Title
Associations between DSM-IV mental disorders and subsequent self-reported diagnosis of cancer
Date Issued
01 March 2014
Access level
open access
Resource Type
journal article
Author(s)
O'Neill S.
Posada-Villa J.
Medina-Mora M.E.
Al-Hamzawi A.O.
Tachimori H.
Hu C.
Lim C.
Bruffaerts R.
Lépine J.P.
Matschinger H.
De Girolamo G.
De Jonge P.
Alonso J.
Caldas-de-Almeida J.M.
Florescu S.
Kiejna A.
Levinson D.
Kessler R.C.
Scott K.M.
Universidad de Ulster
Publisher(s)
Elsevier
Abstract
Objective: The associations between mental disorders and cancer remain unclear. It is also unknown whether any associations vary according to life stage or gender. This paper examines these research questions using data from the World Mental Health Survey Initiative. Methods: The World Health Organization Composite International Diagnostic Interview retrospectively assessed the lifetime prevalence of 16 DSM-IV mental disorders in face-to-face household population surveys in nineteen countries (n. = 52,095). Cancer was indicated by self-report of diagnosis. Smoking was assessed in questions about current and past tobacco use. Survival analyses estimated associations between first onset of mental disorders and subsequently reported cancer. Results: After adjustment for comorbidity, panic disorder, specific phobia and alcohol abuse were associated with a subsequently self-reported diagnosis of cancer. There was an association between number of mental disorders and the likelihood of reporting a cancer diagnosis following the onset of the mental disorder.This suggests that the associations between mental disorders and cancer risk may be generalised, rather than specific to a particular disorder. Depression is more strongly associated with self-reported cancers diagnosed early in life and in women. PTSD is also associated with cancers diagnosed early in life. Conclusion: This study reports the magnitude of the associations between mental disorders and a self-reported diagnosis of cancer and provides information about the relevance of comorbidity, gender and the impact at different stages of life. The findings point to a link between the two conditions and lend support to arguments for early identification and treatment of mental disorders. © 2014 Elsevier Inc.
Start page
207
End page
212
Volume
76
Issue
3
Language
English
OCDE Knowledge area
Epidemiología Oncología Psiquiatría
Scopus EID
2-s2.0-84893743505
PubMed ID
Source
Journal of Psychosomatic Research
ISSN of the container
1879-1360
Sponsor(s)
Additional funding: Work on this paper was funded by a grant from the Health Research Council of New Zealand to Kate M Scott.
Sources of information: Directorio de Producción Científica Scopus