PMID- 18188442 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20110714 LR - 20220410 IS - 1723-8617 (Print) IS - 1723-8617 (Linking) VI - 6 IP - 3 DP - 2007 Oct TI - Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization's World Mental Health Survey Initiative. PG - 168-76 AB - Data are presented on the lifetime prevalence, projected lifetime risk, and age-of-onset distributions of mental disorders in the World Health Organization (WHO)'s World Mental Health (WMH) Surveys. Face-to-face community surveys were conducted in seventeen countries in Africa, Asia, the Americas, Europe, and the Middle East. The combined numbers of respondents were 85,052. Lifetime prevalence, projected lifetime risk, and age of onset of DSM-IV disorders were assessed with the WHO Composite International Diagnostic Interview (CIDI), a fully-structured lay administered diagnostic interview. Survival analysis was used to estimate lifetime risk. Median and inter-quartile range (IQR) of age of onset is very early for some anxiety disorders (7-14, IQR: 8-11) and impulse control disorders (7-15, IQR: 11-12). The age-of-onset distribution is later for mood disorders (29-43, IQR: 35-40), other anxiety disorders (24-50, IQR: 31-41), and substance use disorders (18-29, IQR: 21-26). Median and IQR lifetime prevalence estimates are: anxiety disorders 4.8-31.0% (IQR: 9.9-16.7%), mood disorders 3.3-21.4% (IQR: 9.8-15.8%), impulse control disorders 0.3-25.0% (IQR: 3.1-5.7%), substance use disorders 1.3-15.0% (IQR: 4.8-9.6%), and any disorder 12.0-47.4% (IQR: 18.1-36.1%). Projected lifetime risk is proportionally between 17% and 69% higher than estimated lifetime prevalence (IQR: 28-44%), with the highest ratios in countries exposed to sectarian violence (Israel, Nigeria, and South Africa), and a general tendency for projected risk to be highest in recent cohorts in all countries. These results document clearly that mental disorders are commonly occurring. As many mental disorders begin in childhood or adolescents, interventions aimed at early detection and treatment might help reduce the persistence or severity of primary disorders and prevent the subsequent onset of secondary disorders. FAU - Kessler, Ronald C AU - Kessler RC AD - Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA; FAU - Angermeyer, Matthias AU - Angermeyer M FAU - Anthony, James C AU - Anthony JC FAU - DE Graaf, Ron AU - DE Graaf R FAU - Demyttenaere, Koen AU - Demyttenaere K FAU - Gasquet, Isabelle AU - Gasquet I FAU - DE Girolamo, Giovanni AU - DE Girolamo G FAU - Gluzman, Semyon AU - Gluzman S FAU - Gureje, Oye AU - Gureje O FAU - Haro, Josep Maria AU - Haro JM FAU - Kawakami, Norito AU - Kawakami N FAU - Karam, Aimee AU - Karam A FAU - Levinson, Daphna AU - Levinson D FAU - Medina Mora, Maria Elena AU - Medina Mora ME FAU - Oakley Browne, Mark A AU - Oakley Browne MA FAU - Posada-Villa, Jose AU - Posada-Villa J FAU - Stein, Dan J AU - Stein DJ FAU - Adley Tsang, Cheuk Him AU - Adley Tsang CH FAU - Aguilar-Gaxiola, Sergio AU - Aguilar-Gaxiola S FAU - Alonso, Jordi AU - Alonso J FAU - Lee, Sing AU - Lee S FAU - Heeringa, Steven AU - Heeringa S FAU - Pennell, Beth-Ellen AU - Pennell BE FAU - Berglund, Patricia AU - Berglund P FAU - Gruber, Michael J AU - Gruber MJ FAU - Petukhova, Maria AU - Petukhova M FAU - Chatterji, Somnath AU - Chatterji S FAU - Ustun, T Bedirhan AU - Ustun TB LA - eng GR - R03 TW006481/TW/FIC NIH HHS/United States GR - R01 MH069864/MH/NIMH NIH HHS/United States GR - R01 MH061905/MH/NIMH NIH HHS/United States GR - K05 DA015799/DA/NIDA NIH HHS/United States GR - U01 MH060220/MH/NIMH NIH HHS/United States GR - R01 MH070884/MH/NIMH NIH HHS/United States GR - R01 MH059575/MH/NIMH NIH HHS/United States GR - R13 MH066849/MH/NIMH NIH HHS/United States PT - Journal Article PL - Italy TA - World Psychiatry JT - World psychiatry : official journal of the World Psychiatric Association (WPA) JID - 101189643 PMC - PMC2174588 OTO - NOTNLM OT - Mental disorders OT - age-of-onset distribution OT - lifetime prevalence OT - projected lifetime risk EDAT- 2008/01/12 09:00 MHDA- 2008/01/12 09:01 PMCR- 2007/10/01 CRDT- 2008/01/12 09:00 PHST- 2008/01/12 09:00 [pubmed] PHST- 2008/01/12 09:01 [medline] PHST- 2008/01/12 09:00 [entrez] PHST- 2007/10/01 00:00 [pmc-release] PST - ppublish SO - World Psychiatry. 2007 Oct;6(3):168-76.