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Article: Three-year incidence and predictors of first-onset of DSM-IV mood, anxiety, and substance use disorders in older adults: Results from wave 2 of the national epidemiologic survey on alcohol and related conditions
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TitleThree-year incidence and predictors of first-onset of DSM-IV mood, anxiety, and substance use disorders in older adults: Results from wave 2 of the national epidemiologic survey on alcohol and related conditions
 
AuthorsChou, KL2
Mackenzie, CS1
Liang, K2
Sareen, J1
 
Issue Date2011
 
PublisherPhysicians Postgraduate Press, Inc. The Journal's web site is located at http://www.psychiatrist.com
 
CitationJournal Of Clinical Psychiatry, 2011, v. 72 n. 2, p. 144-155 [How to Cite?]
DOI: http://dx.doi.org/10.4088/JCP.09m05618gry
 
AbstractObjective: The aim of this study was to determine the incidence rates of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) mood disorders, anxiety disorders, and substance use disorders in older adults and to identify sociodemographic, psychopathological, health-related, and stress-related predictors of onset of these disorders. Method: A nationally representative sample of 8,012 community-dwelling adults aged 60 and above was interviewed twice over a period of 3 years, in 2000-2001 and 2004-2005. First incidence of mood, anxiety, and substance use disorders was assessed over a period of 3 years using the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV Version. Results: The 3-year incidence rates of DSM-IV mood, anxiety, and substance use disorders were highest for nicotine dependence (3.38%) and major depressive disorder ([MDD] 3.28%) and lowest for drug use disorder (0.29%) and bipolar II disorder (0.34%). Incidence rates were significantly greater among older women for MDD (99% CI, 1.22-3.13) and generalized anxiety disorder (GAD; 99% CI, 1.20-4.26) and greater among older men for nicotine dependence and alcohol abuse and dependence. Posttraumatic stress disorder predicted incidence of MDD, bipolar I disorder, panic disorder, specific phobia, and GAD, while Cluster B personality disorders predicted incident MDD, bipolar I and II disorders, panic disorder, social phobia, GAD, nicotine dependence, and alcohol dependence. Poor self-rated health increased the risk for the onset of MDD, whereas obesity decreased the incidence of nicotine dependence. Conclusions: Information about disorders that are highly incident in late life and risk factors for the onset of psychiatric disorders among older adults are important for effective early intervention and prevention initiatives. © Copyright 2011 Physicians Postgraduate Press, Inc.
 
ISSN0160-6689
2013 Impact Factor: 5.139
2013 SCImago Journal Rankings: 2.258
 
DOIhttp://dx.doi.org/10.4088/JCP.09m05618gry
 
ISI Accession Number IDWOS:000287985400004
Funding AgencyGrant Number
Research Grant CouncilHKU 7004-PPR20051
Canadian Institutes of Health Research152348
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Funding Information:

Preparation of this article was supported in part by the Research Grant Council (HKU 7004-PPR20051) to Dr Chou, and a Canadian Institutes of Health Research New Investigator Award to Dr Sareen (#152348). The National Epidemiologic Survey on Alcohol and Related Conditions was conducted and funded by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), with supplemental support from the National Institute on Drug Abuse.

