A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä

Ten-year changes in the psychosocial well-being, psychopathology, substance use, suicidality, bullying, and sense of coherence of 18-year-old males: a Finnish population-based time-trend study




TekijätKronström Kim, Multimäki Petteri, Ristkari Terja, Parkkola Kai, Sillanmäki Lauri, Sourander Andre

KustantajaSPRINGER

Julkaisuvuosi2020

JournalEuropean Child and Adolescent Psychiatry

Lehden akronyymiEUR CHILD ADOLES PSY

Vuosikerta30

Aloitussivu313

Lopetussivu325

Sivujen määrä13

ISSN1018-8827

eISSN1435-165X

DOIhttps://doi.org/10.1007/s00787-020-01517-4

Verkko-osoitehttps://link.springer.com/article/10.1007/s00787-020-01517-4

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/47082780


Tiivistelmä
We studied Finnish 18-year-old males attending obligatory military call-up assessments in 1999 (n = 2340) and 2009 (n = 4309) on time-trend changes in psychosocial well-being, psychopathology, substance use, suicidality, bullying, and sense of coherence. Subjects filled in questionnaires, including the Young Adult Self-Report (YASR) for psychopathology and the Orientation to Life Questionnaire (SOC-13) for sense of coherence. The prevalence of minor mental health problems in the last 6 months decreased from 22.3% in 1999 to 18.6% in 2009 (OR 0.8, 95% CI 0.7-0.9), whereas severe mental health problems remained stable. Suicidal thoughts decreased from 5.7 to 3.7% (OR 0.6, 95% CI 0.5-0.8). The use of illicit drugs decreased from 6.0 to 4.7% (OR 0.8, 95% CI 0.6-0.95), but being drunk at least once a week increased from 10.3 to 13.4% (OR 1.3, 95% CI 1.0-1.5). Attention problems increased in YASR syndrome domains (mean score 2.9 vs 3.2, p < 0.001) and so did somatic complains (mean score 1.7 vs 1.9, p = 0.005). The SOC-13 scores remained stable. The percentage of males who had studied during the past 6 months increased from 91.4 to 93.4% (OR 1.3, 95% CI 1.1-1.6), while being employed decreased from 64.9 to 49.4% (OR 0.5, 95% CI 0.5-0.6). The positive findings included reductions in the prevalence of suicidal thoughts and the use of illicit drugs, but being drunk at least once a week increased. Self-reported somatic problems and attention problems increased. Despite changes in society and family structures, there were only minor overall changes in psychopathology.

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