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Social Psychiatry and Psychiatric Epidemiology

, Volume 37, Issue 8, pp 372–379 | Cite as

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)
  • Rob V. Bijl
  • Ron de Graaf
  • Anneloes Ravelli
  • Filip Smit
  • Wilma A. M. Vollebergh
ORIGINAL PAPER

Abstract

Background Prospective studies in the general population are needed to identify risk factors for mental disorders. Samples of sufficient size are needed, but large-scale studies that assess the incidence of psychopathology are rare. Aims The aim of this study was to investigate the 12-month first incidence rates (IR) by age and gender for 15 specified DSM-III-R disorders in the general population. Methods The study was based on a representative sample (N = 5618) of the Dutch population aged 18–64. Results The IR for any disorder was 5.68 per 100 person-years at risk (men 4.45, women 6.94). IRs for both men and women were highest in the youngest age category. The most common 12-month incident disorders in men were alcohol abuse (IR = 4.09) and major depression (1.72). In women, the most common incident disorders were major depression (IR = 3.90) and simple phobia (3.17). Conclusions The results show the rarity of first-onset of mental disorders. IRs vary strongly between the different life phases, as well as between men and women. This suggests potential target areas for age-specific and gender-specific prevention.

Key words population study – mental disorders – incidence – prospective study – DSM-III-R 

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Copyright information

© Steinkopff Verlag 2002

Authors and Affiliations

  • Rob V. Bijl
    • 1
  • Ron de Graaf
    • 2
  • Anneloes Ravelli
    • 2
  • Filip Smit
    • 2
  • Wilma A. M. Vollebergh
    • 2
  1. 1.WODC (Research and Documentation Centre, Ministry of Justice), P. O. Box 20301, 2500 EH The Hague, The Netherlands, Tel.: +31-70/3 70-77 68, Fax: +31-70/3 70-79 48, E-Mail: rbijl@best-dep.minjus.nlNL
  2. 2.Netherlands Institute of Mental Health and Addiction, (Trimbos-instituut), Utrecht, The NetherlandsNL

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