Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-19T15:49:39.041Z Has data issue: false hasContentIssue false

Anxiety and depressive disorders in a French population: methodology and preliminary results

Published online by Cambridge University Press:  28 April 2020

J. P. Lepine
Affiliation:
Hôpital Bichat, 46, rue Henri-Huchard, 75018Paris
J. Lellouch
Affiliation:
Unité 169 INSERM, 16, avenue Paul-Vaillant Couturier, 94807Villejuif
A. Lovell
Affiliation:
Unité 169 INSERM, 16, avenue Paul-Vaillant Couturier, 94807Villejuif
M. Teherani
Affiliation:
Hôpital Bichat, 46, rue Henri-Huchard, 75018Paris
C. Ha
Affiliation:
Unité 169 INSERM, 16, avenue Paul-Vaillant Couturier, 94807Villejuif
M.H. Verdier-Taillefer
Affiliation:
Unité 169 INSERM, 16, avenue Paul-Vaillant Couturier, 94807Villejuif
N. Rambourg
Affiliation:
Hôpital Bichat, 46, rue Henri-Huchard, 75018Paris
T. Lemperiere
Affiliation:
Hôpital Louis-Mourier, 178, rue des Renouillers, 92071, Colombes, France
Get access

Summary

Preliminary results of an epidemiological study in the general population of a small town near Paris are presented. This study investigates the prevalence of depressive and anxiety states and the risk factors associated with these disorders. The study methodology is reported in detail, especially the instruments chosen (some sections of the DIS/CIDI, questionnaires on social support, life events and self-rating questionnaires). Anxiety and depressive disorders are frequent in this population: life-time prevalence of Panic Disorder in men amounted to 2.3% and in women 3.1%, Generalised Anxiety Disorder in men 5.4% and in women 13.4%, Major Depressive Episode in men 8.5% and in women 21.9%. Panic Disorder is assessed with regard to different definitions and criteria (DSM III, DSM III-R). A wide difference in results is found according to the criteria used. Specifically, when anticipatory anxiety is taken into account, this increases the frequency rate of Panic Disorder. A significant comorbidity is found between anxiety and depressive disorders.

Résumé

Résumé

Les auteurs rapportent les resultats préliminaires d'une enquête realisée en population générale dans une petite ville de la région parisienne. Ce travail a pour objet l'étude de la prévalence et des facteurs de risque des états anxieux et dépressifs. Les données relatives aux 749 premiers sujets enquêtés sont analysées brièvement. La méthodologie de l'enquête est rapportée et en particulier les instruments d'évaluation retenus (sections du DIS/CIDI, questionnaires sur le soutien et le réseau social, échelles d'auto-évaluation). Les troubles anxieux et dépressifs sont fréquents dans cette population (prévalence vie entière: trouble panique hommes 2,3%, femmes 3,1%; anxiété généralisée hommes 5,4%, femmes 13,4%; épisode dépressif majeur hommes 8,5%, femmes 21,9%). Au plan méthodologique, différents niveaux de définition des troubles paniques sont évalués qui soulignent les différences entre les critères du DSM III et ceux du DSM III-R et en particulier l'augmentation de fréquence de ces troubles si l'on prend en compte l'existence d'une anxiété anticipatoire. Il existe de plus une importante comorbidité des troubles anxieux et dépressifs.

Type
Original article
Copyright
Copyright © European Psychiatric Association 1989

