عنوان

Use of web-based epidemiology in the investigation of risk factors for common mental disorder

شماره

TLets655940

عنوان اصلي

Use of web-based epidemiology in the investigation of risk factors for common mental disorder

نام عام مواد

[Thesis]

نام نخستين پديدآور

Jessop, Lynn Sherree

نام ناشر، پخش کننده و غيره

Cardiff University

تاریخ نشرو بخش و غیره

2015

جزئيات پايان نامه و نوع درجه آن

Ph.D.

کسي که مدرک را اعطا کرده

Cardiff University

امتياز متن

2015

متن يادداشت

The common mental disorders of anxiety and depression (CMD) impose a substantial burden on individuals and society. A current limitation for research into risk factors for CMD is that the Mental Health Inventory -5 MHI-5) a brief but widely used scale to measure of anxiety and depression was designed without a cut-point to identify cases of CMD. This thesis designed a web-based epidemiological study. Changes in Well-being to gather data from MHI-5 and the Clinical Interview Schedule - Revised (CIS-R), representing the 'gold standard' for CMD case classification. From a random sample of 10,000 people aged 18 to 74 years living in Caerphilly County Borough, Wales a total of 616 participants were recruited. Of these, 82 (13.4%) were classified as CMD 'non-severe' (CMD-NS) using a CIS-R score of 12-17 and 129 (20.9%) were classified as a case of CMD 'severe' (CMD-S) with a CIS-R score of 18 and over. In an analysis of paired CIS-R and MHI-5 scores, the corresponding cut-points on the MHI-5 scaled of 0-100 were <60 and <45 respectively. These cut-points were applied to baseline and follow-up survey MHI-5 scores in the Caerphilly Health and Social Needs Longitudinal Study dataset to classify cases. Logistic regression analysis showed the importance of younger age, a range of major adverse life events, and living in the most deprived areas as risk factors for the onset of CMD. Adverse employment transitions, moving to non-owner-occupation and becoming widowed were more strongly associated with older age groups and living in areas of high social cohesion. This thesis has shown the utility of web-based epidemiological studies in population mental health, determined cut-points on the MHI5 scale and demonstrated the importance of a wide-range of risk factors for change in CMD case status.

موضوع مستند نشده

HM Sociology

موضوع مستند نشده

RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry

مستند نام اشخاص تاييد نشده

Jessop, Lynn Sherree

مستند نام تنالگان تاييد نشده

Cardiff University

نام الکترونيکي

فرمت انتشار

p

نوع ماده

[Thesis]

کد کاربرگه

276903

سطح دسترسي

a

تكميل شده

Y