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Self-rated general health and psychiatric disorders in a general population sample

Published online by Cambridge University Press:  16 April 2020

Ulrich John*
Affiliation:
Institute of Epidemiology and Social Medicine, University of Greifswald, Walther-Rathenau-Str. 48, 17487Greifswald, Germany
Christian Meyer
Affiliation:
Institute of Epidemiology and Social Medicine, University of Greifswald, Walther-Rathenau-Str. 48, 17487Greifswald, Germany
Hans-Jürgen Rumpf
Affiliation:
Department of Psychiatry and Psychotherapy, University of Lübeck, Ratzeburger Allee 160, 23538Lübeck, Germany
Anja Schumann
Affiliation:
Institute of Epidemiology and Social Medicine, University of Greifswald, Walther-Rathenau-Str. 48, 17487Greifswald, Germany
Horst Dilling
Affiliation:
Department of Psychiatry and Psychotherapy, University of Lübeck, Ratzeburger Allee 160, 23538Lübeck, Germany
Ulfert Hapke
Affiliation:
Institute of Epidemiology and Social Medicine, University of Greifswald, Walther-Rathenau-Str. 48, 17487Greifswald, Germany
*
*Corresponding author. Tel.: +49 3834 86 7700; fax: +49 38 3486 7701. E-mail address: [email protected] (U. John).
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Abstract

The purpose of this study was to explore the relationships between nicotine and alcohol dependence, depressive, anxiety and somatoform disorders with self-rated general health (GH). A cohort study of a random sample of the non-institutionalised general population aged 18–64 with a participation rate of 70.2% was carried out in a German area (n = 4075 at baseline). A follow-up of tobacco smokers or heavy drinkers (n = 1083, 79.4% of those who had given consent to be followed-up) was conducted 30 months after baseline measurement. The assessments included self-ratings of GH and Diagnostic and Statistical Manual (DSM-IV) diagnoses based on the Composite International Diagnostic Interview. The results show that nicotine dependence, anxiety disorders and somatoform disorders moderately predicted self-rated GH at follow-up (general linear model, R2 = 0.12). We conclude that psychiatric disorders may contribute to the prediction of a low self-rated GH.

Type
Original article
Copyright
Copyright © Elsevier SAS 2005

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