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William W. Eaton and M. Daniele Fallin

Print publication date: 2019

Print ISBN-13: 9780190916602

Published to Oxford Scholarship Online: June 2019

DOI: 10.1093/oso/9780190916602.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (www.oxfordscholarship.com). (c) Copyright Oxford University Press, 2019. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 20 November 2019

The Population Dynamics of Mental Disorders

The Population Dynamics of Mental Disorders

Chapter:
(p.141) 6 The Population Dynamics of Mental Disorders
Source:
Public Mental Health
Author(s):

William W. Eaton

Ronald C. Kessler

Preben Bo Mortensen

George W. Rebok

Kimberly Roth

Publisher:
Oxford University Press
DOI:10.1093/oso/9780190916602.003.0007

This chapter concerns the natural history of mental disorders from onset of disorder throughout the remaining life course. Data are presented from population-based cohort studies in the United States and in Denmark. Mental disorders start before midlife and are persistent, with long episodes and recurrences for as many as a 20%–30% of those who meet criteria for the disorders. The cumulative incidence proportion is above 30%. Early identification of mental disorders via precursor signs and symptoms has the potential to contribute to prevention of full episodes. Comorbidity is common among mental disorders both for other mental disorders, and for later-occurring physical disorders. Most mental disorders are associated with raised mortality risk.

Keywords:   natural history, incidence, recovery, recurrence, chronicity, comorbidity, mortality

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