Psychopathology and Mortality in the General Population

Overview

Journal Soc Psychiatry Psychiatr Epidemiol

Specialties Psychiatry
Public Health
Social Sciences

Date 1995 Jul 1

PMID 7491512

Citations 23

Authors

A Kouzis

W W Eaton

P J Leaf

Affiliations

Soon will be listed here.

Abstract

Community studies of the relationship between mortality and mental disorders remain equivocal with mixed and unclear results. Longitudinal prospective data from the Epidemiologic Catchment Area Program are examined for the relationship between psychopathology and mortality. Analyses were performed with mortality at 1-year follow-up as the dependent variable using logistic regression. Specifically, the odds of dying from psychiatric disorders were considered while statistically adjusting for sociodemographic characteristics and treatment in primary or specialty medical care sectors. Significant predictors of dying were being male, older, and from low income households. Subjects with drug abuse or dependence were 12.4 times (CI = 2.9, 53.0) as likely to die as those without drug abuse/dependence. The odds of dying for those with major depressive disorder were over 2.6 times (CI = 1.1, 6.0) those without major depression. Separate analyses for all five communities and for only those over the age of 55 years showed similar results.

Citing Articles

Depression and Associated Factors among Community-Dwelling Thai Older Adults in Northern Thailand: The Relationship between History of Fall and Geriatric Depression.

Aung T, Moolphate S, Koyanagi Y, Angkurawaranon C, Supakankunti S, Yuasa M Int J Environ Res Public Health. 2022; 19(17).

PMID: 36078289 PMC: 9518436. DOI: 10.3390/ijerph191710574.

Midlife Self-Reported Social Support as a Buffer Against Premature Mortality Risks Associated with Childhood Abuse.

Chiang J, Chen E, Miller G Nat Hum Behav. 2018; 2(4):261-268.

PMID: 30234162 PMC: 6141204. DOI: 10.1038/s41562-018-0316-5.

Excess mortality due to depression and anxiety in the United States: results from a nationally representative survey.

Pratt L, Druss B, Manderscheid R, Walker E Gen Hosp Psychiatry. 2016; 39:39-45.

PMID: 26791259 PMC: 5113020. DOI: 10.1016/j.genhosppsych.2015.12.003.

Mental disorder and long-term risk of mortality: 41 years of follow-up of a population sample in Stockholm, Sweden.

Lundin A, Modig K, Halldin J, Carlsson A, Wandell P, Theobald H Epidemiol Psychiatr Sci. 2015; 25(4):384-92.

PMID: 26028123 PMC: 7137603. DOI: 10.1017/S2045796015000487.

Effects of long-term sertraline treatment and depression on coronary artery atherosclerosis in premenopausal female primates.

Shively C, Register T, Appt S, Clarkson T Psychosom Med. 2015; 77(3):267-78.

PMID: 25829239 PMC: 4397139. DOI: 10.1097/PSY.0000000000000163.

References

Klerman G . Depressive disorders. Further evidence for increased medical morbidity and impairment of social functioning. Arch Gen Psychiatry. 1989; 46(9):856-8. DOI: 10.1001/archpsyc.1989.01810090098015. View

ROBINS L, Helzer J, Croughan J, Ratcliff K . National Institute of Mental Health Diagnostic Interview Schedule. Its history, characteristics, and validity. Arch Gen Psychiatry. 1981; 38(4):381-9. DOI: 10.1001/archpsyc.1981.01780290015001. View

Black D, Warrack G, Winokur G . The Iowa record-linkage study. I. Suicides and accidental deaths among psychiatric patients. Arch Gen Psychiatry. 1985; 42(1):71-5. DOI: 10.1001/archpsyc.1985.01790240073007. View

Marmot M, Brunner E . Alcohol and cardiovascular disease: the status of the U shaped curve. BMJ. 1991; 303(6802):565-8. PMC: 1670912. DOI: 10.1136/bmj.303.6802.565. View

