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The National Psychiatric Morbidity Surveys of Great Britain – strategy and methods

JENKINS, R., BEBBINGTON, P., BRUGHA, T., FARRELL, M., GILL, B., LEWIS, G., MELTZER, H., PETTICREW, M.·1997·Psychological Medicine

DOI 10.1017/s003329179700531x

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Abstract

BACKGROUND: This paper describes the rationale and methodology of the first national psychiatric morbidity surveys to be carried out in Great Britain. The objectives of the surveys were to estimate the prevalence of psychiatric morbidity among adults aged 16-64 living in Great Britain; to identify the nature and extent of social disabilities associated with psychiatric morbidity; to describe the use of health and social services by people with psychiatric morbidity and to investigate the association between mental illness and potential environmental risk factors in a household sample. METHODS: Four separate surveys were carried out in order to meet the objectives; a private household sample (N = 10108), a sample of institutions caring for the mentally ill (N = 1191), a sample of homeless people (N = 1166), and a supplementary sample of patients with psychosis living in private households (N = 350). A two-stage assessment procedure was used, in which all subjects were given the Revised Clinical Interview Schedule (CIS-R) administered by lay interviewers to assess neurotic symptoms and disorders and a psychosis screen, including the Psychosis Screening Questionnaire. Those who were positive on the psychosis screen were then interviewed by psychiatrists using the SCAN (incorporating the tenth edition of the Present State Examination). CONCLUSIONS: Large scale national surveys such as this augment the inadequate data on psychiatric morbidity that are routinely available and are, therefore, an important source of information upon which to base policy and generate aetiological hypotheses. These surveys provide a possible model for similar surveys in other countries.

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“However, several studies have found that psychotic experiences (PEs) are relatively common in non-clinical populations and these need not develop into psychotic disorders (Jenkins et al., 1997; Bijl et al., 1998; van Os et al., 2000; Hanssen et al., 2005).”
Background

Authors: JENKINS, R., BEBBINGTON, P., BRUGHA, T., FARRELL, M., GILL, B., LEWIS, G., MELTZER, H., & PETTICREW, M.
Affiliations: University of Leicester (GB)
ORCID: JENKINS, R.
BEBBINGTON, P.
BRUGHA, T.
FARRELL, M.
LEWIS, G.
PETTICREW, M.
Venue: Psychological Medicine
Publisher: Cambridge University Press (CUP)
Published: 1997-07
Volume: 27
Issue: 4
Pages: 765-774
ISSN: 0033-2917 (ISSN-L)
1469-8978
DOI: 10.1017/s003329179700531x
OpenAlex: W2140402504
Cited by: 153
References: 0
Citations by year: 2026: 1 · 2025: 1 · 2024: 1 · 2023: 2 · 2020: 2 · 2019: 3 · 2018: 1 · 2017: 3 · 2016: 2 · 2015: 8 · 2014: 3 · 2013: 6 · 2012: 10
FWCI: 21.34
Type: journal article
Language: en
Open access: closed
Licence: www.cambridge.org/core/terms (unspecified)
Locations: Psychological Medicine (publishedVersion)
PubMed (publishedVersion)
Leicester Research Archive (University of Leicester) (submittedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health and Medical Studies
Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
Keywords: psychiatric morbidity, prevalence of mental disorders, social dysfunction, mental health service utilization, environmental risk factors, psychosis, homelessness, psychiatric hospitals, Present State Examination, Great Britain
MeSH terms: Adolescent, Adult, Mental Disorders, Female, United Kingdom, Health Services, Health Surveys, Ill-Housed Persons, Humans, Institutionalization, Male, Middle Aged, Neurotic Disorders, Psychotic Disorders, Sampling Studies, Comorbidity, Prevalence, Databases, Factual, Cost of Illness, Substance-Related Disorders

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The National Psychiatric Morbidity Surveys of Great Britain – strategy and methods

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