Skip navigation
Skip navigation

Non-disabled cases in a national survey

Henderson, A Scott; Korten, Ailsa; Medway, Jo

Description

Background. Lifetime and 12-month prevalence estimates of mental disorders consistently reported in large-scale community surveys have met with deserved scepticism. A crucial variable is the extent to which people who are considered cases are also disabled by their symptoms. In a national population survey, we hypothesized that an administratively significant proportion of persons with anxiety or depressive disorders according to ICD-10 and DSM-IV would report no disability. Methods. Interviews...[Show more]

dc.contributor.authorHenderson, A Scott
dc.contributor.authorKorten, Ailsa
dc.contributor.authorMedway, Jo
dc.date.accessioned2015-12-10T22:35:05Z
dc.date.available2015-12-10T22:35:05Z
dc.identifier.issn0033-2917
dc.identifier.urihttp://hdl.handle.net/1885/56125
dc.description.abstractBackground. Lifetime and 12-month prevalence estimates of mental disorders consistently reported in large-scale community surveys have met with deserved scepticism. A crucial variable is the extent to which people who are considered cases are also disabled by their symptoms. In a national population survey, we hypothesized that an administratively significant proportion of persons with anxiety or depressive disorders according to ICD-10 and DSM-IV would report no disability. Methods. Interviews were sought on a nationally representative sample of people aged 18 and over across Australia. The Composite International Diagnostic Interview on laptop (CIDI-A) was used by professional survey interviewers to identify persons meeting ICD-10 or DSM-IV criteria for anxiety or depressive disorders in the previous 4 weeks, together with self-reported data on associated disability and medical consultations for the same period. Results. In an achieved sample of 10641 persons (response rate = 78%), no disability in daily life was reported by 28% of persons with an anxiety disorder and 15% with a depressive disorder by ICD-10 criteria; and by 20.4% and 13.9% respectively by DSM-IV. Non-disabled respondents had lower scores on two measures of psychological distress and markedly lower rates for having consulted a doctor for their symptoms. Conclusion. The ICD-10 and DSM-IV criteria for anxiety and depressive disorders, when applied to the information on symptoms elicited by the CIDI-A, inadequately discriminate between people who are and are not disabled by their symptoms. There may be a group of highly symptomatic people in the general population who tolerate their symptoms and are not disabled by them.
dc.publisherCambridge University Press
dc.sourcePsychological Medicine
dc.subjectKeywords: adult; anxiety neurosis; article; Australia; consultation; controlled study; daily life activity; depression; disability; distress syndrome; female; health survey; human; interview; major clinical study; male; mental health; scoring system; symptomatology
dc.titleNon-disabled cases in a national survey
dc.typeJournal article
local.description.notesImported from ARIES
local.description.refereedYes
local.identifier.citationvolume31
dc.date.issued2001
local.identifier.absfor111706 - Epidemiology
local.identifier.ariespublicationMigratedxPub352
local.type.statusPublished Version
local.contributor.affiliationHenderson, A Scott, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationKorten, Ailsa, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationMedway, Jo, College of Medicine, Biology and Environment, ANU
local.bibliographicCitation.startpage769
local.bibliographicCitation.lastpage777
local.identifier.doi10.1017/S0033291701004032
dc.date.updated2015-12-09T10:24:55Z
local.identifier.scopusID2-s2.0-0034945188
CollectionsANU Research Publications

Download

There are no files associated with this item.


Items in Open Research are protected by copyright, with all rights reserved, unless otherwise indicated.

Updated:  20 July 2017/ Responsible Officer:  University Librarian/ Page Contact:  Library Systems & Web Coordinator