Publication:
Comparing profiles of mental disorder across birth cohorts: Results from the 2007 Australian National Survey of Mental Health and Wellbeing

dc.contributor.author Sunderland, Matthew en_US
dc.contributor.author Carragher, Natacha en_US
dc.contributor.author Buchan, Heather en_US
dc.contributor.author Batterham, Philip en_US
dc.contributor.author Slade, Tim en_US
dc.date.accessioned 2021-11-25T12:27:35Z
dc.date.available 2021-11-25T12:27:35Z
dc.date.issued 2013 en_US
dc.description.abstract Objective: To describe and compare individuals with any DSM-IV mental disorder from three different birth cohorts - young (16-34 years), middle age (35-60 years), and older age (60-85 years) - on a range of clinically relevant factors. Methods: Data were derived from the 2007 Australian National Survey of Mental Health and Wellbeing. Individuals from three birth cohorts with a range of mental health and substance use disorders were identified using DSM-IV criteria and compared using regression analysis. The specific factors that were compared include: 1) type of disorder/disorders present, 2) suicidality, 3) number of co-occurring disorders, 4) levels of distress and impairment, 5) self-assessed physical and mental health, 6) presence of physical conditions, 7) size and quality of social support/network, and 8) treatment seeking behaviour Results: The birth cohorts differed dramatically in terms of the specific disorders that were present. The older cohort were significantly more likely to experience internalising disorders and significantly less likely to experience externalising disorders in comparison to the young cohort. The older cohort were significantly more likely to experience co-morbid physical conditions as well as lower life satisfaction, poorer self-rated physical health, increased functional impairment, and more days out of role. The younger cohort had a significantly larger peer group that they could confide in and rely on in comparison to the older cohort. Conclusions: Clinicians and researchers need to be cognisant that mental disorders manifest as highly heterogeneous constructs. The presentation of a disorder in a younger individual could be vastly different from the presentation of the same disorder in an older individual. The additional burden associated with these factors and how they apply to different birth cohorts must be taken into consideration when planning mental health services and effective treatment for the general population. en_US
dc.identifier.issn 1440-1614 en_US
dc.identifier.uri http://hdl.handle.net/1959.4/53132
dc.language English
dc.language.iso EN en_US
dc.rights CC BY-NC-ND 3.0 en_US
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/3.0/au/ en_US
dc.source Legacy MARC en_US
dc.title Comparing profiles of mental disorder across birth cohorts: Results from the 2007 Australian National Survey of Mental Health and Wellbeing en_US
dc.type Journal Article en
dcterms.accessRights open access
dspace.entity.type Publication en_US
unsw.accessRights.uri https://purl.org/coar/access_right/c_abf2
unsw.description.publisherStatement Published OnlineFirst by ANZJP: http://anp.sagepub.com/ en_US
unsw.identifier.doiPublisher http://dx.doi.org/10.1177/0004867413512382 en_US
unsw.relation.FunderRefNo APP1045013 en_US
unsw.relation.FunderRefNoURL http://purl.org/au-research/grants/nhmrc/1045013 en_US
unsw.relation.faculty Medicine & Health
unsw.relation.fundingScheme NHMRC Project en_US
unsw.relation.ispartofjournal Australian and New Zealand Journal of Psychiatry en_US
unsw.relation.originalPublicationAffiliation Sunderland, Matthew, National Drug & Alcohol Research Centre, Faculty of Medicine, UNSW en_US
unsw.relation.originalPublicationAffiliation Carragher, Natacha, National Drug & Alcohol Research Centre, Faculty of Medicine, UNSW en_US
unsw.relation.originalPublicationAffiliation Buchan, Heather, National Drug & Alcohol Research Centre, Faculty of Medicine, UNSW en_US
unsw.relation.originalPublicationAffiliation Batterham, Philip, ANU en_US
unsw.relation.originalPublicationAffiliation Slade, Tim, National Drug & Alcohol Research Centre, Faculty of Medicine, UNSW en_US
unsw.relation.school NDARC *
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