National Survey Of Mental Health Research Articles

The comparative importance of mental and physical disorders for health-related days out of role in the general population of Saudi Arabia

BackgroundA major component of illness burden is role impairment. As part of the recently-completed Saudi National Mental Health Survey (SNMHS), we compare the number of days out of role in the Saudi population associated with ten core mental disorders assessed in the survey to those associated with ten commonly occurring chronic physical disorders.MethodsThe SNMHS was a household survey that assessed prevalence of ten common anxiety, mood, disruptive behavior, and eating disorders in a nationally representative sample of n = 1981 citizens of the Kingdom of Saudi Arabia (KSA) ages 15–65. Comparison information was obtained on prevalence of ten common chronic physical disorders and number of health-related days out of role (DOR) in the 30 days before interview. Generalized linear models were used to examine univariate and multivariable associations of disorders with DOR and to calculate population attributable risk (PAR) separately and overall for the disorders controlling for socio-demographics.Results19.9% of respondents had one or more of the selected mental disorders and 47.1% had one or more of the selected physical disorders. Nine mental disorders and two physical disorders were associated with increased DOR. PAR was 32.9% for mental disorders, 27.0% for physical disorders, and 59.9% for both combined.ConclusionsMental disorders are associated with a substantial proportion of all health-related DOR in the Kingdom of Saudi Arabia. Programs to detect and treat mental disorders might lead to substantially decreased role impairment in the Kingdom.

Mortality and negative outcomes of opioid use and opioid use disorder: a 6-year follow-up study.

There is a paucity of data on outcomes of opioid use disorder (OUD) from low- and middle-income countries. We aimed to investigate the mortality as well as negative social and health outcomes in a 6-year follow-up study of a cohort of individuals with opioid use, including those with OUD, in Iran. Participants with opioid use initially interviewed in late 2011 in the Iranian National Mental Health Survey (IranMHS)-a household survey of 15-64-year-old population-were followed-up in early 2018. All respondents (n = 236) who had reported use of any opioids at least five times during the 12-month period prior to the index interview were included in the study. Composite International Diagnostic Interview (CIDI) version 2.1 was used for assessment of opioid use and OUD at baseline. Vital status in the follow-up was ascertained through contact with participants/informants, primarily via telephone calls and also through the death registration systems. Weighted incidence rates of negative consequences of opioid use (e.g. incarceration, suicide attempts, violent behavior) were estimated for those who were interviewed. Seven (3.3%) of the 236 participants with opioid use including four (3.1%) of the 136 with OUD had died by the time of the follow-up interview, resulting in death rates of 0.49 [95% confidence interval (CI) = 0.21-1.38] and 0.53 (95% CI = 0.16-2.62) per 100 person-years, respectively. Overall, 35.0% of participants with opioid use and 44.0% of those with OUD among the 145 individuals interviewed at follow-up experienced non-fatal serious adverse outcomes. In Iran, opioid use and opioid use disorder are associated with increased mortality and other adverse outcomes.

Exploring the Pathway towards Depression among Working Married Women – A Qualitative Study Done In Urban Area of Kancheepuram District, Tamil Nadu

Introduction: Globally, around 264 million people suffer from depression according to World Health Organization (WHO). As per the National Mental Health Survey (NMHS), in the year 2015-2016, one in 20 people over the age of 18 years have ever had depression in India amounting to 45 million persons with depression in the year 2015. This study aimed to find out the self-perceived reasons of depression among married working women residing in an urban area of Kancheepuram district, Tamil Nadu. 
 Methodology: This is a qualitative study done on married working urban women above 18 years of age visiting an UHTC of a private medical college at Anakaputhur. Patient Health Questionnaire (PHQ-9) was used to assess whether they have depression. Data was collected by in-depth interviews, and it was recorded and transcribed verbatim.
 Results: Based on the responses obtained from the participants the following themes and subthemes are formed like Workplace factors, Factors related to family, social factors and Mental Health seeking behaviour. Among the workplace factors job satisfaction, long working hours and relationship with peers were common reasons elicited.
 Conclusion: Most of these problems could be overcome only if the society changes their mentality about women and practice gender equality and social justice.

