The DOI matches its Crossref record; 35 of the 35 references it cites were found in a registry or an index.
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 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]
In the citing paper
“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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“Despite this high prevalence, service provision is often segregated, resulting in accessibility challenges for clients.(3) Integrated care, whereby staff identify and provide evidence-based management for comorbidity for those not responsive to a substance use-focused intervention, may be effective.”
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BackgroundDo young people with comorbid mental and alcohol disorders experience worse behavioural problems?
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“Those participants who screened positive for alcohol or other substance use were then asked a series of questions to establish a lifetime diagnosis of harmful use/dependence disorder (Teesson et al., 2009).”
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“Other common diagnoses within clinical populations are an anxiety disorder (Castillo-Carniglia, 2019; Teesson et al., 2009), a personality disorder, attention-deficit hyperactivity disorder and trauma-related disorders (Kingston et al., 2017; Regier et al., 1990; Van Emmerik-Van Oortmerssen et al.,…”
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When does change begin following screening and brief intervention among depressed problem drinkers?
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“The existence of co-occurring AUD and anxiety or depression has been associated with greater disability, higher healthcare utilization (Teesson et al., 2009), worse prognosis and lower likelihood of responding to treatment (Magidson et al., 2012).”
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“Service use in the NSMHWB was driven primarily by people with AD, either alone or in combination with other mental disorders, including AUD [3].”
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“Importantly, we do not yet understand why these changes are happening concurrently in different directions, particularly as emotional distress and substance use commonly co ‐ occur (Teesson et al., 2009) and share common risk factors (Slade & Watson, 2006; Sunderland et al., 2015).”
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“The prevalence and harms of coexisting mental health (MH) and alcohol and other drug (AOD) problems are well known (Teesson, Slade, & Mills, 2009 ).”
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“The Victorian Dual Diagnosis Initiative (VDDI) focused on both sectors while the National Comorbidity Project (Teesson & Burns, 2001; Teesson et al., 2009) targeted the AOD sector alone.”
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“There is scope for significant benefit to grow from early intervention and prevention strategies targeted at those with mental illness, to protect against the development of substance disorder comorbidities, and vice versa (Teesson et al., 2009).”
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“1 3 misuse compared to those with AOD misuse alone (Johnston et al. 2009; Teesson et al. 2009).”
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“The aim of the current research project was to investigate the homeless Drug use patterns identified in the current study were consistent with other research done into the substance use pattern of homeless people (Teesson et al., 2009).”
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“5%) a comorbid anxiety disorder (Teesson, Slade, & Mills, 2009 ).”
Trajectories of emotional symptoms in adolescence: impact on alcohol use
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“…acknowledged that the co- occurrence of AOD problems with other mental health problems is significant, although quantifying the overlap in the general population is problematic, owing to such reasons as lack of screening and the limits of self-report (Regier et al., 1990; Teesson et al., 2009).”
BackgroundInfluentialMental Health in Multicultural Australia
Minas, H. (2021) · Mental health and illness worldwide · doi:10.1007/978-981-10-2366-8_10 · Cited by 1
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“Our results highlight the burden associated with multiple CMDs found in previous research (Christensen et al., 2023; Lee et al., 2017; Teesson et al., 2009).”
ResultHobden, B., Ying-Ooi, J., Bryant, J., Rumbel, J., Heard, T. R., Davis, R. E., Rose, B., & Freund, M. (2024) · Journal of Dual Diagnosis · doi:10.1080/15504263.2024.2435544 · Cited by 1
“…rates of co-occurring MH/SU among Aboriginal and Torres Strait Islander people compared with co-occurring conditions reported within the general Australian population (Forbes et al., 2015; Teesson et al., 2009), further work in this area is needed to provide more representative and accurate data.”
Treatment of Anxiety in Substance-Using Patients
Soyka, M. (2013) · Elsevier eBooks · doi:10.1016/b978-0-12-398338-1.00052-x · Cited by 1
Pattern of mental health service use and risk of injury: A longitudinal study
Liang, W., & Chikritzhs, T. N. (2012) · Open Journal of Preventive Medicine · doi:10.4236/ojpm.2012.21014 · Cited by 1
“Mental illness has been shown to be highly prevalent in various cultures and mental health services are often unable to meet treatment needs [11-16].”
BackgroundHobden, B., Carey, M. L., Bryant, J., Sanson‐Fisher, R., & Oldmeadow, C. J. (2017) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2017.09.013 · Cited by 1
“Individuals experiencing depression as well as an AOD disorder experience greater: intensity of depressive symptoms, functional impairment and number of suicide attempts compared to either condition alone (Davis et al., 2006; Johnston et al., 2009; Teesson et al., 2009).”
