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Cited by 131Mental Health Treatment and AccessHealth and Well-being StudiesEmployment and Welfare Studies

Changing trends in the prevalence of common mental disorders in Taiwan: a 20-year repeated cross-sectional survey

Fu, Tiffany Szu-Ting, Lee, Chau-Shoun, Gunnell, David, Lee, Wen-Chung, Cheng, Andrew Tai-Ann·2013·The Lancet
DOI 10.1016/s0140-6736(12)61264-1
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Abstract

Background Macrosocial changes might affect mental health. We investigated whether the prevalence of common mental disorders (CMDs) changed over a 20-year period of industrialisation in Taiwan.Methods We used the 12-item Chinese Health Questionnaire to assess mental status of Taiwanese adults in 1990, 1995, 2000, 2005, and 2010. Respondents with scores of 3 or higher were classified as having probable CMDs. We assessed trends of probable CMDs with the Cochran-Armitage test and their risk factors (sex, age, marital status, educational level, employment status, and physical health) with multivariable logistic regression. The trends were compared with national rates of unemployment, divorce, and suicide.Findings Of 10,548 respondents, 9079 (86·1%) completed questionnaires. The prevalence of probable CMDs doubled from 11·5% in 1990 to 23·8% in 2010 (time trend p<0·001). Increases paralleled rises in national rates of unemployment, divorce, and suicide at all five timepoints. Significant risk factors for probable CMDs were female sex (adjusted odds ratio 1·6, 95% CI 1·4-1·8), 6 or fewer years of education (1·3, 1·1-1·5), unemployment (1·4, 1·1-1·7), and poor physical health that limited daily activities (6·5, 5·4-8·0). When we controlled for these factors in multivariable models, the time trends remained significant (p<0·0001).Interpretation National rates of unemployment, divorce, and suicide increased in parallel with prevalence of probable CMDs in Taiwan. Therefore, clinical and social preventive measures both seem important during times of change to the economy and labour market.Funding Taiwan National Science Council.

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  • Increased prevalence of disrupted circadian rhythms strongly correlates with the increased incidence of mood disorders.

    “increased prevalence of disrupted circadian rhythms strongly correlates with the increased incidence of mood disorders9,24–26.”

    From Circadian rhythm disruption and mental health (2020) · cites this paper as [25]

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Authors
Fu, T. S.-T., Lee, C.-S., Gunnell, D., Lee, W.-C., & Cheng, A. T.-A.
Affiliations
  • Institute of Biomedical Sciences, Academia Sinica (TW)
  • Kainan University (TW)
  • University of Bristol (GB)
  • National Taiwan University (TW)
Corresponding author
Cheng, Andrew Tai-Ann
ORCID
Venue
The Lancet
Publisher
Elsevier BV
Published
2013-01
Volume
381
Issue
9862
Pages
235-241
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
DOI
10.1016/s0140-6736(12)61264-1
OpenAlex
W2160062427
Cited by
131
References
37
Citations by year
2026: 1 · 2025: 10 · 2024: 8 · 2023: 9 · 2022: 15 · 2021: 16 · 2020: 12 · 2019: 12 · 2018: 6 · 2017: 12 · 2016: 7 · 2015: 4 · 2014: 12 · 2013: 6 · 2012: 1
FWCI
10.99
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • The Lancet (publishedVersion)
  • PubMed (publishedVersion)
  • Explore Bristol Research (submittedVersion)
  • Bristol Research (University of Bristol) (submittedVersion)
Funders
  • National Institute for Health and Care Research (NF-SI-0512-10068)
  • Economic and Social Research Council (ES/G007543/1)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
  • Health Sciences › Health Professions › General Health Professions › Employment and Welfare Studies
Keywords
common mental disorders, prevalence trends, industrialization, unemployment, divorce, suicide, risk factors, sex differences, educational attainment, physical health, mental health, Taiwan
MeSH terms
Adolescent, Adult, Aged, Mental Disorders, Cross-Sectional Studies, Divorce, Educational Status, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Risk Factors, Socioeconomic Factors, Suicide, Taiwan, Unemployment, Prevalence, Young Adult

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