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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 6/2007

01-06-2007 | ORIGINAL PAPER

Assessment of physical etiologies for mood and anxiety disorders in structured diagnostic interviews

Authors: Scott B. Patten, MD, PhD, Jeanne V.A. Williams, MSc

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 6/2007

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Abstract

Background

Structured diagnostic inter- views include items that evaluate physical etiologies for mood and anxiety disorders. The objective of this article was to assess the impact of such items.

Method

A mental health survey in Canada collected data from n = 36,984 household residents. The lifetime prevalence of mood and anxiety disorders was calculated with and without exclusions due to physical causes.

Results

Approximately 10% of subjects with a lifetime depressive disorder reported that all of their episodes were due to one or more physical cause. Many of the reported etiologies were implausible given the DSM-IV requirement that the disturbance be a “direct physiological consequence” of the physical cause. The results were similar for manic episodes and anxiety disorders.

Conclusions

Structured diagnostic interviews assess physical etiologies in ways that are subject to inconsistency and inaccuracy. Physical etiology items may bias estimates by introducing etiological opinions into the assessment of disorder frequency.
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Metadata
Title
Assessment of physical etiologies for mood and anxiety disorders in structured diagnostic interviews
Authors
Scott B. Patten, MD, PhD
Jeanne V.A. Williams, MSc
Publication date
01-06-2007
Publisher
D. Steinkopff-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 6/2007
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-007-0195-y

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