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- Title
Psychische Störungen in der Allgemeinbevölkerung.
- Authors
Jacobi, F.; Höfler, M.; Strehle, J.; Mack, S.; Gerschler, A.; Scholl, L.; Busch, M.A.; Maske, U.; Hapke, U.; Gaebel, W.; Maier, W.; Wagner, M.; Zielasek, J.; Wittchen, H.-U.
- Abstract
Background and objectives: The German health interview and examination survey for adults (DEGS1) with the mental health module (DEGS1-MH) is the successor to the last survey of mental disorders in the general German population 15 years ago (GHS-MHS). This paper reports the basic findings on the 12-month prevalence of mental disorders, associated disabilities and self-reported healthcare utilization. Methods: A representative national cohort (age range 18-79 years, n = 5,317) was selected and individuals were personally examined (87.5 % face to face and 12.5 % via telephone) by a comprehensive clinical interview using the composite international diagnostic interview (CIDI) questionnaire. Results: The overall 12-month prevalence of mental disorders was 27.7 % with substantial differences between subgroups (e.g. sex, age, socioeconomic status). Mental disorders were found to be particularly impairing (elevated number of disability days). Less than 50 % of those affected reported to be in contact with health services due to mental health problems within the last 12 months (range 10-40 % depending on the number of diagnoses). Conclusions: Mental disorders were found to be commonplace with a prevalence level comparable to that found in the 1998 predecessor study but several further adjustments will have to be made for a sound methodological comparison between the studies. Apart from individual distress, elevated self-reported disability indicated a high societal disease burden of mental disorders (also in comparison with many somatic diseases). Despite a relatively comprehensive and well developed mental healthcare system in Germany there are still optimisation needs for treatment rates.
- Publication
Der Nervenarzt, 2014, Vol 85, Issue 1, p77
- ISSN
0028-2804
- Publication type
Article
- DOI
10.1007/s00115-013-3961-y