Article: The association between social isolation and DSM-IV mood, anxiety, and substance use disorders: Wave 2 of the national epidemiologic survey on alcohol and related conditions

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TitleThe association between social isolation and DSM-IV mood, anxiety, and substance use disorders: Wave 2 of the national epidemiologic survey on alcohol and related conditions
AuthorsChou, KL2
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. 11, p. 1468-1476 [How to Cite?]
DOI: http://dx.doi.org/10.4088/JCP.10m06019gry
AbstractObjective: The objective of this study is to document the prevalence of social isolation from close friends and religious group members and to test the association of having infrequently contacted close friends and members of religious groups with the current DSM-IV mood, anxiety, and substance use disorders. Method: We conducted a secondary data analysis based on a cross-sectional, population-based study conducted in 2004-2005 that consists of a nationally representative sample of 34,653 American community-dwelling adults aged 18 years and older. Mood, anxiety, and substance use disorders were assessed using the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV version. Due to missing values for social network characteristics, we focused on 33,368 subjects in this study. Results: We found that many Americans lacked frequently contacted close friends (10.1%; 95% CI, 9.6%-10.6%) or religious group members (58.7%; 95% CI, 57.5%-59.9%) in their social network. After adjusting for sociodemographic variables, lifetime diagnosis of the disorder in question, and social isolation in terms of 10 other social ties, we found that the absence of close friends was associated (P < .01) with an increased risk of major depressive disorder, dysthymic disorder, social phobia, and generalized anxiety disorder; the absence of frequently contacted religious group members in a network was positively related (P < .01) to alcohol abuse and dependence, drug abuse, and nicotine dependence. Conclusions: These results suggest that social isolation is common in the United States and is associated with a higher risk of mental health problems. Results provide valuable information for prevention and treatment. © 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.10m06019gry
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorChou, KL
dc.contributor.authorLiang, K
dc.contributor.authorSareen, J
dc.date.accessioned2012-10-30T06:21:07Z
dc.date.available2012-10-30T06:21:07Z
dc.date.issued2011
dc.description.abstractObjective: The objective of this study is to document the prevalence of social isolation from close friends and religious group members and to test the association of having infrequently contacted close friends and members of religious groups with the current DSM-IV mood, anxiety, and substance use disorders. Method: We conducted a secondary data analysis based on a cross-sectional, population-based study conducted in 2004-2005 that consists of a nationally representative sample of 34,653 American community-dwelling adults aged 18 years and older. Mood, anxiety, and substance use disorders were assessed using the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV version. Due to missing values for social network characteristics, we focused on 33,368 subjects in this study. Results: We found that many Americans lacked frequently contacted close friends (10.1%; 95% CI, 9.6%-10.6%) or religious group members (58.7%; 95% CI, 57.5%-59.9%) in their social network. After adjusting for sociodemographic variables, lifetime diagnosis of the disorder in question, and social isolation in terms of 10 other social ties, we found that the absence of close friends was associated (P < .01) with an increased risk of major depressive disorder, dysthymic disorder, social phobia, and generalized anxiety disorder; the absence of frequently contacted religious group members in a network was positively related (P < .01) to alcohol abuse and dependence, drug abuse, and nicotine dependence. Conclusions: These results suggest that social isolation is common in the United States and is associated with a higher risk of mental health problems. Results provide valuable information for prevention and treatment. © Copyright 2011 Physicians Postgraduate Press, Inc.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationJournal Of Clinical Psychiatry, 2011, v. 72 n. 11, p. 1468-1476 [How to Cite?]
DOI: http://dx.doi.org/10.4088/JCP.10m06019gry
dc.identifier.doihttp://dx.doi.org/10.4088/JCP.10m06019gry
dc.identifier.epage1476
dc.identifier.issn0160-6689
2011 Impact Factor: 5.799
2011 SCImago Journal Rankings: 0.262
dc.identifier.issue11
dc.identifier.pmid21295001
dc.identifier.scopuseid_2-s2.0-81755162089
dc.identifier.spage1468
dc.identifier.urihttp://hdl.handle.net/10722/172275
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.meshAdult
dc.subject.meshAged
dc.subject.meshAnxiety Disorders - Diagnosis - Epidemiology
dc.subject.meshCross-Sectional Studies
dc.subject.meshDiagnostic And Statistical Manual Of Mental Disorders
dc.subject.meshFemale
dc.subject.meshHealth Surveys
dc.subject.meshHumans
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshMood Disorders - Diagnosis - Epidemiology
dc.subject.meshQuestionnaires
dc.subject.meshSocial Isolation - Psychology
dc.subject.meshSocial Support
dc.subject.meshSubstance-Related Disorders - Diagnosis - Epidemiology
dc.subject.meshUnited States - Epidemiology
dc.subject.meshYoung Adult
dc.titleThe association between social isolation and DSM-IV mood, anxiety, and substance use disorders: 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