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Epidemiology of Psychiatric Disorders in Women

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Women's Mental Health

Abstract

Mental disorders are a serious public health problem, ranking among the leading causes of disability in the world, with important gender differences. While women present higher rates of mood and anxiety disorders, men present higher prevalence estimates of substance use and conduct disorders. This chapter explores the differences in incidence rates, prevalence estimates, psychosocial and biological determinants, and the course and consequences of mental disorders across genders. In the first section, a brief introduction to the global burden of mental disorders is presented. Gender differences across the main groups of mental disorders found in major population-based studies are discussed in section two. Finally, gender differences in mood and anxiety disorders are described in more detail in section three.

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References

  1. Lecrubier Y, Ustün TB. Panic and depression: a worldwide primary care perspective. Int Clin Psychopharmacol. 1998;13(Suppl 4):7–11.

    Google Scholar 

  2. Lopez AD, Murray CCJL. The global burden of disease, 1990–2020. Nat Med. 1998;4(11):1241–3.

    Article  CAS  PubMed  Google Scholar 

  3. Murray CJL, et al., editors. The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. Cambridge, MA: Harvard University Press; 1996.

    Google Scholar 

  4. Sartorius N, et al. Depression comorbid with anxiety: results from the WHO study on psychological disorders in primary health care. Br J Psychiatry. 1996;168(Suppl 30):38–43.

    Article  Google Scholar 

  5. Thornicroft G, Maingay S. The global response to mental illness. BMJ. 2002;325(7365):608–9.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Murray CJL, et al. Global, regional, and national disability-adjusted life years (DALYs) for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countries, 1990–2013: quantifying the epidemiological transition. Lancet. 2015;386(10009):2145–91.

    Article  PubMed  Google Scholar 

  7. Vigo D, Thornicroft G, Atun R. Estimating the true global burden of mental illness. Lancet Psychiatry. 2016;3(2):171–8.

    Article  PubMed  Google Scholar 

  8. Vos T, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;386(9995):743–800.

    Article  Google Scholar 

  9. World Health Organization. The global burden of disease: 2004 update. Geneva: World Health Organization; 2008.

    Google Scholar 

  10. World Health Organization. Health statistics and information systems. Disease Burden. Estimates for. 2018:2000–15. http://www.who.int/healthinfo/global_burden_disease/estimates/en/index2.html. Accessed 5 May 2018.

  11. World Health Organization. Depression and other common mental disorders: Global Health estimates. Geneva: World Health Organization; 2018. Licence: CC BY-NC-SA3.0 IGO. 2017. http://apps.who.int/iris/bitstream/handle/10665/254610/WHO-MSD-MER-2017.2-eng.pdf. Accessed 23 Aug 2018.

    Google Scholar 

  12. Lopez AD, Disease Control Priorities Project, editors. Global burden of disease and risk factors. New York/Washington, DC: Oxford University Press/World Bank; 2006.

    Google Scholar 

  13. Bonadiman CSC, et al. A carga dos transtornos mentais e decorrentes do uso de substâncias psicoativas no Brasil: Estudo de Carga Global de Doença, 1990 e 2015. Rev Bras Epidemiol. 2017;20:191–204.

    Article  Google Scholar 

  14. Schramm JMA, et al. Transição epidemiológica e o estudo de carga de doença no Brasil. Cien Saude Colet. 2004;9(4):897–908.

    Article  Google Scholar 

  15. Leite IC, et al. Burden of disease in Brazil and its regions, 2008. Cad Saude Publica. 2015;31(7):1551–64.

    Article  Google Scholar 

  16. Riecher-Rössler A. Prospects for the classification of mental disorders in women. Eur Psychiatry. 2010;25(4):189–96.

    Article  PubMed  Google Scholar 

  17. Riecher-Rossler A. Oestrogens, prolactin, hypothalamic-pituitary-gonadal axis, and schizophrenic psychoses. Lancet Psychiatry. 2017;4(1):63–72.

    Article  PubMed  Google Scholar 

  18. Scott KM, Collings SCD. Gender and the association between mental disorders and disability. J Affect Disord. 2010;125(1–3):207–12.

    Article  CAS  PubMed  Google Scholar 

  19. Piccinelli M, Wilkinson G. Gender differences in depression. Critical review. Br J Psychiatry. 2000;177:486–92.

    Article  CAS  PubMed  Google Scholar 

  20. Riecher-Rössler A. Sex and gender differences in mental disorders. Lancet Psychiatry. 2017;4(1):8–9.

    Article  PubMed  Google Scholar 

  21. Kuehner C. Why is depression more common among women than among men? Lancet Psychiatry. 2017;4(2):146–58. https://doi.org/10.1016/S2215-0366(16)30263-2.

