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Mental health treatments and associated factors amongst mid-aged Melbourne women

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Summary

The aim of this study was to describe lifetime treatment rate and the treatment modalities used for psychiatric problems and to identify variables associated with the history of psychiatric treatment among mid-aged Melbourne women.

A longitudinal observational study was carried out using a population-based sample of 438 mid-aged women interviewed annually for eight years. The baseline data on sociodemographic profiles and premenstrual symptoms, and history of exposure to violence obtained at year 6 were included in this analysis. All other variables including psychiatric treatment history, psychosocial and lifestyle variables, chronic medical conditions and mood score were obtained at year 8. We found 22.2% of the women in this study had ever taken psychotropic medication. Antidepressants were the most used drugs. History of hospitalization for psychiatric problems was reported by 15 women (3.9%). 27 of 387 women (7%) reported they had received other types of treatment for psychiatric problems such as counseling or psychotherapy. Of all variables taken from the questionnaire about the treatment, only the history of psychotropic medication had a high enough frequency for regression analysis. History of psychotropic drug use was associated with interpersonal stresses, poor self-rated health, and prior history of depressive change during the premenstrual period. Socio-demographic variables, exposure to violence, lifestyle factors, and chronic physical conditions were not associated with psychotropic drug use.

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References

  • F Almqvist (1986) ArticleTitleSex differences in adolescent psychopathology. Acta Psychiatr Scand 73 295–306 Occurrence Handle1:STN:280:DyaL283jvVGnsw%3D%3D Occurrence Handle3716847

    CAS  PubMed  Google Scholar 

  • N Avis D Brambilla S McKinlay K Vass (1994) ArticleTitleA longitudinal analysis of the association between menopause and depression: Results from the Massachusetts Women’s Health Study. Ann Epidemiol 4 214–220 Occurrence Handle1:STN:280:DyaK2czjt1ehsg%3D%3D Occurrence Handle8055122 Occurrence Handle10.1016/1047-2797(94)90099-X

    Article  CAS  PubMed  Google Scholar 

  • DL Bachman PA Wolf RT Linn JE Knoefel JL Cobb AJ Belanger LR White RB D’Agostino (1993) ArticleTitleIncidence of dementia and probable Alzheimer’s disease in a general population: the Framingham Study. Neurology 43 515–519 Occurrence Handle1:STN:280:DyaK3s7ps1yrsA%3D%3D Occurrence Handle8450993

    CAS  PubMed  Google Scholar 

  • Bebbington P (2000) The need for psychiatric treatment in the general population. In: Andrews G, Henderson S (eds) Unmet need in psychiatry: problems, resources, responses. Cambridge University Press, Cambridge, pp 85–96.

  • P Bebbington S Wilkins P Jones A Foerster R Murray B Toone S Lewis (1993) ArticleTitleLife events and psychosis. Initial results from the Camberwell Collaborative Psychosis Study. Br J Psychiatry 162 72–79 Occurrence Handle1:STN:280:DyaK3s7ksFWgsQ%3D%3D Occurrence Handle8425143

    CAS  PubMed  Google Scholar 

  • RC Bland SC Newman H Orn (1997) ArticleTitleHelp-seeking for psychiatric disorders. Can J Psychiatry 42 935–942 Occurrence Handle1:STN:280:DyaK1c%2FptVOlsw%3D%3D Occurrence Handle9429063

    CAS  PubMed  Google Scholar 

  • HG Burger EC Dudley JL Hopper JM Shelley A Green A Smith L Dennerstein C Morse (1995) ArticleTitleThe endocrinology of the menopausal transition: a cross-sectional study of a population-based sample. J Clin Endocrinol Metab 80 3537–3545 Occurrence Handle10.1210/jc.80.12.3537 Occurrence Handle1:CAS:528:DyaK2MXpvFSjtbw%3D Occurrence Handle8530596

    Article  CAS  PubMed  Google Scholar 

  • Burt VK (2002) Women and depression: Special considerations in assessment and management. In: Lewis-Hall F, Williams TS, Panetta JA, Herrera JM (eds) Psychiatric illness in women: emerging treatments and research. American Psychiatric Publishing, Inc., Washington, DC, pp 101–112.