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

Angst, J. & Dobler-Mikola, A. (1984) The Zurich study III. Diagnosis of depression. Eur. Arch. Psychiatr. Neurol. Sci. 234, 3037CrossRefGoogle ScholarPubMed
Angst, J. & Dobler-Mikola, A. (1985) The Zurich study. V. Anxiety and phobias in young adults. Eur. Arch. Psychiatr. Neurol. Sci. 235, 171178CrossRefGoogle ScholarPubMed
Bebbington, P., Hurry, J., Tennant, C., Sturt, E. & Wing, J.K. (1981) Epidemiology of mental disorders in Camberwell. Psychol. Med. 11, 561579CrossRefGoogle ScholarPubMed
Bortner, R.W. (1969) A short rating scale as a potential measure of pattern A behavior. J. Chronic Dis. 22, 8791CrossRefGoogle Scholar
Boyd, J.H., Burke, J.D., Gruenberg, E., Holzer, C.E., Rae, D.S., George, L.K., Karno, M., Stoltzman, R., McEvoy, L. & Nestadt, G. (1984) Exclusion criteria of DSM III. A study of co-occurrence of hierarchy-free syndromes. Arch. Gen. Psychiatry 41, 983989CrossRefGoogle ScholarPubMed
Brunetti, P.M. (1973) Prévalence des troubles mentaux dans une population rurale du Vaucluse: données nouvelles et récapitulatives. Encéphale 61 (suppl. 1), 115Google Scholar
Brunetti, P.M. (1976) Rural Vaucluse: two surveys on the prevalence of mental disorders. Summary of data. Acta Psychiatr. Scand. (suppl. 263), 1215Google Scholar
Burke, J.D. Jr (1986) Diagnostic categorization by the Diagnostic Interview Schedule (DIS): a comparison with other methods of assessment.In: Mental Disorders in the Community: Findings from Psychiatric Epidemiology (Barrett, J. & Rose, R.M., eds.), Guilford Press, NY, 255285Google Scholar
Dupuy, H.J. (1972) The psychological section of the Current Health and Nutrition Examination Survey: procedures of the Public Health Conference on Records and Statistics Meeting jointly with the National Conference on Health Statistics. Washington DC National Center for Health Statistics, June 1972Google Scholar
Dean, C., Surtees, P.G. & Sashidharan, S.P. (1983) Comparison of research diagnostic systems in an Edinburgh community sample. Br. J. Psychiatry 142, 247256CrossRefGoogle Scholar
Finlay-Jones, R., Brown, G.W., Duncan-Jones, P., Harris, T., Murphy, E. & Prudo, R. (1980) Depression and anxiety in the community: replicating the diagnosis of a case. Psychol. Med. 10, 445454CrossRefGoogle Scholar
Henderson, S., Byrne, D.G., Duncan-Jones, P., Scott, R. & Adcock, S. (1980) Social relationships, adversity and neurosis: a study of associations in a general population sample. Br. J. Psychiatry 136, 574583CrossRefGoogle Scholar
Katschnig, H., Pakesh, G., Loimer, N. & Rasinger, E. (1988) Panic attacks and depressive symptoms in a population survey in Vienna. Pharmacopsychiatry 21, 62Google Scholar
Kish, L. (1965) Survey Sampling. Wiley, New YorkGoogle Scholar
Myers, J.K., Weissman, M.M., Tischler, G.L., Holzer, C.F., Leaf, P.J., Orvaschel, H., Anthony, J.C., Boyd, J.H., Burke, J.D., Kramer, M. & Stoltzman, R. (1984) Six months prevalence of psychiatric disorders in three communities. Arch. Gen. Psychiatry 41, 959967CrossRefGoogle Scholar
Pearlin, L.I. & Schooler, C. (1978) The structure of coping. J. Health Soc. Behav. 19, 221CrossRefGoogle ScholarPubMed
Pichot, P., De Bonis, M. & Somogiy, M. (1977) Etude métrologique d'une batterie de tests destinés à l'étude des facteurs psychologiques en épidémiologie cardiovasculaire. Int. Rev. Appl. Psychol. 26, 1119CrossRefGoogle Scholar
Robins, L.N., Helzer, J.E., Ratcliff, K.S. & Seyfried, W. (1982) Validity of the diagnostic interview schedule version II: DSM III diagnoses. Psychol. Med. 12, 855870CrossRefGoogle ScholarPubMed
Robins, L.N., Helzer, J.E., Weissman, M.M., Orvaschel, H., Gruenberg, E., Burke, J.D. & Regier, D.A. (1984) Lifetime prevalence of specific psychiatric disorders in three sites. Arch. Gen. Psychiatry 41, 949958CrossRefGoogle ScholarPubMed
Robins, L.N., Wing, J., Wittchen, H.U., Helzer, J.E., Babor, T.F., Burke, J., Farmer, A., Jablenski, A., Pickens, R., Regier, D.A., Sartorius, N. & Towle, L.H. (1988) The composite international diagnostic interview : an epidemiologic instrument suitable for use in conjunction with different diagnostic systems and in different cultures. Arch. Gen. Psychiatry 45, 10691077CrossRefGoogle ScholarPubMed
Rosenberg, M. (1965) Society and the Adolescent Self Image. Princeton University Press, NJCrossRefGoogle Scholar
Vasquez-Barquero, J.L., Diez-Manrique, J.F., Pena, C., Quintanal, R.G. & Labrador Lopez, M. (1986) Two stage design in a community survey. Br. J. Psychiatry 149, 8897CrossRefGoogle Scholar
Weissman, M.M. (1988) The epidemiology of anxiety disorders: rates, risks and familial patterns. J. Psychiatr. Res. 22 (suppl. 1), 99114CrossRefGoogle ScholarPubMed
Weissman, M.M., Leaf, P.J., Tischler, G.L., Blazer, D.G., Karno, M., Bruce, M.L. & Florio, L.P. (1988) Affective disorders in five United States communities. Psychol. Med. 18, 141153CrossRefGoogle ScholarPubMed
Weissman, M.M., Myers, J.K. & Harding, P.S. (1978) Psychiatric disorders in a US urban community. Am. J. Psychiatry 135, 459462Google Scholar
Wing, J.K., Cooper, J.E. & Sartorius, N. (1974) Description and Classification of Psychiatric Symptoms. Cambridge University Press, LondonGoogle Scholar
Wittchen, H.U. (1988) Natural course and spontaneous remissions of untreated anxiety disorders. Results from the Munich Follow-up Study (MFS).In: Treatment of Panic and Phobias. Mode of Application and Variables Affecting Outcome (Hand, I. & Wittchen, H.U., eds.), Springer, BerlinGoogle Scholar
Wittchen, H.U. & Von Zerssen, D. (1988) Verläufe behandelter und unbehandelter Depressionen und Angststörungen. Springer, BerlinCrossRefGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.