Miquel Codony

Prevalence of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project

Objective:  To describe the 12‐month and lifetime prevalence rates of mood, anxiety and alcohol disorders in six European countries.

Disability and quality of life impact of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project.

Objective:  This manuscript examines the impact of mental health state and specific mental and physical disorders on work role disability and quality of life in six European countries.

Use of mental health services in Europe : results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project

Objective:  Comprehensive information about access and patterns of use of mental health services in Europe is lacking. We present the first results of the use of health services for mental disorders in six European countries as part of the ESEMeD project.

Prevalencia de los trastornos mentales y factores asociados: resultados del estudio ESEMeD-España

Fundamento y objetivo El proyecto ESEMeD-Espana es un estudio epidemiologico sobre los trastornos mentales en nuestro pais. Se presentan la prevalencia-ano y prevalencia-vida de los principales trastornos del estado de animo, de ansiedad y de abuso de alcohol, asi como la influencia de los factores de riesgo sociodemograficos en su presencia y la edad de inicio de los trastornos. Sujetos y metodo Encuesta personal domiciliaria realizada a una muestra representativa de la poblacion espanola mayor de 18 anos de 5.473 individuos. El instrumento utilizado fue la version del Composite International Diagnostic Interview (WMH-CIDI) desarrollada para la iniciativa Encuestas de Salud Mental de la Organizacion Mundial de la Salud (WHO World Mental Health Surveys). La tasa de respuesta fue del 78,6%. Los resultados se presentan ponderados a la poblacion espanola. Resultados Un 19,5% de las personas presentaron un trastorno mental en algun momento de su vida (prevalencia-vida) y un 8,4% en los ultimos 12 meses (prevalencia-ano). El trastorno mental mas frecuente es el episodio depresivo mayor, que tiene un 3,9% de prevalencia-ano y un 10,5% de prevalencia-vida. Despues del episodio depresivo mayor, los trastornos con mayor prevalencia-vida son la fobia especifica, el trastorno por abuso de alcohol y la distimia. Los factores asociados a padecer un trastorno mental son el sexo femenino, estar separado, divorciado o viudo, y estar desempleado, de baja laboral o con una incapacidad. La fobia social, la agorafobia y la fobia especifica aparecen a edades mas tempranas. Los trastornos del estado de animo (episodio de depresion mayor y distimia), junto con el trastorno de angustia, muestran una aparicion mas tardia. Conclusiones El estudio ESEMeD-Espana puede proporcionar resultados necesarios para conocer el impacto de los trastornos mentales en Espana.

Prevalence of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project.

Objective:  To describe the 12‐month and lifetime prevalence rates of mood, anxiety and alcohol disorders in six European countries.

12-Month comorbidity patterns and associated factors in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project

Objective:  Comorbidity patterns of 12‐month mood, anxiety and alcohol disorders and socio‐demographic factors associated with comorbidity were studied among the general population of six European countries.

Use of mental health services in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project.

Objective:  Comprehensive information about access and patterns of use of mental health services in Europe is lacking. We present the first results of the use of health services for mental disorders in six European countries as part of the ESEMeD project.

12-Month comorbidity patterns and associated factors in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project.

Objective:  Comorbidity patterns of 12‐month mood, anxiety and alcohol disorders and socio‐demographic factors associated with comorbidity were studied among the general population of six European countries.

Prevalencia y factores de riesgo de las ideas, planes e intentos de suicidio en la población general española. Resultados del estudio ESEMeD

BACKGROUND AND OBJECTIVE Suicide is a public health problem and it is increasing in Spain. The objective of this study is to analyze the prevalence and risk factors of suicide related outcomes (ideation, plan and attempt) using data from the ESEMeD-Spain project. SUBJECTS AND METHOD This is a face-to-face household survey carried out in a probability representative sample of the adult general population of Spain. 5,473 subjects were interviewed using the Composite International Diagnostic Interview (CIDI 3.0), developed by the World Mental Health Survey Initiative. RESULTS Lifetime prevalence of suicide ideation and attempts was 4.4% and 1.5%, respectively. Risk of suicide related outcomes was significantly higher among women (odds ratio [OR] = 2.3-2.7), younger cohorts (OR = 21.3-86), and lower education levels (OR = 5.3-6.4). Having a mental disorder was associated to an increased risk in all diagnostic categories, but especially in major depressive episode (OR = 5.3-6.8). Risk of suicide attempt was higher during the first year since the onset of ideation (OR = 30.2), decreasing thereafter. CONCLUSIONS The prevalence of suicide related outcomes is low when compared with other countries. Results identified groups with higher risk (women, young, subjects with a mental disorder, psychiatric comorbidity and recent suicidal ideation) in which suicide prevention could show benefits.

