pectoris and asthma), mental disorders (depression and schizophrenia) and edentulism were analyzed. Edentulism data were available for 20 of the 32 States of Mexico. Statistical analysis was performed in Stata 14.0 using the svy module for complex sampling (Complex nature under which individuals are sampled). Results: In total 4213 subjects were included, representing a population of 7,576,057 individuals. Mean age was 70.13 ± 7.82 years (range 60 to 98); 56.2% were women. Chronic diseases’ prevalence and mental disorders prevalence were as follows: diabetes 15.0% (N = 1,132,693); arthritis 13.2% (N = 1,001,667); depression 5.5% (N = 414,912); angina pectoris 4.5% (344,315); asthma 3.6% (N = 269,287); and schizophrenia 2.2% (N = 16,988). The prevalence of edentulism was 26.3%, which pertained to 1,993,463 people aged 60 years and over. Angina in women aged 60 to 69 years (p < 0.05) and depression in men aged 70 years and over (p < 0.0001) were associated with higher prevalence of edentulism. Conclusions: There was generally sparse association between edentulism on chronic diseases and mental disorders included in the study, except for women aged 60 to 69 years for angina, and in men aged 70 and over, for depression. Although our findings are misaligned with previous reports, longitudinal studies are required to test causal and temporal relationships between edentulism with chronic diseases and mental disorders.

scholarly journals Mental disorders among adults formerly in out-of-home care: a systematic review and meta-analysis of longitudinal studies

2021 ◽  
Author(s):  
Süheyla Seker ◽  
Cyril Boonmann ◽  
Heike Gerger ◽  
Lena Jäggi ◽  
Delfine d’Huart ◽  
...  
Keyword(s):  
Child Welfare ◽  
General Population ◽  
Mental Disorders ◽  
Juvenile Justice ◽  
Meta Analysis ◽  
Prevalence Rates ◽  
Out Of Home Care ◽  
Specific Disorders ◽  
Home Placement ◽  
Care History

AbstractWhile children and adolescents placed in child welfare or juvenile justice out-of-home care show higher prevalence rates of mental disorders compared to the general population, it remains unclear whether this pattern persists into adulthood. A quantitative synthesis of existing studies is lacking. The aim of this meta-analysis was to estimate the prevalence rates for mental disorders among adults with a foster or residential child welfare or juvenile justice care history, comparing them where possible to rates among the general population. PubMed, PsycInfo, EMBASE, and Web of Science were systematically searched for epidemiological studies published up to 28 October 2020. Nineteen studies, totaling 604,257 participants, met our inclusion criteria. Random-effects models were used for prevalence rates and odds ratios (OR) of mental disorders, and study quality was rated. A prevalence rate of 30% [95% CI (23.36, 37.36)] for any mental disorder in adults with a child welfare care history was found (3–17% for specific disorders). A prevalence rate of 45% [95% CI (42.38, 47.38)] for any mental disorder was found in adults with a juvenile justice care history (6–66% for specific disorders). For out-of-home placement history, adult mental disorders were significantly higher than in the general population (OR = 1.33–2.76). Studies differed in terms of methodology and the disorder groups considered, so heterogeneity between effect sizes ranged from low to high. Our findings suggest that the high risk that mental health issues will persist in adults with an out-of-home placement history needs to be taken seriously in the transition from adolescence to adulthood. The care systems involved need to collaborate and to be aware of these risks.

scholarly journals Personality and Insomnia Symptoms in Older Adults: The Baltimore Longitudinal Study of Aging

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 578-579
Author(s):  
Darlynn Rojo-Wissar ◽  
Amal Wanigatunga ◽  
Eleanor Simonsick ◽  
Antonio Terracciano ◽  
Jennifer Schrack ◽  
...  
Keyword(s):  
Older Adults ◽  
Longitudinal Study ◽  
Sleep Disturbances ◽  
Positive Emotions ◽  
Rating Scale ◽  
Factor Model ◽  
Five Factor Model ◽  
Baltimore Longitudinal Study ◽  
Insomnia Symptoms ◽  
Insomnia Severity

Abstract Personality and disturbed sleep are tied to medical morbidity in older adults. We examined associations of personality dimensions and facets from the five-factor model with reports of insomnia symptoms in 1,069 well-functioning older adults 60-97 (SD=8.64) years (51% women) from the Baltimore Longitudinal Study of Aging. Personality was assessed by the Revised NEO Personality Inventory, and insomnia symptoms measured by the Women’s Health Initiative Insomnia Rating Scale. Adjusting for demographics and depressive symptoms, higher neuroticism (B=0.05, SE=-0.01, p&lt;.001) and lower conscientiousness (B=-0.03, SE=-0.01, p&lt;.05) were associated with greater insomnia severity. Although openness, extraversion and agreeableness were not associated with insomnia, a facet of each was. Higher scores on the “positive emotions” facet of extraversion (B =-0.03, SE=-0.01, p&lt;.05) “ideas” facet of openness (B=-0.03, SE=-0.01, p&lt;.05) and altruism facet of agreeableness (B=-0.03, SE=-0.01, p&lt;.05) were associated with lower insomnia severity. Sleep disturbances may partially mediate personality’s influence on health. Part of a symposium sponsored by the Sleep, Circadian Rhythms and Aging Interest Group.

scholarly journals Erratum to: Associations between DSM-IV mental disorders and diabetes mellitus: a role for impulse control disorders and depression

Diabetologia ◽  
2014 ◽  
Author(s):  
Peter de Jonge ◽  
Jordi Alonso ◽  
Dan J. Stein ◽  
Andrzej Kiejna ◽  
Sergio Aguilar-Gaxiola ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Mental Disorders ◽  
Impulse Control ◽  
Impulse Control Disorders ◽  
Dsm Iv
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