GHQ increases among Scottish 15 year olds 1987–2006
Open accessAbstract
BACKGROUND: Increases in a number of psychosocial disorders have been identified among Western youth in the second half of the Twentieth century. However findings are not consistent, trends are complex, and comparisons over time are hampered by methodological problems. METHODS: Data were drawn from three samples identical in respect of age (15 years), school year (final year of statutory schooling) and geographical location (the West of Scotland). Each sample was administered the 12-item General Health Questionnaire, a measure of self-report psychological distress, in 1987 (N = 505), 1999 (N = 2,196) and 2006 (N = 3,194). Analyses were conducted to examine changes in: GHQ 'caseness'; individual items; and factors, derived via confirmatory factor analysis representing (a) 'negative' and 'positive' items, and (b) 'anxiety and depression', 'loss of confidence or self-esteem' and 'anhedonia and social dysfunction'. RESULTS: Based on the standard (2/3) cut-off, 'caseness' rates in 1987, 1999 and 2006 were 12.7, 15.1 and 21.5% (males) and 18.8, 32.5 and 44.1% (females). Similar increases were observed with more stringent 'caseness' cut-offs. Examination of individual items showed some to have increased much more markedly over time than others. There were larger increases among females for all except two items and some evidence, among both genders, of steeper increases among 'negative' items compared with 'positive' ones. However, the differences in slope were very small compared with the overall increases in both types. CONCLUSIONS: Data from three samples identical in respect of age, school year and geographical location, show marked increases in GHQ-12 'caseness' among females between 1987 and 1999 and among both males and females between 1999 and 2006. Although slightly steeper increases in 'negative' items raise the possibility that endorsing such symptoms may have become more acceptable, these were small in comparison with increases in all dimensions of psychological distress. The next step is to identify causal explanations for the increases reported here.
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Many studies from Sweden and other developed countries have shown increasing long-term trends in self-reported depressive and anxiety symptoms, particularly among young people.
“many studies from Sweden and other developed countries have shown increasing long-term trends in self-reported depressive and anxiety symptoms, particularly among young people [5, 6, 12–16]”
From Trends in psychiatric diagnoses, medications and psychological therapies in a large Swedish region: A population-based study (2020) · cites this paper as [16]
The Conclusion (page unavailable) reports increasing self-reported psychological distress among Scottish 15-year-olds, and the Introduction describes increases in depressive symptoms in some other countries. But the Introduction also says the findings of comparable studies are mixed; this source does not establish the claim's broad pattern across many studies or provide evidence from Sweden. (LLM, conf=0.84)
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- Authors
- Sweeting, H., Young, R., & West, P.
- Affiliations
- MRC/CSO Social and Public Health Sciences Unit (GB)
- Corresponding author
- Sweeting, Helen
- ORCID
- Sweeting, Helen
- Venue
- Social Psychiatry and Psychiatric Epidemiology
- Published
- 2008-11-26
- Volume
- 44
- Issue
- 7
- Pages
- 579-586
- ISSN
- 0933-7954 (ISSN-L)
- 1433-9285
- PMC
- PMC2693777
- OpenAlex
- W1991872611
- Cited by
- 83
- References
- 35
- Citations by year
- 2026: 3 · 2025: 1 · 2023: 2 · 2022: 9 · 2021: 1 · 2020: 9 · 2019: 5 · 2018: 4 · 2017: 5 · 2016: 8 · 2015: 1 · 2014: 9 · 2013: 4 · 2012: 9
- FWCI
- 4.82
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Social Psychiatry and Psychiatric Epidemiology (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Medical Research Council (WBS U.1300.00.007)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- psychological distress, GHQ-12, adolescent mental health, temporal trends, sex differences, anxiety and depression, self-esteem, social dysfunction, anhedonia, psychosocial disorders
- MeSH terms
- Adolescent, Psychology, Adolescent, Educational Status, Health Status, Humans, Male, Predictive Value of Tests, Psychiatric Status Rating Scales, Surveys and Questionnaires, Scotland, Stress, Psychological, Cohort Studies, Sex Distribution
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