TY - JOUR T1 - PRevalence, severity, and comorbidity of 12-month dsm-iv disorders in the national comorbidity survey replication AU - Kessler RC, Chiu W, Demler O, Walters EE Y1 - 2005/06/01 N1 - 10.1001/archpsyc.62.6.617 JO - Archives of General Psychiatry SP - 617 EP - 627 VL - 62 IS - 6 N2 - Background  Little is known about the general population prevalence or severity of DSM-IV mental disorders.Objective  To estimate 12-month prevalence, severity, and comorbidity of DSM-IV anxiety, mood, impulse control, and substance disorders in the recently completed US National Comorbidity Survey Replication.Design and Setting  Nationally representative face-to-face household survey conducted between February 2001 and April 2003 using a fully structured diagnostic interview, the World Health Organization World Mental Health Survey Initiative version of the Composite International Diagnostic Interview.Participants  Nine thousand two hundred eighty-two English-speaking respondents 18 years and older.Main Outcome Measures  Twelve-month DSM-IV disorders.Results  Twelve-month prevalence estimates were anxiety, 18.1%; mood, 9.5%; impulse control, 8.9%; substance, 3.8%; and any disorder, 26.2%. Of 12-month cases, 22.3% were classified as serious; 37.3%, moderate; and 40.4%, mild. Fifty-five percent carried only a single diagnosis; 22%, 2 diagnoses; and 23%, 3 or more diagnoses. Latent class analysis detected 7 multivariate disorder classes, including 3 highly comorbid classes representing 7% of the population.Conclusion  Although mental disorders are widespread, serious cases are concentrated among a relatively small proportion of cases with high comorbidity. SN - 0003-990X M3 - doi: 10.1001/archpsyc.62.6.617 UR - http://dx.doi.org/10.1001/archpsyc.62.6.617 ER -