Prevalence and trends of common mental disorders from 2007-2009 to 2019-2022: results from the Netherlands Mental Health Survey and Incidence Studies (NEMESIS), including comparison of prevalence rates before vs. during the COVID-19 pandemic.

IF 73.3 1区 医学 Q1 Medicine
World Psychiatry Pub Date : 2023-06-01 DOI:10.1002/wps.21087
Margreet Ten Have, Marlous Tuithof, Saskia van Dorsselaer, Frederiek Schouten, Annemarie I Luik, Ron de Graaf
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引用次数: 7

Abstract

Up-to-date information on the prevalence and trends of common mental disorders is relevant to health care policy and planning, owing to the high burden associated with these disorders. In the first wave of the third Netherlands Mental Health Survey and Incidence Study (NEMESIS-3), a nationally representative sample was interviewed face-to-face from November 2019 to March 2022 (6,194 subjects; 1,576 interviewed before and 4,618 during the COVID-19 pandemic; age range: 18-75 years). A slightly modified version of the Composite International Diagnostic Interview 3.0 was used to assess DSM-IV and DSM-5 diagnoses. Trends in 12-month prevalence rates of DSM-IV mental disorders were examined by comparing these rates between NEMESIS-3 and NEMESIS-2 (6,646 subjects; age range: 18-64 years; interviewed from November 2007 to July 2009). Lifetime DSM-5 prevalence estimates in NEMESIS-3 were 28.6% for anxiety disorders, 27.6% for mood disorders, 16.7% for substance use disorders, and 3.6% for attention-deficit/hyperactivity disorder. Over the last 12 months, prevalence rates were 15.2%, 9.8%, 7.1%, and 3.2%, respectively. No differences in 12-month prevalence rates before vs. during the COVID-19 pandemic were found (26.7% pre-pandemic vs. 25.7% during the pandemic), even after controlling for differences in socio-demographic characteristics of the respondents interviewed in these two periods. This was the case for all four disorder categories. From 2007-2009 to 2019-2022, the 12-month prevalence rate of any DSM-IV disorder significantly increased from 17.4% to 26.1%. A stronger increase in prevalence was found for students, younger adults (18-34 years) and city dwellers. These data suggest that the prevalence of mental disorders has increased in the past decade, but this is not explained by the COVID-19 pandemic. The already high mental disorder risk of young adults has particularly further increased in recent years.

2007-2009年至2019-2022年常见精神障碍的患病率和趋势:荷兰精神卫生调查和发病率研究(NEMESIS)的结果,包括COVID-19大流行之前与期间患病率的比较。
关于常见精神障碍的流行情况和趋势的最新信息与卫生保健政策和规划有关,因为与这些疾病相关的负担很高。在第三次荷兰心理健康调查和发病率研究(NEMESIS-3)的第一波中,从2019年11月到2022年3月,对一个具有全国代表性的样本进行了面对面访谈(6194名受试者;在COVID-19大流行之前接受采访的1,576人,在COVID-19大流行期间接受采访的4,618人;年龄范围:18-75岁)。采用略微修改版的复合国际诊断访谈3.0来评估DSM-IV和DSM-5的诊断。通过比较NEMESIS-3和NEMESIS-2(6,646名受试者;年龄范围:18-64岁;访谈时间为2007年11月至2009年7月)。在NEMESIS-3中,DSM-5终生患病率估计焦虑症为28.6%,情绪障碍为27.6%,物质使用障碍为16.7%,注意缺陷/多动障碍为3.6%。过去12个月,患病率分别为15.2%、9.8%、7.1%和3.2%。即使在控制了这两个时期受访者的社会人口特征差异之后,也没有发现COVID-19大流行之前和期间的12个月患病率差异(大流行前26.7%对大流行期间25.7%)。这是所有四种障碍类别的情况。从2007-2009年到2019-2022年,任何DSM-IV障碍的12个月患病率从17.4%显著增加到26.1%。学生、年轻人(18-34岁)和城市居民的患病率上升幅度更大。这些数据表明,精神障碍的患病率在过去十年中有所上升,但这并不能用COVID-19大流行来解释。近年来,年轻人本来就很高的精神障碍风险进一步增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
World Psychiatry
World Psychiatry Nursing-Psychiatric Mental Health
CiteScore
64.10
自引率
7.40%
发文量
124
期刊介绍: World Psychiatry is the official journal of the World Psychiatric Association. It aims to disseminate information on significant clinical, service, and research developments in the mental health field. World Psychiatry is published three times per year and is sent free of charge to psychiatrists.The recipient psychiatrists' names and addresses are provided by WPA member societies and sections.The language used in the journal is designed to be understandable by the majority of mental health professionals worldwide.
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