Prevalencia y comorbilidad física y mental del dolor dorsal y cervical crónicos en España: resultados del estudio ESEMeD

Fundamento y objetivo El dolor dorsal (DD) y el dolor cervical (DC) cronicos son muy prevalentes en la poblacion adulta. Sin embargo, poco se sabe respecto de su comorbilidad con otros procesos y su impacto sobre el funcionamiento global del individuo. El siguiente trabajo, que forma parte del estudio ESEMeD-Espana, tiene por objetivos estimar la prevalencia del DD-DC cronico en la poblacion espanola, su comorbilidad con otras enfermedades y trastornos fisicos y mentales, ademas de su impacto sobre el funcionamiento global. Sujetos y metodo Se realizo una encuesta personal domiciliaria a una muestra representativa de la poblacion espanola mayor de 18 anos compuesta por 5.473 individuos. Los entrevistados informaron de la presencia de DD-DC cronico y las enfermedades y trastornos comorbidos. Los trastornos mentales se evaluaron con la Composite International Diagnostic Interview y el funcionamiento global con la WHO Dissability Assessment Schedule. La tasa de respuesta fue del 78,6%. Resultados El DD-DC cronico presento una prevalencia-ano del 14,7%. Un 65,7% de las personas que lo presentaban refirio al menos una enfermedad/trastorno comorbido, ya fuesen otras enfermedades que implicaban dolor cronico (49,4%), enfermedades fisicas cronicas (40,7%), algun trastorno del estado de animo (7,9%), trastorno de angustia (1,3%), trastorno por estres postraumatico (1,5%) o ansiedad generalizada (1,4%). Ademas, el DD-DC cronico mostro un impacto negativo sobre el funcionamiento global. Sin embargo, las enfermedades y trastornos comorbidos explicaron casi un tercio de la asociacion entre DD-DC y funcionamiento global. Conclusiones El DD-DC cronico presenta una elevada prevalencia y comorbilidad con otras enfermedades y trastornos fisicos y mentales. Esta comorbilidad afecta negativamente al funcionamiento global de los individuos.BACKGROUND AND OBJECTIVE Chronic back pain (CBP) and chronic neck pain (CNP) are highly prevalent among the adult population. However, less is known about its comorbidity with other diseases and its impact on global functioning. The objectives of following study, that is part of the ESEMeD-Spain study, are to estimate CBP-CNP prevalence among Spanish population, its comorbidity with other physical and mental conditions, and its impact on global functioning. SUBJECTS AND METHOD Cross-sectional household survey of a representative sample of the population of Spain 18 years or older. Sample size was 5,473 individuals. CBP-CNP and comorbid conditions were ascertained by self-report. Mental disorders were ascertained with the Composite International Diagnostic Interview and global functioning with the WHO Dissability Assessment Schedule. Response rate was 78.6%. RESULTS The one year prevalence of chronic CBP-CNP was 14.7%. A 65.7% of people with CBP-CNP reported at least one other comorbid condition, including other chronic pain conditions (49.4%), chronic physical conditions (40.7%), any mood disorders (7.9%), panic disorder (1.3%), posttraumatic stress disorder (1.5%) or generalized anxiety disorder (1.4%). Additionally, CBP-CNP negatively affected global functioning. However, comorbid conditions explained about one-third of the association between CBP-CNP and global functioning. CONCLUSIONS CBP-CNP is highly prevalent and comorbid with other physical and mental conditions. Comorbidity negatively affects individuals global functioning.