  • GJ Canino HR Bird PE Shrout M Rubio-Stipec M Bravo R Martinez M Sesman LM Guevara (1987) ArticleTitleThe prevalence of specific psychiatric disorders in Puerto Rico. Arch Gen Psychiatry 44 727–735 Occurrence Handle1:STN:280:DyaL2szisFCitw%3D%3D Occurrence Handle3498456

    CAS  PubMed  Google Scholar 

  • AJ Cohen N Adler SJ Kaplan D Pelcovitz FS Mandel (2002) ArticleTitleInteractional effects of marital status and physical abuse on adolescent psychopathology. Child Abuse Negl 26 277–288 Occurrence Handle10.1016/S0145-2134(01)00325-8 Occurrence Handle12013059

    Article  PubMed  Google Scholar 

  • L Dennerstein AM Smith C Morse H Burger A Green J Hopper M Ryan (1993) ArticleTitleMenopausal symptoms in Australian women. Med J Aust 159 232–236 Occurrence Handle1:STN:280:DyaK2c%2FhvVymtw%3D%3D Occurrence Handle8412889

    CAS  PubMed  Google Scholar 

  • L Dennerstein AM Smith C Morse (1994) ArticleTitlePsychological well being, midlife and the menopause. Maturitas 20 1–11 Occurrence Handle10.1016/0378-5122(94)90095-7 Occurrence Handle1:STN:280:DyaK2M7ot12jsQ%3D%3D Occurrence Handle7877515

    Article  CAS  PubMed  Google Scholar 

  • L Dennerstein P Lehert H Burger EC Dudley (1999) ArticleTitleMood and the menopausal transition. J Nerv Ment Dis 187 685–691 Occurrence Handle10.1097/00005053-199911000-00006 Occurrence Handle1:STN:280:DC%2BD3c%2FksVWqug%3D%3D Occurrence Handle10579597

    Article  CAS  PubMed  Google Scholar 

  • L Dennerstein P Lehert EC Dudley (2001) ArticleTitleShort scale to measure female sexuality: adapted from McCoy Female Sexuality Questionnaire. J Sex Marital Ther 27 339–351 Occurrence Handle1:STN:280:DC%2BD38%2FhvVertQ%3D%3D Occurrence Handle11441518

    CAS  PubMed  Google Scholar 

  • S Desai I Arias MP Thompson KC Basile (2002) ArticleTitleChildhood victimization and subsequent adult revictimization assessed in a nationally representative sample of women and men. Violence Vict 17 639–653 Occurrence Handle12680680

    PubMed  Google Scholar 

  • DM Fergusson LJ Horwood MT Lynskey (1997) ArticleTitleChildhood sexual abuse, adolescent sexual behaviors and sexual revictimization. Child Abuse Negl 21 789–803 Occurrence Handle1:STN:280:DyaK2svisVClsw%3D%3D Occurrence Handle9280383

    CAS  PubMed  Google Scholar 

  • WT Gallucci A Baum L Laue DS Rabin GP Chrousos PW Gold MA Kling (1993) ArticleTitleSex differences in sensitivity of the hypothalamic-pituitary-adrenal axis. Health Psychol 12 420–425 Occurrence Handle10.1037/0278-6133.12.5.420 Occurrence Handle1:STN:280:DyaK2c%2FjvVyhtw%3D%3D Occurrence Handle8223368

    Article  CAS  PubMed  Google Scholar 

  • SE Gilman I Kawachi GM Fitzmaurice SL Buka (2003) ArticleTitleFamily disruption in childhood and risk of adult depression. Am J Psychiatry 160 939–946 Occurrence Handle10.1176/appi.ajp.160.5.939 Occurrence Handle12727699

    Article  PubMed  Google Scholar 

  • R Green (1993) ArticleTitleChild sexual abuse: immediate and long-term effects and intervention. J Am Acad Child Adolesc Psychiatry 32 890–902 Occurrence Handle1:STN:280:DyaK2c%2Fht1Cnug%3D%3D Occurrence Handle8407761

