OBJECTIVE: In the public opinion as well as in psychiatry, increasing rates of mental disorders have been taken for granted since the 1950s. Usually, social change in the western world is regarded as the main cause of an increase in mental disorders. However, psychiatric epidemiologic studies on which these claims are based are often not suitable to analyse the problem. METHODS: A systematic review with strict inclusion criteria was undertaken: different study samples had to be analyzed at least at two measurements points with identical study designs. RESULTS: 44 papers were identified which fulfilled the inclusion criteria. Neither general mental disorders nor specific disorders such as depression, anxiety, addictions or eating disorders showed a clearly increasing trend. Child- and adolescent psychiatric disorders also failed to show an increasing trend. CONCLUSIONS: The assumption of increasing rates of mental disorders since the 1940s that is based on social change cannot be confirmed.
OBJECTIVE: In the public opinion as well as in psychiatry, increasing rates of mental disorders have been taken for granted since the 1950s. Usually, social change in the western world is regarded as the main cause of an increase in mental disorders. However, psychiatric epidemiologic studies on which these claims are based are often not suitable to analyse the problem. METHODS: A systematic review with strict inclusion criteria was undertaken: different study samples had to be analyzed at least at two measurements points with identical study designs. RESULTS: 44 papers were identified which fulfilled the inclusion criteria. Neither general mental disorders nor specific disorders such as depression, anxiety, addictions or eating disorders showed a clearly increasing trend. Child- and adolescent psychiatric disorders also failed to show an increasing trend. CONCLUSIONS: The assumption of increasing rates of mental disorders since the 1940s that is based on social change cannot be confirmed.
Authors: Antti Torikka; Riittakerttu Kaltiala-Heino; Arja Rimpelä; Mauri Marttunen; Tiina Luukkaala; Matti Rimpelä Journal: BMC Public Health Date: 2014-04-28 Impact factor: 3.295