Reexamining associations between mania, depression, anxiety and substance use disorders: results from a prospective national cohort
Separate inheritance of mania and depression together with high rates of clinical overlap of mania with anxiety and substance use disorders provide a basis for re-examining the specificity of the prospective association of manic and depression episodes that is a hallmark of bipolar disorder. We anal...
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| Veröffentlicht in: | Molecular psychiatry 2017-02, Vol.22 (2), p.235-241 |
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| creator | Olfson, M Mojtabai, R Merikangas, K R Compton, W M Wang, S Grant, B F Blanco, C |
| description | Separate inheritance of mania and depression together with high rates of clinical overlap of mania with anxiety and substance use disorders provide a basis for re-examining the specificity of the prospective association of manic and depression episodes that is a hallmark of bipolar disorder. We analyzed information from 34 653 adults in Waves 1 and 2 of the National Epidemiologic Survey on Alcohol and Related Conditions, a longitudinal nationally representative survey of US adults interviewed 3 years apart. Psychiatric disorders were assessed by a structured interview. We used logistic regression analyses to estimate the strength of associations between Wave 1 manic episodes and Wave 2 depression, anxiety and substance use disorders controlling for background characteristics and lifetime Wave 1 disorders. Corresponding analyses examined associations between Wave 1 major depressive episode with manic episodes and other psychiatric disorders. In multivariable models, Wave 1 manic episodes significantly increased the odds of Wave 2 major depressive episodes (adjusted odds ratio (AOR): 1.7; 95% confidence interval: 1.3–2.2) and any anxiety disorder (AOR: 1.8; 1.4-2.2), although not of substance use disorders (AOR: 1.2; 0.9–1.5). Conversely, Wave 1 major depressive episodes significantly increased risk of Wave 2 manic episodes (AOR: 2.2; 1.7–2.9) and anxiety disorders (AOR: 1.7; 1.5–2.0), although not substance use disorders (AOR: 1.0; 0.9–1.2). Adults with manic episodes have an approximately equivalent relative risk of developing depression episodes and anxiety disorders. Greater research and clinical focus is warranted on connections between manic episodes and anxiety disorders. |
| doi_str_mv | 10.1038/mp.2016.64 |
| format | Article |
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We analyzed information from 34 653 adults in Waves 1 and 2 of the National Epidemiologic Survey on Alcohol and Related Conditions, a longitudinal nationally representative survey of US adults interviewed 3 years apart. Psychiatric disorders were assessed by a structured interview. We used logistic regression analyses to estimate the strength of associations between Wave 1 manic episodes and Wave 2 depression, anxiety and substance use disorders controlling for background characteristics and lifetime Wave 1 disorders. Corresponding analyses examined associations between Wave 1 major depressive episode with manic episodes and other psychiatric disorders. In multivariable models, Wave 1 manic episodes significantly increased the odds of Wave 2 major depressive episodes (adjusted odds ratio (AOR): 1.7; 95% confidence interval: 1.3–2.2) and any anxiety disorder (AOR: 1.8; 1.4-2.2), although not of substance use disorders (AOR: 1.2; 0.9–1.5). Conversely, Wave 1 major depressive episodes significantly increased risk of Wave 2 manic episodes (AOR: 2.2; 1.7–2.9) and anxiety disorders (AOR: 1.7; 1.5–2.0), although not substance use disorders (AOR: 1.0; 0.9–1.2). Adults with manic episodes have an approximately equivalent relative risk of developing depression episodes and anxiety disorders. Greater research and clinical focus is warranted on connections between manic episodes and anxiety disorders.</description><identifier>ISSN: 1359-4184</identifier><identifier>EISSN: 1476-5578</identifier><identifier>DOI: 10.1038/mp.2016.64</identifier><identifier>PMID: 27137742</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699/476/1333 ; 692/699/476/1414 ; Adult ; Affective disorders ; Anxiety ; Anxiety disorders ; Anxiety Disorders - epidemiology ; Anxiety Disorders - psychology ; Behavioral Sciences ; Biological Psychology ; Bipolar disorder ; Bipolar Disorder - epidemiology ; Bipolar Disorder - psychology ; Comorbidity ; Complications and side effects ; Depression ; Depression (Mood disorder) ; Depression, Mental ; Depressive Disorder, Major - epidemiology ; Depressive Disorder, Major - psychology ; Diagnostic and Statistical Manual of Mental Disorders ; Drug use ; Epidemiology ; Female ; Heredity ; Humans ; Longitudinal Studies ; Male ; Mania ; Medicine ; Medicine & Public Health ; Mental depression ; Mental disorders ; Middle Aged ; Neurosciences ; original-article ; Pharmacotherapy ; Prospective Studies ; Psychiatry ; Risk factors ; Statistics ; Substance abuse ; Substance use disorder ; Substance-Related Disorders - epidemiology ; Substance-Related Disorders - psychology</subject><ispartof>Molecular psychiatry, 2017-02, Vol.22 (2), p.235-241</ispartof><rights>Macmillan Publishers Limited 2017</rights><rights>COPYRIGHT 2017 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Feb 2017</rights><rights>Macmillan Publishers Limited 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c546t-2490361393690788a8ac438c0a9170a39b207813eb4a0049f3eb2e8a6e70248c3</citedby><cites>FETCH-LOGICAL-c546t-2490361393690788a8ac438c0a9170a39b207813eb4a0049f3eb2e8a6e70248c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/mp.2016.64$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/mp.2016.64$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27137742$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Olfson, M</creatorcontrib><creatorcontrib>Mojtabai, R</creatorcontrib><creatorcontrib>Merikangas, K R</creatorcontrib><creatorcontrib>Compton, W M</creatorcontrib><creatorcontrib>Wang, S</creatorcontrib><creatorcontrib>Grant, B F</creatorcontrib><creatorcontrib>Blanco, C</creatorcontrib><title>Reexamining associations between mania, depression, anxiety and substance use disorders: results from a prospective national cohort</title><title>Molecular psychiatry</title><addtitle>Mol Psychiatry</addtitle><addtitle>Mol Psychiatry</addtitle><description>Separate inheritance of mania and depression together with high rates of clinical overlap of mania with anxiety and substance use disorders provide a basis for re-examining the specificity of the prospective association of manic and depression episodes that is a hallmark of bipolar disorder. We analyzed information from 34 653 adults in Waves 1 and 2 of the National Epidemiologic Survey on Alcohol and Related Conditions, a longitudinal nationally representative survey of US adults interviewed 3 years apart. Psychiatric disorders were assessed by a structured interview. We used logistic regression analyses to estimate the strength of associations between Wave 1 manic episodes and Wave 2 depression, anxiety and substance use disorders controlling for background characteristics and lifetime Wave 1 disorders. Corresponding analyses examined associations between Wave 1 major depressive episode with manic episodes and other psychiatric disorders. In multivariable models, Wave 1 manic episodes significantly increased the odds of Wave 2 major depressive episodes (adjusted odds ratio (AOR): 1.7; 95% confidence interval: 1.3–2.2) and any anxiety disorder (AOR: 1.8; 1.4-2.2), although not of substance use disorders (AOR: 1.2; 0.9–1.5). Conversely, Wave 1 major depressive episodes significantly increased risk of Wave 2 manic episodes (AOR: 2.2; 1.7–2.9) and anxiety disorders (AOR: 1.7; 1.5–2.0), although not substance use disorders (AOR: 1.0; 0.9–1.2). Adults with manic episodes have an approximately equivalent relative risk of developing depression episodes and anxiety disorders. Greater research and clinical focus is warranted on connections between manic episodes and anxiety disorders.</description><subject>692/699/476/1333</subject><subject>692/699/476/1414</subject><subject>Adult</subject><subject>Affective disorders</subject><subject>Anxiety</subject><subject>Anxiety disorders</subject><subject>Anxiety Disorders - epidemiology</subject><subject>Anxiety Disorders - psychology</subject><subject>Behavioral Sciences</subject><subject>Biological Psychology</subject><subject>Bipolar disorder</subject><subject>Bipolar Disorder - epidemiology</subject><subject>Bipolar Disorder - psychology</subject><subject>Comorbidity</subject><subject>Complications and side effects</subject><subject>Depression</subject><subject>Depression (Mood disorder)</subject><subject>Depression, Mental</subject><subject>Depressive Disorder, Major - epidemiology</subject><subject>Depressive Disorder, Major - psychology</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Drug use</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Heredity</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Mania</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Middle Aged</subject><subject>Neurosciences</subject><subject>original-article</subject><subject>Pharmacotherapy</subject><subject>Prospective Studies</subject><subject>Psychiatry</subject><subject>Risk factors</subject><subject>Statistics</subject><subject>Substance abuse</subject><subject>Substance use disorder</subject><subject>Substance-Related Disorders - 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epidemiology</topic><topic>Anxiety Disorders - psychology</topic><topic>Behavioral Sciences</topic><topic>Biological Psychology</topic><topic>Bipolar disorder</topic><topic>Bipolar Disorder - epidemiology</topic><topic>Bipolar Disorder - psychology</topic><topic>Comorbidity</topic><topic>Complications