BackgroundHobden, B., Bryant, J., Davis, R. E., Heard, T. R., Rumbel, J., Newman, J., Rose, B., Lambkin, D., Sanson‐Fisher, R., & Freund, M. (2024) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/00048674241244601 · Cited by 1
“While the rates of comorbid conditions were similar across the different combinations of conditions, the highest rate of comorbidity was found for co-occurring risky alcohol and substance use of two or more anxiety, affective or substance use disorders to be 5.1% (Teesson et al., 2009).”
BackgroundResultInfluentialPrior, K., Baillie, A., Newton, N. C., Lee, Y. Y., Deady, M., Gückel, T., Wade, L., Rapee, R. M., Hudson, J. L., KAY‐LAMBKIN, F. J., et al. (2024) · Addiction · doi:10.1111/add.16522 · Cited by 1
Self-citationComorbidity of Anxiety Disorders and Substance Use
Soyka, M. (2014) · Springer eBooks · doi:10.1007/978-3-642-45375-5_11 · Cited by 1
Prior, K., Ross, J. E., Mills, K. L., & Teesson, M. (2019) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-019-00131-z · Cited by 1
Self-citationChapter 43. Epidemiology of Co-Occurring Psychiatric and Substance Use Disorders
Schulden, J. D., & Blanco, C. (2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615373970.kb43 · Cited by 1
Fit-for-work: mental health and alcohol indicators in male-dominated industries
Cameron, J., Bothwell, S. W., Pidd, K., & Lee, N. (2023) · Advances in Dual Diagnosis · doi:10.1108/add-02-2023-0007 · Cited by 1
Pirkis, J., Whiteford, H., Jorm, T., Harris, M., Reavley, N. J., Siskind, D. J., Bassilios, B., Diminic, S., Robinson, J., Carstensen, G., et al. (2014)
Prevalence of mental illness in older Australians.
McKay, R. (2009) · PubMed
The progression and management of depression and anxiety in chronic hepatitis C patients.
Stewart, B. J. (2015) · Adelaide Research & Scholarship (AR&S) (University of Adelaide)
Hiles, S. A. (2014) · NOVA (University of Newcastle Australia)
Medical Perspective on Mental Health
Harvey, C. A. (2019) · Springer eBooks · doi:10.1007/978-981-13-0440-8_4-1
“For example, analyses of the 2007 Australian National Survey of Mental Health and Well-Being (Teesson et al. 2009) show that 25% of all cases of the common mental disorders were comorbid with at least one other disorder.”
MethodResearch Domains and Brain Network Dysfunction: Towards a New Taxonomy of Neuropsychiatric Illness
Frangou, S. (2021) · Springer eBooks · doi:10.1007/978-3-030-59797-9_22
Comorbid mental and substance use disorders: A common and complex treatment consideration
Prior, K. (2021) · Bulletin of the Menninger Clinic · doi:10.1521/bumc.2021.85.2.89
Medical Perspective on Mental Health
Harvey, C. A. (2020) · Springer eBooks · doi:10.1007/978-981-13-6975-9_4
Louie, E., Giannopoulos, V., Guajardo, M. G. U., Wood, K., Teesson, M., Childs, S., Baillie, A., Haber, P., & Morley, K. C. (2022) · International Journal of Evidence-Based Healthcare · doi:10.1097/xeb.0000000000000344
“Barriers to integrated care may also exist within and across organizations, and in accessing funding when the treatment of substance use and mental disorders are seen as separate pathways, further limiting the availability of effective comorbidity management.(4) In Australia, each of these factors is exacerbated by ge…”
BackgroundSelf-citationBennett, M. R. (2024) · Springer eBooks · doi:10.1007/978-981-97-2803-9_7
Sunderland, M., Halladay, J. E., & Chapman, C. (2024) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-024-10181-w
“…and substance use disorders are prevalent both in the general population and within clinical settings, with evidence consistently indicating higher rates of psychological distress among individuals who engage in regular substance use (Chan et al., 2008; Kingston et al., 2017; Teesson et al., 2009).”
Membrey, D., Naren, T., Cook, J., MacCartney, P., & Brown, D. L. (2025) · Australasian Psychiatry · doi:10.1177/10398562241312978
Examining the Clinical Utility and Predictive Validity of Dimensional Models of Psychopathology
Love, P. K. (2021) · University of North Texas Digital Library (University of North Texas) · doi:10.12794/metadc1833523
Hobden, B., Pollock, L., Lau, V., Leask, S., & Fakes, K. (2025) · Behaviour Research and Therapy · doi:10.1016/j.brat.2025.104875
Diminic, S., Harris, M., Sinclair, D., Carstensen, G., & Degenhardt, L. J. (2013)
Steffen, A., Nübel, J., Jacobi, F., Bätzing, J., & Holstiege, J. (2020) · Figshare · doi:10.6084/m9.figshare.12050313
Metadata
- 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
- Health Sciences › Medicine › Psychiatry and Mental health › 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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