    CAS  PubMed  Google Scholar 

  • V Hanninen H Aro (1996) ArticleTitleSex differences in coping and depression among young adults. Soc Sci Med 43 1453–1460 Occurrence Handle10.1016/0277-9536(96)00045-7 Occurrence Handle1:STN:280:DyaK2s%2Fot1ersw%3D%3D Occurrence Handle8923617

    Article  CAS  PubMed  Google Scholar 

  • G Harrison K Hopper T Craig E Laska C Siegel J Wanderling KC Dube K Ganev R Giel W Van der Heiden SK Holmberg A Janca PWH Lee A Leon S Malhotra AJ Marsella Y Nakane N Sartorius Y Shen C Skoda R Thara SJ Tsirkin VK Varma D Walsh D Wiersma (2001) ArticleTitleRecovery from psychotic illness: a 15- and 25-year international follow-up study. Br J Psychiatry 178 506–517 Occurrence Handle10.1192/bjp.178.6.506 Occurrence Handle1:STN:280:DC%2BD3Mzhs1answ%3D%3D Occurrence Handle11388966

    Article  CAS  PubMed  Google Scholar 

  • S Henderson G Andrews W Hall (2000) ArticleTitleAustralia’s mental health: an overview of the general population survey. Aust N Z J Psychiatry 34 197–205 Occurrence Handle10.1046/j.1440-1614.2000.00686.x Occurrence Handle1:STN:280:DC%2BD3c3kvVertA%3D%3D Occurrence Handle10789524

    Article  CAS  PubMed  Google Scholar 

  • IB Hickie A Koschera TA Davenport SL Naismith EM Scott (2001) ArticleTitleComorbidity of common mental disorders and alcohol or other substance misuse in Australian general practice. Med J Aust 175 IssueID[Suppl] S31–S36 Occurrence Handle11556433

    PubMed  Google Scholar 

  • R Jenkins G Lewis P Bebbington T Brugha M Farrell B Gill H Meltzer (1997) ArticleTitleThe National Psychiatric Morbidity Surveys of Great Britain – initial findings from the Household Survey. Psychol Med 27 775–789 Occurrence Handle1:STN:280:DyaK2sznvVymuw%3D%3D Occurrence Handle9234456

    CAS  PubMed  Google Scholar 

  • R Kammann R Feltt (1983) ArticleTitleAffectometer 2: A scale to measure current level of general happiness. Aust Psychol 35 259–265

    Google Scholar 

  • AD Kanner JC Coyne C Schaefer RS Lazarus (1981) ArticleTitleComparison of two modes of stress measurement: daily hassles and uplifts versus major life events. J Behav Med 4 1–29 Occurrence Handle10.1007/BF00844845 Occurrence Handle1:STN:280:DyaL38%2FjtlWqsQ%3D%3D Occurrence Handle7288876

    Article  CAS  PubMed  Google Scholar 

  • Kasl, Stanislav V, Rodriguez E, Lasch KE (1998) The impact of unemployment on health and well-being. In: Dohrenwend BP (eds) Adversity, stress, and psychopathology. Oxford University Press, New York, pp 111–131.

  • PA Kaufert J Syrotuik (1981) ArticleTitleSymptom reporting at the menopause. Soc Sci Med 15 173–184 Occurrence Handle1:STN:280:DyaL387gsl2gsw%3D%3D

    CAS  Google Scholar 

  • RC Kessler KA McGonagle S Zhao CB Nelson M Hughes S Eshleman H-U Wittchen KS Kendler (1994) ArticleTitleLifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Survey. Arch Gen Psychiatry 51 8–19 Occurrence Handle1:STN:280:DyaK2c7gslSrtA%3D%3D Occurrence Handle8279933