and side effects</topic><topic>Depression</topic><topic>Depression (Mood disorder)</topic><topic>Depression, Mental</topic><topic>Depressive Disorder, Major - epidemiology</topic><topic>Depressive Disorder, Major - psychology</topic><topic>Diagnostic and Statistical Manual of Mental Disorders</topic><topic>Drug use</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Heredity</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Mania</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Middle Aged</topic><topic>Neurosciences</topic><topic>original-article</topic><topic>Pharmacotherapy</topic><topic>Prospective Studies</topic><topic>Psychiatry</topic><topic>Risk factors</topic><topic>Statistics</topic><topic>Substance abuse</topic><topic>Substance use disorder</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>Substance-Related Disorders - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Olfson, M</creatorcontrib><creatorcontrib>Mojtabai, R</creatorcontrib><creatorcontrib>Merikangas, K R</creatorcontrib><creatorcontrib>Compton, W M</creatorcontrib><creatorcontrib>Wang, S</creatorcontrib><creatorcontrib>Grant, B F</creatorcontrib><creatorcontrib>Blanco, C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>Molecular psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Olfson, M</au><au>Mojtabai, R</au><au>Merikangas, K R</au><au>Compton, W M</au><au>Wang, S</au><au>Grant, B F</au><au>Blanco, C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reexamining associations between mania, depression, anxiety and substance use disorders: results from a prospective national cohort</atitle><jtitle>Molecular psychiatry</jtitle><stitle>Mol Psychiatry</stitle><addtitle>Mol Psychiatry</addtitle><date>2017-02-01</date><risdate>2017</risdate><volume>22</volume><issue>2</issue><spage>235</spage><epage>241</epage><pages>235-241</pages><issn>1359-4184</issn><eissn>1476-5578</eissn><abstract>Separate inheritance of mania and depression together with high rates of clinical overlap of mania with anxiety and substance use disorders provide a basis for re-examining the specificity of the prospective association of manic and depression episodes that is a hallmark of bipolar disorder. We analyzed information from 34 653 adults in Waves 1 and 2 of the National Epidemiologic Survey on Alcohol and Related Conditions, a longitudinal nationally representative survey of US adults interviewed 3 years apart. Psychiatric disorders were assessed by a structured interview. We used logistic regression analyses to estimate the strength of associations between Wave 1 manic episodes and Wave 2 depression, anxiety and substance use disorders controlling for background characteristics and lifetime Wave 1 disorders. Corresponding analyses examined associations between Wave 1 major depressive episode with manic episodes and other psychiatric disorders. In multivariable models, Wave 1 manic episodes significantly increased the odds of Wave 2 major depressive episodes (adjusted odds ratio (AOR): 1.7; 95% confidence interval: 1.3–2.2) and any anxiety disorder (AOR: 1.8; 1.4-2.2), although not of substance use disorders (AOR: 1.2; 0.9–1.5). Conversely, Wave 1 major depressive episodes significantly increased risk of Wave 2 manic episodes (AOR: 2.2; 1.7–2.9) and anxiety disorders (AOR: 1.7; 1.5–2.0), although not substance use disorders (AOR: 1.0; 0.9–1.2). Adults with manic episodes have an approximately equivalent relative risk of developing depression episodes and anxiety disorders. Greater research and clinical focus is warranted on connections between manic episodes and anxiety disorders.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>27137742</pmid><doi>10.1038/mp.2016.64</doi><tpages>7</tpages></addata></record> |
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| subjects | 692/699/476/1333 692/699/476/1414 Adult Affective disorders Anxiety Anxiety disorders Anxiety Disorders - epidemiology Anxiety Disorders - psychology Behavioral Sciences Biological Psychology Bipolar disorder Bipolar Disorder - epidemiology Bipolar Disorder - psychology Comorbidity Complications and side effects Depression Depression (Mood disorder) Depression, Mental Depressive Disorder, Major - epidemiology Depressive Disorder, Major - psychology Diagnostic and Statistical Manual of Mental Disorders Drug use Epidemiology Female Heredity Humans Longitudinal Studies Male Mania Medicine Medicine & Public Health Mental depression Mental disorders Middle Aged Neurosciences original-article Pharmacotherapy Prospective Studies Psychiatry Risk factors Statistics Substance abuse Substance use disorder Substance-Related Disorders - epidemiology Substance-Related Disorders - psychology |
| title | Reexamining associations between mania, depression, anxiety and substance use disorders: results from a prospective national cohort |
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