    Article  PubMed  Google Scholar 

  22. Patel V, et al. Risk factors for common mental disorders in women. Br J Psychiatry. 2006;189(6):547–55.

    Article  PubMed  Google Scholar 

  23. Seedat S, et al. Cross-national associations between gender and mental disorders in the World Health Organization World Mental Health Surveys. Arch Gen Psychiatry. 2009;66(7):785–95.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Howard L, et al. Gender-neutral mental health research is sex and gender biased. Lancet Psychiatry. 2017;4(1):9–11.

    Article  PubMed  Google Scholar 

  25. Viana MC, et al. São Paulo Megacity Mental Health Survey – a population-based epidemiological study of psychiatric morbidity in the São Paulo metropolitan area: aims, design and field implementation. Rev Bras Psiquiatr. 2009;31(4):375–86.

    Article  PubMed  Google Scholar 

  26. Viana MC, Andrade LH. Lifetime Prevalence, age and gender distribution and age-of-onset of psychiatric disorders in the São Paulo Metropolitan Area, Brazil: results from the São Paulo Megacity Mental Health Survey. Rev Bras Psiquiatr. 2012;34(3):249–60.

    Article  PubMed  Google Scholar 

  27. Viana MC et al. The World Mental Health Survey Initiative Version of the Composite International Diagnostic Interview (WMH-CIDI): Translation and adaptation to Brazilian-Portuguese: The Instrument used in the “São Paulo Megacity Mental Health Survey”. Printed Version, 2004.

    Google Scholar 

  28. Viana MC, et al. The epidemiology of Major Depression in a large Metropolitan Area in Brazil: Results from the São Paulo Megacity Mental Health Survey. J Affective Disorders. 2018, in review.

    Google Scholar 

  29. França MH, et al. Mental disorders and employment status in the São Paulo Metropolitan Area, Brazil: gender differences and use of health services. Cad Saúde Publica. 2017;33(9):e00154116.

    PubMed  Google Scholar 

  30. Andrade L, et al. Prevalence of ICD-10 mental disorders in a catchment area in the city of São Paulo, Brazil. Soc Psychiatry Psychiatr Epidemiol. 2002;37:316–25.

    Article  PubMed  Google Scholar 

  31. Silveira CM, et al. Heavy episodic drinking in the São Paulo epidemiologic catchment area study in Brazil: gender and sociodemographic correlates. J Stud Alcohol Drugs. 2007;68(1):18–27.

    Article  PubMed  Google Scholar 

  32. Coêlho BM, et al. The influence of the comorbidity between depression and alcohol use disorder on suicidal behaviors in the São Paulo Epidemiologic Catchment Area Study, Brazil. Rev Bras Psiquiatr. 2010;32(4):396–408.

    Article  PubMed  Google Scholar 

  33. Andrade LH, et al. Influence of psychiatric morbidity and sociodemographic determinants on use of service in a catchment area in the city of São Paulo, Brazil. Soc Psychiatry Psychiatr Epidemiol. 2008;43:45–53.

    Article  PubMed  Google Scholar 

  34. Laranjeira R, et al. Alcohol use patterns among Brazilian adults. Rev Bras Psiquiatr. 2010;32(3):231–41.

    Article  PubMed  Google Scholar 

  35. Wolle CC, et al. Differences in drinking patterns between men and women in Brazil. Rev Bras Psiquiatr. 2011;33(4):367–73.

    Article  PubMed  Google Scholar 

  36. Kohn R, et al. Mental disorders in Latin America and the Caribbean: a public health priority. Rev Panam Salud Publica. 2005;18(4–5):229–40.

    Article  PubMed  Google Scholar 

  37. Kessler RC, et al. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch Gen Psychiatry. 1994;51(1):8–19.

    Article  CAS  PubMed  Google Scholar 

  38. Bijl RV, Ravelli A, Van Zessen G. Prevalence of psychiatric disorder in the general population: results of The Netherlands Mental Health Survey and Incidence Study (NEMESIS). Soc Psychiatry Psychiatr Epidemiol. 1998;33(12):587–95.

    Article  CAS  PubMed  Google Scholar 

  39. Meltzer H, et al. OPCS Surveys of Psychiatric Morbidity in Great Britain Report 1: the prevalence of psychiatric morbidity among adults living in private households. London: HMSO; 1995.

    Google Scholar 

  40. Araya R, et al. Common mental disorders in Santiago, Chile: prevalence and socio-demographic correlates. Br J Psychiatry J Ment Sci. 2001;178:228–33.

    Article  CAS  Google Scholar 

  41. Medina-Mora ME, et al. Prevalence of mental disorders and use of services: results from the Mexican Nacional Survey of Psychiatric Epidemiology. Salud Mental. 2003;26(4):1–16.

    Google Scholar 

  42. Bijl RV, et al. Gender and age-specific first incidence of DSM-III-R psychiatric disorders in the general population: results from the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Soc Psychiatry Psychiatr Epidemiol. 2002;37(8):372–9.

