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Education, sense of mastery and mental health: results from a nation wide health monitoring study in Norway.

Dalgard OS, Mykletun A, Rognerud M, Johansen R, Zahl PH - BMC Psychiatry (2007)

Bottom Line: Earlier studies have shown that people with low level of education have increased rates of mental health problems.The data for the study were obtained from the Level of Living Survey conducted by Statistics Norway in 2002.Low level of education was also significantly associated with low sense of mastery, low social support, many negative life events (only in men), low household income and unemployment,.

View Article: PubMed Central - HTML - PubMed

Affiliation: Norwegian Institute of Public Health, Division of Mental Health, Nydalen, Oslo, Norway. odd.steffen.dalgard@fhi.no

ABSTRACT

Background: Earlier studies have shown that people with low level of education have increased rates of mental health problems. The aim of the present study is to investigate the association between level of education and psychological distress, and to explore to which extent the association is mediated by sense of mastery, and social variables like social support, negative life events, household income, employment and marital status.

Methods: The data for the study were obtained from the Level of Living Survey conducted by Statistics Norway in 2002. Data on psychological distress and psychosocial variables were gathered by a self-administered questionnaire, whereas socio-demographic data were based on register statistics. Psychological distress was measured by Hopkins Symptom Checklist 25 items.

Results: There was a significant association between low level of education and psychological distress in both genders, the association being strongest in women aged 55-67 years. Low level of education was also significantly associated with low sense of mastery, low social support, many negative life events (only in men), low household income and unemployment,. Sense of mastery emerged as a strong mediating variable between level of education and psychological distress, whereas the other variables played a minor role when adjusting for sense of mastery.

Conclusion: Low sense of mastery seems to account for much of the association between low educational level and psychological distress, and should be an important target in mental health promotion for groups with low level of education.

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Related in: MedlinePlus

Scatterplot HSCL-25 against sense of mastery.
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Figure 1: Scatterplot HSCL-25 against sense of mastery.

Mentions: Two component extraction resulted in components with loadings between 0.7 and 0.8 (sense of mastery) and between 0.5 and 0.7 (HSCL-25), with the exception of one item, headache, which loaded 0.4 on the HSCL-25 component. Explained variance by the first component was 39.6% and by the second component 6.5%. Three and four component extractions resulted in a split of the first component in respectively two and three components, first anxiety/depression and somatization, and then anxiety, somatization and depression, which are known as subcomponents of HSCL-25. The second component, sense of mastery, remained unchanged under three and four component extraction. From this we conclude that sense of mastery is a factor different from HSCL-25 and its subcomponents. Also a scatter plot (Figure 1) supported the suggestion that we are dealing with two separate factors.


Education, sense of mastery and mental health: results from a nation wide health monitoring study in Norway.

Dalgard OS, Mykletun A, Rognerud M, Johansen R, Zahl PH - BMC Psychiatry (2007)

Scatterplot HSCL-25 against sense of mastery.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC1887526&req=5

Figure 1: Scatterplot HSCL-25 against sense of mastery.
Mentions: Two component extraction resulted in components with loadings between 0.7 and 0.8 (sense of mastery) and between 0.5 and 0.7 (HSCL-25), with the exception of one item, headache, which loaded 0.4 on the HSCL-25 component. Explained variance by the first component was 39.6% and by the second component 6.5%. Three and four component extractions resulted in a split of the first component in respectively two and three components, first anxiety/depression and somatization, and then anxiety, somatization and depression, which are known as subcomponents of HSCL-25. The second component, sense of mastery, remained unchanged under three and four component extraction. From this we conclude that sense of mastery is a factor different from HSCL-25 and its subcomponents. Also a scatter plot (Figure 1) supported the suggestion that we are dealing with two separate factors.

Bottom Line: Earlier studies have shown that people with low level of education have increased rates of mental health problems.The data for the study were obtained from the Level of Living Survey conducted by Statistics Norway in 2002.Low level of education was also significantly associated with low sense of mastery, low social support, many negative life events (only in men), low household income and unemployment,.

View Article: PubMed Central - HTML - PubMed

Affiliation: Norwegian Institute of Public Health, Division of Mental Health, Nydalen, Oslo, Norway. odd.steffen.dalgard@fhi.no

ABSTRACT

Background: Earlier studies have shown that people with low level of education have increased rates of mental health problems. The aim of the present study is to investigate the association between level of education and psychological distress, and to explore to which extent the association is mediated by sense of mastery, and social variables like social support, negative life events, household income, employment and marital status.

Methods: The data for the study were obtained from the Level of Living Survey conducted by Statistics Norway in 2002. Data on psychological distress and psychosocial variables were gathered by a self-administered questionnaire, whereas socio-demographic data were based on register statistics. Psychological distress was measured by Hopkins Symptom Checklist 25 items.

Results: There was a significant association between low level of education and psychological distress in both genders, the association being strongest in women aged 55-67 years. Low level of education was also significantly associated with low sense of mastery, low social support, many negative life events (only in men), low household income and unemployment,. Sense of mastery emerged as a strong mediating variable between level of education and psychological distress, whereas the other variables played a minor role when adjusting for sense of mastery.

Conclusion: Low sense of mastery seems to account for much of the association between low educational level and psychological distress, and should be an important target in mental health promotion for groups with low level of education.

Show MeSH
Related in: MedlinePlus