A random sample of 3258 adult household residents of Edmonton, Alberta
, Canada, were interviewed by trained lay interviewers, using the Diag
nostic Interview Schedule (DIS), which generated DSM-III diagnosis dat
a. This paper reports results for major depressive disorder (MDD). MDD
was found to affect women more than men by a ratio of nearly 2 to 1.
The lifetime prevalence rate for both sexes combined was 8.6%. The per
iod prevalence rates for both sexes combined were 3.2% and 4.6%, for s
ix month and one year, respectively. The presence of a recurrent Major
Depressive Disorder was associated with an increased risk of substanc
e abuse, panic disorder and dysthymia, whereas a single major depressi
ve episode was not associated with increased comorbidity.