How common are common mental disorders? Evidence that lifetime prevalence rates are doubled by prospective versus retrospective ascertainment.

dc.contributor.author

Moffitt, TE

dc.contributor.author

Caspi, A

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Taylor, A

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Kokaua, J

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Milne, BJ

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Polanczyk, G

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Poulton, R

dc.coverage.spatial

England

dc.date.accessioned

2011-06-21T17:22:02Z

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2010-06

dc.description.abstract

BACKGROUND: Most information about the lifetime prevalence of mental disorders comes from retrospective surveys, but how much these surveys have undercounted due to recall failure is unknown. We compared results from a prospective study with those from retrospective studies. METHOD: The representative 1972-1973 Dunedin New Zealand birth cohort (n=1037) was followed to age 32 years with 96% retention, and compared to the national New Zealand Mental Health Survey (NZMHS) and two US National Comorbidity Surveys (NCS and NCS-R). Measures were research diagnoses of anxiety, depression, alcohol dependence and cannabis dependence from ages 18 to 32 years. RESULTS: The prevalence of lifetime disorder to age 32 was approximately doubled in prospective as compared to retrospective data for all four disorder types. Moreover, across disorders, prospective measurement yielded a mean past-year-to-lifetime ratio of 38% whereas retrospective measurement yielded higher mean past-year-to-lifetime ratios of 57% (NZMHS, NCS-R) and 65% (NCS). CONCLUSIONS: Prospective longitudinal studies complement retrospective surveys by providing unique information about lifetime prevalence. The experience of at least one episode of DSM-defined disorder during a lifetime may be far more common in the population than previously thought. Research should ask what this means for etiological theory, construct validity of the DSM approach, public perception of stigma, estimates of the burden of disease and public health policy.

dc.description.version

Version of Record

dc.identifier

https://www.ncbi.nlm.nih.gov/pubmed/19719899

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S0033291709991036

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1469-8978

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https://hdl.handle.net/10161/3976

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eng

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en_US

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Cambridge University Press (CUP)

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Psychol Med

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10.1017/S0033291709991036

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Psychological medicine

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Adolescent

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Adult

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Alcoholism

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Anxiety Disorders

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Bias (Epidemiology)

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Cohort Studies

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Cross-Sectional Studies

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Depressive Disorder

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Female

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Health Surveys

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Humans

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Interview, Psychological

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Male

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Marijuana Abuse

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Mental Disorders

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New Zealand

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Obsessive-Compulsive Disorder

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Panic Disorder

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Phobic Disorders

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Prospective Studies

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Retrospective Studies

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Stress Disorders, Post-Traumatic

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Young Adult

dc.title

How common are common mental disorders? Evidence that lifetime prevalence rates are doubled by prospective versus retrospective ascertainment.

dc.title.alternative
dc.type

Journal article

duke.contributor.orcid

Moffitt, TE|0000-0002-8589-6760

duke.contributor.orcid

Caspi, A|0000-0003-0082-4600

duke.date.pubdate

2010-6-0

duke.description.issue

6

duke.description.volume

40

pubs.author-url

https://www.ncbi.nlm.nih.gov/pubmed/19719899

pubs.begin-page

899

pubs.end-page

909

pubs.issue

6

pubs.organisational-group

Center for Child and Family Policy

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Center for Population Health & Aging

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Clinical Science Departments

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Duke

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Duke Institute for Brain Sciences

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Duke Population Research Center

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Duke Population Research Institute

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Institutes and Provost's Academic Units

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Psychiatry, Child & Family Mental Health and Developmental Neuroscience

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Psychiatry & Behavioral Sciences

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Psychology and Neuroscience

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Sanford School of Public Policy

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School of Medicine

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Trinity College of Arts & Sciences

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University Institutes and Centers

pubs.publication-status

Published

pubs.volume

40

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