Epidemiology of common mental disorders: Results from "National Mental Health Survey" of India, 2016.

Background:Despite their higher prevalence, the Common Mental Disorders (CMDs) are under-recognized and under-treated resulting in huge disability. India, home to one-fifth of the global population, could offer insights for organizing better services for CMDs. However, the prevalence and resultant disability in the general population is unknown, and consequently, gaps in management or plan for services are enormous, by default overlooked.Aim:Estimating the current prevalence, disability, socioeconomic impact, and treatment gap of CMDs in a nationally representative sample from India. We attempt to identify the missed opportunities and list priorities for planning.Methodology:The National Mental Health Survey of India (2016) is a multisite nationwide household survey conducted across India using a uniform methodology. Overall, 39,532 adults were surveyed with a response rate of 88%. Diagnoses are based on the Mini International Neuropsychiatric Interview 6.0.0. CMDs for this analysis include depressive and anxiety disorders (generalized anxiety disorder, social phobia, agoraphobia, panic disorder, obsessive-compulsive disorder, and posttraumatic stress disorder).Results:The weighted prevalence of current CMDs was 5·1% (95% CI: 5.06–5.13). Prevalence was highest in females, among the 40–59 years of age group, and in metros. Nearly 60% of them reported disabilities of varying severity. The treatment gap was 80·4%. On average, patients and their families spent ₹1500/month towards the treatment of CMDs.Conclusions:This survey gives valuable insights regarding the disability and treatment gap due to CMDs and is imperative for reframing mental health policies and planning interventions. This study also suggests an international investigation to understand the difference in the prevalence of CMDs in developing versus developed countries.

Prevalence and its correlates of anxiety disorders from India's National Mental Health Survey 2016.

Introduction:Anxiety disorders (ADs) impact the quality of life and productivity at an individual level and result in substantial loss of national income. Representative epidemiological studies estimating the burden of ADs are limited in India. National Mental Health Survey (NMHS) 2016 of India aimed to strengthen mental health services across India assessed the prevalence and pattern of public health priority mental disorders for mental health-care policy and implementation. This article focuses on the current prevalence, sociodemographic correlates, disability, and treatment gap in ADs in the adult population of NMHS 2016.Materials and Methods:NMHS 2016 was a nationally representative, multicentered study across 12 Indian states during 2014–2016. Diagnosis of ADs (generalized AD, panic disorder, agoraphobia, and social AD) was based on Mini-International Neuropsychiatric Interview 6.0.0. Disability was by Sheehan’s Disability Scale.Results:The current weighted prevalence of ADs was 2.57% (95% confidence interval: 2.54–2.60). Risk factors identified were female gender, 40–59 age group, and urban metro dwellers. Around 60% suffered from the disability of varying severity. The overall treatment gap for ADs was 82.9%.Conclusions:The burden of AD is similar to Depressive disorders, and this article calls for the immediate attention of policymakers to institute effective management plans in existing public health programs.

