title: Self-rated general health and psychiatric disorders in a general population sample.
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, R(2) = 0.12). We conclude that psychiatric disorders may contribute to the prediction of a low self-rated GH.
authors.affiliation: Institute of Epidemiology and Social Medicine, University of Greifswald, Walther-Rathenau-Str. 48, 17487 Greifswald, Germany. ujohn@uni-greifswald.de
authors.forename: Ulrich
authors.initials: U
authors.lastname: John
authors.forename: Christian
authors.initials: C
authors.lastname: Meyer
authors.forename: Hans-Jürgen
authors.initials: HJ
authors.lastname: Rumpf
authors.forename: Anja
authors.initials: A
authors.lastname: Schumann
authors.forename: Horst
authors.initials: H
authors.lastname: Dilling
authors.forename: Ulfert
authors.initials: U
authors.lastname: Hapke
mesh_terms: D000293:Adolescent; D000328:Adult; D000437:Alcoholism / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D001008:Anxiety Disorders / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D002391:Catchment Area, Health; D015331:Cohort Studies; D003866:Depressive Disorder / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D005500:Follow-Up Studies; D005858:Germany / Q000453:epidemiology; D006304:Health Status; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance / Q000379:methods*; D011237:Predictive Value of Tests; D012647:Self-Assessment; D013001:Somatoform Disorders / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D014029:Tobacco Use Disorder / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology