Non-disabled cases in a national survey
dc.contributor.author | Henderson, A Scott | |
dc.contributor.author | Korten, Ailsa | |
dc.contributor.author | Medway, Jo | |
dc.date.accessioned | 2015-12-10T22:35:05Z | |
dc.date.available | 2015-12-10T22:35:05Z | |
dc.date.issued | 2001 | |
dc.date.updated | 2015-12-09T10:24:55Z | |
dc.description.abstract | 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 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.identifier.issn | 0033-2917 | |
dc.identifier.uri | http://hdl.handle.net/1885/56125 | |
dc.publisher | Cambridge University Press | |
dc.source | Psychological Medicine | |
dc.subject | Keywords: 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.title | Non-disabled cases in a national survey | |
dc.type | Journal article | |
local.bibliographicCitation.lastpage | 777 | |
local.bibliographicCitation.startpage | 769 | |
local.contributor.affiliation | Henderson, A Scott, College of Medicine, Biology and Environment, ANU | |
local.contributor.affiliation | Korten, Ailsa, College of Medicine, Biology and Environment, ANU | |
local.contributor.affiliation | Medway, Jo, College of Medicine, Biology and Environment, ANU | |
local.contributor.authoremail | repository.admin@anu.edu.au | |
local.contributor.authoruid | Henderson, A Scott, u9801895 | |
local.contributor.authoruid | Korten, Ailsa, u8500896 | |
local.contributor.authoruid | Medway, Jo, u9709460 | |
local.description.notes | Imported from ARIES | |
local.description.refereed | Yes | |
local.identifier.absfor | 111706 - Epidemiology | |
local.identifier.ariespublication | MigratedxPub352 | |
local.identifier.citationvolume | 31 | |
local.identifier.doi | 10.1017/S0033291701004032 | |
local.identifier.scopusID | 2-s2.0-0034945188 | |
local.identifier.uidSubmittedBy | Migrated | |
local.type.status | Published Version |