ArticleBMJ open2017
Ageing and mental health: changes in self-reported health due to physical illness and mental health status with consecutive cross-sectional analyses.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Gendered experiences of providing informal care for older people: a systematic review and thematic synthesis.BMC health services research · 2021Pooled it
- Adverse events of repetitive transcranial magnetic stimulation in older adults with depression, a systematic review of the literature.International journal of geriatric psychiatry · 2021Pooled it
- Cross-country differences in self-rated health: decomposing the influence of depressive symptoms.European journal of public health · 2026Article
- Mind the Gap: A Retrospective Study of Discrepancies in Self-Reported and Administrative Database-Identified Mental Health Issues in Slovenia.Zdravstveno varstvo · 2025Article
- Article
- Discrimination Experiences among Asian American and Pacific Islander Adults during the COVID-19 Pandemic and Their Association with Mental Health Outcomes: Updated Findings from the COMPASS Study.International journal of environmental research and public health · 2024Article
- Unveiling the patterns: exploring social and clinical characteristics of frequent mental health visits to the emergency department-a comprehensive systematic review.Discover mental health · 2024Review
- Perceived discrimination as a mediator between cultural identity and mental health symptoms among racial/ethnic minority adults in the United States: insights from the Health Information National Trends Survey 6.Frontiers in psychology · 2024Article
- Determinants of psychological distress among individuals who are aware of their HIV serostatus in South Africa: findings from the 2017 national HIV prevalence, incidence, behavior, and communication survey.Frontiers in public health · 2024Article
- The effects of exceeding low-risk drinking thresholds on self-rated health and all-cause mortality in older adults: the Tromsø study 1994-2020.Archives of public health = Archives belges de sante publique · 2023Article
- Association of Long-term Exposure to Air Pollution With Late-Life Depression in Older Adults in the US.JAMA network open · 2023Article
- Interrelationships between self reported physical health and health behaviors among healthy US adults: From the NHANES 2009-2016.Public health in practice (Oxford, England) · 2022Article
- Income trajectories and self-rated health status in the UK.SSM - population health · 2022Article
- Effect and mechanism of reading habits on physical and mental health among the elderly: Evidence from China.Frontiers in public health · 2022Article
- Evaluating the Interactive Effect of COVID-19 Worry and Loneliness on Mental Health Among Young Adults.Cognitive therapy and research · 2022Article
- Can community health centers improve the self-rated health of migrants? Evidence from China.Frontiers in public health · 2022Article
- The Actor-Partner Effects of Parenting Stress on Quality of Life Among Parents of Children with ASD: The Mediating Role of Mental Quality of Life.Journal of autism and developmental disorders · 2022Article
- Effects of centralized isolation vs. home isolation on psychological distress in patients with COVID-19.Journal of psychosomatic research · 2021Observational
- Psychometric validation of a Saudi Arabian version of the sf-36v2 health survey and norm data for Saudi Arabia.Journal of patient-reported outcomes · 2020Article
- Sense of coherence and physical health-related quality of life in Italian chronic patients: the mediating role of the mental component.BMJ open · 2019Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesIt is known that self-reported health (SRH) declines with increasing age and that comorbidity increases with age. We wished to examine how age transfers its effect to SRH through comorbid disease and mental illness and whether these processes remained stable from 1994 until 2008. The hypothesis is that ageing and/or the increased age-related burden of pathology explains the declining SRH.
settingThe Tromsø Study (TS) is a cohort study using a survey approach with repeated physical examinations. It was conducted in the municipality of Tromsø, Norway, from 1974 to 2008.
participantsA total of 21 199 women and 19 229 men participated. PRIMARY AND SECONDARY OUTCOME MEASURES: SRH is the outcome of interest. We calculated and compared the effect sizes of age, comorbidity and mental health symptoms using multimediator analysis based on OLS regression.
resultsAgeing had a negative impact on SRH, but the total effect of age decreased from 1994 to 2007. We assessed the direct effect of age and then the proportion of indirect age-related effects through physical illness and mental health symptoms on the total effect. The direct effect of age represented 79.3% of the total effect in 1994 and decreased to 58.8% in 2007. Physical illness emerged as an increasingly important factor and increased its influence from 15.7% to 41.2% of the total effect. Age alone had a protective effect on mental health symptoms and this increased (2.5% to 17.3%), but we found a stronger association between mental health symptoms and physical disease in the later waves of the study (increasing from 3.7% to 14.8%).
conclusionsThe results suggest that the effect on SRH of mental health symptoms caused by physical illness is an increasing public health problem. Treatment and care for specific medical conditions must therefore focus more strongly on how these conditions affect the patient's mental health and address these concerns accordingly.
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