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      Evolución de la prevalencia de alto riesgo de trastornos mentales en población adulta española: 2006-2012 Translated title: Prevalence trends of high risk of mental disorders in the Spanish adult population: 2006-2012

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          Abstract

          Resumen Objetivo: Evaluar la prevalencia de alto riesgo de morbilidad psiquiátrica en población adulta española y su cambio entre 2006 y 2012. Métodos: Se incluyeron 47.905 participantes de las Encuestas Nacionales de Salud de 2006 y 2012. El estado de salud mental se calculó con la puntuación del Cuestionario de salud general. Se calcularon regresiones logísticas ajustadas. Resultados: La prevalencia de alto riesgo de morbilidad psiquiátrica fue del 20,5% en 2012 y del 21,3% en 2006. Usando 2006 como referencia, la odds ratio (OR) de estos problemas en 2012 fue de 0,84 (0,79-0,89) en las mujeres y de 1,10 (1,02-1,18) en los varones. En las mujeres descendió en todas las edades. En los varones, las OR fueron de 1,15 (1,04-1,27), 1,23 (1,08-1,40) y 0,81 (0,68-0,96), para los grupos de edad de 16-44, 45-64 y ≥ 65 años, respectivamente. Conclusiones: La prevalencia de alto riesgo de morbilidad psiquiátrica disminuyó, salvo en los varones < 65 años, que son más vulnerables a la crisis económica.

          Translated abstract

          Abstract Objective: To evaluate the prevalence of high risk of psychiatric morbidity in the Spanish adult population and its changes between 2006 and 2012. Methods: Data from 47,905 participants obtained from the National Health Surveys in 2006 and 2012 were used. Mental health status was assessed with the General Health Questionnaire score. Adjusted logistic regression models were fitted. Results: The prevalence of high risk of psychiatric morbidity was 20.5% in 2012 and 21.3% in 2006. Using 2006 as the reference, the odds ratio (OR) for these problems in 2012 was 0.84 (0.79-0.89) in women and 1.10 (1.02-1.18) in men. In women, it decreased for all ages. In men, these ORs were 1.15 (1.04-1.27) in the aged 16-44 group, 1.23 (1.08-1.40) in the aged 45-64 group and 0.81 (0.68-0.96) in the aged ≥ 65 group. Conclusions: The prevalence of high risk of psychiatric morbidity decreased except in males < 65 years of age, who are more sensitive to the economic crisis.

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          The world health report 2001 - Mental health: new understanding, new hope

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            Challenging the myth of an "epidemic" of common mental disorders: trends in the global prevalence of anxiety and depression between 1990 and 2010.

            Anxiety disorders and major depressive disorder (MDD) are common and disabling mental disorders. This paper aims to test the hypothesis that common mental disorders have become more prevalent over the past two decades. We conducted a systematic review of prevalence, remission, duration, and excess mortality studies for anxiety disorders and MDD and then used a Bayesian meta-regression approach to estimate point prevalence for 1990, 2005, and 2010. We also conducted a post-hoc search for studies that used the General Health Questionnaire (GHQ) as a measure of psychological distress and tested for trends to present a qualitative comparison of study findings This study found no evidence for an increased prevalence of anxiety disorders or MDD. While the crude number of cases increased by 36%, this was explained by population growth and changing age structures. Point prevalence of anxiety disorders was estimated at 3.8% (3.6-4.1%) in 1990 and 4.0% (3.7-4.2%) in 2010. The prevalence of MDD was unchanged at 4.4% in 1990 (4.2-4.7%) and 2010 (4.1-4.7%). However, 8 of the 11 GHQ studies found a significant increase in psychological distress over time. The perceived "epidemic" of common mental disorders is most likely explained by the increasing numbers of affected patients driven by increasing population sizes. Additional factors that may explain this perception include the higher rates of psychological distress as measured using symptom checklists, greater public awareness, and the use of terms such as anxiety and depression in a context where they do not represent clinical disorders. © 2014 Wiley Periodicals, Inc.
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              Ageing and the prevalence and treatment of mental health problems.

              Ageing is an important factor in the development of mental health problems and their treatment. We assessed age trajectories of common mental disorders (CMDs) and psychotherapy utilization from adolescence to old age, and examined whether these trajectories were modified by time period or birth cohort effects.
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                Author and article information

                Contributors
                Role: ND
                Journal
                gs
                Gaceta Sanitaria
                Gac Sanit
                Ediciones Doyma, S.L. (Barcelona, Barcelona, Spain )
                0213-9111
                August 2017
                : 31
                : 4
                : 324-326
                Affiliations
                [1] Pamplona Navarra orgnameComplejo Hospitalario de Navarra orgdiv1Psiquiatría-sección B España
                Article
                S0213-91112017000400324
                10.1016/j.gaceta.2017.01.004
                6f97d6a9-36c9-400c-9d56-658d3db7f2d9

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 23 November 2016
                : 12 January 2017
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 14, Pages: 3
                Product

                SciELO Spain


                Encuesta Nacional de Salud,Salud mental,Goldberg,Epidemiología,España,National Health Survey,Mental health,Epidemiology,Spain

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