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
2011 Impact Factor: 5.799
2011 SCImago Journal Rankings: 0.262
DOIhttp://dx.doi.org/10.4088/JCP.09m05618gry
ReferencesReferences in Scopus
GrantsIntegration of new immigrants in Hong Kong: a longitudinal investigation
DC Field
Value
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.grantIntegration of new immigrants in Hong Kong: a longitudinal investigation
dc.description.grantcode82032
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
2011 Impact Factor: 5.799
2011 SCImago Journal Rankings: 0.262
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.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
Author Affiliations
  1. University of Manitoba
  2. The University of Hong Kong