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Incidence of Mental Disorders in the Finnish UKKI Study

Published online by Cambridge University Press:  02 January 2018

Ville Lehtinen*
Affiliation:
National Research and Development Centre for Welfare and Health, Helsinki
Juha Veijola
Affiliation:
Psychiatric Clinic, University Central Hospital of Oulu, Oulu
Tomi Lindholm
Affiliation:
Mental Health Centre of Turku, Turku
Juha Moring
Affiliation:
Psychiatric Clinic, University Central Hospital of Oulu, Oulu
Pauli Puukka
Affiliation:
Social Insurance Institution, Turku
Erkki Väisänen
Affiliation:
Psychiatric Clinic, University Central Hospital of Oulu, Oulu, Finland
*
Professor V. Lehtinen, Mental Health Unit, National Research and Development Centre for Welfare and Health, Kunnallissairaalantie 20, FIN-20700 TURKU

Abstract

Background

The aim was to give estimates of the incidence of different mental disorders from a Finnish prospective epidemiological follow-up study, the UKKI Study.

Method

The original probability sample consisted of 1000 persons, aged 15–64 years. The baseline survey took place in 1969–71, and follow-up surveys were conducted 5 and 16 years after the baseline survey. The research methods included a personal psychiatric interview and data collection from different registers. The diagnostic system was based on the ICD–8 classification.

Results

The estimated annual incidence of all mental disorders was close to 15 per 1000 both between baseline and the 5-year follow-up as well as between the 5-year and the 16-year follow-up. During the entire 16-year follow-up period the annual incidence of all disorders was 14 per 1000 in men and 17 per 1000 in women. The annual incidence of neurotic disorders was 10 per 1000 in men and 14 per 1000 in women, and that of psychotic disorders 2 per 1000.

Conclusions

In the literature, there are huge differences in the results concerning incidence of mental disorders. The results of the present study were rather close to those of the Swedish Lundby Study, but nowhere near the results of the American ECA Study.

Type
Papers
Copyright
Copyright © 1996 The Royal College of Psychiatrists 

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References

Alanen, Y. O., Rekola, J. K., Stewen, A., et al (1966) The family in the pathogenesis of schizophrenic and neurotic disorders. Acta Psychiatrica Scandinavica, 56 (suppl. 189), 1654.Google Scholar
Brodman, K., Erdmann, A. J. & Wolff, H. G. (1956) Cornell Medical Index Questionnaire. Manual. New York: Cornell University College.Google Scholar
Dilling, H., Weyerer, S. & Fichter, M. (1989) The Upper Bavarian Studies. Acta Psychiatrica Scandinavica (suppl. 348), 79, 113140.CrossRefGoogle Scholar
Eaton, W. W., Kramer, M., Anthony, J., et al (1989a) Conceptual and methodological problems in estimation of the incidence of mental disorders from field survey data. In Epidemiology and the Prevention of Mental Disorders (eds Cooper, B. & Helgason, T.), pp. 108130. London: Routledge.Google Scholar
Eaton, W. W., Kramer, M., Anthony, J., et al (1989b) The incidence of specific DIS/DMS–III mental disorders: data from the NIMH Epidemiological Catchment Area Program. Acta Psychiatrica Scandinavica, 79, 163178.CrossRefGoogle Scholar
Goldberg, D. P., Cooper, B., Eastwood, M. R., et al (1970) A standardized psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine, 24, 1823.Google ScholarPubMed
Hagnell, O. (1966) A Prospective Study of the Incidence of Mental Disorder. Lund: Svenska bokförlaget.Google Scholar
Hagnell, O. (1986) Mental disorders in the welfare state – Sweden. American Journal of Social Psychiatry, 4, 230247.Google Scholar
Hagnell, O., Lanke, J., Rorsman, B., et al (1982) Are we entering an age of melancholy? Psychological Medicine, 12, 279289.CrossRefGoogle ScholarPubMed
Hagnell, O., Essen-Möller, E., Lanke, J., et al (1990) The incidence of mental illness over a quarter of a century. Stockholm: Almqvist & Wiksell International.Google Scholar
Lehtinen, V. & Väisänen, E. (1981) Epidemiology of psychiatric disorders in Finland. A five-year follow-up. Social Psychiatry, 16, 171180.CrossRefGoogle Scholar
Lehtinen, V., Lindholm, T., Veijola, J., et al (1990) The prevalence of PSE–CATEGO disorders in a Finnish adult population cohort. Social Psychiatry and Psychiatric Epidemiology, 25, 187192.CrossRefGoogle Scholar
Lehtinen, V., Lindholm, T., Veijola, J., et al (1991) Stability of prevalences of mental disorders in a normal population cohort followed for 16 years. Social Psychiatry and Psychiatric Epidemiology, 26, 4046.CrossRefGoogle Scholar
Regier, D. A., Myers, J. K., Kramer, M., et al (1984) The NIMH epidemiological catchment area program. Historical context, major objectives, and study population characteristics. Archives of General Psychiatry, 41, 934941.CrossRefGoogle ScholarPubMed
Regier, D. A., Boyd, J. H. & Burke, J. D. (1988) One-month prevalence of mental disorders in the United States. Archives of General Psychiatry, 45, 977986.CrossRefGoogle ScholarPubMed
Romans, S. E., Walton, V. A., McNoe, B., et al (1993) Otago Women's Health Survey 30-month follow-up I: Onset patterns of non-psychotic psychiatric disorder. British Journal of Psychiatry, 163, 733738.CrossRefGoogle ScholarPubMed
Romans-Clarkson, S. E., Walton, V. A., Herbison, G. P., et al (1990) Psychiatric morbidity among women in urban and rural New Zealand: psychosocial correlates. British Journal of Psychiatry, 156, 8491.CrossRefGoogle Scholar
Srole, L. (1975) Measurement and classification in sociopsychiatric epidemiology: Midtown Manhattan Study (1954) and Midtown Manhattan Restudy (1974). Journal of Health and Social Behavior, 16, 347364.CrossRefGoogle ScholarPubMed
Strömgren, E., Nielsen, J. & Sartorius, N. (1989) Discussion. Acta Psychiatrica Scandinavica (suppl. 348), 79, 167178.CrossRefGoogle Scholar
Väisänen, E. (1975) Psychiatric disorders in Finland. Acta Psychiatrica Scandinavica (suppl. 263), 65, 2233.CrossRefGoogle Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) Measurement and Classification of Psychiatric Symptoms. An Instructional Manual for the PSE and CATEGO Program. Cambridge: Cambridge University Press.Google Scholar
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