Ageing and mental health: Changes in self-reported health due to physical illness and mental health status with consecutive cross-sectional analyses
Source at http://dx.doi.org/10.1136/bmjopen-2016-013629 Objectives: It is known that self-reported health (SRH) declines with increasing age and that comorbidity increases with age. We wished to examine how age transfers its effect to SRH through comorbid disease and mental illness and whether these...
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Online Access: | https://hdl.handle.net/10037/11764 https://doi.org/10.1136/bmjopen-2016-013629 |
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ftunivtroemsoe:oai:munin.uit.no:10037/11764 2023-05-15T18:34:36+02:00 Ageing and mental health: Changes in self-reported health due to physical illness and mental health status with consecutive cross-sectional analyses Lorem, Geir F Schirmer, Henrik Wang, Catharina Elisabeth Arfwedson Emaus, Nina 2017-01-18 https://hdl.handle.net/10037/11764 https://doi.org/10.1136/bmjopen-2016-013629 eng eng BMJ Publishing Group BMJ Open http://bmjopen.bmj.com/content/7/1/e013629 Lorem GF, Schirmer H, Wang CEA, Emaus N. Ageing and mental health: Changes in self-reported health due to physical illness and mental health status with consecutive cross-sectional analyses. BMJ Open. 2017;7:e013629(1):1-9 FRIDAID 1458748 doi:10.1136/bmjopen-2016-013629 2044-6055 https://hdl.handle.net/10037/11764 openAccess VDP::Medisinske fag: 700::Helsefag: 800::Epidemiologi medisinsk og odontologisk statistikk: 803 VDP::Medical sciences: 700::Health sciences: 800::Epidemiology medical and dental statistics: 803 VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 Journal article Tidsskriftartikkel Peer reviewed 2017 ftunivtroemsoe https://doi.org/10.1136/bmjopen-2016-013629 2021-06-25T17:55:30Z Source at http://dx.doi.org/10.1136/bmjopen-2016-013629 Objectives: It is known that self-reported health (SRH) declines with increasing age and that comorbidity increases with age. We wished to examine how age transfers its effect to SRH through comorbid disease and mental illness and whether these processes remained stable from 1994 until 2008. The hypothesis is that ageing and/or the increased age-related burden of pathology explains the declining SRH. Setting The Tromsø Study (TS) is a cohort study using a survey approach with repeated physical examinations. It was conducted in the municipality of Tromsø, Norway, from 1974 to 2008. Participants A total of 21 199 women and 19 229 men participated. Primary and secondary outcome measures SRH is the outcome of interest. We calculated and compared the effect sizes of age, comorbidity and mental health symptoms using multimediator analysis based on OLS regression. Results: Ageing had a negative impact on SRH, but the total effect of age decreased from 1994 to 2007. We assessed the direct effect of age and then the proportion of indirect age-related effects through physical illness and mental health symptoms on the total effect. The direct effect of age represented 79.3% of the total effect in 1994 and decreased to 58.8% in 2007. Physical illness emerged as an increasingly important factor and increased its influence from 15.7% to 41.2% of the total effect. Age alone had a protective effect on mental health symptoms and this increased (2.5% to 17.3%), but we found a stronger association between mental health symptoms and physical disease in the later waves of the study (increasing from 3.7% to 14.8%). Conclusions: The results suggest that the effect on SRH of mental health symptoms caused by physical illness is an increasing public health problem. Treatment and care for specific medical conditions must therefore focus more strongly on how these conditions affect the patient's mental health and address these concerns accordingly. Article in Journal/Newspaper Tromsø University of Tromsø: Munin Open Research Archive Norway Tromsø BMJ Open 7 1 e013629 |
institution |
Open Polar |
collection |
University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
topic |
VDP::Medisinske fag: 700::Helsefag: 800::Epidemiologi medisinsk og odontologisk statistikk: 803 VDP::Medical sciences: 700::Health sciences: 800::Epidemiology medical and dental statistics: 803 VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 |
spellingShingle |
VDP::Medisinske fag: 700::Helsefag: 800::Epidemiologi medisinsk og odontologisk statistikk: 803 VDP::Medical sciences: 700::Health sciences: 800::Epidemiology medical and dental statistics: 803 VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 Lorem, Geir F Schirmer, Henrik Wang, Catharina Elisabeth Arfwedson Emaus, Nina Ageing and mental health: Changes in self-reported health due to physical illness and mental health status with consecutive cross-sectional analyses |
