Severity and prevalence of various types of mental ill-health in a general adult population: age and sex differences.
Burnout
Epidemiology
Insomnia
Negative affect
Somatization
Journal
BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559
Informations de publication
Date de publication:
11 05 2020
11 05 2020
Historique:
received:
11
10
2019
accepted:
19
03
2020
entrez:
13
5
2020
pubmed:
13
5
2020
medline:
22
12
2020
Statut:
epublish
Résumé
Taking a broad approach, the aim of this study was to better understand severity and prevalence of various types of mental ill-health across age and sex groups in the general adult population. A first objective was to determine symptom severity of anxiety, depression, insomnia, burnout and somatization in combinations of different age groups and sex. A second objective was to determine prevalence of caseness of these types of mental ill-health in both absolute and relative terms in the combinations of age groups and sex. Cross-sectional data based on validated questionnaire instruments were used from the Västerbotten Environmental Health Study in Sweden. In total, 3406 participants, aged 18 to 79 years, constituted a random sample stratified for age and sex. Severity and prevalence of anxiety, insomnia and burnout were high in women, in particular young women, and lower in older age groups. The prevalence rates for insomnia, burnout and somatization were particularly high based on the used cut-off scores. Men aged 30-49 years had the highest prevalence of mental ill-health compared to other age groups among men. Men and women aged 60-69 years had generally the lowest symptom severity and caseness. The prevalence of depression was similar in men and women in all age groups, whereas sex-related differences in extent in general were largest in the youngest age group, and gradually decreased with age. The results suggest that focus in primary healthcare regarding mental ill-health should to be directed more towards insomnia, burnout and somatization, in particular in young women.
Sections du résumé
BACKGROUND
Taking a broad approach, the aim of this study was to better understand severity and prevalence of various types of mental ill-health across age and sex groups in the general adult population. A first objective was to determine symptom severity of anxiety, depression, insomnia, burnout and somatization in combinations of different age groups and sex. A second objective was to determine prevalence of caseness of these types of mental ill-health in both absolute and relative terms in the combinations of age groups and sex.
METHODS
Cross-sectional data based on validated questionnaire instruments were used from the Västerbotten Environmental Health Study in Sweden. In total, 3406 participants, aged 18 to 79 years, constituted a random sample stratified for age and sex.
RESULTS
Severity and prevalence of anxiety, insomnia and burnout were high in women, in particular young women, and lower in older age groups. The prevalence rates for insomnia, burnout and somatization were particularly high based on the used cut-off scores. Men aged 30-49 years had the highest prevalence of mental ill-health compared to other age groups among men. Men and women aged 60-69 years had generally the lowest symptom severity and caseness. The prevalence of depression was similar in men and women in all age groups, whereas sex-related differences in extent in general were largest in the youngest age group, and gradually decreased with age.
CONCLUSION
The results suggest that focus in primary healthcare regarding mental ill-health should to be directed more towards insomnia, burnout and somatization, in particular in young women.
Identifiants
pubmed: 32393209
doi: 10.1186/s12888-020-02557-5
pii: 10.1186/s12888-020-02557-5
pmc: PMC7212684
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
209Références
BMC Public Health. 2010 Jun 09;10:326
pubmed: 20534136
Soc Sci Med. 2003 Aug;57(4):595-611
pubmed: 12821009
JAMA. 1999 Nov 10;282(18):1737-44
pubmed: 10568646
Int Rev Psychiatry. 2003 Feb-May;15(1-2):74-83
pubmed: 12745313
Arch Gen Psychiatry. 1988 Dec;45(12):1100-6