 
ReferencesReferences in Scopus
 
GrantsIntegration of new immigrants in Hong Kong: a longitudinal investigation
 
DC FieldValue
dc.contributor.authorChou, KL
 
dc.contributor.authorMackenzie, CS
 
dc.contributor.authorLiang, K
 
dc.contributor.authorSareen, J
 
dc.date.accessioned2011-08-26T14:27:12Z
 
dc.date.available2011-08-26T14:27:12Z
 
dc.date.issued2011
 
dc.description.abstractObjective: The aim of this study was to determine the incidence rates of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) mood disorders, anxiety disorders, and substance use disorders in older adults and to identify sociodemographic, psychopathological, health-related, and stress-related predictors of onset of these disorders. Method: A nationally representative sample of 8,012 community-dwelling adults aged 60 and above was interviewed twice over a period of 3 years, in 2000-2001 and 2004-2005. First incidence of mood, anxiety, and substance use disorders was assessed over a period of 3 years using the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV Version. Results: The 3-year incidence rates of DSM-IV mood, anxiety, and substance use disorders were highest for nicotine dependence (3.38%) and major depressive disorder ([MDD] 3.28%) and lowest for drug use disorder (0.29%) and bipolar II disorder (0.34%). Incidence rates were significantly greater among older women for MDD (99% CI, 1.22-3.13) and generalized anxiety disorder (GAD; 99% CI, 1.20-4.26) and greater among older men for nicotine dependence and alcohol abuse and dependence. Posttraumatic stress disorder predicted incidence of MDD, bipolar I disorder, panic disorder, specific phobia, and GAD, while Cluster B personality disorders predicted incident MDD, bipolar I and II disorders, panic disorder, social phobia, GAD, nicotine dependence, and alcohol dependence. Poor self-rated health increased the risk for the onset of MDD, whereas obesity decreased the incidence of nicotine dependence. Conclusions: Information about disorders that are highly incident in late life and risk factors for the onset of psychiatric disorders among older adults are important for effective early intervention and prevention initiatives. © Copyright 2011 Physicians Postgraduate Press, Inc.
 
dc.description.naturelink_to_subscribed_fulltext
 
dc.identifier.citationJournal Of Clinical Psychiatry, 2011, v. 72 n. 2, p. 144-155 [How to Cite?]
DOI: http://dx.doi.org/10.4088/JCP.09m05618gry
 
dc.identifier.doihttp://dx.doi.org/10.4088/JCP.09m05618gry
 
dc.identifier.epage155
 
dc.identifier.hkuros189277
 
dc.identifier.isiWOS:000287985400004
Funding AgencyGrant Number
Research Grant CouncilHKU 7004-PPR20051
Canadian Institutes of Health Research152348
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Funding Information:

Preparation of this article was supported in part by the Research Grant Council (HKU 7004-PPR20051) to Dr Chou, and a Canadian Institutes of Health Research New Investigator Award to Dr Sareen (#152348). The National Epidemiologic Survey on Alcohol and Related Conditions was conducted and funded by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), with supplemental support from the National Institute on Drug Abuse.

 
dc.identifier.issn0160-6689
2013 Impact Factor: 5.139
2013 SCImago Journal Rankings: 2.258
 
dc.identifier.issue2
 
dc.identifier.pmid21382305
 
dc.identifier.scopuseid_2-s2.0-79951986707
 
dc.identifier.spage144
 
dc.identifier.urihttp://hdl.handle.net/10722/137527
 
dc.identifier.volume72
 
dc.languageeng
 
dc.publisherPhysicians Postgraduate Press, Inc. The Journal's web site is located at http://www.psychiatrist.com
 
dc.publisher.placeUnited States
 
dc.relation.ispartofJournal of Clinical Psychiatry
 
dc.relation.projectIntegration of new immigrants in Hong Kong: a longitudinal investigation
 
dc.relation.referencesReferences in Scopus
 
dc.subject.meshAlcoholism - diagnosis - epidemiology - psychology
 
dc.subject.meshAnxiety Disorders - diagnosis - epidemiology - psychology
 
dc.subject.meshDiagnostic and Statistical Manual of Mental Disorders
 
dc.subject.meshMood Disorders - diagnosis - epidemiology - psychology
 
dc.subject.meshSubstance-Related Disorders - diagnosis - epidemiology - psychology
 
dc.titleThree-year incidence and predictors of first-onset of DSM-IV mood, anxiety, and substance use disorders in older adults: Results from wave 2 of the national epidemiologic survey on alcohol and related conditions
 
dc.typeArticle
 
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Author Affiliations
  1. University of Manitoba
  2. The University of Hong Kong