Life stress and mental disorders in the South African Stress and Health study

SUNScholar Research Repository

Show simple item record

dc.contributor.author Seedat, Soraya
dc.contributor.author Stein, Dan J.
dc.contributor.author Jackson, Pamela B.
dc.contributor.author Heeringa, Steven G.
dc.contributor.author Williams, David R.
dc.contributor.author Myer, Landon
dc.date.accessioned 2011-03-18T14:56:52Z
dc.date.available 2011-03-18T14:56:52Z
dc.date.issued 2009
dc.identifier.citation Seedat, S. [et al.] 2009. Life stress and mental disorders in the South African Stress and Health study. SA Medical Journal, 99(5, 375-382, http://www.samj.org.za/index.php/samj
dc.identifier.issn 0256-9574 (print)
dc.identifier.issn 2078-5135 (online)
dc.identifier.uri http://hdl.handle.net/10019.1/7036
dc.description The original publication is available at http://www.samj.org.za
dc.description.abstract Background. Although stressful life events (SLEs) are associated with psychopathology, the contribution from distal and proximal events and the specificity of their association with common mental disorders require further exploration. We examined the association of recent life events and past adversities to mood, anxiety, substance use and impulse control disorders in South Africa. Methods. Data were analysed from the South African Stress and Health study, a population-based study of mental disorders in a nationally representative sample of 4 351 adults. Psychiatric disorders were assessed with the Composite International Diagnostic Interview (CIDI). This included questions covering early and later SLEs (negative life events, relationship stress, partner violence, social strain and adverse events during childhood) and various socio-demographic variables. Logistic regression models were constructed for 3 957 respondents (2 371 female, 1 586 male) with no missing covariate data, to assess life stress and socio-demographic predictors of 12-month and lifetime disorder. Results. Recent negative life events and relationship problems were significant predictors of any 12-month disorder and any lifetime disorder. Physical partner violence predicted any lifetime disorder. There was evidence of specificity for the prediction of mood versus anxiety disorders, with childhood adversity specifically associated with mood disorders but not anxiety disorders. Single marital status was the strongest socio-demographic predictor of any 12-month and any lifetime disorder. Conclusions. Stressful life events, distal and proximal, contribute significantly and independently to the prediction of major psychiatric disorders among South Africans, underscoring the importance of screening adversities in adults with common mental disorders, and of providing appropriate adjunctive interventions. en_ZA
dc.format.extent p. 375-382
dc.language.iso en_ZA
dc.publisher Health and Medical Publishing Group (HMPG)
dc.subject Stressful life events -- Psychological aspects -- South Africa en_ZA
dc.subject Mental disorders -- South Africa en_ZA
dc.title Life stress and mental disorders in the South African Stress and Health study en_ZA
dc.type Article
dc.description.version Publishers' version
dc.rights.holder Health and Medical Publishing Group (HMPG)


Files in this item

This item appears in the following Collection(s)

Show simple item record