Table 3.
Bivariate and Multivariate Associations Between DSM-IV Mental Disorder Classes and the Subsequent Onset or Diagnosis of Chronic Physical Conditions
Mental Disorder | Chronic Physical Condition, OR (95% CI) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Arthritis | Any Chronic Paina | Heart Disease | Stroke | Hypertension | Diabetes Mellitus |
Asthma | Chronic Lung Disease |
Peptic Ulcer | Cancer | |
Bivariate modelb | ||||||||||
Any mood disorder | 1.6 (1.5–1.8)c | 1.7 (1.6–1.8)c | 1.5 (1.3–1.7)c | 1.6 (1.3–2.1)c | 1.4 (1.2–1.5)c | 1.4 (1.2–1.6)c | 1.6 (1.3–1.8)c | 2.1 (1.7–2.7)c | 1.7 (1.5–1.9)c | 1.2 (1.0–1.5)c |
Any anxiety disorder | 1.5 (1.4–1.7)c | 1.9 (1.8–2.0)c | 1.8 (1.6–2.0)c | 1.6 (1.2–2.0)c | 1.5 (1.4–1.6)c | 1.3 (1.1–1.5)c | 1.5 (1.3–1.8)c | 1.7 (1.3–2.3)c | 1.8 (1.6–2.1)c | 1.2 (1.0–1.4)c |
Any impulse control disorder |
1.6 (1.4–1.9)c | 2.2 (2.0–2.4)c | 1.6 (1.2–2.2)c | 2.0 (1.3–3.1)c | 1.7 (1.4–1.9)c | 2.1 (1.6–2.7)c | 1.5 (1.1–2.1)c | 2.6 (1.7–3.8)c | 1.9 (1.5–2.4)c | 1.6 (1.2–2.1)c |
Any substance use disorder |
1.6 (1.4–1.8)c | 1.5 (1.4–1.6)c | 1.7 (1.4–2.0)c | 2.2 (1.6–3.1)c | 1.6 (1.5–1.8)c | 1.4 (1.1–1.7)c | 1.7 (1.4–2.0)c | 2.4 (1.8–3.2)c | 1.6 (1.4–1.9)c | 1.4 (1.1–1.8)c |
Any disorder | 1.6 (1.5–1.7)c | 1.9 (1.8–2.0)c | 1.7 (1.5–1.9)c | 1.7 (1.4–2.0)c | 1.5 (1.4–1.6)c | 1.3 (1.1–1.5)c | 1.5 (1.3–1.8)c | 2.1 (1.6–2.6)c | 1.9 (1.7–2.1)c | 1.3 (1.1–1.5)c |
Multivariate modeld | ||||||||||
Any mood disorder | 1.4 (1.3–1.5)c | 1.3 (1.2–1.4)c | 1.2 (1.0–1.4)c | 1.3 (1.0–1.7) | 1.1 (1.0–1.3)c | 1.3 (1.1–1.5)c | 1.3 (1.1–1.6)c | 1.7 (1.3–2.1)c | 1.3 (1.2–1.5)c | 1.1 (1.0–1.3) |
Any anxiety disorder | 1.4 (1.3–1.5)c | 1.8 (1.7–1.8)c | 1.6 (1.4–1.9)c | 1.4 (1.1–1.7)c | 1.3 (1.2–1.5)c | 1.2 (1.0–1.4) | 1.3 (1.1–1.6)c | 1.3 (1.0–1.7) | 1.6 (1.4–1.9)c | 1.1 (1.0–1.3) |
Any impulse-control disorder |
1.3 (1.1–1.5)c | 1.7 (1.5–1.9)c | 1.2 (0.8–1.7) | 1.4 (0.9–2.3) | 1.4 (1.2–1.6)c | 1.8 (1.4–2.4)c | 1.2 (0.9–1.6) | 1.8 (1.2–2.6)c | 1.4 (1.2–1.8)c | 1.4 (1.0–1.9)c |
Any substance use disorder |
1.4 (1.2–1.6)c | 1.2 (1.1–1.3)c | 1.5 (1.2–1.8)c | 2.0 (1.4–2.8)c | 1.5 (1.3–1.6)c | 1.2 (1.0–1.5)c | 1.5 (1.2–1.8)c | 1.9 (1.5–2.6)c | 1.4 (1.2–1.6)c | 1.3 (1.0–1.7)c |
Global, | 210.4c | 814.0c | 112.4c | 43.5c | 191.4c | 47.4c | 51.1c | 69.9c | 174.1c | 19.6c |
No. of disorderse | ||||||||||
1 | 1.4 (1.3–1.5)c | 1.8 (1.7–1.9)c | 1.5 (1.3–1.7)c | 1.2 (1.0–1.6) | 1.4 (1.2–1.5)c | 1.2 (1.0–1.4) | 1.3 (1.1–1.6)c | 1.8 (1.4–2.2)c | 1.6 (1.4–1.8)c | 1.3 (1.0–1.5)c |
2 | 1.6 (1.4–1.8)c | 2.2 (2.0–2.3)c | 1.8 (1.5–2.1)c | 2.2 (1.5–3.1)c | 1.6 (1.5–1.8)c | 1.3 (1.0–1.6)c | 1.5 (1.2–1.8)c | 1.8 (1.3–2.7)c | 2.0 (1.7–2.4)c | 1.3 (1.0–1.6)c |
3 | 2.0 (1.7–2.3)c | 2.2 (2.0–2.5)c | 2.3 (1.8–3.0)c | 2.3 (1.3–3.9)c | 1.7 (1.4–2.0)c | 1.7 (1.3–2.1)c | 1.9 (1.4–2.5)c | 3.7 (2.5–5.5)c | 2.5 (2.0–3.1)c | 1.4 (1.0–1.9)c |
4 | 2.2 (1.9–2.6)c | 2.2 (1.9–2.6)c | 2.4 (1.7–3.2)c | 2.9 (1.8–4.6)c | 1.6 (1.3–1.9)c | 1.8 (1.2–2.5)c | 2.7 (1.9–3.9)c | 2.9 (1.7–5.0)c | 2.9 (2.1–4.1)c | 1.2 (0.8–1.6) |
≥5 | 2.7 (2.2–3.2)c | 2.8 (2.4–3.2)c | 2.7 (1.9–3.9)c | 3.2 (2.0–5.1)c | 2.4 (2.0–2.9)c | 2.7 (2.0–3.7)c | 2.4 (1.8–3.4)c | 4.0 (2.5–6.5)c | 3.0 (2.3–3.9)c | 1.9 (1.4–2.7)c |
Global, | 220.7c | 821.7c | 111.9c | 47.8c | 178.1c | 52.3c | 45.5c | 55.2c | 169.9c | 19.5c |
Abbreviation: OR, odds ratio.
Respondent reported any of the following: chronic back or neck pain, frequent or severe headaches, and other chronic pain condition.
Each mental disorder class was estimated as a predictor of the physical condition onset in a separate discrete time survival model controlling for age cohorts, sex, person-years, country, smoking (current, ever, or never), and respondent's educational level.
Significant at P < .05, 2-sided test.
This type of model was estimated with dummy variables for all mental disorder classes entered simultaneously, including the controls.
This type of model was estimated with dummy variables for the number of mental disorders without any information about type of mental disorders, including the controls.