topic_facet |
VDP::Medisinske fag: 700::Helsefag: 800::Epidemiologi medisinsk og odontologisk statistikk: 803 VDP::Medical sciences: 700::Health sciences: 800::Epidemiology medical and dental statistics: 803 VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 |
description |
Source at http://dx.doi.org/10.1136/bmjopen-2016-013629 Objectives: It is known that self-reported health (SRH) declines with increasing age and that comorbidity increases with age. We wished to examine how age transfers its effect to SRH through comorbid disease and mental illness and whether these processes remained stable from 1994 until 2008. The hypothesis is that ageing and/or the increased age-related burden of pathology explains the declining SRH. Setting The Tromsø Study (TS) is a cohort study using a survey approach with repeated physical examinations. It was conducted in the municipality of Tromsø, Norway, from 1974 to 2008. Participants A total of 21 199 women and 19 229 men participated. Primary and secondary outcome measures SRH is the outcome of interest. We calculated and compared the effect sizes of age, comorbidity and mental health symptoms using multimediator analysis based on OLS regression. Results: Ageing had a negative impact on SRH, but the total effect of age decreased from 1994 to 2007. We assessed the direct effect of age and then the proportion of indirect age-related effects through physical illness and mental health symptoms on the total effect. The direct effect of age represented 79.3% of the total effect in 1994 and decreased to 58.8% in 2007. Physical illness emerged as an increasingly important factor and increased its influence from 15.7% to 41.2% of the total effect. Age alone had a protective effect on mental health symptoms and this increased (2.5% to 17.3%), but we found a stronger association between mental health symptoms and physical disease in the later waves of the study (increasing from 3.7% to 14.8%). Conclusions: The results suggest that the effect on SRH of mental health symptoms caused by physical illness is an increasing public health problem. Treatment and care for specific medical conditions must therefore focus more strongly on how these conditions affect the patient's mental health and address these concerns accordingly. |
format |
Article in Journal/Newspaper |
author |
Lorem, Geir F Schirmer, Henrik Wang, Catharina Elisabeth Arfwedson Emaus, Nina |
author_facet |
Lorem, Geir F Schirmer, Henrik Wang, Catharina Elisabeth Arfwedson Emaus, Nina |
author_sort |
Lorem, Geir F |
title |
Ageing and mental health: Changes in self-reported health due to physical illness and mental health status with consecutive cross-sectional analyses |
title_short |
Ageing and mental health: Changes in self-reported health due to physical illness and mental health status with consecutive cross-sectional analyses |
title_full |
Ageing and mental health: Changes in self-reported health due to physical illness and mental health status with consecutive cross-sectional analyses |
title_fullStr |
Ageing and mental health: Changes in self-reported health due to physical illness and mental health status with consecutive cross-sectional analyses |
title_full_unstemmed |
Ageing and mental health: Changes in self-reported health due to physical illness and mental health status with consecutive cross-sectional analyses |
title_sort |
ageing and mental health: changes in self-reported health due to physical illness and mental health status with consecutive cross-sectional analyses |
publisher |
BMJ Publishing Group |
publishDate |
2017 |
url |
https://hdl.handle.net/10037/11764 https://doi.org/10.1136/bmjopen-2016-013629 |
geographic |
Norway Tromsø |
geographic_facet |
Norway Tromsø |
genre |
Tromsø |
genre_facet |
Tromsø |
op_relation |
BMJ Open http://bmjopen.bmj.com/content/7/1/e013629 Lorem GF, Schirmer H, Wang CEA, Emaus N. Ageing and mental health: Changes in self-reported health due to physical illness and mental health status with consecutive cross-sectional analyses. BMJ Open. 2017;7:e013629(1):1-9 FRIDAID 1458748 doi:10.1136/bmjopen-2016-013629 2044-6055 https://hdl.handle.net/10037/11764 |
op_rights |
openAccess |
op_doi |
https://doi.org/10.1136/bmjopen-2016-013629 |
container_title |
BMJ Open |
container_volume |
7 |
container_issue |
1 |
container_start_page |
e013629 |
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1766219423381716992 |