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Enduring Mental Health: Prevalence and Prediction

View Article: PubMed Central - PubMed

ABSTRACT

We review epidemiological evidence indicating that most people will develop a diagnosable mental disorder, suggesting that only a minority experience enduring mental health. This minority has received little empirical study, leaving the prevalence and predictors of enduring mental health unknown. We turn to the population-representative Dunedin cohort, followed from birth to midlife, to compare people never-diagnosed with mental disorder (N = 171; 17% prevalence) to those diagnosed at 1–2 study waves, the cohort mode (N = 409). Surprisingly, compared to this modal group, never-diagnosed Study members were not born into unusually well-to-do families, nor did their enduring mental health follow markedly sound physical health, or unusually high intelligence. Instead, they tended to have an advantageous temperament/personality style, and negligible family history of mental disorder. As adults, they report superior educational and occupational attainment, greater life satisfaction, and higher-quality relationships. Our findings draw attention to “enduring mental health” as a revealing psychological phenotype and suggest it deserves further study.

No MeSH data available.


Comparison of midlife outcomes for Dunedin cohort members in the 0 wave versus 1–2 wave mental health history groups. Error bars represent 95% confidence intervals. All outcome variables were standardized on the full cohort to a mean of 0 (representing the mean of the full cohort) and a standard deviation of 1. The means for the persistently diagnosed group are not shown here, but can be found in Table 3 in the online supplemental materials. Asterisks represent the statistical significance of the difference between groups, adjusted for sex. * p < .05.
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fig3: Comparison of midlife outcomes for Dunedin cohort members in the 0 wave versus 1–2 wave mental health history groups. Error bars represent 95% confidence intervals. All outcome variables were standardized on the full cohort to a mean of 0 (representing the mean of the full cohort) and a standard deviation of 1. The means for the persistently diagnosed group are not shown here, but can be found in Table 3 in the online supplemental materials. Asterisks represent the statistical significance of the difference between groups, adjusted for sex. * p < .05.

Mentions: As shown in Figure 3, despite their comparable socioeconomic background, Study members with enduring mental health achieved higher levels of educational and socioeconomic attainment by age 38 than Study members who had experienced 1–2 waves of disorder. Study members with enduring mental health also expressed higher levels of life satisfaction when interviewed at age 38 than Study members diagnosed at 1–2 waves. Interestingly, although Study members with enduring mental health were just as likely to report being in a relationship at age 38 as Study members diagnosed at 1–2 waves (91.1% vs. 92.8%, respectively; χ2 = 0.40, p = .528), they rated these relationships as being of higher quality (see Table 3, online supplemental material, for more detail).


Enduring Mental Health: Prevalence and Prediction
Comparison of midlife outcomes for Dunedin cohort members in the 0 wave versus 1–2 wave mental health history groups. Error bars represent 95% confidence intervals. All outcome variables were standardized on the full cohort to a mean of 0 (representing the mean of the full cohort) and a standard deviation of 1. The means for the persistently diagnosed group are not shown here, but can be found in Table 3 in the online supplemental materials. Asterisks represent the statistical significance of the difference between groups, adjusted for sex. * p < .05.
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Related In: Results  -  Collection

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getmorefigures.php?uid=PMC5304549&req=5

fig3: Comparison of midlife outcomes for Dunedin cohort members in the 0 wave versus 1–2 wave mental health history groups. Error bars represent 95% confidence intervals. All outcome variables were standardized on the full cohort to a mean of 0 (representing the mean of the full cohort) and a standard deviation of 1. The means for the persistently diagnosed group are not shown here, but can be found in Table 3 in the online supplemental materials. Asterisks represent the statistical significance of the difference between groups, adjusted for sex. * p < .05.
Mentions: As shown in Figure 3, despite their comparable socioeconomic background, Study members with enduring mental health achieved higher levels of educational and socioeconomic attainment by age 38 than Study members who had experienced 1–2 waves of disorder. Study members with enduring mental health also expressed higher levels of life satisfaction when interviewed at age 38 than Study members diagnosed at 1–2 waves. Interestingly, although Study members with enduring mental health were just as likely to report being in a relationship at age 38 as Study members diagnosed at 1–2 waves (91.1% vs. 92.8%, respectively; χ2 = 0.40, p = .528), they rated these relationships as being of higher quality (see Table 3, online supplemental material, for more detail).

View Article: PubMed Central - PubMed

ABSTRACT

We review epidemiological evidence indicating that most people will develop a diagnosable mental disorder, suggesting that only a minority experience enduring mental health. This minority has received little empirical study, leaving the prevalence and predictors of enduring mental health unknown. We turn to the population-representative Dunedin cohort, followed from birth to midlife, to compare people never-diagnosed with mental disorder (N = 171; 17% prevalence) to those diagnosed at 1&ndash;2 study waves, the cohort mode (N = 409). Surprisingly, compared to this modal group, never-diagnosed Study members were not born into unusually well-to-do families, nor did their enduring mental health follow markedly sound physical health, or unusually high intelligence. Instead, they tended to have an advantageous temperament/personality style, and negligible family history of mental disorder. As adults, they report superior educational and occupational attainment, greater life satisfaction, and higher-quality relationships. Our findings draw attention to &ldquo;enduring mental health&rdquo; as a revealing psychological phenotype and suggest it deserves further study.

No MeSH data available.