    CAS  PubMed  Google Scholar 

  • RC Kessler RG Frank M Edlund SJ Katz E Lin P Leaf (1997) ArticleTitleDifferences in the use of psychiatric outpatient services between the United States and Ontario [comment]. N Engl J Med 336 551–557 Occurrence Handle10.1056/NEJM199702203360806 Occurrence Handle1:STN:280:DyaK2s7msVOgtA%3D%3D Occurrence Handle9023093

    Article  CAS  PubMed  Google Scholar 

  • B Krahe R Scheinberger-Olwig E Waizenhofer S Kolpin (1999) ArticleTitleChildhood sexual abuse and revictimization in adolescence. Child Abuse Negl 23 383–394 Occurrence Handle1:STN:280:DyaK1M3ltlKqsA%3D%3D Occurrence Handle10321775

    CAS  PubMed  Google Scholar 

  • HL MacMillan JE Fleming DL Streiner E Lin MH Boyle E Jamieson EK Duku CA Walsh MY Wong WR Beardslee (2001) ArticleTitleChildhood abuse and lifetime psychopathology in a community sample. Am J Psychiatry 158 1878–1883 Occurrence Handle10.1176/appi.ajp.158.11.1878 Occurrence Handle1:STN:280:DC%2BD3MnktVelsg%3D%3D Occurrence Handle11691695

    Article  CAS  PubMed  Google Scholar 

  • D Mazza L Dennerstein CV Garamszegi EC Dudley (2001) ArticleTitleThe physical, sexual and emotional violence history of middle-aged women: a community-based prevalence study. Med J Aust 175 199–201 Occurrence Handle1:STN:280:DC%2BD3MrktVKhsQ%3D%3D Occurrence Handle11587279

    CAS  PubMed  Google Scholar 

  • McKinlay SM, McKinlay JB (1984) Health status and health care utilisation by menopausal women. In: Notelovitz M, Van Keep PA (eds) The climacteric in perspective. MTP Press, Lancaster, PA, pp 59–75.

  • JD McLeod (1991) ArticleTitleChildhood parental loss and adult depression. J Health Soc Behav 32 205–230 Occurrence Handle1:STN:280:DyaK38%2FktlCkuw%3D%3D Occurrence Handle1940206

    CAS  PubMed  Google Scholar 

  • BE Molnar SL Buka RC Kessler (2001) ArticleTitleChild sexual abuse and subsequent psychopathology: results from the National Comorbidity Survey. Am J Public Health 91 753–760 Occurrence Handle1:STN:280:DC%2BD3M3ktV2itg%3D%3D Occurrence Handle11344883 Occurrence Handle10.2105/AJPH.91.5.753

    Article  CAS  PubMed  Google Scholar 

  • Moos RH (1985) Perimenstrual symptoms: a Manual and Overview of Research with the Moos Menstrual Distress Questionnaire. Stanford University Press, Stanford, US.

  • CA Morse E Dudley J Guthrie L Dennerstein (1998) ArticleTitleRelationships between premenstrual complaints and perimenopausal experiences. J Psychosom Obstet Gynecol 19 182–191 Occurrence Handle1:STN:280:DyaK1M7ivVOjtw%3D%3D

    CAS  Google Scholar 

  • HW Neighbors CS Howard (1987) ArticleTitleSex differences in professional help seeking among adult black Americans. Am J Community Psychol 15 403–417 Occurrence Handle10.1007/BF00915210 Occurrence Handle1:STN:280:DyaL1c%2Fks1Kltw%3D%3D Occurrence Handle3673952

    Article  CAS  PubMed  Google Scholar 

  • B Neugarten R Havighurst S Tobin (1961) ArticleTitleThe measurement of life satisfaction. J Gerontol 16 134–143 Occurrence Handle1:STN:280:DyaF3c%2FkvVWgsA%3D%3D Occurrence Handle13728508

    CAS  PubMed  Google Scholar 

  • J Ormel AJ Oldehinkel EI Brilman (2001) ArticleTitleThe interplay and etiological continuity of neuroticism, difficulties, and life events in the etiology of major and subsyndromal, first and recurrent depressive episodes in later life. Am J Psychiatry 158 885–891 Occurrence Handle1:STN:280:DC%2BD3MzhtFCgtQ%3D%3D Occurrence Handle11384895