Black D, Warrack G, Winokur G . The Iowa record-linkage study. III. Excess mortality among patients with 'functional' disorders. Arch Gen Psychiatry. 1985; 42(1):82-8. DOI: 10.1001/archpsyc.1985.01790240084009. View

Seeman I . Sampler of findings from the 1986 national mortality followback survey on risk factors, disability, and health care. Public Health Rep. 1992; 107(6):707-12. PMC: 1403726. View

Bruce M, Leaf P, Rozal G, Florio L, Hoff R . Psychiatric status and 9-year mortality data in the New Haven Epidemiologic Catchment Area Study. Am J Psychiatry. 1994; 151(5):716-21. DOI: 10.1176/ajp.151.5.716. View

Black D, Warrack G, Winokur G . The Iowa record-linkage study. II. Excess mortality among patients with organic mental disorders. Arch Gen Psychiatry. 1985; 42(1):78-81. DOI: 10.1001/archpsyc.1985.01790240080008. View

Coate D . Moderate drinking and coronary heart disease mortality: evidence from NHANES I and the NHANES I Follow-up. Am J Public Health. 1993; 83(6):888-90. PMC: 1694739. DOI: 10.2105/ajph.83.6.888. View

10.

Klerman G, Weissman M . The course, morbidity, and costs of depression. Arch Gen Psychiatry. 1992; 49(10):831-4. DOI: 10.1001/archpsyc.1992.01820100075013. View

11.

Martin R, Cloninger C, Guze S, Clayton P . Mortality in a follow-up of 500 psychiatric outpatients. II. Cause-specific mortality. Arch Gen Psychiatry. 1985; 42(1):58-66. DOI: 10.1001/archpsyc.1985.01790240060006. View

12.

Singer E, Garfinkel R, Cohen S, SROLE L . Mortality and mental health: evidence from the Midtown Manhattan Restudy. Soc Sci Med (1967). 1976; 10(11-12):517-25. DOI: 10.1016/0037-7856(76)90019-6. View

13.

Martin R, Cloninger C, Guze S, Clayton P . Mortality in a follow-up of 500 psychiatric outpatients. I. Total mortality. Arch Gen Psychiatry. 1985; 42(1):47-54. DOI: 10.1001/archpsyc.1985.01790240049005. View

14.

Eaton W, Holzer 3rd C, von Korff M, Anthony J, Helzer J, George L . The design of the Epidemiologic Catchment Area surveys. The control and measurement of error. Arch Gen Psychiatry. 1984; 41(10):942-8. DOI: 10.1001/archpsyc.1984.01790210024004. View

15.

Regier D, Narrow W, Rae D, Manderscheid R, Locke B, Goodwin F . The de facto US mental and addictive disorders service system. Epidemiologic catchment area prospective 1-year prevalence rates of disorders and services. Arch Gen Psychiatry. 1993; 50(2):85-94. DOI: 10.1001/archpsyc.1993.01820140007001. View

16.

BABIGIAN H, Odoroff C . The mortality experience of a population with psychiatric illness. Am J Psychiatry. 1969; 126(4):470-80. DOI: 10.1176/ajp.126.4.470. View

17.

Egolf B, Lasker J, Wolf S, Potvin L . The Roseto effect: a 50-year comparison of mortality rates. Am J Public Health. 1992; 82(8):1089-92. PMC: 1695733. DOI: 10.2105/ajph.82.8.1089. View

18.

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

19.

Cleary P, Angel R . The analysis of relationships involving dichotomous dependent variables. J Health Soc Behav. 1984; 25(3):334-48. View

20.

Pappas G, Queen S, Hadden W, Fisher G . The increasing disparity in mortality between socioeconomic groups in the United States, 1960 and 1986. N Engl J Med. 1993; 329(2):103-9. DOI: 10.1056/NEJM199307083290207. View