Changing trends in the prevalence of common mental disorders in Taiwan: a 20-year repeated cross-sectional survey
Summary Background Macrosocial changes might affect mental health. We investigated whether the prevalence of common mental disorders (CMDs) changed over a 20-year period of industrialisation in Taiwan. Methods We used the 12-item Chinese Health Questionnaire to assess mental status of Taiwanese adul...
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| Veröffentlicht in: | The Lancet (British edition) 2013, Vol.381 (9862), p.235-241 |
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| creator | Fu, Tiffany Szu-Ting, PhD Lee, Chau-Shoun, MD Gunnell, David, Prof Lee, Wen-Chung, Prof Cheng, Andrew Tai-Ann, Prof |
| description | Summary Background Macrosocial changes might affect mental health. We investigated whether the prevalence of common mental disorders (CMDs) changed over a 20-year period of industrialisation in Taiwan. Methods We used the 12-item Chinese Health Questionnaire to assess mental status of Taiwanese adults in 1990, 1995, 2000, 2005, and 2010. Respondents with scores of 3 or higher were classified as having probable CMDs. We assessed trends of probable CMDs with the Cochran-Armitage test and their risk factors (sex, age, marital status, educational level, employment status, and physical health) with multivariable logistic regression. The trends were compared with national rates of unemployment, divorce, and suicide. Findings Of 10 548 respondents, 9079 (86·1%) completed questionnaires. The prevalence of probable CMDs doubled from 11·5% in 1990 to 23·8% in 2010 (time trend p |
| doi_str_mv | 10.1016/S0140-6736(12)61264-1 |
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We investigated whether the prevalence of common mental disorders (CMDs) changed over a 20-year period of industrialisation in Taiwan. Methods We used the 12-item Chinese Health Questionnaire to assess mental status of Taiwanese adults in 1990, 1995, 2000, 2005, and 2010. Respondents with scores of 3 or higher were classified as having probable CMDs. We assessed trends of probable CMDs with the Cochran-Armitage test and their risk factors (sex, age, marital status, educational level, employment status, and physical health) with multivariable logistic regression. The trends were compared with national rates of unemployment, divorce, and suicide. Findings Of 10 548 respondents, 9079 (86·1%) completed questionnaires. The prevalence of probable CMDs doubled from 11·5% in 1990 to 23·8% in 2010 (time trend p<0·001). Increases paralleled rises in national rates of unemployment, divorce, and suicide at all five timepoints. Significant risk factors for probable CMDs were female sex (adjusted odds ratio 1·6, 95% CI 1·4–1·8), 6 or fewer years of education (1·3, 1·1–1·5), unemployment (1·4, 1·1–1·7), and poor physical health that limited daily activities (6·5, 5·4–8·0). When we controlled for these factors in multivariable models, the time trends remained significant (p<0·0001). Interpretation National rates of unemployment, divorce, and suicide increased in parallel with prevalence of probable CMDs in Taiwan. Therefore, clinical and social preventive measures both seem important during times of change to the economy and labour market. Funding Taiwan National Science Council.</description><identifier>ISSN: 0140-6736</identifier><identifier>EISSN: 1474-547X</identifier><identifier>DOI: 10.1016/S0140-6736(12)61264-1</identifier><identifier>PMID: 23151370</identifier><identifier>CODEN: LANCAO</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; adults ; Aged ; Anxiety ; behavior disorders ; Biological and medical sciences ; Cross-Sectional Studies ; divorce ; Divorce - statistics & numerical data ; Educational Status ; Employment ; Epidemiology ; Female ; General aspects ; Humans ; industrialization ; Inequality ; Internal Medicine ; labor market ; Male ; Marital status ; Medical sciences ; Mental disorders ; Mental Disorders - epidemiology ; Mental Disorders - etiology ; mental health ; Middle Aged ; multivariate analysis ; odds ratio ; Population ; Prevalence ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Questionnaires ; regression analysis ; Risk Factors ; Socioeconomic Factors ; Studies ; Suicide ; Suicide - statistics & numerical data ; Surveys and Questionnaires ; Taiwan - epidemiology ; Trends ; unemployment ; Unemployment - statistics & numerical data ; Young Adult</subject><ispartof>The Lancet (British edition), 2013, Vol.381 (9862), p.235-241</ispartof><rights>Elsevier Ltd</rights><rights>2013 Elsevier Ltd</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2013 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Limited Jan 19, 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c751t-b972f14069b1eafd0ada55f4c640fa5890b5af3f1ac122ba8a5f69a937e06fc3</citedby><cites>FETCH-LOGICAL-c751t-b972f14069b1eafd0ada55f4c640fa5890b5af3f1ac122ba8a5f69a937e06fc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1315199993?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,4024,27923,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26821525$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23151370$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fu, Tiffany Szu-Ting, PhD</creatorcontrib><creatorcontrib>Lee, Chau-Shoun, MD</creatorcontrib><creatorcontrib>Gunnell, David, Prof</creatorcontrib><creatorcontrib>Lee, Wen-Chung, Prof</creatorcontrib><creatorcontrib>Cheng, Andrew Tai-Ann, Prof</creatorcontrib><title>Changing trends in the prevalence of common mental disorders in Taiwan: a 20-year repeated cross-sectional survey</title><title>The Lancet (British edition)</title><addtitle>Lancet</addtitle><description>Summary Background Macrosocial changes might affect mental health. We investigated whether the prevalence of common mental disorders (CMDs) changed over a 20-year period of industrialisation in Taiwan. Methods We used the 12-item Chinese Health Questionnaire to assess mental status of Taiwanese adults in 1990, 1995, 2000, 2005, and 2010. Respondents with scores of 3 or higher were classified as having probable CMDs. We assessed trends of probable CMDs with the Cochran-Armitage test and their risk factors (sex, age, marital status, educational level, employment status, and physical health) with multivariable logistic regression. The trends were compared with national rates of unemployment, divorce, and suicide. Findings Of 10 548 respondents, 9079 (86·1%) completed questionnaires. The prevalence of probable CMDs doubled from 11·5% in 1990 to 23·8% in 2010 (time trend p<0·001). Increases paralleled rises in national rates of unemployment, divorce, and suicide at all five timepoints. Significant risk factors for probable CMDs were female sex (adjusted odds ratio 1·6, 95% CI 1·4–1·8), 6 or fewer years of education (1·3, 1·1–1·5), unemployment (1·4, 1·1–1·7), and poor physical health that limited daily activities (6·5, 5·4–8·0). When we controlled for these factors in multivariable models, the time trends remained significant (p<0·0001). Interpretation National rates of unemployment, divorce, and suicide increased in parallel with prevalence of probable CMDs in Taiwan. Therefore, clinical and social preventive measures both seem important during times of change to the economy and labour market. Funding Taiwan National Science Council.</description><subject>Adolescent</subject><subject>Adult</subject><subject>adults</subject><subject>Aged</subject><subject>Anxiety</subject><subject>behavior disorders</subject><subject>Biological and medical sciences</subject><subject>Cross-Sectional Studies</subject><subject>divorce</subject><subject>Divorce - statistics & numerical data</subject><subject>Educational Status</subject><subject>Employment</subject><subject>Epidemiology</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>industrialization</subject><subject>Inequality</subject><subject>Internal Medicine</subject><subject>labor market</subject><subject>Male</subject><subject>Marital status</subject><subject>Medical sciences</subject><subject>Mental disorders</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - etiology</subject><subject>mental