BPSS Award

BPSS Award

Symposium

Objectives: To discuss influence of sociocultural factors on treatment-seeking in psychiatric practiceBackground: According to National Mental Health Survey (NMHS) there is a huge treatment gap for psychiatric disorders. Though, the limitation of available resources is an important factor, available resources are also underutilised. One important influencer that affects treatment decision is sociocultural understanding about the mental illness. Other factors like education, employment and locality also influence the treatment choices. Among sociocultural factors stigma and faith healing practices are important and dominating factors determining treatment seeking as well as adherence in Indian context. The stigma of mental illness not only leads to delay in seeking treatment but also increase the chances of dropout from psychiatric treatment adversely affecting the prognosis. Similarly, faith healing is an important factor in Indian setting. The symposium will focus on these domains, to increase understanding of clinicians.Description of the symposium: This symposium will be discussed under following heading: 1.Introduction to sociocultural factors2.How stigma influences treatment seeking3.Influence of faith healing on treatment choices Speakers: 1.Dr. Naresh Nebhinani,Additional Professor & Head, Department of Psychiatry, AIIMS Jodhpur, India. Email ID: drnaresh_pgi@yahoo.com2.Dr. Mukesh Kumar Swami,Associate Professor, Department of Psychiatry, AIIMS Jodhpur, India. Email ID: mukesh.swami@gmail.com3.Dr. Navratan Suthar,Assistant Professor, Department of Psychiatry, AIIMS, Jodhpur, India. Email ID: navratansuthar86@gmail.com

Role of accredited social health activists in treatment of persons with severe mental illness in the community.

Role of accredited social health activists in treatment of persons with severe mental illness in the community.

Free Papers Compiled

Background:Substance use disorder (SUD) is a global public health concern. National Mental Health Survey 2015-2016 brought out that 22.4% of adult Indian population was addicted to psychoactive substances A study by Raju et al estimated 15.53 % prevalence of Alcohol Use Disorder (AUD) cases amongst all psychiatric admissions in a year. Keeping in view, the relapsing nature of substance use disorder cases conflicting with the organisational requirements of having “combat-fit” armed forces, there was a necessity of having specialised centres for providing a well-structured de-addiction therapy to difficult cases.Aim:To highlight the journey of establishment of the first De-Addiction Centre (DAC) of Indian Army and its achievements.Development of a De-addiction Centre: In Nov 2017, under aegis of Director General of Medical Services (Army), the inception of 50 bedded DAC at Base Hospital, Barrackpore occurred. A dedicated de-addiction team was ear-marked, headed by a specialist in Addiction Psychiatry. A batch wise, six- week duration, structured de-addiction course was charted out for difficult to treat serving SUD cases posted in the Eastern sector of Indian Army. It was divided into 3 phases – Evaluation (1 week), De-addiction phase (04 weeks) and Post treatment protocol (1 week). The first structured de-addiction course commenced in Sep 2018.Results:10 batches with total of 345 patients have received benefit of de-addiction therapy. 94% of these were AUD cases, 4% cannabis and 2% were addicted to opioids. On the basis of feedback received from units, 58.4% were reported to be completely abstinent, 16.7% occasionally drinking with satisfactory vocational performance, 13.9 % had relapsed into substance use and 11 % were lost to follow up.Conclusion:The humble beginning of this DAC is in the process of growth wherein a lot still needs to be achieved in terms of building “state of art” SUD Laboratory harbouring specialised equipment for diagnostic and therapeutic purpose and initiate teaching and training curriculum in addiction psychiatry for Post Graduate residents, medical officers and paramedics.

The socioeconomic burden and disability linked with mental illnesses: findings from the National Mental Health Survey of India 2015-16 in Uttar Pradesh

BACKGROUND: Mental health problems can lead to a substantial disability, financial loss, and a caregiver burden globally. The national mental health survey of India (NMHS) 2015-16 attempted to estimate the disability and socio-economic impact of mental morbidities in India and the representative state level. This paper reports the socio-economic impact and disability due to mental morbidity in Uttar Pradesh, India, by NMHS-2015-16, which will help the policymakers address the mental healthcare needs of the community.METHODS: This was a cross-sectional study done in the community setting. The investigators estimated socio-economic impact due to mental morbidities by using a structured questionnaire and applying the Sheehan Disability Scale.RESULTS: A total of 3,508 adults were interviewed, of which 282 individuals had a lifetime prevalence of mental health problems (excluding tobacco use disorder). Disability was reported: 27.3% at work, 31.9% in family life and 28.4% in social settings. Disability due to mental health problems were more evident in those with common and severe mental illnesses. The median monthly expense for the illness was found to be about 1,000 rupees INR (10 GBP). The individuals with mental health issues found in this study had 10 days of absentism from work and 20 days of reduced efficiency in work in the past 30 days.Conclusion: Disabilities related to mental health illness are having significant socio-economic impact across India. There is a need for early intervention and more adequate addressing of these issues across the national mental health policy and programming arena.

