DSM-III-R Disorders in New Zealand 18-Year-Olds

Author:

Feehan Michael1,McGee Rob2,Raja Shyamala Nada3,Williams Sheila M.2

Affiliation:

1. Johns Hopkins University, Prevention Research Center, Department of Mental Hygiene, School of Hygiene and Public Health, Mason F. Lord Building, Suite 500 Eastern Avenue, Baltimore, Maryland, 4940, USA

2. Department of Preventive and Social Medicine, University of Otago Medical School, New Zealand

3. Dunedin Multidisciplinary Health and Development Research Unit, Department of Paediatries and Child Health, University of Otago Medical School, New Zealand

Abstract

The one-year prevalence and correlates of selected DSM-III-R disorders were determined in a sample of 93018-year-olds. Using both diagnostic and impairment criteria 340 individuals (36.6%) were considered to have disorder. The most prevalent disorders were major depressive episode (16.7%), alcohol dependence (10.4%) and social phobia (11.1%). There was a high degree of co-morbidity among disorders; 46% of those with disorder had two or more. The prevalence of disorders was greater for females, with the exception of conduct disorder and alcohol or marijuana dependence. A variety of characteristics were associated with disorder, including poor social competence, disadvantage and self-rated health status. A third of those with disorder had their problems recognised by a “significant-other”. The results are presented within the context of a perceived need for research in the area of adolescent and early adult mental health in order to minimise the toll of mental disorder in later life.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,General Medicine

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