health</subject><subject>Middle Aged</subject><subject>multivariate analysis</subject><subject>odds ratio</subject><subject>Population</subject><subject>Prevalence</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Questionnaires</subject><subject>regression analysis</subject><subject>Risk Factors</subject><subject>Socioeconomic Factors</subject><subject>Studies</subject><subject>Suicide</subject><subject>Suicide - statistics & numerical data</subject><subject>Surveys and Questionnaires</subject><subject>Taiwan - epidemiology</subject><subject>Trends</subject><subject>unemployment</subject><subject>Unemployment - statistics & numerical data</subject><subject>Young Adult</subject><issn>0140-6736</issn><issn>1474-547X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFks2O0zAURiMEYkrhEQBLCGlYBGzHdpJZgFDFnzQSiykSO-vWue54SJyOnRT17XHaMiPNpt54c-7R9fc5y14y-p5Rpj5cUSZorspCnTP-TjGuRM4eZTMmSpFLUf5-nM3ukLPsWYw3lFKhqHyanfGCSVaUdJbdLq7Br51fkyGgbyJxngzXSDYBt9CiN0h6S0zfdb0nHfoBWtK42IcGwx5egvsL_oIA4TTfIQQScIMwYENM6GPMI5rB9T7NxTFscfc8e2KhjfjieM-z5dcvy8X3_PLntx-Lz5e5KSUb8lVdcpv2V_WKIdiGQgNSWmGUoBZkVdOVBFtYBoZxvoIKpFU11EWJVFlTzLPzg3YT-tsR46A7Fw22LXjsx6hZKVRVibqUp1FRCFoUteKnUV6mWKmqioS-eYDe9GNIOSRqir9OZ6LkgdqHFdDqTXAdhJ1mVE9F633Remox2fW-6CSYZ6-O9nHVYXM39b_ZBLw9AhANtDaANy7ec6riTPLp8a8PnIVewzok5tcVp0xSynhd74lPBwJTW1uHQUfjpp_RuJC61U3vTi778YHBtM67tNYf3GG8z0VHrulBMjnS-GRgxT_wz-Gc</recordid><startdate>2013</startdate><enddate>2013</enddate><creator>Fu, Tiffany Szu-Ting, PhD</creator><creator>Lee, Chau-Shoun, MD</creator><creator>Gunnell, David, Prof</creator><creator>Lee, Wen-Chung, Prof</creator><creator>Cheng, Andrew Tai-Ann, Prof</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Elsevier Limited</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TT</scope><scope>0TZ</scope><scope>0U~</scope><scope>3V.</scope><scope>7QL</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8C2</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>KB~</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7N</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>7U1</scope><scope>7U2</scope></search><sort><creationdate>2013</creationdate><title>Changing trends in the prevalence of common mental disorders in Taiwan: a 20-year repeated cross-sectional survey</title><author>Fu, Tiffany Szu-Ting, PhD ; Lee, Chau-Shoun, MD ; Gunnell, David, Prof ; Lee, Wen-Chung, Prof ; Cheng, Andrew Tai-Ann, Prof</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c751t-b972f14069b1eafd0ada55f4c640fa5890b5af3f1ac122ba8a5f69a937e06fc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>adults</topic><topic>Aged</topic><topic>Anxiety</topic><topic>behavior disorders</topic><topic>Biological and medical sciences</topic><topic>Cross-Sectional Studies</topic><topic>divorce</topic><topic>Divorce - statistics & numerical data</topic><topic>Educational Status</topic><topic>Employment</topic><topic>Epidemiology</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>industrialization</topic><topic>Inequality</topic><topic>Internal Medicine</topic><topic>labor market</topic><topic>Male</topic><topic>Marital status</topic><topic>Medical sciences</topic><topic>Mental disorders</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental Disorders - etiology</topic><topic>mental health</topic><topic>Middle Aged</topic><topic>multivariate analysis</topic><topic>odds ratio</topic><topic>Population</topic><topic>Prevalence</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Questionnaires</topic><topic>regression analysis</topic><topic>Risk Factors</topic><topic>Socioeconomic Factors</topic><topic>Studies</topic><topic>Suicide</topic><topic>Suicide - statistics & numerical data</topic><topic>Surveys and Questionnaires</topic><topic>Taiwan - epidemiology</topic><topic>Trends</topic><topic>unemployment</topic><topic>Unemployment - statistics & numerical data</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fu, Tiffany Szu-Ting, PhD</creatorcontrib><creatorcontrib>Lee, Chau-Shoun, MD</creatorcontrib><creatorcontrib>Gunnell, David, Prof</creatorcontrib><creatorcontrib>Lee, Wen-Chung, Prof</creatorcontrib><creatorcontrib>Cheng, Andrew