Estimating income-related and area-based inequalities in mental health among nationally representative adolescents in Australia: The concentration index approach.

Despite the awareness of the importance of mental health problems among adolescents in developed countries like Australia, inequality has not been widely researched. This study, is therefore, aimed to measure and compare household income-related and area-based socioeconomic inequalities in mental health problems (bullying victimization, mental disorders–single and multiple, self-harm and suicidality–ideation, plan and attempt) among Australian adolescents aged 12–17 years. Young Minds Matter (YMM)—the 2nd national cross-sectional mental health and well-being survey involving Australian children and adolescents conducted in 2013–14, was used in this study to select data for adolescents aged 12–17 years (n = 2521). Outcome variables included: bullying, mental disorders, self-harm, and suicidal ideation, plan and attempt. The Erreygers’s corrected concentration index (CI) approach was used to measure the socioeconomic inequalities in mental health problems using two separate rank variables–equivalised household income quintiles and area-based Index of Relative Socioeconomic Advantage and Disadvantage (IRSAD) quintiles. The prevalence of mental health problems in the previous 12-months among these study participants were: bullying victimization (31.1%, 95% CI: 29%-33%), mental disorder (22.9%, 95% CI: 21%-24%), self-harm (9.1%, 95% CI: 8%-10%), suicidal ideation (8.5%, 95% CI: 7%-10%), suicidal plan (5.9%, 95% CI: 5%-7%) and suicidal attempt (2.8%, 95% CI: 2%-3%). The concentration indices (CIs) were statistically significant for bullying victimization (CI = -0.049, p = 0.020), multiple mental disorders (CI = -0.088, p = <0.001), suicidal ideation (CI = -0.023, p = 0.047) and suicidal attempt (CI = -0.021, p = 0.002), implying pro-poor socioeconomic inequalities based on equivalized household income quintiles. Similar findings revealed when adolescents mental health inequalities calculated on the basis of area based IRSAD (Index of Relative Socio-economic Advantage and Disadvantage) quintiles. Overall, adolescents from economically worse-off families experienced more mental health-related problems compared to those from economically better-off families. This has implications for prevention strategies and government policy in order to promote mental health and provide equitable healthcare facility.

Doctors' reporting of mental health stigma and barriers to help-seeking.

Medical practitioners experience high levels of mental disorders but may be reluctant to seek care. To determine medical practitioner attitudes towards other doctors with anxiety/depression, barriers to seeking mental healthcare, treatments received for depression and the effects of age. Data from the National Mental Health Survey of Doctors and Medical Students, conducted in Australia, were analysed (N = 10 038 medical practitioners). Attitudes to anxiety/depression were assessed with 12 statements (total stigma score, range 12-60). Barriers to seeking professional help, and coping strategies used, for anxiety/depression were measured. Practitioners with a history of depression were asked what personal supports and treatments were received. Practitioners were compared by age-younger (40 years and younger), middle-aged (41-60) and older (61+). Attitudes and help-seeking behaviours varied with age. Older doctors had a more positive outlook and less total stigma, with the exception that they believed a doctor with anxiety/depression was less reliable. Younger practitioners were most likely to report barriers, such as confidentiality, impact on career progression and registration, to seeking help. For practitioners with depression, counselling and counselling plus medication were most likely to be received by the younger and middle-aged groups, whereas medication alone was most likely to be received by the middle-aged and older groups. Stigmatizing attitudes towards mental disorder and barriers to help-seeking remain prevalent within the medical profession. Our results suggest doctors' health programs should address mental health stigma in younger practitioners and facilitate education about psychological treatments in older practitioners.

Family functioning but not social capital is associated with better mental health in adolescents affected by violence and displacement by armed conflict in Colombia.

Background:The effect of the Colombian armed conflict on the mental health of adolescents is still poorly understood.Aims:Given social interventions are most likely to inform policy, we tested whether two potential intervention targets, family functioning and social capital, were associated with mental health in Colombian adolescents, and whether this was moderated by experience of violence and displacement.Methods:We examined the cross-sectional association between family functioning, cognitive social capital, structural social capital and 12-month prevalence of Composite International Diagnostic Interview (CIDI) diagnosed psychiatric disorder, using data on 12 to 17-year-old adolescents (N = 1,754) from the 2015 National Mental Health Survey of Colombia, a nationally representative epidemiological study. We tested whether associations survived cumulative adjustment for demographic confounders, experience of non-specific violence and harm and displacement by armed conflict.Results:Neither structural nor cognitive social capital were associated with better mental health. Better family functioning was associated with reduced risk of poor mental health in an unadjusted analysis (OR 0.90 [0.85–0.96]), and after cumulative adjustments for demographic confounders (OR 0.91 [0.86–0.97]), non-specific violence and harm (OR 0.91 [0.86–0.97]) and social capital variables (OR 0.91 [0.85–0.97]). In the final model, each additional point on the family APGAR scale was associated with a 9% reduced odds of any CIDI diagnosed disorder in the last 12 months.Conclusions:Better family functioning was associated with better mental health outcomes for all adolescents. This effect remained present in those affected by the armed conflict even after accounting for potential confounders.

1494Content Analysis and Predicting Survey Refusal: What Are Respondents’ Concerns about Face-to-face Mental Health Survey?

Abstract Background Previous studies suggest that refusals form the largest proportion of nonresponse for household surveys. As face-to-face household health surveys are uncommon in several countries, it might be advantageous for prospective surveys to preemptively tackle respondents’ refusal to survey participation. Methods Using contact history data from the Saudi National Mental Health Survey, we examined the relationship between social environmental factors, respondent characteristics, survey request concerns recorded by interviewers, and respondents’ propensity to refuse to participate in the survey. Content analysis and logistic regressions were conducted. Results Our findings suggest that urbanicity, region, socioeconomic status, age, and gender are associated with refusal. Patriarchal gatekeepers and specific survey-related concerns are more likely to lead to temporary refusals compared to final refusals. Conclusions These results have implications for survey researchers employing similar recruitment and data collection methods, for example in tailoring refusal conversion strategies for interviewers to address concerns expressed by Saudi and/or culturally similar respondents. Key messages Results might benefit studies considering similar methods and investigating sensitive issues, improve response rates, and combat the declining trend that potentially jeopardizes the quality of survey data collected.

1497Implementing the TRAPD model for the Saudi adaptation of the Composite International Diagnostic Interview 3.0

Abstract Background The World Mental Health-Composite International Diagnostic Interview (CIDI) 3.0, originally in English, is a fully-structured interview designed for the assessment of mental disorders. Although Arabic translations of CIDI from countries like Lebanon and Iraq exist, a Modern Standard Arabic translation was developed to suit the Saudi population. While the translation model used in the present paper has been used to translate instruments in Asian and European languages, there is no study to the best of our knowledge which has used this specific model to translate a validated instrument from English to Arabic. Case presentation This paper describes the Saudi adaptation of CIDI 3.0. The TRAPD team translation model—comprising of translation, review, adjudication, pretesting and documentation—was implemented to carry out the Saudi adaptation of CIDI 3.0. Pretests involving cognitive interviewing and pilot study led to translation revisions which consequently confirmed that Saudi respondents had a good understanding of various items of the instrument. The adaptation procedures for the Saudi CIDI 3.0 were well documented and the instrument was linguistically validated with the Saudi population. Conclusions The TRAPD model was successfully implemented to adapt the CIDI 3.0 to be used as the main survey instrument for the Saudi National Mental Health Survey, findings of which will provide health policy makers mental health indicators for health decision making and planning. Key messages The CIDI 3.0 is a resourceful tool for examining mental health issues in the GCC.

