Evidence map›Paper›PMID 40360394›Full record

ArticleBMJ mental health2025

Common mental disorders in young adults: temporal trends in primary care episodes and self-reported symptoms.

Jennifer Dykxhoorn, Francesca Solmi, Kate Walters, Shamini Gnani, Antonio Lazzarino, Judi Kidger, James B Kirkbride, David P J Osborn

Abstract read
In one paragraph

Article in BMJ mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jennifer DykxhoornUCL Division of Psychiatry, London, UK J.dykxhoorn@ucl.ac.uk.ORCID 0000-0001-6391-8626
Francesca SolmiUCL Division of Psychiatry, London, UK.ORCID 0000-0003-0219-9503
Kate WaltersUCL Research Department of Primary Care and Population Health, London, UK.
Shamini GnaniDepartment of Primary Care and Public Health, Imperial College London, London, UK.
Antonio LazzarinoUCL Division of Psychiatry, London, UK.
Judi KidgerPopulation Health Sciences, University of Bristol, Bristol, UK.
James B KirkbrideUCL Division of Psychiatry, London, UK.ORCID 0000-0003-3401-0824
David P J OsbornUCL Division of Psychiatry, London, UK.ORCID 0000-0003-2519-1539

Funding

National Institute for Health and Care Research (NIHR) NIHR302266
6 · The paper itself

Abstract

backgroundRates of common mental disorders (CMDs) including anxiety, depression and stress, treated in primary care have increased among young adults, but it is unclear if this reflects more help-seeking and/or an increase in symptoms, and if there are differences across sociodemographic groups.

objectiveThis study examined trends in primary care-recorded CMD and self-reported psychological distress symptoms in young adults over time.

methodsWe used data from participants born between 1980 and 2003 in two datasets: UK primary care records and longitudinal cohort data. Participants were followed from age 16 to age 39 (maximum) or the end of the follow-up (2019-2020). Annual incidence rates of recorded CMD overall and by sociodemographic group were calculated for 2009-2019, using incidence rate ratios to explore changes. We calculated annual self-reported psychological distress symptoms from cohort data, calculating ratios to explore changes over time.

findingsBetween 2009 and 2019, recorded CMD increased by 9.90%, while average psychological distress symptoms rose by 19.33%. The sharpest increases for both recorded CMD and average psychological distress symptoms were observed in older adolescents (ages 16-19) and those born after 1995. Recorded CMD increased more in males (20.61%) than in females (7.65%), despite similar symptom increases. Recorded CMD increased the most in the least deprived areas (16.34%) compared with the most deprived areas (3.55%), despite comparable rises in psychological distress symptoms.

conclusionsBoth recorded CMD and psychological distress symptoms in young adults increased between 2009 and 2019, which may indicate that the rising primary care-recorded CMD reflects increased symptom burden. IMPLICATIONS: Differences between recorded CMD and psychological distress symptoms across sociodemographic groups highlight potential misalignment in mental healthcare with underlying population need, indicating that the most affected groups may not be those receiving the most care.

Indexed as

Mental DisordersPrimary Health CarePsychological DistressStress, PsychologicalAdolescentAdultAnxietyFemaleHumansIncidenceLongitudinal StudiesMaleSelf ReportUnited KingdomYoung AdultAdult psychiatryAnxiety disordersChild & adolescent psychiatryDepression

Identifiers

PMID40360394
PMCPMC12083424

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.