Increased mortality among people with anxiety disorders: Total population study

Sandra M. Meier, Manuel Mattheisen, Ole Mors, Preben B. Mortensen, Thomas M. Laursen, Brenda W. Penninx

Research output: Contribution to journalArticlepeer-review

126 Citations (Scopus)

Abstract

Background Anxiety disorders and depression are the most common mental disorders worldwide and have a striking impact on global disease burden. Although depression has consistently been found to increase mortality; the role of anxiety disorders in predicting mortality risk is unclear. Aims To assess mortality risk in people with anxiety disorders. Method We used nationwide Danish register data to conduct a prospective cohort study with over 30 million person-years of follow-up. Results In total, 1066 (2.1%) people with anxiety disorders died during an average follow-up of 9.7 years. The risk of death by natural and unnatural causes was significantly higher among individuals with anxiety disorders (natural mortality rate ratio (MRR) = 1.39, 95% CI 1.28-1.51; unnatural MRR= 2.46, 95% CI 2.20-2.73) compared with the general population. Of those who died from unnatural causes, 16.5% had comorbid diagnoses of depression (MRR = 11.72, 95% CI 10.11-13.51). Conclusions Anxiety disorders significantly increased mortality risk. Comorbidity of anxiety disorders and depression played an important part in the increased mortality.

Original languageEnglish
Pages (from-to)216-221
Number of pages6
JournalBritish Journal of Psychiatry
Volume209
Issue number3
DOIs
Publication statusPublished - Sept 2016
Externally publishedYes

Bibliographical note

Funding Information:
This study was supported by the Lundbeck Foundation, within the context of the Lundbeck Foundation Initiative for Integrative Psychiatric Research, iPSYCH, and Mental Health in Primary Care (MEPRICA). S.M.M. received further funding from the Mental Health Services, Capital Region, Copenhagen, Denmark, and M.M. from the Stanley Medical Research Institute.

Publisher Copyright:
© 2016 The Royal College of Psychiatrists.

ASJC Scopus Subject Areas

  • Psychiatry and Mental health

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