ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2020
Mental disorders and total mortality after 20 years in an adult general population sample.
Article in European psychiatry : the journal of the Association of European Psychiatrists, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- National Heart Center/Saudi Heart Association 2025 Guidelines for Cardiovascular Diseases Prevention and Risk Assessment.Saudi medical journal · 2026Guideline
- Guideline-directed Low-density Lipoprotein Cholesterol Management After Acute Coronary Syndrome in Patients With Mental Illness: a Population-based Study.Cardiovascular drugs and therapy · 2026Article
- Risk of all-cause and cause-specific mortality, and suicide attempt in people with anxiety and stress-related disorders: a systematic review, meta-analysis and meta-regression analysis of 165 studies.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
- All-cause and cause-specific mortality in social anxiety disorder: a matched cohort and sibling cohort study.Epidemiology and psychiatric sciences · 2026Article
- Estimating mortality attributable to alcohol or tobacco - a cohort study from Germany.Substance abuse treatment, prevention, and policy · 2025Article
- [Long-term courses of alcohol dependence].Der Nervenarzt · 2025Review
- Behavior-related health risk factors, mental disorders and mortality after 20 years in a working aged general population sample.Scientific reports · 2023Article
- Excess mortality in a cohort of Brazilian patients with a median follow-up of 11 years after the first psychiatric hospital admission.Social psychiatry and psychiatric epidemiology · 2023Article
- Severity of alcohol dependence and mortality after 20 years in an adult general population sample.International journal of methods in psychiatric research · 2022Article
- Alcohol abstinence and mortality in a general population sample of adults in Germany: A cohort study.PLoS medicine · 2021Article
- Social Pressure to Reduce Alcohol Drinking and Mortality 20 years Later in a General Population Sample: A Cohort Study.Substance use : research and treatmentArticle
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Authors and funding
4 authors.
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Abstract
backgroundGeneral population data on associations between mental disorders and total mortality are rare. The aim was to analyze whether the number of mental disorders, single substance use, mood, anxiety, somatoform or eating disorders during the lifetime and whether treatment utilization may predict time to death 20 years later in the general adult population.
methodsWe used data from the Composite International Diagnostic Interview, which includes DSM-IV diagnoses for substance use, mood, anxiety, somatoform, and eating disorders, for a sample of 4,075 residents in Germany who were 18-64 years old in 1996. Twenty years later, mortality was ascertained using the public mortality database for 4,028 study participants. Cox proportional hazards models were applied for disorders that existed at any time in life before the interview.
resultsThe data revealed increased hazard ratios (HRs) for number of mental disorders (three or more; HR 1.4; 95% confidence interval [CI] 1.1-1.9) and for single disorders (alcohol dependence, dysthymia, panic disorder with agoraphobia, and hypochondriasis), with the reference group being study participants who had not suffered from any of the mental disorders analyzed and with adjustments made for age, sex, and education. Among individuals with any mental disorder during their lifetimes, having been an inpatient in treatment for a mental disorder was related to a higher HR (2.2; CI 1.6-3.0) than was not having been in any treatment for a mental disorder.
conclusionsIn this sample of adults in the general population, three or more mental disorders, alcohol dependence, dysthymia, panic disorder with agoraphobia, and hypochondriasis were related to premature death.
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