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Changes in Mental Health and Treatment, 1997–2017
Journal of Health and Social Behavior ( IF 5.179 ) Pub Date : 2021-01-22 , DOI: 10.1177/0022146520984136
Amy L Johnson 1
Affiliation  

Mental health outcomes have shown dramatic changes over the past half-century, yet these trends are still underexplored. I utilize an age-period-cohort analysis of the National Health Interview Survey from 1997 to 2017 (N = 627,058) to disentangle trends in mental health outcomes in the United States over time. Specifically, I leverage the contrast between reported psychological distress and rates of mental health treatment to isolate which has changed, how, and for whom. There is little evidence that psychological distress is worsening over time. Yet, treatment seeking has increased over the past 20 years. The increase in treatment seeking is best modeled as a period effect, providing initial evidence that the historical context has influenced responses to mental health over time for Americans of all ages and birth cohorts. I conclude with potential mechanisms and implications for future mental health research.



中文翻译:

心理健康和治疗的变化,1997-2017

在过去的半个世纪里,心理健康结果发生了巨大的变化,但这些趋势仍未得到充分探索。我利用对 1997 年至 2017 年全国健康访谈调查(N = 627,058)的年龄-时期-队列分析来分析美国心理健康结果随时间的变化趋势。具体来说,我利用报告的心理困扰与心理健康治疗率之间的对比来区分哪些已经改变,如何改变,以及为谁改变。几乎没有证据表明心理困扰会随着时间的推移而恶化。然而,在过去的 20 年中,寻求治疗的人数有所增加。寻求治疗的增加最好被建模为一个时期效应,提供了初步证据表明,随着时间的推移,历史背景影响了所有年龄段和出生队列的美国人对心理健康的反应。

更新日期:2021-01-22
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