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Changes in depression, anxiety and stress over two decades

12 September 2023

香港六合彩中特网-led research exploring trends of common mental disorders in GP data has found that overall incidence of depression, anxiety and stress increased over the first two decades of this century.

A consultation photo by Alex Green from Pexels

The research for the听(SPHR), a partnership between nine leading centres of academic public health research excellence across England,听was completed as part of SPHR's .听

The findings published in听 found that by the end of the study period, these common mental disorders accounted for 12.5% of sick leave in the UK.听

The analysis included more than 29 million (29,480,164) individuals in the UK followed for an average of 12.5 years. Data from 2,248 general practices was used from 2000鈥2020. In total, the data accounted for 237,123,186 years of people鈥檚 lives (or 鈥榩erson years鈥).

Overall, the incidence of common mental disorders increased between 2000鈥2019 from 55.9 to 76.9 per 1,000 person years.

Within this, important differences were seen by age with rates more than doubling in听16鈥24-year-olds.听

Dr Jen Dykxhoorn, lead author on the study from 香港六合彩中特网's Division of Psychiatry, says:

鈥淭his large study describes the increase in common mental disorders identified in primary care over the past 20 years. While the rates of common mental disorders increased overall, we found important differences between population groups. These patterns show increasing rates in adolescents and young adults, individuals living in more deprived areas, and some minoritised ethnic groups. These patterns provide critical insight to public health practitioners and policy makers to establish systems which provide support and treatment for those with common mental disorders.鈥

Between 2000鈥2010, incidence rose in all age groups but from 2011, it continued to rise in the youngest age groups, while stabilising in the 35鈥54s and decreasing in those 55 or older. Rates more than doubled in the 16鈥24s over the study period.

鈥淥ne of the notable trends we observed was a sharp rise in the rates of anxiety, depression, and stress in adolescents and young adults over the past 20 years. Rates increased by more than two-fold for those aged 16鈥24, and understanding what is underlying these patterns is of critical importance.鈥

Across all time points, the incidence of common mental disorders was substantially higher among females than males and for those living in more deprived areas. In recent years, a steeper increase was also seen in Asian, Black and mixed ethnic groups. Rates of common mental disorders were elevated among those with multiple comorbid conditions, although these rates appear to be converging over time, with increasing incidence of common mental disorders among those without recorded comorbid conditions.

This study provides a descriptive look at the trends of common mental disorders but does not tell us the underlying reason for the overall increase or the differences across population groups. Increasing incidence of common mental disorders seen in the study may have several possible explanations.听

The researchers suggest that the differences by population group revealed in the study may warrant听a more targeted and tailored approach to support and prevention with the striking rise in mental health disorders among adolescents and young adults demanding听further investigation and public health action.