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The cross-national structure of mental disorders: results from the World Mental Health Surveys

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dc.contributor.author de Jonge, Peter
dc.contributor.author Wardenaar, Klaas J.
dc.contributor.author Lim, Carmen C. W.
dc.contributor.author Aguilar-Gaxiola, Sergio
dc.contributor.author Alonso, Jordi
dc.contributor.author Andrade, Laura Helena
dc.contributor.author Bunting, Brendan
dc.contributor.author Chatterji, Somnath
dc.contributor.author Ciutan, Marius
dc.contributor.author Gureje, Oye
dc.contributor.author Karam, Elie G.
dc.contributor.author Lee, Sing
dc.contributor.author Medina-Mora, Maria Elena
dc.contributor.author Moskalewicz, Jacek
dc.contributor.author Navarro-Mateu, Fernando
dc.contributor.author Pennell, Beth-Ellen
dc.contributor.author Piazza, Marina
dc.contributor.author Posada-Villa, Jose
dc.contributor.author Torres, Yolanda
dc.contributor.author Kessler, Ronald C.
dc.contributor.author Scott, Kate
dc.contributor.author WHO World Mental Health Survey
dc.date.accessioned 2018-12-01T00:04:15Z
dc.date.available 2018-12-01T00:04:15Z
dc.date.issued 2018
dc.identifier.uri https://hdl.handle.net/20.500.12866/4259
dc.description.abstract Background: The patterns of comorbidity among mental disorders have led researchers to model the underlying structure of psychopathology. While studies have suggested a structure including internalizing and externalizing disorders, less is known with regard to the cross-national stability of this model. Moreover, little data are available on the placement of eating disorders, bipolar disorder and psychotic experiences (PEs) in this structure. Methods: We evaluated the structure of mental disorders with data from the World Health Organization Composite International Diagnostic Interview, including 15 lifetime mental disorders and six PEs. Respondents (n = 5478-15 499) were included from 10 high-, middle- and lower middle-income countries across the world aged 18 years or older. Confirmatory factor analyses (CFAs) were used to evaluate and compare the fit of different factor structures to the lifetime disorder data. Measurement invariance was evaluated with multigroup CFA (MG-CFA).ResultsA second-order model with internalizing and externalizing factors and fear and distress subfactors best described the structure of common mental disorders. MG-CFA showed that this model was stable across countries. Of the uncommon disorders, bipolar disorder and eating disorder were best grouped with the internalizing factor, and PEs with a separate factor. Conclusions: These results indicate that cross-national patterns of lifetime common mental-disorder comorbidity can be explained with a second-order underlying structure that is stable across countries and can be extended to also cover less common mental disorders. en_US
dc.language.iso eng
dc.publisher Cambridge University Press
dc.relation.ispartof urn:issn:1469-8978
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject epidemiology en_US
dc.subject comorbidity en_US
dc.subject mental disorders en_US
dc.subject psychiatric disorders en_US
dc.title The cross-national structure of mental disorders: results from the World Mental Health Surveys en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1017/S0033291717003610
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#5.01.00

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