Long term life dissatisfaction and subsequent major depressive disorder and poor mental health

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dc.contributor.author Rissanen, Teemu -
dc.contributor.author Viinamäki, Heimo -
dc.contributor.author Honkalampi, Kirsi -
dc.contributor.author Lehto, Soili M -
dc.contributor.author Hintikka, Jukka -
dc.contributor.author Saharinen, Tarja -
dc.contributor.author Koivumaa-Honkanen, Heli -
dc.date.accessioned 2012-06-17T20:14:21Z
dc.date.available 2012-06-15 10:10:52 -
dc.date.available 2012-06-17T20:14:21Z
dc.date.issued 2011 -
dc.identifier.issn 1471-244X -
dc.identifier.uri http://tampub.uta.fi/handle/10024/65903
dc.description BioMed Central Open access -
dc.description.abstract Background Poor mental health, especially due to depression, is one of the main public health problems. Early indicators of poor mental health in general population are needed. This study examined the relationship between long-term life dissatisfaction and subsequent mental health, including major depressive disorder. Method Health questionnaires were sent to a randomly selected population-based sample in 1998 and repeated in 1999 and 2001. In 2005, a clinically studied sub-sample (n = 330) was composed of subjects with (n = 161) or without (n = 169) repeatedly reported adverse mental symptoms at all three previous data collection times. Clinical symptom assessments were performed with several psychometric scales: life satisfaction (LS), depression (HDRS, BDI), hopelessness (HS), mental distress (GHQ), dissociative experiences (DES), and alexithymia (TAS). The long-term life dissatisfaction burden was calculated by summing these life satisfaction scores in 1998, 1999, 2001 and dividing the sum into tertiles. Psychiatric diagnoses were confirmed by SCID-I for DSM-IV in 2005. Logistic regression analyses were performed to assess the studied relationship. Results The previous life dissatisfaction burden associated with adverse socio-demographic, life style and clinical factors. In adjusted logistic regression analyses, it was independently and strongly associated with subsequent major depressive disorder in 2005, even when the concurrent LS score in 2005 was included in the model. Excluding those with reported major depressive disorder in 1999 did not alter this finding. Limitations MDD in 1999 was based on self-reports and not on structured interview and LS data in 2001-2005 was not available. Conclusions The life satisfaction burden is significantly related to major depressive disorder and poor mental health, both in cross-sectional and longitudinal settings. -
dc.language.iso en -
dc.title Long term life dissatisfaction and subsequent major depressive disorder and poor mental health -
dc.type fi=Artikkeli aikakauslehdessä | en=Journal article| -
dc.identifier.urn urn:nbn:uta-3-662 -
dc.identifier.doi 10.1186/1471-244X-11-140 -
dc.type.version fi=Kustantajan versio | en=Publisher's version| -
dc.subject.okm fi=Neurologia ja psykiatria | en=Neurology and psychiatry| -
dc.administrativeunit fi=Lääketieteen yksikkö | en=School of Medicine| -
dc.journal.title BMC Psychiatry -
dc.journal.volume 11 -
dc.journal.number 140 -
dc.journal.volumepagerange 1-6 -
dc.oldstats 65 -

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