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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

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
Authors
Issue Date2011
PublisherPhysicians Postgraduate Press, Inc. The Journal's web site is located at http://www.psychiatrist.com
Citation
Journal Of Clinical Psychiatry, 2011, v. 72 n. 2, p. 144-155 How to Cite?
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.
Persistent Identifierhttp://hdl.handle.net/10722/137527
ISSN
2014 Impact Factor: 5.498
2014 SCImago Journal Rankings: 1.852
ISI Accession Number ID
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.

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DC FieldValueLanguage
dc.contributor.authorChou, KLen_HK
dc.contributor.authorMackenzie, CSen_HK
dc.contributor.authorLiang, Ken_HK
dc.contributor.authorSareen, Jen_HK
dc.date.accessioned2011-08-26T14:27:12Z-
dc.date.available2011-08-26T14:27:12Z-
dc.date.issued2011en_HK
dc.identifier.citationJournal Of Clinical Psychiatry, 2011, v. 72 n. 2, p. 144-155en_HK
dc.identifier.issn0160-6689en_HK
dc.identifier.urihttp://hdl.handle.net/10722/137527-
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.en_HK
dc.languageengen_US
dc.publisherPhysicians Postgraduate Press, Inc. The Journal's web site is located at http://www.psychiatrist.comen_HK
dc.relation.ispartofJournal of Clinical Psychiatryen_HK
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 conditionsen_HK
dc.typeArticleen_HK
dc.identifier.emailChou, KL: klchou@hku.hken_HK
dc.identifier.authorityChou, KL=rp00583en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.4088/JCP.09m05618gryen_HK
dc.identifier.pmid21382305-
dc.identifier.scopuseid_2-s2.0-79951986707en_HK
dc.identifier.hkuros189277en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79951986707&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume72en_HK
dc.identifier.issue2en_HK
dc.identifier.spage144en_HK
dc.identifier.epage155en_HK
dc.identifier.isiWOS:000287985400004-
dc.publisher.placeUnited Statesen_HK
dc.relation.projectIntegration of new immigrants in Hong Kong: a longitudinal investigation-
dc.identifier.scopusauthoridChou, KL=7201905320en_HK
dc.identifier.scopusauthoridMackenzie, CS=9036576200en_HK
dc.identifier.scopusauthoridLiang, K=37665184700en_HK
dc.identifier.scopusauthoridSareen, J=6602942518en_HK

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