Comorbidity in Australia: Findings of the 2007 National Survey of Mental Health and Wellbeing
Abstract
Objective: The aim of the present study was to report the prevalence and patterns of 12 month comorbidity in the 2007 National Survey of Mental Health and Wellbeing (2007 NSMHWB). In this paper the comorbidity between common mental disorders (affective, substance use and anxiety) and between physical and mental disorders is examined. Method: The 2007 NSMHWB was a nationally representative household survey of 8841 Australian adults (16–85 years) that assessed participants for symptoms of the most prevalent ICD-10 mental disorders. Results: The common mental disorder classes (affective, anxiety and substance use disorders) often occur together and 25.4% of persons with an anxiety, affective or substance use disorder had at least one other class of mental disorder. A small proportion (3.5%, 95% confidence interval (CI) = 2.3–4.7%) had all three classes of disorder. Mental disorder and physical disorder comorbidity was also common, with 28% (95%CI = 25.1–30.9%) of those with a chronic physical disorder also having a mental disorder. Comorbidity was associated with greater severity and greater health service use. Conclusions: Comorbidity is widespread and remains a significant challenge for the delivery of effective health-care services and treatment.
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Analogous findings on comorbidity have been documented in other large US epidemiological studies, including the National Comorbidity Survey and the National Epidemiologic Survey on Alcohol and Related Conditions, as well as in studies from other countries.
“Analogous findings have been docu mented in other US large epidemiological studies, including the National Comorbidity Survey 126 and the National Epidemiologic Survey on Alcohol and Related Conditions 126,127 , as well as in stud ies from other countries 125- 128 .”
From Substance use disorders: a comprehensive update of classification, epidemiology, neurobiology, clinical aspects, treatment and prevention (2023) · cites this paper as [128]
CBT is first line psychotherapeutic treatment for common co-occurring mental health disorders like anxiety and depression in both adolescents and adults.
“CBT is first line psychotherapeutic treatment for common co-occurring mental health disorders like anxiety and depression in both adolescents and adults (35-41).”
From Initial insights from a quality improvement initiative to develop an evidence-informed young adult substance use program (2022) · cites this paper as [41]
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Does early socio-economic disadvantage predict comorbid alcohol and mental health disorders?
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Self-citationHarris, M., Burgess, P. M., Pirkis, J., Siskind, D. J., Slade, T. N., & Whiteford, H. (2011) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048674.2010.531459 · Cited by 24 · see citing works
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Prevention of mental and substance use disorders: Shaping priorities for research and implementation
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Self-citationPoor Sleep Quality in Australian Adults With Comorbid Psychological Distress and Physical Illness
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Ross, J. E., Teesson, M., Lejuez, C. W., Mills, K. L., Kaye, S. S., Brady, K. T., Dore, G. M., Prior, K., Larkin, X., Cassar, J., et al. (2016) · BMC Psychiatry · doi:10.1186/s12888-016-0943-1 · Cited by 23 · see citing works
Self-citationThe Relationship between Physical-Mental Comorbidity and Subjective Well-Being among Older Adults
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Stapinski, L. A., Sannibale, C., Subotic, M., Rapee, R. M., Teesson, M., Haber, P. S., & Baillie, A. J. (2021) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867420952539 · Cited by 22 · see citing works
Self-citationMemedovic, S., Slade, T., Ross, J., Darke, S., Mills, K. L., Marel, C., Burns, L., Lynskey, M., & Teesson, M. (2019) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2019.05.028 · Cited by 24 · see citing works
Self-citationAbdin, E., Chong, S., Vaingankar, J. A., Shafie, S., Seah, D., Chan, C., Ma, S., James, L., Heng, D., & Subramaniam, M. (2020) · Singapore Medical Journal · doi:10.11622/smedj.2020124 · Cited by 22 · see citing works
Deady, M., KAY‐LAMBKIN, F. J., Teesson, M., & Mills, K. L. (2014) · Internet Interventions · doi:10.1016/j.invent.2014.06.004 · Cited by 21 · see citing works
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Self-citationSunderland, M., Carragher, N., Chapman, C., Mills, K. L., Teesson, M., Lockwood, E., Forbes, D., & Slade, T. N. (2016) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.02.001 · Cited by 21 · see citing works
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Self-citationSystematic review of neurocognition in people with co-occurring alcohol misuse and depression
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Costs and returns on training investment for empirically supported psychological interventions
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Psychological interventions for co-occurring depression and substance use disorders
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Self-citationThe DrugCheck Problem List: A new screen for substance use disorders in people with psychosis
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Overview of Substance Use and Treatment from Australia
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Anxiety and substance use disorders: A worrying combination
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- Authors
- Teesson, M., Slade, T., & Mills, K.
- Affiliations
- UNSW Sydney (AU)
- Corresponding author
- Teesson, Maree
- Venue
- Australian & New Zealand Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2009-01
- Volume
- 43
- Issue
- 7
- Pages
- 606-614
- ISSN
- 0004-8674 (ISSN-L)
- 1440-1614
- OpenAlex
- W2086122362
- Cited by
- 203
- References
- 34
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 12 · 2023: 7 · 2022: 12 · 2021: 18 · 2020: 14 · 2019: 13 · 2018: 10 · 2017: 10 · 2016: 12 · 2015: 14 · 2014: 20 · 2013: 19 · 2012: 15
- FWCI
- 16.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian & New Zealand Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Australian Government
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- common mental disorders, mood disorders, anxiety disorders, substance use disorders, prevalence, symptom severity, health care utilization, mental health service delivery, Australian adults
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Anxiety Disorders, Australia, Chronic Disease, Female, Health Status, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Quality of Life, Surveys and Questionnaires, Severity of Illness Index, Comorbidity, Incidence, Prevalence, Mood Disorders, Substance-Related Disorders, Young Adult
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