pubmed: 3264145
Arch Intern Med. 1992 Aug;152(8):1634-7
pubmed: 1497397
Br J Gen Pract. 2009 Sep;59(566):e283-8
pubmed: 19761655
J Abnorm Psychol. 2019 Apr;128(3):185-199
pubmed: 30869927
Chronobiol Int. 2008 Apr;25(2):333-48
pubmed: 18484368
Int J Geriatr Psychiatry. 2005 Oct;20(10):973-82
pubmed: 16163749
Am J Psychiatry. 2001 Jul;158(7):1091-8
pubmed: 11431231
Stress. 2013 Mar;16(2):181-90
pubmed: 22746338
Scand J Psychol. 2013 Apr;54(2):112-7
pubmed: 23294182
Depress Anxiety. 2015 Jul;32(7):471-84
pubmed: 25826526
Sleep Med Rev. 2002 Apr;6(2):97-111
pubmed: 12531146
Annu Rev Public Health. 2008;29:115-29
pubmed: 18348707
J Affect Disord. 1999 Jun;53(3):241-52
pubmed: 10404710
Annu Rev Psychol. 2001;52:397-422
pubmed: 11148311
Lancet Psychiatry. 2017 Feb;4(2):146-158
pubmed: 27856392
Am J Psychiatry. 1988 Nov;145(11):1358-68
pubmed: 3056044
J Psychosom Res. 2003 Oct;55(4):309-16
pubmed: 14507541
Soc Psychiatry Psychiatr Epidemiol. 2007 Jul;42(7):537-46
pubmed: 17516013
BMC Psychiatry. 2018 Mar 12;18(1):65
pubmed: 29530018
Sleep. 2008 Jun;31(6):881-6
pubmed: 18548834
Compr Psychiatry. 1996 May-Jun;37(3):222-5
pubmed: 8732590
J Psychosom Res. 2002 Sep;53(3):741-8
pubmed: 12217447
J Psychosom Res. 2002 Feb;52(2):69-77
pubmed: 11832252
Arch Gen Psychiatry. 1993 Oct;50(10):819-24
pubmed: 8215805
BMC Psychiatry. 2013 Mar 20;13:91
pubmed: 23514436
Sleep Med. 2016 Aug;24:1-9
pubmed: 27810173
Psychol Med. 1998 Nov;28(6):1321-8
pubmed: 9854273
Am Psychol. 1997 Jan;52(1):25-31
pubmed: 9017929
Soc Psychiatry Psychiatr Epidemiol. 2007 Sep;42(9):698-710
pubmed: 17598059
Science. 1996 Nov 1;274(5288):740-3
pubmed: 8966556
Psychol Med. 2000 Jan;30(1):11-22
pubmed: 10722172
J Abnorm Child Psychol. 2004 Apr;32(2):215-24
pubmed: 15164862
Int J Behav Med. 2006;13(1):51-9
pubmed: 16503841
Behav Med. 1992 Summer;18(2):53-60
pubmed: 1392214
Psychosomatics. 2011 May-Jun;52(3):263-71
pubmed: 21565598
J Psychosom Res. 2017 May;96:27-31
pubmed: 28545789
Psychosom Med. 2002 Mar-Apr;64(2):258-66
pubmed: 11914441
J Adv Nurs. 2005 Mar;49(6):616-23
pubmed: 15737222
Br J Psychiatry. 1990 Mar;156:336-42
pubmed: 2346831
JAMA. 1989 Sep 15;262(11):1479-84
pubmed: 2769898
Scand J Psychol. 2013 Dec;54(6):502-7
pubmed: 24118069
Gen Hosp Psychiatry. 2010 Jul-Aug;32(4):345-59
pubmed: 20633738
J Gen Intern Med. 2001 Apr;16(4):266-75
pubmed: 11318929
Lancet. 2007 Sep 8;370(9590):841-50
pubmed: 17826169
Psychosomatics. 1999 Jul-Aug;40(4):330-8
pubmed: 10402880
Eur Arch Psychiatry Clin Neurosci. 1995;245(6):272-87
pubmed: 8527464
Front Psychol. 2019 Mar 13;10:284
pubmed: 30918490
Acta Psychiatr Scand. 1997 Oct;96(4):281-6
pubmed: 9350957
Arch Gen Psychiatry. 1994 Jan;51(1):8-19
pubmed: 8279933
Public Health. 2012 Oct;126(10):846-54
pubmed: 22922044
Am J Med. 1996 Nov;101(5):526-33
pubmed: 8948277
Eur Neuropsychopharmacol. 2011 Sep;21(9):655-79
pubmed: 21896369
Acta Psychiatr Scand. 2001 Sep;104(3):210-6
pubmed: 11531658
Br J Gen Pract. 2011 Aug;61(589):489-90
pubmed: 21801546
Psychol Med. 1980 Feb;10(1):101-14
pubmed: 6992180
Sleep. 2007 Jul;30(7):873-80
pubmed: 17682658
Acta Psychiatr Scand. 1986 Feb;73(2):113-27
pubmed: 3486547
Arch Gen Psychiatry. 1988 Nov;45(11):977-86
pubmed: 3263101
Int J Methods Psychiatr Res. 2015 Dec;24(4):305-13
pubmed: 26184561
Am J Obstet Gynecol. 1995 Aug;173(2):654-9
pubmed: 7645648
Psychosomatics. 2002 Jan-Feb;43(1):1-9
pubmed: 11927751
Sleep Med. 2006 Mar;7(2):123-30
pubmed: 16459140
J Pers Soc Psychol. 1998 Nov;75(5):1333-49
pubmed: 9866191
Curr Psychiatry Rep. 2014 Sep;16(9):471
pubmed: 25030972
Br J Gen Pract. 2008 Jan;58(546):32-6
pubmed: 18186994
J Health Soc Behav. 1980 Mar;21(1):33-42
pubmed: 7365228
BMJ. 1999 Feb 13;318(7181):436-9
pubmed: 9974461
Sleep Med Rev. 2015 Oct;23:10-9
pubmed: 25645126
BMC Psychiatry. 2014 Apr 23;14:118
pubmed: 24755373
Int J Hyg Environ Health. 2014 Apr-May;217(4-5):427-34
pubmed: 24029726
Ned Tijdschr Geneeskd. 2006 Mar 25;150(12):671-6
pubmed: 16613251
BMJ. 2008 Mar 8;336(7643):539-42
pubmed: 18276666
PeerJ. 2013 Jul 09;1:e98
pubmed: 23862109
Pediatrics. 2006 Feb;117(2):e247-56
pubmed: 16452333
Sleep Med Clin. 2008;3(2):167-174
pubmed: 19122760