Mental Health in Australia: Psychological Distress Reported in Six Consecutive Cross-Sectional National Surveys From 2001 to 2018.

mental health mental health services population measures prevalence psychological distress

Journal

Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006

Informations de publication

Date de publication:
2022
Historique:
received: 16 11 2021
accepted: 25 02 2022
entrez: 18 4 2022
pubmed: 19 4 2022
medline: 19 4 2022
Statut: epublish

Résumé

To examine Australian psychological distress trends from 2001 to 2017/18, including analysis by age, sex, location, and household income. Secondary analysis of the working age population (18-64 years) in six successive representative national health surveys. Measures were prevalence of psychological distress at very-high symptom level (defined by a Kessler Psychological Distress Scale (K10) score of 30 or more) and combined high/very-high level (K10 score of 22 or more). Very-high K10 scores are associated with mental health problems meeting diagnostic thresholds in past year. From 2001 to 2017/18 Australian rates of K10 very-high distress rose significantly from 3.8 to 5.1% and combined high/very-high from 13.2 to 14.8%. In women aged 55-64, very-high distress rose significantly and substantially from 3.5 to 7.2% and high/very-high distress from 12.4 to 18.7%. In men aged 25-34, very-high distress increased from 2.1 to 4.0% and high/very-high from 10.6 to 11.5%. Income was strongly and inversely associated with distress (lowest vs. highest quintile adjusted OR 11.4). An apparent association of increased distress with regional location disappeared with adjustment for income. Australia's population level of psychological distress increased significantly from 2001-2017/18, with levels highest in women and with rates inversely associated with income. This is likely to be indicative of increased community rates of mental disorders. Given that this has occurred whilst mental healthcare expenditure has increased, there is an urgent need to reconsider how best to respond to mental illness, including targeting the most vulnerable based on social determinants such as age, gender, and lower incomes.

Identifiants

pubmed: 35432016
doi: 10.3389/fpsyt.2022.815904
pmc: PMC9010616
doi:

Types de publication

Journal Article

Langues

eng

Pagination

815904

Commentaires et corrections

Type : ErratumIn

Informations de copyright

Copyright © 2022 Enticott, Dawadi, Shawyer, Inder, Fossey, Teede, Rosenberg, Ozols AM and Meadows.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Joanne Enticott (J)

Southern Synergy, Department of Psychiatry, Monash University, Melbourne, VIC, Australia.
Monash Centre for Health Research and Implementation, Monash University, Clayton, VIC, Australia.

Shrinkhala Dawadi (S)

Southern Synergy, Department of Psychiatry, Monash University, Melbourne, VIC, Australia.
Monash Centre for Health Research and Implementation, Monash University, Clayton, VIC, Australia.

Frances Shawyer (F)

Southern Synergy, Department of Psychiatry, Monash University, Melbourne, VIC, Australia.

Brett Inder (B)

Monash Business School, Monash University, Melbourne, VIC, Australia.

Ellie Fossey (E)

Department of Occupational Therapy, Monash University Peninsula Campus, Melbourne, VIC, Australia.
School of Primary and Allied Health Care, Monash University, Victoria, VIC, Australia.

Helena Teede (H)

Monash Centre for Health Research and Implementation, Monash University, Clayton, VIC, Australia.

Sebastian Rosenberg (S)

Brain and Mind Centre, Sydney Medical School, University of Sydney, Sydney, NSW, Australia.

Ingrid Ozols Am (I)

Southern Synergy, Department of Psychiatry, Monash University, Melbourne, VIC, Australia.
Mental Health at Work, Melbourne, VIC, Australia.

Graham Meadows (G)

Southern Synergy, Department of Psychiatry, Monash University, Melbourne, VIC, Australia.
Monash Centre for Health Research and Implementation, Monash University, Clayton, VIC, Australia.
School of Primary and Allied Health Care, Monash University, Victoria, VIC, Australia.
Centre for Mental Health, School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
Monash Health, Dandenong, VIC, Australia.

Classifications MeSH