    Article  PubMed  Google Scholar 

  43. Kessler RC, et al. Mental-substance comorbidities in the ICPE surveys. Psychiatr Fenn. 2001;32(Suppl 2):62–79.

    Google Scholar 

  44. Kessler RC, Berglund P, Demler O, Jin R, Koretz D, Merikangas KR, Rush AJ, Walters EE, Wang PS. National Comorbidity Survey Replication. The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA. 2003;289(23):3095–105.

    Article  PubMed  Google Scholar 

  45. Dunn EJ, Steiner M. The functional neurochemistry of mood disorders in women. In: Steiner M, Yonkers KA, Eriksson E, editors. Mood disorders in women. London: Martin Dunitz; 2000. p. 71–82.

    Google Scholar 

  46. Huber TJ, et al. Estradiol levels in psychotic disorders. Psychoneuroendocrinology. 2001;26(1):27–35.

    Article  CAS  PubMed  Google Scholar 

  47. Bromet E, et al. Cross-national epidemiology of DSM-IV major depressive disorder. BMC Med. 2011;9:1–16.

    Article  Google Scholar 

  48. Kovess-Masfety V, et al. Irritable mood in adult major depressive disorder: results from the world mental health surveys. Depress Anxiety. 2013;30(4):395–406.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Bacchus IJ, et al. Recent intimate partner violence against women and health: a systematic review and meta-analysis of cohort studies. BMJ Open. 2018;8(7):e019995.

    Article  PubMed  PubMed Central  Google Scholar 

  50. Felitti VJ, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 1998;14(4):245–58.

    Article  CAS  PubMed  Google Scholar 

  51. Oram S, Khalifeh H, Howard L. Violence against women and mental health. Lancet Psychiatry. 2017;4(2):159–70.

    Article  PubMed  Google Scholar 

  52. Angst J, et al. Toward validation of atypical depression in the community: results of the Zurich cohort study. J Affect Disord. 2002;72(2):125–38.

    Article  PubMed  Google Scholar 

  53. Lamers F, et al. Identifying depressive subtypes in a large cohort study: results from the Netherlands Study of Depression and Anxiety (NESDA). J Clin Psychiatry. 2010;71:1582–9.

    Article  PubMed  Google Scholar 

  54. Yonkers KA, et al. Chronicity, relapse, and illness course of panic disorder, social phobia, and generalized anxiety disorder: findings in men and women from 8 years of follow-up. Depress Anxiety. 2003;17(3):173–9.

    Article  PubMed  Google Scholar 

  55. Barlow DH. Anxiety and its disorders: the nature and treatment of anxiety and panic. 2nd ed. New York: Guilford Press; 2004.

    Google Scholar 

  56. Goodwin FK, Ghaemi SN. Understanding manic-depressive illness. Arch Gen Psychiatry. 1998;55(1):23–5.

    Article  CAS  PubMed  Google Scholar 

  57. Grant BF, et al. Prevalence, correlates, and comorbidity of bipolar I disorder and axis I and II disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry. 2005;66(10):1205–15.

    Article  PubMed  Google Scholar 

  58. Merikangas KR, et al. Lifetime and 12-month prevalence of bipolar spectrum disorder in the National Comorbidity Survey replication. Arch Gen Psychiatry. 2007;64(5):543.

    Article  PubMed  PubMed Central  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Social Medicine, Federal University of Espírito Santo, Vitória, Brazil

    Maria Carmen Viana

  2. Section of Psychiatric Epidemiology, Postgraduate Program in Public Health, Federal University of Espírito Santo, Vitória, Brazil

    Maria Carmen Viana & Rafael Bello Corassa

Authors
  1. Maria Carmen Viana
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  2. Rafael Bello Corassa
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Editor information

Editors and Affiliations

  1. University of São Paulo, São Paulo, Brazil

    Joel Rennó Jr.

  2. Women’s Mental Health Clinic, Incestuous Families Treatment Clinic of Clinica’s Hospital, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil

    Gislene Valadares

  3. Federal University of Pernambuco, Recife, Pernambuco, Brazil

    Amaury Cantilino

  4. Brazilian Association of Psychiatry, Rio de Janeiro, Brazil

    Jeronimo Mendes-Ribeiro

  5. Private Practice, São Lucas Medical Institute Criciúma, Santa Catarina, Brazil

    Renan Rocha

  6. Brazilian Association of Psychiatry (ABP), Rio de Janeiro, Brazil

    Antonio Geraldo da Silva

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Viana, M.C., Corassa, R.B. (2020). Epidemiology of Psychiatric Disorders in Women. In: Rennó Jr., J., Valadares, G., Cantilino, A., Mendes-Ribeiro, J., Rocha, R., Geraldo da Silva, A. (eds) Women's Mental Health. Springer, Cham. https://doi.org/10.1007/978-3-030-29081-8_3

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  • DOI: https://doi.org/10.1007/978-3-030-29081-8_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-29080-1

  • Online ISBN: 978-3-030-29081-8

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