Tai-Ann, Prof</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>News PRO</collection><collection>Pharma and Biotech Premium PRO</collection><collection>Global News & ABI/Inform Professional</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Lancet Titles</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>British Nursing Index</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Newsstand Professional</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><jtitle>The Lancet (British edition)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fu, Tiffany Szu-Ting, PhD</au><au>Lee, Chau-Shoun, MD</au><au>Gunnell, David, Prof</au><au>Lee, Wen-Chung, Prof</au><au>Cheng, Andrew Tai-Ann, Prof</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changing trends in the prevalence of common mental disorders in Taiwan: a 20-year repeated cross-sectional survey</atitle><jtitle>The Lancet (British edition)</jtitle><addtitle>Lancet</addtitle><date>2013</date><risdate>2013</risdate><volume>381</volume><issue>9862</issue><spage>235</spage><epage>241</epage><pages>235-241</pages><issn>0140-6736</issn><eissn>1474-547X</eissn><coden>LANCAO</coden><abstract>Summary Background Macrosocial changes might affect mental health. We investigated whether the prevalence of common mental disorders (CMDs) changed over a 20-year period of industrialisation in Taiwan. Methods We used the 12-item Chinese Health Questionnaire to assess mental status of Taiwanese adults in 1990, 1995, 2000, 2005, and 2010. Respondents with scores of 3 or higher were classified as having probable CMDs. We assessed trends of probable CMDs with the Cochran-Armitage test and their risk factors (sex, age, marital status, educational level, employment status, and physical health) with multivariable logistic regression. The trends were compared with national rates of unemployment, divorce, and suicide. Findings Of 10 548 respondents, 9079 (86·1%) completed questionnaires. The prevalence of probable CMDs doubled from 11·5% in 1990 to 23·8% in 2010 (time trend p<0·001). Increases paralleled rises in national rates of unemployment, divorce, and suicide at all five timepoints. Significant risk factors for probable CMDs were female sex (adjusted odds ratio 1·6, 95% CI 1·4–1·8), 6 or fewer years of education (1·3, 1·1–1·5), unemployment (1·4, 1·1–1·7), and poor physical health that limited daily activities (6·5, 5·4–8·0). When we controlled for these factors in multivariable models, the time trends remained significant (p<0·0001). Interpretation National rates of unemployment, divorce, and suicide increased in parallel with prevalence of probable CMDs in Taiwan. Therefore, clinical and social preventive measures both seem important during times of change to the economy and labour market. Funding Taiwan National Science Council.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>23151370</pmid><doi>10.1016/S0140-6736(12)61264-1</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult adults Aged Anxiety behavior disorders Biological and medical sciences Cross-Sectional Studies divorce Divorce - statistics & numerical data Educational Status Employment Epidemiology Female General aspects Humans industrialization Inequality Internal Medicine labor market Male Marital status Medical sciences Mental disorders Mental Disorders - epidemiology Mental Disorders - etiology mental health Middle Aged multivariate analysis odds ratio Population Prevalence Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Public health. Hygiene Public health. Hygiene-occupational medicine Questionnaires regression analysis Risk Factors Socioeconomic Factors Studies Suicide Suicide - statistics & numerical data Surveys and Questionnaires Taiwan - epidemiology Trends unemployment Unemployment - statistics & numerical data Young Adult |
| title | Changing trends in the prevalence of common mental disorders in Taiwan: a 20-year repeated cross-sectional survey |
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