Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-12T22:13:54.779Z Has data issue: false hasContentIssue false
  • English
  • Français

Incidence and comorbidity of psychiatric disorders from a well-defined catchment area in Denmark

Published online by Cambridge University Press:  16 April 2020

O Mors  and
L Vedel S∅rensen
O Mors
Affiliation:
Institute of Basic Psychiatric Research, Department of Psychiatric Demography, Psychiatric Hospital in Aarhus, Skovagervej 2, DK-8240Risskov, Denmark
L Vedel S∅rensen
Affiliation:
Institute of Basic Psychiatric Research, Department of Psychiatric Demography, Psychiatric Hospital in Aarhus, Skovagervej 2, DK-8240Risskov, Denmark
Get access

Summary

The incidences of major psychiatric syndromes (DSM III-R, axis I) in the age group 18–49 years were investigated. Incidence was defined as first ever admission rates during a period of 1 year.. The study base was a well-defined catchment area of 217,649 persons. Selection bias was analyzed by the use of a population-based psychiatric case register. Information bias was minimized by the use of a semi-structured interview, the Present State Examination, 10th edition. Comorbidity defined as significant cooccurrence of Axis I disorders was analyzed by multivariate statistics. One hundred and sixty-six patients were interviewed. PSE-10, now published by WHO, proved to be as reliable as its predecessors, and appropriate for the severely ill psychiatric patient. Incidences of schizophrenia, other psychoses stratified for the presence of psychoactive substance use disorders, and mood disorders stratified for anxiety disorders were reported. The sample was biased towards younger individuals with more severe psychopathology.

Keywords

incidenceDSM III-R Axis I syndromesfirst admissionPSE-10comorbidity
Type
Original article
Information
European Psychiatry , Volume 8 , Issue 4 , 1993 , pp. 193 - 199
Copyright
Copyright © Elsevier, Paris 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aarhus County Department (1989) Annual report 1987-88.Aarhus: Aarhus County Health DepartmentGoogle Scholar
American Psychiatric Association (1987)Diagnostic and Statistical Manual of Mental Disorders. 3rd edition, revised. APA: Washington DCGoogle Scholar
Campbell, RJ (1989) Psychiatric Dictionary. Sixth edition. Oxford University Press, New YorkGoogle Scholar
Cicchetti, DVFeinstein, AR (1990) High agreement but low kappa: II. Resolving the paradoxes. J Clin Epidemiol 43,551–558CrossRefGoogle ScholarPubMed
Der, GGupta, SMurray, RM (1990) Is schizophrenia disappearing? Lancet 335, 513–516CrossRefGoogle Scholar
Dupont, A (1983)A national psychiatric case register as a tool for mental health planning, research and administration. The Danish model. In: Information Support to Mental Health Programs. An International Perspective (Laska, EMGulbinat, WHRegier, DA eds). Human Sciences Press, New York, pp 257–274Google Scholar
Iacono, WGBeiser, M (1992) Are males more likely than females to develop schizophrenia? Am J Psychiatry 149, 1070–1074Google ScholarPubMed
Ipsen, JJuul, S (1988) Statistical Package. Socialmedicinsk Institut, AarhusGoogle Scholar
Jablensky, ASartorius, NErnberg, GAnker, JKorten, ACooper, JEDay, RBertelsen, A (1992) Schizophrenia: manifestations, incidence and course in different cultures. A World Health Organization Ten-country Study. Psychol Med suppl 20Google ScholarPubMed
Jaspers, K (1962) General Psychopathology. Manchester University Press, ManchesterGoogle Scholar
Landis, JRKoch, GG (1977) The measurement of observer agreement for categorical data. Biometrics 33, 159–174CrossRefGoogle ScholarPubMed
Maser, JDCloninger, CR (1990) Comorbidity of anxiety and mood disorders: introduction and overview. In: Comorbidity of Mood and Anxiety Disorders (Maser, JDCloninger, CR eds). American Psychiatric Press, Washington DC, pp 3–12Google Scholar
Munk-Jørgensen, PLutzhoft, JHJensen, JStrömgren, E (1992) Trends in psychiatric hospitalization in Denmark: a 10-year register-based investigation. Acta Psychiatr Scand 86, 79–83CrossRefGoogle ScholarPubMed
Norusis, MJ (1988) SPSS/PC+ V4.0.1. Base manual. SPSS, ChicagoGoogle Scholar
Oedegaard, O (1946) A statistical investigation of the incidence of mental disorder in Norway. Psychiatr Q 20,381–399CrossRefGoogle ScholarPubMed
Sanderson, WCBeck, ATBeck, J (1990) Syndrome comorbidity in patients with major depression or dysthymia: prevalence and temporal relationships. Am J Psychiatry 147, 1025–1028Google ScholarPubMed
Sundhedsstyrelsen (The National Board of Health) (1986) Klassifikation of sygdomme. Systematisk 5- cifret fortegnelse (Classification of diseases. Systematical 5-digit register. Danish edition of ICD-8). Sundhedsstyrelsen, CopenhagenGoogle Scholar
Tomov, TNikolov, V (1990) Reliability of SCAN categories and scores. Results of the field trials. In: Psychiatry: A World Perspective (Stefanis, CNRabavilas, ADSoldatos, Cr eds). Proceedings of the VIII World Congress of Psychiatry. Excerpta Medica: Amsterdam, New York, Oxford, pp 107–1 12Google Scholar
Valbak, KHansted, L (1988) Visitation af akutte psykiatriskc patienter. II. Beskrivelse af patienter visiteret i døgnåben modtagelse (Referral of acute psychiatric patients: II. Description of patients referred to the 24-hour reception ward). Ugskr Laeger 150, 3100–3105Google Scholar
Wing, JKBabor, TBrugha, TBurke, JCooper, JEGiel, RJablenski, ARegier, DSartorius, N (1990) SCAN. Schedules for clinical assessment in neuropsychiatry. Arch Gen Psychiatry 47, 589–593CrossRefGoogle ScholarPubMed
Wing, JKSartorius, NÜstün, TB (1993) Diagnosis and Clinical Measurement in Psychiatry. An instruction manual for the SCAN system. Cambridge University Press, Cambridge (in preparation)Google Scholar
Wing, JKCooper, JESartorius, N (1974) The measurement and classification of psychiatric symptoms. Cambridge University Press, CambridgeGoogle Scholar
World Health Organization (1989) ICD-10 1989 draft of Chapter V: Mental and Behavioural Disorders. Diagnostic criteria for research. WHO, GenevaGoogle Scholar
World Health Organization(1992) SCAN. Schedules for Clinical Assessment in Neuropsychiatry. WHO: GenevaGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.