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Psychiatric Symptoms, Social Disability, Low Wellbeing and Need for Treatment: Data from a Population-Based Study

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  • Yvonne Forsell

    (Department of Public Health, Division of Social Medicine, Karolinska Institutet, Stockholm, Sweden, yvonne.forsell@phs.ki.se)

Abstract

Background: Identifying need for treatment due to mental problems is necessary for rational health care planning. The aim of this study was to study reports of psychiatric symptoms, social disability and low wellbeing as indicators of meetable need of care. Methods: An extensive questionnaire was sent out to a representative adult population in Stockholm, Sweden. Psychiatric symptom scales, social disabilities due to psychological distress and wellbeing were included. Of the 10,442 persons that answered 1093 were interviewed by psychiatrists. Meetable need of care was assessed and psychiatric diagnoses were made according to DSM-IV. Results: Reports of psychiatric symptoms, social disabilities and low wellbeing were all associated with being female, younger, single, manual work and unemployed. Somatic disorders, a lower degree of social network and more negative life events were also associated. Of the interviewees persons with low well-being had the highest risk for being regarded as having meetable need of care. Additionally they were more likely to fulfil the criteria for a psychiatric disorder accordingtoDSM-IV. Conclusion: Persons with low wellbeing had a higher risk of having meetable need of care than persons with psychiatric symptoms and/or social disabilities had.

Suggested Citation

  • Yvonne Forsell, 2004. "Psychiatric Symptoms, Social Disability, Low Wellbeing and Need for Treatment: Data from a Population-Based Study," International Journal of Social Psychiatry, , vol. 50(3), pages 195-203, September.
    • Handle: RePEc:sae:socpsy:v:50:y:2004:i:3:p:195-203
    DOI: 10.1177/0020764004043126
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    References listed on IDEAS

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    1. Bijl, R.V. & Ravelli, A., 2000. "Psychiatric morbidity, service use, and need for care in the general population: Results of the Netherlands Mental Health Survey and incidence study," American Journal of Public Health, American Public Health Association, vol. 90(4), pages 602-607.
    2. Undén, Anna-Lena & Orth-Gomér, Kristina, 1989. "Development of a social support instrument for use in population surveys," Social Science & Medicine, Elsevier, vol. 29(12), pages 1387-1392, January.
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    1. Petter Tinghög & Suad Al-Saffar & John Carstensen & Lennart Nordenfelt, 2010. "The Association of Immigrant- and Non-Immigrant-Specific Factors With Mental Ill Health Among Immigrants in Sweden," International Journal of Social Psychiatry, , vol. 56(1), pages 74-93, January.
    2. Peter Bergman & Gunnel Ahlberg & Yvonne Forsell & Ingvar Lundberg, 2010. "Non-Participation in the Second Wave of the Part Study on Mental Disorder and Its Effects on Risk Estimates," International Journal of Social Psychiatry, , vol. 56(2), pages 119-132, March.

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