HUNT Research Centre, Department of Public Health and Nursing, Norwegian University of Science and Technology, Levanger, Norway
Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway.
BMJ Open. 2022 May 18;12(5):e057654. doi: 10.1136/bmjopen-2021-057654.
Public health trends are formed by political, economic, historical and cultural factors in society. The aim of this paper was to describe overall changes in mental health among adolescents and adults in a Norwegian population over the three last decades and discuss some potential explanations for these changes.
Repeated population-based health surveys to monitor decennial changes.
Data from three cross-sectional surveys in 1995-1997, 2006-2008 and 2017-2019 in the population-based HUNT Study in Norway were used.
The general population in a Norwegian county covering participants aged 13-79 years, ranging from 48 000 to 62 000 000 in each survey.
Prevalence estimates of subjective anxiety and depression symptoms stratified by age and gender were assessed using the Hopkins Symptom Checklist-5 for adolescents and the Hospital Anxiety and Depression Scale for adults.
Adolescents' and young adults' mental distress increased sharply, especially between 2006-2008 and 2017-2019. However, depressive symptoms instead declined among adults aged 60 and over and anxiety symptoms remained largely unchanged in these groups.
Our trend data from the HUNT Study in Norway indicate poorer mental health among adolescents and young adults that we suggest are related to relevant changes in young people's living conditions and behaviour, including the increased influence of screen-based media.
公共卫生趋势是由社会中的政治、经济、历史和文化因素形成的。本文旨在描述挪威人口中青少年和成年人心理健康状况在过去三十年中的总体变化，并讨论这些变化的一些潜在解释。
重复进行基于人群的健康调查，以监测十年变化。
使用来自挪威基于人群的 HUNT 研究中 1995-1997 年、2006-2008 年和 2017-2019 年三次横断面调查的数据。
涵盖 13-79 岁人群的挪威县的一般人群，每次调查的参与者人数在 480 万至 6200 万之间。
使用 Hopkins 症状清单-5 评估青少年的主观焦虑和抑郁症状患病率估计值，并使用医院焦虑和抑郁量表评估成年人的患病率估计值。
青少年和年轻成年人的精神困扰急剧增加，尤其是在 2006-2008 年和 2017-2019 年之间。然而，60 岁及以上成年人的抑郁症状反而有所下降，而这些人群的焦虑症状基本保持不变。
我们从挪威 HUNT 研究中获得的趋势数据表明，青少年和年轻成年人的心理健康状况较差，我们认为这与年轻人生活条件和行为的相关变化有关，包括屏幕媒体影响力的增加。
