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Epidemiology of major depressive disorder: results from the National Epidemiologic Survey on Alcoholism and Related Conditions.
Arch Gen Psychiatry. 2005 Oct; 62(10):1097-106.AG

Abstract

OBJECTIVE

To present nationally representative data on 12-month and lifetime prevalence, correlates, and comorbidity of DSM-IV major depressive disorder (MDD) among adults in the United States. DESIGN/SETTING/ PARTICIPANTS: Face-to-face survey of more than 43 000 adults aged 18 years and older residing in households and group quarters in the United States.

MAIN OUTCOME MEASURES

Prevalence and associations of MDD with sociodemographic correlates and Axis I and II disorders.

RESULTS

The prevalence of 12-month and lifetime DSM-IV MDD was 5.28% (95% confidence interval, 4.98-5.57) and 13.23% (95% confidence interval, 12.64-13.81), respectively. Being female; Native American; middle-aged; widowed, separated, or divorced; and low income increased risk, and being Asian, Hispanic, or black decreased risk (P<.05). Women were significantly more likely to receive treatment than men. Both current and lifetime MDD were significantly associated with other specific psychiatric disorders, notably substance dependence, panic and generalized anxiety disorder, and several personality disorders.

CONCLUSIONS

This large survey suggests a higher prevalence of MDD in the US population than large-sample estimates from the 1980s and 1990s. The shift in highest lifetime risk from young to middle-aged adults is an important transformation in the distribution of MDD in the United States and specificity in risk for an age-period cohort. Associations between MDD and Axis I and II disorders were strong and significant, with variation within broad categories by specific diagnoses signaling the need for attention to the genetic and environmental reasons for such variation, as well as the implications for treatment response.

Authors+Show Affiliations

Mailman School of Public Health, Division of Epidemiology and College of Physicians and Surgeons, Department of Psychiatry, Columbia University, New York, NY, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

16203955

Citation

Hasin, Deborah S., et al. "Epidemiology of Major Depressive Disorder: Results From the National Epidemiologic Survey On Alcoholism and Related Conditions." Archives of General Psychiatry, vol. 62, no. 10, 2005, pp. 1097-106.
Hasin DS, Goodwin RD, Stinson FS, et al. Epidemiology of major depressive disorder: results from the National Epidemiologic Survey on Alcoholism and Related Conditions. Arch Gen Psychiatry. 2005;62(10):1097-106.
Hasin, D. S., Goodwin, R. D., Stinson, F. S., & Grant, B. F. (2005). Epidemiology of major depressive disorder: results from the National Epidemiologic Survey on Alcoholism and Related Conditions. Archives of General Psychiatry, 62(10), 1097-106.
Hasin DS, et al. Epidemiology of Major Depressive Disorder: Results From the National Epidemiologic Survey On Alcoholism and Related Conditions. Arch Gen Psychiatry. 2005;62(10):1097-106. PubMed PMID: 16203955.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Epidemiology of major depressive disorder: results from the National Epidemiologic Survey on Alcoholism and Related Conditions. AU - Hasin,Deborah S, AU - Goodwin,Renee D, AU - Stinson,Frederick S, AU - Grant,Bridget F, PY - 2005/10/6/pubmed PY - 2005/10/26/medline PY - 2005/10/6/entrez SP - 1097 EP - 106 JF - Archives of general psychiatry JO - Arch Gen Psychiatry VL - 62 IS - 10 N2 - OBJECTIVE: To present nationally representative data on 12-month and lifetime prevalence, correlates, and comorbidity of DSM-IV major depressive disorder (MDD) among adults in the United States. DESIGN/SETTING/ PARTICIPANTS: Face-to-face survey of more than 43 000 adults aged 18 years and older residing in households and group quarters in the United States. MAIN OUTCOME MEASURES: Prevalence and associations of MDD with sociodemographic correlates and Axis I and II disorders. RESULTS: The prevalence of 12-month and lifetime DSM-IV MDD was 5.28% (95% confidence interval, 4.98-5.57) and 13.23% (95% confidence interval, 12.64-13.81), respectively. Being female; Native American; middle-aged; widowed, separated, or divorced; and low income increased risk, and being Asian, Hispanic, or black decreased risk (P<.05). Women were significantly more likely to receive treatment than men. Both current and lifetime MDD were significantly associated with other specific psychiatric disorders, notably substance dependence, panic and generalized anxiety disorder, and several personality disorders. CONCLUSIONS: This large survey suggests a higher prevalence of MDD in the US population than large-sample estimates from the 1980s and 1990s. The shift in highest lifetime risk from young to middle-aged adults is an important transformation in the distribution of MDD in the United States and specificity in risk for an age-period cohort. Associations between MDD and Axis I and II disorders were strong and significant, with variation within broad categories by specific diagnoses signaling the need for attention to the genetic and environmental reasons for such variation, as well as the implications for treatment response. SN - 0003-990X UR - https://www.unboundmedicine.com/medline/citation/16203955/Epidemiology_of_major_depressive_disorder:_results_from_the_National_Epidemiologic_Survey_on_Alcoholism_and_Related_Conditions_ L2 - https://jamanetwork.com/journals/jamapsychiatry/fullarticle/10.1001/archpsyc.62.10.1097 DB - PRIME DP - Unbound Medicine ER -