[Depression and Anxiety Disorders and Associated Factors in the Adult Colombian Population, 2015 National Mental Health Survey]

Rev Colomb Psiquiatr. 2016 Dec:45 Suppl 1:58-67. doi: 10.1016/j.rcp.2016.04.009. Epub 2016 Jun 30.
[Article in Spanish]

Abstract

Introduction: Mental disorders are the first causes of disability adjusted life years (DALY), contributing with the 7.4%. This value increases as the DALYs of the transmittable diseases decrease.

Objectives: To determine the prevalence and associated factors of the major depressive and anxious disorders.

Methods: Data obtained from the IV Mental Health Survey with representation from 5 regions. A computerised interview was conducted, focusing on the most frequent anxiety and depressive disorders, using the CIDI CAPI 3.0. A sample of 10,870 adults over 18 years old was obtained.

Results: The lifetime prevalence of any of these disorders is 10.1% (95% CI: 8.8-11.5) in the population between 18 and 44 years, and of 7.7% (95% CI: 6.5-9.1) in those older than 45 years. The prevalence in the last 12 months was 5.1% (95% CI: 4.3-6.0) in the younger group, and 2.3% (95% CI: 1.8-3.0) in the older group. Of the people with evaluated mental disorders, 17.6% (95% CI: 13.1-23.4) had 2 or more disorders, a comorbidity that is more common in the female population (20.4%, 95% CI: 14.2-28.3) than in males (13.5%, 95% CI: 7.9-22.0). Major depressive disorder is the most prevalent of the disorders, with a lifetime prevalence of 4.3% (95% CI: 3.7-5.0). After adjusting in a multivariate model, being divorced or widowed (OR=1.3), previous suicide attempt (OR=3.3), and having 6 or more features of border-line personality, were associated with an increased risk of presenting with any of the studied disorders.

Conclusions: Anxiety and depressive mental disorders are an important health burden in Colombia.

Keywords: Anxiety disorders; Depresión; Depression; Encuestas epidemiológicas; Epidemiological surveys; Mental disorders; Trastornos de ansiedad; Trastornos mentales.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Anxiety Disorders / epidemiology*
  • Anxiety Disorders / etiology
  • Colombia / epidemiology
  • Depressive Disorder, Major / epidemiology*
  • Depressive Disorder, Major / etiology
  • Female
  • Health Surveys
  • Humans
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Persons with Disabilities / statistics & numerical data
  • Prevalence
  • Quality-Adjusted Life Years*
  • Risk Factors
  • Young Adult