    CAS  PubMed  Google Scholar 

  • SV Parikh RW Lam (2001) ArticleTitleCanadian clinical practice guidelines for the treatment of depressive disorders, I. Definitions, prevalence, and health burden. Can J Psychiatry 46 13S–20S Occurrence Handle11441768

    PubMed  Google Scholar 

  • KM Parillo RC Freeman P Young (2003) ArticleTitleAssociation between child sexual abuse and sexual revictimization in adulthood among women sex partners of injection drug users. Violence Vict 18 473–484 Occurrence Handle14582867

    PubMed  Google Scholar 

  • RA Parslow AF Jorm (2000) ArticleTitleWho uses mental health services in Australia? An analysis of data from the National Survey of Mental Health and Wellbeing. Aust N Z J Psychiatry 34 997–1008 Occurrence Handle10.1046/j.1440-1614.2000.00839.x Occurrence Handle1:STN:280:DC%2BD3M7itF2nug%3D%3D Occurrence Handle11127632

    Article  CAS  PubMed  Google Scholar 

  • Paykel ES (1991) Depression in women. Br J Psychiatry [Suppl]: 22–29.

  • LI Pearlin (1989) ArticleTitleThe sociological study of stress. J Health Soc Behav 30 241–256 Occurrence Handle1:STN:280:DyaL1MzotFamsQ%3D%3D Occurrence Handle2674272

    CAS  PubMed  Google Scholar 

  • DA Regier WE Narrow DS Rae RW Manderscheid BZ Locke FK Goodwin (1993) ArticleTitleThe de facto US mental and addictive disorders service system. Epidemiologic catchment area prospective 1-year prevalence rates of disorders and services. Arch Gen Psychiatry 50 85–94 Occurrence Handle1:STN:280:DyaK3s7ltFOhsQ%3D%3D Occurrence Handle8427558

    CAS  PubMed  Google Scholar 

  • DA Regier CT Kaelber DS Rae ME Farmer B Knauper RC Kessler GS Norquist (1998) ArticleTitleLimitations of diagnostic criteria and assessment instruments for mental disorders: Implications for research and policy. Arch Gen Psychiatry 55 109–115 Occurrence Handle1:STN:280:DyaK1c7jvVCjuw%3D%3D Occurrence Handle9477922

    CAS  PubMed  Google Scholar 

  • FV Rijsdijk PC Sham A Sterne S Purcell P McGuffin A Farmer D Goldberg A Mann SS Cherny M Webster D Ball TC Eley R Plomin (2001) ArticleTitleLife events and depression in a community sample of siblings. Psychol Med 31 401–410 Occurrence Handle1:STN:280:DC%2BD3Mris1Cisg%3D%3D Occurrence Handle11305848 Occurrence Handle10.1017/S0033291701003361

    Article  CAS  PubMed  Google Scholar 

  • SE Romans JL Martin JC Anderson ML O’Shea PE Mullen (1995) ArticleTitleFactors that mediate between child sexual abuse and adult psychological outcome. Psychol Med 25 127–142 Occurrence Handle1:STN:280:DyaK2Mzht1Kjtg%3D%3D Occurrence Handle7792348 Occurrence Handle10.1017/S0033291700028154

    Article  CAS  PubMed  Google Scholar 

  • N Sartorius W Gulbinat G Harrison E Laska C Siegel (1996) ArticleTitleLong-term follow-up of shcizophrenia in 16 countries. Soc Psychiatry Psychiatr Epidemiol 31 249–258 Occurrence Handle10.1007/BF00801901 Occurrence Handle1:STN:280:DyaK2s%2FmsFKhsw%3D%3D Occurrence Handle8909114

    Article  CAS  PubMed  Google Scholar 

  • MV Seeman (1997) ArticleTitlePsychopathology in women and men: focus on female hormones. Am J Psychiatry 154 1641–1647 Occurrence Handle1:STN:280:DyaK1c%2FlvFSksQ%3D%3D Occurrence Handle9396940