Drop out from mental health treatment in the Saudi national mental health survey

Objectives To evaluate the patterns and potential risk factors associated with mental health treatment dropout in the Saudi National Mental Health Survey (SNMHS). Methods The SNMHS is a face-to-face community-based epidemiological survey in a nationally representative household sample of respondents aged 15–65 in the Kingdom of Saudi Arabia (KSA) (n = 4,004). The sample was limited to those who had received any type of mental health treatment during the past year (n = 168). The distribution of service use and the number of visits were examined. Predictors of treatment dropout were analyzed using logistic regression models. Results Treatment drop out rate was very high overall (42.1%), with dropout occurring early (after 2 visits) in the majority of cases. Participants who were previously married or were diagnosed with a 12-month substance use disorder were significantly more likely than other participants to drop out. Those receiving care from more than three types of providers were significantly less likely than others to terminate treatment prematurely. Conclusions The rate of premature termination of treatment was high and positively associated with previously married status and substance use and inversely related to the number of different providers and number of visits.

A national survey of self-reported mental health of Veterans pursuing post-secondary education in Canada

LAY SUMMARY This article details self-reported mental health symptoms among Canadian Veterans pursuing post-secondary education in Canada. Participants reported high prevalence of psychological symptoms, most notably feeling exhausted (80.5%) and overwhelmed (78.9%). More than 1 in 10 respondents reported seriously considering suicide (13.4%), and 5.9% had attempted suicide in the past 12 months. Furthermore, 8.7% of respondents had indicated intentional self-harm (cut, burned, bruised, or otherwise injured themselves) within the past 12 months. The findings reflect significant mental health symptoms for Veterans attending Canadian colleges and universities, underscoring the need to provide tailored services to safely integrate Veterans into campus life.

Trastornos de salud mental en población desplazada por el conflicto en Colombia: análisis comparado frente a la Encuesta Nacional de Salud Mental 2015

Background and objectivesColombia is one of the countries with the highest levels of internal displacement resulting from armed conflict. This population has greater chances of experiencing a mental health disorder, especially in territories historically affected by armed conflict. Our objective was to compare the levels of possible mental health disorder in people experiencing internal displacement in Meta, Colombia, a department historically affected by armed conflict, compared to the internally displaced population in the National Mental Health Survey of 2015. MethodsAnalysis of data collected in the National Mental Health Survey (ENSM) of 2015, study with representative data at national level and the Conflict, Peace and Health survey (CONPAS) of 2014, representative study of the degree of impact of the conflict on the municipality, conducted in the department of Meta, Colombia. To measure possible mental health disorder, the Self-Report Questionnaire - 25 (SRQ-25) was used. Internal displacement is self-reported by people surveyed in both studies. An exploratory analysis is used to measure possible mental health disorders in the displaced population in the ENSM 2015 and CONPAS 2014. Results1,089 adults were surveyed in CONPAS 2014 and 10,870 adults were surveyed in the ENSM 2015. 42.9% (468) and 8.7% (943) of people reported being internally displaced in CONPAS 2014 and ENSM 2015, respectively. In both studies, internally displaced populations have greater chances of experiencing any mental health disorder compared to non-displaced populations. For CONPAS 2014, 21.8% (95%CI, 18.1-25.8) of this population had a possible mental health disorder (SRQ+) compared to 14.0% (95%CI, 11.8-16.3) in the ENSM 2015. Compared with the ENSM 2015, at the regional level (CONPAS 2014), displaced people had a greater chance of presenting depression by 12.4% (95%CI, 9.5-15.7) compared to 5.7% (95%CI, 4.3-7.4) in the ENSM 2015, anxiety in 21.4% (95%CI, 17.7-25.3) compared to 16.5% (95%CI, 14.2-19.1) in the ENSM 2015, and psychosomatic disorders in 52.4% (95%CI, 47.5-56.7) in CONPAS 2014 compared to 42.2% (95%CI, 39.0-45.4) in the ENSM 2015. At the national level (ENSM 2015), displaced people had greater possibilities of presenting, compared to the regional level, suicidal ideation in 11.9% (95%CI, 9.3-14.1) compared to 7.3% (95%CI, 5.0-10.0) in CONPAS 2014 and bipolar disorder in 56.5% (95%CI, 53.2-59.7) compared to 39.3% (95%CI, 34.8-43.9) in CONPAS 2014. ConclusionsThe greater possibilities of displaced populations at the regional level of experiencing a mental health disorder, compared to this same population at the national level, may represent and indicate greater needs in mental health care services in territories affected by conflict. Therefore, and given the need to facilitate access to health services in mental health for populations especially affected by armed conflict, there is a need to design health care policies that facilitate the recovery of populations affected by war and, simultaneously, that reduce inequities and promote the fulfilment of one of the most important and, at the same time, least prioritised health objectives in international development: mental health.

