Twelve-month prevalence, comorbidity and correlates of mental disorders in Germany: the mental health module of the German health Interview and examination survey for adults (DEGS1-MH)
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This paper provides up to date prevalence estimates of mental disorders in Germany derived from a national survey (German Health Interview and Examination Survey for Adults, Mental Health Module [DEGS1-MH]). A nationally representative sample (N = 5318) of the adult (18-79) population was examined by clinically trained interviewers with a modified version of the Composite International Diagnostic Interview (DEGS-CIDI) to assess symptoms, syndromes and diagnoses according to DSM-IV-TR (25 diagnoses covered). Of the participants 27.7% met criteria for at least one mental disorder during the past 12 months, among them 44% with more than one disorder and 22% with three or more diagnoses. Most frequent were anxiety (15.3%), mood (9.3%) and substance use disorders (5.7%). Overall rates for mental disorders were substantially higher in women (33% versus 22% in men), younger age group (18-34: 37% versus 20% in age group 65-79), when living without a partner (37% versus 26% with partnership) or with low (38%) versus high socio-economic status (22%). High degree of urbanization (> 500,000 inhabitants versus < 20,000) was associated with elevated rates of psychotic (5.2% versus 2.5%) and mood disorders (13.9% versus 7.8%). The findings confirm that almost one third of the general population is affected by mental disorders and inform about subsets in the population who are particularly affected.
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In routine care, comorbidity of two or more diagnoses is the rule rather than the exception.
“In routine care however, comorbidity of two or more diagnoses is the rule rather than the exception (Jacobi et al., 2014).”
From TONI - One for all? Participatory development of a transtheoretic and transdiagnostic online intervention for blended care (2024) · cites this paper as Jacobi et al., 2014
The Results report substantial comorbidity, but 56% of participants with a DSM-IV diagnosis had only one diagnosis, while 44% had two or more. The paper reports a community survey, not routine-care patients, so it does not establish that multiple diagnoses are the rule in routine care. (LLM, conf=0.86)
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- Authors
- Jacobi, F., Höfler, M., Siegert, J., Mack, S., Gerschler, A., Scholl, L., Busch, M. A., Hapke, U., Maske, U., Seiffert, I., Gaebel, W., Maier, W., Wagner, M., Zielasek, J., & Wittchen, H.
- Affiliations
- Robert Koch Institute (DE)
- Technische Universität Dresden (DE)
- Department of Psychiatry and Psychotherapy, Medical Faculty Heinrich Heine University Düsseldorf Germany
- University of Bonn (DE)
- Heinrich Heine University Düsseldorf (DE)
- Institute of Clinical Psychology and Psychotherapy Technische Universität Dresden Dresden Germany
- Venue
- International Journal of Methods in Psychiatric Research
- Publisher
- Wiley
- Published
- 2014-04-11
- Volume
- 23
- Issue
- 3
- Pages
- 304-319
- ISSN
- 1049-8931 (ISSN-L)
- 1557-0657
- PMC
- PMC6878234
- OpenAlex
- W1918805697
- Cited by
- 586
- References
- 67
- Citations by year
- 2026: 31 · 2025: 44 · 2024: 54 · 2023: 59 · 2022: 75 · 2021: 62 · 2020: 69 · 2019: 45 · 2018: 38 · 2017: 39 · 2016: 35 · 2015: 22 · 2014: 12
- FWCI
- 53.26
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- International Journal of Methods in Psychiatric Research (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DZNE Pub (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Health and Medical Studies
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- mental illness, prevalence, comorbidities, anxiety disorders, mood disorders, substance use disorders, psychosis, sex differences, age differences, marital status, socioeconomic status, urbanization, German adults
- MeSH terms
- Adolescent, Adult, Aged, Mental Disorders, Female, Germany, Health Surveys, Humans, Interview, Psychological, Male, Middle Aged, Comorbidity, Prevalence, Age Distribution, Sex Distribution, Substance-Related Disorders, Diagnostic and Statistical Manual of Mental Disorders, Young Adult
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