The longitudinal relationship between flourishing mental health and incident mood, anxiety and substance use disorders

Marijke Schotanus-Dijkstra, Margreet ten Have, S.M.A. Lamers, Ron de Graaf, Ernst Thomas Bohlmeijer

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Abstract

Background: High levels of mental well-being might protect against the onset of mental disorders but longitudinal evidence is scarce. This study examines whether flourishing mental health predicts first-incidence and recurrent mental disorders 3 years later. Methods: Data were used from 4482 representative adults participating in the second (2010–12) and third wave (2013–15) of the Netherlands Mental Health Survey and Incidence Study-2 (NEMESIS-2). Mental well-being was assessed with the Mental Health Continuum-Short Form (MHC-SF) at the second wave. The classification criteria of this instrument were used to classify participants as having flourishing mental health: high levels of both hedonic well-being (life-satisfaction, happiness) and eudaimonic well-being (social contribution, purpose in life, personal growth). DSM-IV mood, anxiety and substance use disorders were measured with the Composite International Diagnostic Interview (CIDI) 3.0 at all waves. Odds ratios of (first and recurrent) incident disorders were estimated, using logistic regression analyses adjusting for potential confounders. Results: Flourishing reduced the risk of incident mood disorders by 28% and of anxiety disorders by 53%, but did not significantly predicted substance use disorders. A similar pattern of associations was found for either high hedonic or high eudaimonic well-being. Significant results were found for substance use disorders when life-events and social support were removed as covariates. Conclusion: This study underscores the rationale of promoting mental well-being as a public mental health strategy to prevent mental illness. In wealthy European nations it seems fruitful to measure and pursuit a flourishing life rather than merely high levels of hedonic well-being.
Original languageEnglish
Pages (from-to)563-568
JournalEuropean journal of public health
Volume27
Issue number3
DOIs
Publication statusPublished - 1 Jun 2017

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Substance-Related Disorders
Mental Health
Anxiety
Pleasure
Mental Disorders
Happiness
Health Surveys
Anxiety Disorders
Mood Disorders
Diagnostic and Statistical Manual of Mental Disorders
Social Support
Netherlands
Cohort Studies
Public Health
Logistic Models
Odds Ratio
Regression Analysis
Interviews
Incidence
Growth

Keywords

  • IR-103511
  • METIS-320140

Cite this

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title = "The longitudinal relationship between flourishing mental health and incident mood, anxiety and substance use disorders",
abstract = "Background: High levels of mental well-being might protect against the onset of mental disorders but longitudinal evidence is scarce. This study examines whether flourishing mental health predicts first-incidence and recurrent mental disorders 3 years later. Methods: Data were used from 4482 representative adults participating in the second (2010–12) and third wave (2013–15) of the Netherlands Mental Health Survey and Incidence Study-2 (NEMESIS-2). Mental well-being was assessed with the Mental Health Continuum-Short Form (MHC-SF) at the second wave. The classification criteria of this instrument were used to classify participants as having flourishing mental health: high levels of both hedonic well-being (life-satisfaction, happiness) and eudaimonic well-being (social contribution, purpose in life, personal growth). DSM-IV mood, anxiety and substance use disorders were measured with the Composite International Diagnostic Interview (CIDI) 3.0 at all waves. Odds ratios of (first and recurrent) incident disorders were estimated, using logistic regression analyses adjusting for potential confounders. Results: Flourishing reduced the risk of incident mood disorders by 28{\%} and of anxiety disorders by 53{\%}, but did not significantly predicted substance use disorders. A similar pattern of associations was found for either high hedonic or high eudaimonic well-being. Significant results were found for substance use disorders when life-events and social support were removed as covariates. Conclusion: This study underscores the rationale of promoting mental well-being as a public mental health strategy to prevent mental illness. In wealthy European nations it seems fruitful to measure and pursuit a flourishing life rather than merely high levels of hedonic well-being.",
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author = "Marijke Schotanus-Dijkstra and {ten Have}, Margreet and S.M.A. Lamers and {de Graaf}, Ron and Bohlmeijer, {Ernst Thomas}",
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The longitudinal relationship between flourishing mental health and incident mood, anxiety and substance use disorders. / Schotanus-Dijkstra, Marijke; ten Have, Margreet; Lamers, S.M.A.; de Graaf, Ron; Bohlmeijer, Ernst Thomas.

In: European journal of public health, Vol. 27, No. 3, 01.06.2017, p. 563-568.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - The longitudinal relationship between flourishing mental health and incident mood, anxiety and substance use disorders

AU - Schotanus-Dijkstra, Marijke

AU - ten Have, Margreet

AU - Lamers, S.M.A.

AU - de Graaf, Ron

AU - Bohlmeijer, Ernst Thomas

N1 - Online first

PY - 2017/6/1

Y1 - 2017/6/1

N2 - Background: High levels of mental well-being might protect against the onset of mental disorders but longitudinal evidence is scarce. This study examines whether flourishing mental health predicts first-incidence and recurrent mental disorders 3 years later. Methods: Data were used from 4482 representative adults participating in the second (2010–12) and third wave (2013–15) of the Netherlands Mental Health Survey and Incidence Study-2 (NEMESIS-2). Mental well-being was assessed with the Mental Health Continuum-Short Form (MHC-SF) at the second wave. The classification criteria of this instrument were used to classify participants as having flourishing mental health: high levels of both hedonic well-being (life-satisfaction, happiness) and eudaimonic well-being (social contribution, purpose in life, personal growth). DSM-IV mood, anxiety and substance use disorders were measured with the Composite International Diagnostic Interview (CIDI) 3.0 at all waves. Odds ratios of (first and recurrent) incident disorders were estimated, using logistic regression analyses adjusting for potential confounders. Results: Flourishing reduced the risk of incident mood disorders by 28% and of anxiety disorders by 53%, but did not significantly predicted substance use disorders. A similar pattern of associations was found for either high hedonic or high eudaimonic well-being. Significant results were found for substance use disorders when life-events and social support were removed as covariates. Conclusion: This study underscores the rationale of promoting mental well-being as a public mental health strategy to prevent mental illness. In wealthy European nations it seems fruitful to measure and pursuit a flourishing life rather than merely high levels of hedonic well-being.

AB - Background: High levels of mental well-being might protect against the onset of mental disorders but longitudinal evidence is scarce. This study examines whether flourishing mental health predicts first-incidence and recurrent mental disorders 3 years later. Methods: Data were used from 4482 representative adults participating in the second (2010–12) and third wave (2013–15) of the Netherlands Mental Health Survey and Incidence Study-2 (NEMESIS-2). Mental well-being was assessed with the Mental Health Continuum-Short Form (MHC-SF) at the second wave. The classification criteria of this instrument were used to classify participants as having flourishing mental health: high levels of both hedonic well-being (life-satisfaction, happiness) and eudaimonic well-being (social contribution, purpose in life, personal growth). DSM-IV mood, anxiety and substance use disorders were measured with the Composite International Diagnostic Interview (CIDI) 3.0 at all waves. Odds ratios of (first and recurrent) incident disorders were estimated, using logistic regression analyses adjusting for potential confounders. Results: Flourishing reduced the risk of incident mood disorders by 28% and of anxiety disorders by 53%, but did not significantly predicted substance use disorders. A similar pattern of associations was found for either high hedonic or high eudaimonic well-being. Significant results were found for substance use disorders when life-events and social support were removed as covariates. Conclusion: This study underscores the rationale of promoting mental well-being as a public mental health strategy to prevent mental illness. In wealthy European nations it seems fruitful to measure and pursuit a flourishing life rather than merely high levels of hedonic well-being.

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KW - METIS-320140

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DO - 10.1093/eurpub/ckw202

M3 - Article

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SP - 563

EP - 568

JO - European journal of public health

JF - European journal of public health

SN - 1101-1262

IS - 3

ER -