Epidemiology of DDD
- Onset ≈ age of 16 ± 6 (95% before the age of 25)
- Men : women = 1:1
- Prevalence in the general population ≈ 1% (Yang et al. 2023)
- Outpatients 5-20% (Yang et al. 2023)
- Inpatients 17.5-41.9% (Yang et al. 2023)
- Administrative 12-month prevalence of DDD = 0.007% (Michal et al. 2010)
- Course mostly chronic and treatment-resistant, rarely episodic
- 15 or more years of permanent DP/DR are common
- ≈ 7 years until "diagnosis" (Sierra 2009)
- High comorbidity (depression, anxiety disorders, obsessive thoughts, substance
- abuse, personality disorders)
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