Estimating the Prevalence of Mental and Somatic Disorders in the Community: Aims and Methods of the German National Health Interview and Examination Survey

Overview

Journal Int J Methods Psychiatr Res

Specialty Psychiatry

Date 2002 Dec 3

PMID 12459800

Citations 47

Authors

Frank Jacobi

Hans-Ulrich Wittchen

Christoph Holting

Sieghard Sommer

Roselind Lieb

Michael Hofler

Hildegard Pfister

Affiliations

Soon will be listed here.

Abstract

This paper outlines the principal aims and design of the German National Health Interview and Examination Survey, mental health supplement (GHS-MHS), the first nationwide, epidemiological study of both somatic and mental health in Germany on a representative sample of 4,181 subjects in the community. Both the broader context of the study--in particular its methodological relation to the social and somatic core survey of the German National Health Interview and Examination Survey (GHS-CS)--and the internal methodology of the mental health supplement (GHS-MHS) are presented. The study's strategies and method are derived from a consideration of important theoretical issues arising from epidemiological studies in the field of public health. The main instrument used to assess diagnoses of mental disorders was a standardized diagnostic interview for mental disorders (following DSM-IV (CIDI)) applied by clinically trained interviewers. This diagnostic interview was supplemented by modules on comorbidity, help seeking, treatment and impairment. Somatic health diagnoses were made using an integrated approach including self-report measures, a standardized clinical interview, and laboratory measures. Findings on sampling, response rate, weighting and sample characteristics are presented. Critical issues are discussed, including the scientific objectives that have been achieved by the study. Overall, the GHS core survey and its mental health supplement provide the mental health research community with complex data that allow for high-quality analysis of mental disorders and associations with somatic disorders.

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References

Brazier J, Harper R, Jones N, OCathain A, Thomas K, Usherwood T . Validating the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ. 1992; 305(6846):160-4. PMC: 1883187. DOI: 10.1136/bmj.305.6846.160. View

Rice D, Miller L . Health economics and cost implications of anxiety and other mental disorders in the United States. Br J Psychiatry Suppl. 1998; (34):4-9. View

Murray C, Lopez A . Evidence-based health policy--lessons from the Global Burden of Disease Study. Science. 1996; 274(5288):740-3. DOI: 10.1126/science.274.5288.740. View

Penninx B, Guralnik J, Mendes de Leon C, Pahor M, Visser M, Corti M . Cardiovascular events and mortality in newly and chronically depressed persons > 70 years of age. Am J Cardiol. 1998; 81(8):988-94. DOI: 10.1016/s0002-9149(98)00077-0. View

Jenkins R, Bebbington P, Brugha T, Farrell M, Gill B, Lewis G . The National Psychiatric Morbidity surveys of Great Britain--strategy and methods. Psychol Med. 1997; 27(4):765-74. DOI: 10.1017/s003329179700531x. View

Vollebergh W, Iedema J, Bijl R, de Graaf R, Smit F, Ormel J . The structure and stability of common mental disorders: the NEMESIS study. Arch Gen Psychiatry. 2001; 58(6):597-603. DOI: 10.1001/archpsyc.58.6.597. View

Carter R, Wittchen H, Pfister H, Kessler R . One-year prevalence of subthreshold and threshold DSM-IV generalized anxiety disorder in a nationally representative sample. Depress Anxiety. 2001; 13(2):78-88. DOI: 10.1002/da.1020. View

. Plan and operation of the Third National Health and Nutrition Examination Survey, 1988-94. Series 1: programs and collection procedures. Vital Health Stat 1. 1994; (32):1-407. View

Wittchen H, Muller N, Pfister H, Winter S, Schmidtkunz B . [Affective, somatoform and anxiety disorders in Germany--initial results of an additional federal survey of "psychiatric disorders"]. Gesundheitswesen. 2000; 61 Spec No:S216-22. View

10.

Katz S, Kessler R, Frank R, Leaf P, Lin E . Mental health care use, morbidity, and socioeconomic status in the United States and Ontario. Inquiry. 1997; 34(1):38-49. View

11.

. Changes in frequency of mental disorder over time: results of repeated survey of mental disorders in the general population. Acta Psychiatr Scand Suppl. 1989; 348:1-189. View

12.

Wittchen H . Reliability and validity studies of the WHO--Composite International Diagnostic Interview (CIDI): a critical review. J Psychiatr Res. 1994; 28(1):57-84. DOI: 10.1016/0022-3956(94)90036-1. View

13.

Escobar J, Canino G, Karno M . Somatic symptom index (SSI): a new and abridged somatization construct. Prevalence and epidemiological correlates in two large community samples. J Nerv Ment Dis. 1989; 177(3):140-6. DOI: 10.1097/00005053-198903000-00003. View

14.

Knauper B, Wittchen H . Diagnosing major depression in the elderly: evidence for response bias in standardized diagnostic interviews?. J Psychiatr Res. 1994; 28(2):147-64. DOI: 10.1016/0022-3956(94)90026-4. View

15.

Buysse D, Reynolds 3rd C, Monk T, BERMAN S, Kupfer D . The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989; 28(2):193-213. DOI: 10.1016/0165-1781(89)90047-4. View

16.

Lieb R, Isensee B, von Sydow K, Wittchen H . The Early Developmental Stages of Psychopathology Study (EDSP): a methodological update. Eur Addict Res. 2000; 6(4):170-82. DOI: 10.1159/000052043. View

17.

Regier D, MYERS J, Kramer M, ROBINS L, Blazer D, Hough R . The NIMH Epidemiologic Catchment Area program. Historical context, major objectives, and study population characteristics. Arch Gen Psychiatry. 1984; 41(10):934-41. DOI: 10.1001/archpsyc.1984.01790210016003. View

18.

Andrews G, Henderson S, Hall W . Prevalence, comorbidity, disability and service utilisation. Overview of the Australian National Mental Health Survey. Br J Psychiatry. 2001; 178:145-53. DOI: 10.1192/bjp.178.2.145. View

19.

Bijl R, Ravelli A . Current and residual functional disability associated with psychopathology: findings from the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Psychol Med. 2000; 30(3):657-68. DOI: 10.1017/s0033291799001841. View

20.

Jenkins R, Lewis G, Bebbington P, Brugha T, Farrell M, Gill B . The National Psychiatric Morbidity surveys of Great Britain--initial findings from the household survey. Psychol Med. 1997; 27(4):775-89. DOI: 10.1017/s0033291797005308. View