    CAS  PubMed  Google Scholar 

  • AM Smith JM Shelley L Dennerstein (1994) ArticleTitleSelf-rated health: biological continuum or social discontinuity? Soc Sci Med 39 77–83 Occurrence Handle10.1016/0277-9536(94)90167-8 Occurrence Handle1:STN:280:DyaK2czksFChtA%3D%3D Occurrence Handle8066490

    Article  CAS  PubMed  Google Scholar 

  • RJ Turner S Noh (1983) ArticleTitleClass and psychological vulnerability among women: the significance of social support and personal control. J Health Soc Behav 24 2–15 Occurrence Handle1:STN:280:DyaL3s3hsVCqtA%3D%3D Occurrence Handle6853996

    CAS  PubMed  Google Scholar 

  • VE Whiffen SE Clark (1997) ArticleTitleDoes victimization account for sex differences in depressive symptoms? Br J Clin Psychol 36 IssueIDPt 2 185–193 Occurrence Handle9167860

    PubMed  Google Scholar 

  • K Wilhelm G Parker (1993) ArticleTitleSex differences in depressiogenic risk factors and coping strategies in a socially homogeneous group. Acta Psychiatr Scand 88 205–211 Occurrence Handle1:STN:280:DyaK2c%2FntVChtQ%3D%3D Occurrence Handle8249654

    CAS  PubMed  Google Scholar 

  • K Wilhelm P Mitchell T Slade S Brownhill G Andrews (2003) ArticleTitlePrevalence and correlates of DSM-IV major depression in an Australian national survey. J Affect Disord 75 155–162 Occurrence Handle10.1016/S0165-0327(02)00040-X Occurrence Handle12798255

    Article  PubMed  Google Scholar 

  • LA Wise S Zierler N Krieger BL Harlow (2001) ArticleTitleAdult onset of major depressive disorder in relation to early life violent victimisation: a case-control study. Lancet 358 881–887 Occurrence Handle1:STN:280:DC%2BD3Mrit1ehsQ%3D%3D Occurrence Handle11567704

    CAS  PubMed  Google Scholar 

  • HU Wittchen (2000) ArticleTitleEpidemiological research in mental disorders: lessons for the next decade of research – the NAPE Lecture 1999. Nordic Association for Psychiatric Epidemiology. [Erratum Acta Psychiatr Scand (2000) 101(4): 339]. Acta Psychiatr Scand 101 2–10 Occurrence Handle10.1034/j.1600-0447.2000.101001002.x Occurrence Handle1:STN:280:DC%2BD3c7jslCisg%3D%3D Occurrence Handle10674945

    Article  CAS  PubMed  Google Scholar 

  • HU Wittchen CA Essau D von Zerssen JC Krieg M Zaudig (1992) ArticleTitleLifetime and six-month prevalence of mental disorders in the Munich Follow-Up Study. Eur Arch Psychiatry Clin Neurosci 241 247–258 Occurrence Handle10.1007/BF02190261 Occurrence Handle1:STN:280:DyaK383kslymsw%3D%3D Occurrence Handle1576182

    Article  CAS  PubMed  Google Scholar 

  • LT Wu AC Kouzis PJ Leaf (1999) ArticleTitleInfluence of comorbid alcohol and psychiatric disorders on utilization of mental health services in the National Comorbidity Survey. Am J Psychiatry 156 1230–1236 Occurrence Handle1:STN:280:DyaK1MznvVOmuw%3D%3D Occurrence Handle10450265

    CAS  PubMed  Google Scholar 

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  1. Yong-In Mental Hospital, Kyunggi-do, South Korea

    J. Kim

  2. Department of Psychiatry, Office for Gender and Health, The University of Melbourne, Parkville, Vic., Australia

    L. Dennerstein & J. Guthrie

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Kim, J., Dennerstein, L. & Guthrie, J. Mental health treatments and associated factors amongst mid-aged Melbourne women. Arch Womens Ment Health 9, 15–22 (2006). https://doi.org/10.1007/s00737-005-0109-5

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