Umeå University's logo

umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Severity and prevalence of various types of mental ill-health in a general adult population: age and sex differences
Umeå University, Faculty of Social Sciences, Department of Psychology.
Umeå University, Faculty of Social Sciences, Department of Psychology.
Umeå University, Faculty of Social Sciences, Department of Psychology.
2020 (English)In: BMC Psychiatry, E-ISSN 1471-244X, Vol. 20, no 1, article id 209Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
BioMed Central, 2020. Vol. 20, no 1, article id 209
Keywords [en]
Burnout, Epidemiology, Insomnia, Negative affect, Somatization
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:umu:diva-171786DOI: 10.1186/s12888-020-02557-5ISI: 000534342400001PubMedID: 32393209Scopus ID: 2-s2.0-85084590093OAI: oai:DiVA.org:umu-171786DiVA, id: diva2:1440685
Projects
HUSSAvailable from: 2020-06-15 Created: 2020-06-15 Last updated: 2024-03-28Bibliographically approved
In thesis
1. Stress, sleep disturbance, and related ill-health: from prevalence and risk-factors to indicated interventions
Open this publication in new window or tab >>Stress, sleep disturbance, and related ill-health: from prevalence and risk-factors to indicated interventions
2024 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

With focus on stress-related ill-health and insomnia/sleep disturbance, the overall aim of this thesis was to determine severity and prevalence, risk factors and effectiveness of low-intensity group sessions. This was accomplished by taking epidemiological and quasi-experimental approaches. 

With the aim of examining symptom severity and prevalence of insomnia, burnout, anxiety, depression, and somatization across different age groups and sexes, Study I used cross-sectional data (n=3406) from the baseline data collection of the Västerbotten Environmental Health Study (VEHS). In comparison to men, women in most age groups exhibited higher levels of symptom severity and prevalence of caseness in various mental health conditions. Insomnia (28.6%) and burnout (17.3%) were common in the population.

With focus on risk factors for insomnia and burnout, Study II used a longitudinal design and VEHS data (n=1702–1972) to compare a range of mental and somatic conditions in a general population. The results showed that all examined health conditions were risk factors for cases of insomnia and burnout. For example, insomnia can increase the risk of developing burnout (odds ratio: 2.67), and burnout increase the risk of developing insomnia (odds ratio: 2.73), underscoring the importance of early detection and prevention. 

The aim of Study III was to examine the effectiveness of four low-intensity group sessions for stress (n=274) and sleep disturbance (n=106) conducted by psychology students. A non-randomized controlled trial design was used in primary care with naturally occurring groups. A control group (n=221) was recruited via social media. Whereas effects were small at post-treatment, a substantial proportion of the patients showed a reliable improvement or recovery at 3-month follow-up. 

This thesis provides support for the assumption that severity and prevalence of insomnia, burnout, anxiety, depression, and somatization are common in the population. Burnout and insomnia are mutual risk factors and underscore the importance of indicated prevention in primary care. Low-intensity group interventions facilitated by non-experts can be effective and scalable for patients with stress and sleep disturbance.

Place, publisher, year, edition, pages
Umeå: Umeå University, 2024. p. 118
Keywords
Stress-related ill-health, Prevalence, Risk factors, Burnout, Insomnia, Non-experts, Low intensity psychological interventions, Primary care, Scalability, Indicated prevention.
National Category
Psychology
Research subject
Clinical Psychology; Epidemiology
Identifiers
urn:nbn:se:umu:diva-222832 (URN)978-91-8070-264-5 (ISBN)978-91-8070-265-2 (ISBN)
Public defence
2024-04-26, UB A.240, Lindellhallen 4, Umeå, 09:00 (English)
Opponent
Supervisors
Available from: 2024-04-05 Created: 2024-03-28 Last updated: 2024-04-02Bibliographically approved

Open Access in DiVA

fulltext(980 kB)425 downloads
File information
File name FULLTEXT01.pdfFile size 980 kBChecksum SHA-512
6f2e2b0a6f3000df4bd719162eb49b46b157d91c93e044599c474e09b9de5983fc6cf5549f69875a361014be0e64d1eeff3ca0ccb2a82f415e363563e2f2208d
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Höglund, PerHakelind, CamillaNordin, Steven

Search in DiVA

By author/editor
Höglund, PerHakelind, CamillaNordin, Steven
By organisation
Department of Psychology
In the same journal
BMC Psychiatry
Psychiatry

Search outside of DiVA

GoogleGoogle Scholar
Total: 425 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 560 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf