4gotAgain
11-24-07, 10:37 PM
Hi, since I think I have bipolar. I have been researching it especially here where I live.
Some interesting information.
Prevalences across the whole population
Mental disorder is common in New Zealand: 46.6% of the population are predicted to meet criteria for a disorder at some time in their lives, with 39.5% having already done so and 20.7% having a disorder in the past 12 months.
Sociodemographic correlates
Younger people have a higher prevalence of disorder in the past 12 months and are more likely to report having ever had a disorder by any particular age.
Females have higher prevalences of anxiety disorder, major depression and eating disorders than males, whereas males have substantially higher prevalences for substance use disorders than females.
Prevalences are higher for people who are disadvantaged, whether measured by educational qualification, equivalised household income or using the small area index of deprivation (NZDep2001).
Ethnic comparisons
The prevalence of disorder in any period is higher for Māori and Pacific people than for the Other composite ethnic group. For disorder in the past 12 months, the prevalences are 29.5% for Māori, 24.4% for Pacific people and 19.3% for Others, which indicates that Māori and Pacific people have a greater burden due to mental health problems. Much of this burden appears to be because of the youthfulness of the Māori and Pacific populations and their relative socioeconomic disadvantage.
After adjusting for sociodemographic correlates no ethnic differences in the prevalence of anxiety disorders in the past 12 months are apparent, but even with adjustments the prevalence of bipolar disorder remains higher for Māori and Pacific people (Māori, 3.4%; Pacific people, 2.7%; Others 1.9%), and substance use disorder is higher for Māori (6.0%) (Pacific people, 3.2%; Others, 3.0%). Major depression shows a different pattern: after adjustment, Māori and Others have very similar prevalence (5.7%, 5.8%), whereas Pacific people have lower prevalence (3.5%).
Disability
Mental disorders are associated with impairment in several domains of functioning. Mood disorders are reported to be more disabling than either anxiety disorders or substance use disorders. The experience of multiple mental disorders is associated with greater role impairment than is associated with single disorders. Mental disorders and chronic physical conditions are, on average, associated with similar degrees of disability, and the combination of the two is more disabling than either alone.
Suicidal behaviour
Prevalence across the whole population
Of the population, 15.7% reported ever having thought seriously about suicide (suicidal ideation), 5.5% had ever made a suicide plan and 4.5% had ever made an attempt.
In the past 12 months, 3.2% experienced suicidal ideation, 1.0% made a suicide plan and 0.4% made a suicide attempt.
Sociodemographic correlates
The risk of suicidal ideation in the past 12 months was higher in females, younger people, people with lower educational qualifications and people with low household income, and among people living in more deprived areas (measured using the small area descriptor of socioeconomic adversity, the New Zealand Index of Deprivation) and in urban areas. The risk of making a suicide plan or suicide attempt was more common among younger people, people with low household income, and people living in more deprived areas. The risk of making a suicide attempt was higher in people in urban areas.
Mental disorders
Individuals with a mental disorder had elevated risks of suicidal behaviour, with 11.8% of people with any mental disorder in the last 12 months reporting suicidal ideation, 4.1% making a suicide plan and 1.6% making a suicide attempt in that period.
Mood disorders, anxiety disorders, eating disorders and substance use disorders were all associated with suicidal ideation, suicide plan and suicide attempt. Of individual disorders, major depressive episode had the strongest association with suicidal ideation, suicide plan and suicide attempt.
Back to top (http://www.moh.govt.nz/moh.nsf/by+unid/4B07B735BDAD91F4CC2571E800720015?Open#top)
Ethnic comparisons
Māori and Pacific people had higher prevalences of suicidal ideation, suicide plans and suicide attempts in the past 12 months than Others. After adjustment for sociodemographic correlates differences in suicidal ideation disappeared, but Māori and Pacific people still had higher prevalences of suicide plans (Māori 0.9%; Pacific people 1.0%; Others 0.3%); and suicide attempts (Māori 0.7%; Pacific people 0.8%; Others 0.3%).
Overall summary
Mental disorder is common in New Zealand, but is much more common in some groups in the population than in others.
Access to health care for mental health problems is low, but for people with a need for such care it is fairly equitable across population groups except for Pacific people and, to a lesser extent, Māori. Both these ethnic groups are less likely to have had access to services.
People with a mental disorder frequently have more than one disorder. There is also a relationship between mental disorder and chronic physical conditions.
Mental disorder can severely impact on people’s lives.
Suicidal behaviours are more common in some groups in the population than in others.
Strengths of the survey
The survey’s key strengths are as follows.
The researchers used a survey design and sample frame consistent with best practice, so the survey generates estimates of acceptable precision that can be generalised to the New Zealand adult population.
Māori and Pacific people were selected at higher rates to allow (for the first time) estimates of acceptable precision for those communities.
The diagnostic instrument used is known to have acceptable reliability and validity for community surveys.
The fieldwork conformed to best practice standards and incorporated quality controls to ensure adherence to best practice.
The data were extensively checked for quality.
The analysis took account of the complex sample design appropriately.
Some interesting information.
Prevalences across the whole population
Mental disorder is common in New Zealand: 46.6% of the population are predicted to meet criteria for a disorder at some time in their lives, with 39.5% having already done so and 20.7% having a disorder in the past 12 months.
Sociodemographic correlates
Younger people have a higher prevalence of disorder in the past 12 months and are more likely to report having ever had a disorder by any particular age.
Females have higher prevalences of anxiety disorder, major depression and eating disorders than males, whereas males have substantially higher prevalences for substance use disorders than females.
Prevalences are higher for people who are disadvantaged, whether measured by educational qualification, equivalised household income or using the small area index of deprivation (NZDep2001).
Ethnic comparisons
The prevalence of disorder in any period is higher for Māori and Pacific people than for the Other composite ethnic group. For disorder in the past 12 months, the prevalences are 29.5% for Māori, 24.4% for Pacific people and 19.3% for Others, which indicates that Māori and Pacific people have a greater burden due to mental health problems. Much of this burden appears to be because of the youthfulness of the Māori and Pacific populations and their relative socioeconomic disadvantage.
After adjusting for sociodemographic correlates no ethnic differences in the prevalence of anxiety disorders in the past 12 months are apparent, but even with adjustments the prevalence of bipolar disorder remains higher for Māori and Pacific people (Māori, 3.4%; Pacific people, 2.7%; Others 1.9%), and substance use disorder is higher for Māori (6.0%) (Pacific people, 3.2%; Others, 3.0%). Major depression shows a different pattern: after adjustment, Māori and Others have very similar prevalence (5.7%, 5.8%), whereas Pacific people have lower prevalence (3.5%).
Disability
Mental disorders are associated with impairment in several domains of functioning. Mood disorders are reported to be more disabling than either anxiety disorders or substance use disorders. The experience of multiple mental disorders is associated with greater role impairment than is associated with single disorders. Mental disorders and chronic physical conditions are, on average, associated with similar degrees of disability, and the combination of the two is more disabling than either alone.
Suicidal behaviour
Prevalence across the whole population
Of the population, 15.7% reported ever having thought seriously about suicide (suicidal ideation), 5.5% had ever made a suicide plan and 4.5% had ever made an attempt.
In the past 12 months, 3.2% experienced suicidal ideation, 1.0% made a suicide plan and 0.4% made a suicide attempt.
Sociodemographic correlates
The risk of suicidal ideation in the past 12 months was higher in females, younger people, people with lower educational qualifications and people with low household income, and among people living in more deprived areas (measured using the small area descriptor of socioeconomic adversity, the New Zealand Index of Deprivation) and in urban areas. The risk of making a suicide plan or suicide attempt was more common among younger people, people with low household income, and people living in more deprived areas. The risk of making a suicide attempt was higher in people in urban areas.
Mental disorders
Individuals with a mental disorder had elevated risks of suicidal behaviour, with 11.8% of people with any mental disorder in the last 12 months reporting suicidal ideation, 4.1% making a suicide plan and 1.6% making a suicide attempt in that period.
Mood disorders, anxiety disorders, eating disorders and substance use disorders were all associated with suicidal ideation, suicide plan and suicide attempt. Of individual disorders, major depressive episode had the strongest association with suicidal ideation, suicide plan and suicide attempt.
Back to top (http://www.moh.govt.nz/moh.nsf/by+unid/4B07B735BDAD91F4CC2571E800720015?Open#top)
Ethnic comparisons
Māori and Pacific people had higher prevalences of suicidal ideation, suicide plans and suicide attempts in the past 12 months than Others. After adjustment for sociodemographic correlates differences in suicidal ideation disappeared, but Māori and Pacific people still had higher prevalences of suicide plans (Māori 0.9%; Pacific people 1.0%; Others 0.3%); and suicide attempts (Māori 0.7%; Pacific people 0.8%; Others 0.3%).
Overall summary
Mental disorder is common in New Zealand, but is much more common in some groups in the population than in others.
Access to health care for mental health problems is low, but for people with a need for such care it is fairly equitable across population groups except for Pacific people and, to a lesser extent, Māori. Both these ethnic groups are less likely to have had access to services.
People with a mental disorder frequently have more than one disorder. There is also a relationship between mental disorder and chronic physical conditions.
Mental disorder can severely impact on people’s lives.
Suicidal behaviours are more common in some groups in the population than in others.
Strengths of the survey
The survey’s key strengths are as follows.
The researchers used a survey design and sample frame consistent with best practice, so the survey generates estimates of acceptable precision that can be generalised to the New Zealand adult population.
Māori and Pacific people were selected at higher rates to allow (for the first time) estimates of acceptable precision for those communities.
The diagnostic instrument used is known to have acceptable reliability and validity for community surveys.
The fieldwork conformed to best practice standards and incorporated quality controls to ensure adherence to best practice.
The data were extensively checked for quality.
The analysis took account of the complex sample design appropriately.