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. Author manuscript; available in PMC: 2017 May 1.
Published in final edited form as: Psychol Med. 2016 Aug 30;46(15):3161–3172. doi: 10.1017/S0033291716001859

Table 1. Prevalence of DSM-IV IED a in the World Mental Health surveys.

Country Lifetime prevalence 12-month prevalence 30-day prevalence 12-month prevalance of IED among lifetime cases 30-day prevalence of IED among 12-month cases Sample size used, n
Low–lower middle-income countries 0.6 (0.1) 0.4 (0.0) 0.3 (0.0) 60.1 (3.8) 70.4 (5.0) 36 498
 Colombia 1.2 (0.2) 0.5 (0.1) 0.4 (0.1) 41.9 (6.1) 75.7 (10.0) 4426
 Iraq 0.4 (0.2) 0.4 (0.2) 0.3 (0.1) 93.9 (6.1) 86.6 (10.9) 4332
 Nigeria 0.1 (0.0) 0.0 (0.0) 0.0 (0.0) 79.6 (20.7) 25.9 (27.2) 6752
 Peru 0.6 (0.2) 0.2 (0.1) 0.2 (0.1) 37.7 (10.3) 72.1 (13.6) 3930
 PRC China 0.5 (0.1) 0.3 (0.1) 0.2 (0.1) 52.8 (13.9) 71.5 (13.5) 5201
 PRC Shen Zhen 0.7 (0.1) 0.6 (0.1) 0.4 (0.1) 83.9 (5.7) 63.7 (10.8) 7132
 Ukraine 1.1 (0.2) 0.6 (0.1) 0.4 (0.1) 56.3 (7.9) 69.7 (9.9) 4725
Upper-middle-income countries 0.7 (0.1) 0.3 (0.1) 0.2 (0.0) 48.3 (5.6) 71.6 (6.7) 19 884
 Brazil 0.7 (0.1) 0.4 (0.1) 0.2 (0.1) 53.0 (10.8) 49.5 (14.2) 5037
 Bulgaria 0.2 (0.1) 0.2 (0.1) 0.1 (0.1) 68.8 (17.2) 84.6 (11.4) 5318
 Lebanon 0.6 (0.1) 0.3 (0.1) 0.2 (0.1) 44.4 (12.6) 89.9 (10.9) 2857
 Romania 0.5 (0.2) 0.3 (0.2) 0.3 (0.2) 66.0 (18.7) 93.1 (7.3) 2357
 South Africab 1.2 (0.3) 0.5 (0.2) 0.3 (0.1) 37.9 (9.6) 70.9 (9.0) 4315
High-income countries 1.1 (0.1) 0.6 (0.1) 0.3 (0.0) 51.4 (3.8) 52.2 (4.4) 31 681
 Japan 0.4 (0.1) 0.2 (0.1) 0.1 (0.0) 66.6 (11.8) 39.5 (16.2) 4129
 Northern Ireland 1.1 (0.2) 0.4 (0.1) 0.3 (0.1) 31.7 (7.5) 76.2 (12.2) 4340
 Poland 0.2 (0.0) 0.1 (0.0) 0.0 (0.0) 49.4 (13.2) 36.0 (16.4) 10 081
 Portugal 0.5 (0.1) 0.3 (0.1) 0.1 (0.1) 45.9 (11.7) 46.3 (24.0) 3849
 USA 2.7 (0.2) 1.5 (0.2) 0.8 (0.1) 55.0 (4.8) 51.9 (5.0) 9282
All countries combined 0.8 (0.0) 0.4 (0.0) 0.3 (0.0) 53.6 (2.5) 61.9 (3.2) 88 063
WHO regionsc
 Region of the Americas 1.6 (0.1) 0.8 (0.1) 0.5 (0.1) 51.7 (3.7) 55.4 (4.4) 22 675
 African region 0.5 (0.1) 0.2 (0.1) 0.1 (0.1) 40.1 (9.1) 66.1 (9.8) 11 067
 Western Pacific region 0.6 (0.1) 0.4 (0.1) 0.3 (0.1) 72.5 (6.0) 61.7 (8.1) 16 462
 Eastern Mediterranean region 0.5 (0.1) 0.3 (0.1) 0.3 (0.1) 69.0 (9.8) 87.7 (8.2) 7189
 Western European region 0.9 (0.1) 0.3 (0.1) 0.2 (0.1) 35.9 (6.3) 64.8 (13.0) 8189
 Eastern European region 0.4 (0.0) 0.2 (0.0) 0.2 (0.0) 57.8 (6.1) 69.6 (7.0) 22 481
Comparison between countries χ162=21.9, p < 0.001* χ162=7.9, p < 0.001* χ162=8.3, p < 0.001* χ162=2.4, p = 0.002* χ162=1.4, p = 0.153
Comparison between low-, middle- and high-income country groups χ22=19.1, p < 0.001* χ22=5.5, p = 0.044* χ22=0.9, p = 0.405 χ22=2.0, p = 0.133 χ22=4.3, p = 0.014*
Comparison between WHO regions χ52=26.1, p < 0.001* χ52=8.3, p < 0.001* χ52=5.4, p < 0.001* χ52=4.1, p = 0.001* χ52=1.5, p = 0.186

Data are given as percentage (standard error).

DSM-IV, Diagnostic and Statistical Manual of Mental Disorders, fourth edition; IED, intermittent explosive disorder; PRC, People's Republic of China; WHO, World Health Organization.

a

The definition of IED in this study conforms to the ‘narrow’ definition used in prior reports from the World Mental Health Surveys but with the additional criterion of some degree of interference in functioning.

b

The higher South African estimate in the paper by Fincham et al. (2009) was not calculated by the World Mental Health Data Coordination Centre and is incorrect: http://www.hcp.med.harvard.edu/wmh/ftpdir/Fincham_et_al_2009_erratum.pdf

c

Region of the Americas (Colombia, Brazil, Peru, USA); African region (South Africa, Nigeria); Western Pacific region [PRC Shen Zhen, PRC China (Beijing and Shanghai), Japan]; Eastern Mediterranean region (Iraq, Lebanon); Western European region (Northern Ireland, Portugal); Eastern European region (Romania, Poland, Bulgaria, Ukraine).

*

p < 0.05; two-sided test.