Content Analysis and Predicting Survey Refusal: What Are Respondents’ Concerns about Participating in a Face-to-face Household Mental Health Survey?

Previous studies suggest that refusals form the largest proportion of nonresponse for household surveys. As face-to-face household health surveys are uncommon in several countries, it might be advantageous for prospective surveys to preemptively tackle respondents’ refusal to survey participation. Using contact history data from the Saudi National Mental Health Survey, we examined the relationship between social environmental factors, respondent characteristics, survey request concerns recorded by interviewers, and respondents’ propensity to refuse to participate in the survey. Content analysis and logistic regressions were conducted. Our findings suggest that urbanicity, region, socioeconomic status, age, and gender are associated with refusal. Patriarchal gatekeepers and specific survey-related concerns are more likely to lead to temporary refusals compared to final refusals. These results have implications for survey researchers employing similar recruitment and data collection methods, for example in tailoring refusal conversion strategies for interviewers to address concerns expressed by Saudi and/or culturally similar respondents.

Psychiatric Comorbidity in Mexican Adolescents with a Diagnosis of Eating Disorders Its Relationship with the Body Mass Index.

The prevalence of comorbid psychiatric disorders among patients with eating disorders (ED) is higher than the general population. Individuals diagnosed with eating disorders have changes in their body mass index which could promote severe metabolic disruptions. This study aimed (1) to report the prevalence of comorbid psychiatric disorders among a Mexican adolescent sample diagnosed with eating disorders, (2) to compare our results with the prevalence of psychiatric disorders reported from a national survey of mental health of adolescents, (3) to compare the presence of psychiatric comorbidities between ED diagnoses, and (4) to explore the relationship of these comorbidities with the body mass index. In the study, we included 187 Mexican adolescents diagnosed with eating disorders. The psychiatric comorbidities were evaluated using the Mini International Neuropsychiatric Interview for children/adolescents, and a revised questionnaire on eating and weight patterns. We found that 89% of the Mexican adolescents diagnosed with ED had another psychiatric comorbidity. Major depressive disorder (52.40%) and suicide risk (40%) were the most prevalent comorbidities. Attention and deficit hyperactivity disorder (ADHD) prevalence was different between ED diagnosis, and adolescents with binge-eating disorder and ADHD had the higher body mass index. Our results showed that in this sample of Mexican adolescents, the presence of comorbidities could impact body mass index. This emphasizes the importance that clinicians take into consideration the presence of psychiatric comorbidities to achieve an integrative treatment for adolescents diagnosed with ED.