Cited by 40Psychological Well-being and Life SatisfactionMental Health Treatment and AccessMental Health Research Topics

Higher levels of mental wellbeing predict lower risk of common mental disorders in the Danish general population

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Santini, Ziggi Ivan, Ekholm, Ola, Koyanagi, Ai, Stewart-Brown, Sarah, Meilstrup, Charlotte, Nielsen, Line, Fusar-Poli, Paolo, Koushede, Vibeke +1 more·2022·Mental Health & Prevention

Abstract

Few studies have investigated the protective role of higher levels of wellbeing in relation to common mental disorders (CMDs). The objective of this study was to explore the protective role of mental wellbeing at baseline on CMDs during a 12–16 months follow-up period in the Danish general population. Data stem from a Danish nationally-representative panel study of 6629 adults (aged 15+ years) conducted in 2019 and 2020, which was linked to Danish register data. A validated scale (SWEMWBS) was used to assess mental wellbeing, along with pre-defined cut-points for low/moderate/high mental wellbeing. Register-based outcomes were 1) onset of ICD-10 CMDs, and 2) onset or recurrence of antidepressant use. The survey-based outcome was case depression based on a screening tool (PHQ-8 score≥10). Register-based analyses (N = 6624) were conducted with Cox regression, and the survey-based analysis (N = 5000) was conducted with logistic regression. Mental wellbeing was negatively associated with all outcomes, both continuously and dose-dependently. Notably, as compared to low mental wellbeing, moderate mental wellbeing was associated with a 55–68% reduction in risk for all outcomes (onset of ICD-10 CMDs; onset or recurrence of antidepressant use; onset or recurrence of case depression based on the PHQ-8), while high mental wellbeing was associated with a 69–90% reduction in the same outcomes. Higher levels of mental wellbeing are protective against onset or recurrence of CMDs. Future studies are warranted to investigate the effectiveness of universal and targeted approaches to promote mental wellbeing and prevent CMDs.

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  1. Sønderskov, K. M., Dinesen, P. T., Vistisen, H. T., & Østergaard, S. D. (2021). Variation in psychological well-being and symptoms of anxiety and depression during the COVID-19 pandemic: Results from a three-wave panel survey. Acta Neuropsychiatrica, 32(4), 226-228.
  2. Donovan, R. J., Koushede, V., Drane, C. F., Hinrichsen, C., Anwar-McHenry, J., Nielsen, L., et al. (2021). Twenty-one reasons for implementing the act-belong- commit-'ABCs of mental health'. Campaign, 18(21), 11095.

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Authors
Santini, Z. I., Ekholm, O., Koyanagi, A., Stewart-Brown, S., Meilstrup, C., Nielsen, L., Fusar-Poli, P., Koushede, V., & Thygesen, L. C.
Affiliations
  • University of Southern Denmark (DK)
  • Institució Catalana de Recerca i Estudis Avançats (ES)
  • University of Warwick (GB)
  • University of Copenhagen (DK)
Corresponding author
Santini, Ziggi Ivan
Venue
Mental Health & Prevention
Publisher
Elsevier BV
Published
2022-06
Volume
26
Pages
200233
ISSN
2212-6570 (ISSN-L)
OpenAlex
W4221095782
Cited by
40
References
55
Citations by year
2026: 5 · 2025: 10 · 2024: 15 · 2023: 5 · 2022: 5
FWCI
8.27
Type
journal article
Language
en
Open access
Locations
  • Mental Health & Prevention (publishedVersion, cc-by)
  • Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, cc-by)
  • Warwick Research Archive Portal (University of Warwick) (acceptedVersion)
  • Research Portal (King's College London) (submittedVersion, cc-by)
  • University of Southern Denmark Research Portal (University of Southern Denmark) (submittedVersion, cc-by)
Funders
Nordea-fonden
Topics
  • Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
Keywords
psychological well-being, common mental disorders, depression, antidepressant use, protective factors, SWEMWBS, PHQ-8, dose-response relationship, mental health promotion

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