NATIONAL REPRESENTATIVE EPIDEMIOLOGICAL STUDY OF COMMON PSYCHIATRIC DISORDERS IN BULGARIA (2003-2007): TWELVEMONTH AND LIFETIME PREVALENCE, SEVERITY AND CO-MORBIDITY
Journal Title: Българско списание за обществено здраве (Bulgarian Journal of Public Health) - Year 2010, Vol 0, Issue 2
Abstract
Objectives: The aim of the current study is to provide epidemiological data for the annual (12 month) and lifetime prevalence, severity and co-morbidity in the following groups of common mental disorders in Bulgaria: Anxiety disorders: panic disorder, generalized anxiety disorder, agoraphobia without panic , specific phobia, social phobia, post-traumatic stress disorder, adult separation anxiety disorder. Mood Disorders: dysthymia, major depressive disorder, bipolar disorder. Substance-related disorders: alcohol abuse, alcohol dependence, drug abuse, drug dependence. Impulse-control disorders: intermittent explosive disorder, oppositional defiant disorder, conduct disorder. Methods: A national representative epidemiological study on the common psychiatric disorders (EPIBUL) was performed on the territory of Republic of Bulgaria. The study was conducted during the period of 2003-2007 as the results received were obtained from the summarization of 5318 questionnaires carried out. A Composite International Diagnostic Interview (CIDI) was used Results: The results show that 19,5% of Bulgarians at some point in their life (up to the moment of the interview) suffered from a mental disorder within the investigated group (lifetime prevalence). 11,2% of the Bulgarian people suffered from a mental disorder (from the investigated group) over the preceding 12 months before the interview (twelve-month prevalence). Conclusion: The study performed for the first time provides in-depth information on the prevalence of common mental health disorders in Bulgaria. The diagnoses were confirmed according to the 10th Revision of the International Classification of Diseases (ICD-10-CM) and American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). This is the first survey that was conducted based on the principle of a nationally representative sample of the entire population.
Authors and Affiliations
Michail Okoliyski, Zahari Zarkov, Angel Broshtilov, Hristo Hinkov, Vladimir Nakov, Rumyana Dinolova, Plamen Dimitrov, Toma Tomov
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