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Cumulative incidences of hospital‐treated psychiatric disorders are increasing in five Finnish birth cohorts

OBJECTIVE: The aim of this study was to explore changes in the incidences of childhood and early adulthood hospital‐treated psychiatric disorders in five large Finnish birth cohorts of individuals born between 1966 and 1997. METHODS: The five birth cohorts were as follows: Northern Finland Birth Coh...

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Autores principales: Kerkelä, Martta, Gyllenberg, David, Gissler, Mika, Sillanmäki, Lauri, Keski-Säntti, Markus, Hinkka-Yli-Salomäki, Susanna, Filatova, Svetlana, Hurtig, Tuula, Miettunen, Jouko, Sourander, Andre, Veijola, Juha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7894526/
https://www.ncbi.nlm.nih.gov/pubmed/33111973
http://dx.doi.org/10.1111/acps.13247
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author Kerkelä, Martta
Gyllenberg, David
Gissler, Mika
Sillanmäki, Lauri
Keski-Säntti, Markus
Hinkka-Yli-Salomäki, Susanna
Filatova, Svetlana
Hurtig, Tuula
Miettunen, Jouko
Sourander, Andre
Veijola, Juha
author_facet Kerkelä, Martta
Gyllenberg, David
Gissler, Mika
Sillanmäki, Lauri
Keski-Säntti, Markus
Hinkka-Yli-Salomäki, Susanna
Filatova, Svetlana
Hurtig, Tuula
Miettunen, Jouko
Sourander, Andre
Veijola, Juha
author_sort Kerkelä, Martta
collection PubMed
description OBJECTIVE: The aim of this study was to explore changes in the incidences of childhood and early adulthood hospital‐treated psychiatric disorders in five large Finnish birth cohorts of individuals born between 1966 and 1997. METHODS: The five birth cohorts were as follows: Northern Finland Birth Cohort 1966 (NFBC 1966) and 1986 (NFBC 1986), 1987 Finnish Birth Cohort (FBC 1987) and 1997 (FBC 1997), and Finnish 1981 Birth Cohort Study (FBCS 1981). Incidences of hospital‐treated psychiatric disorders in each cohort were calculated separately for males (N = 71,209) and females (N = 65,190). Poisson regression was used to test difference in proportions of psychiatric disorders in wide range of diagnosis classes separately in childhood and adolescence, and early adulthood. RESULTS: The total incidences of psychiatric disorders in childhood and adolescence among males has increased in the birth cohorts over decades (Incidence Rate Ratio, IRR = 1.04 (1.04–1.05); p < 0.001). Similar result was seen among females (IRR = 1.04 (1.03–1.04); p < 0.001). In early adulthood, there was significant increase among females (IRR = 1.04 (1.03–1.05); p < 0.001), but among males, the change was not significant (IRR = 0.99 (0.99–1.00), p = 0.051). CONCLUSIONS: The main finding was that the cumulative incidence of hospital‐treated psychiatric disorders increased over the decades in Finland. The increasing trend in hospital‐treated psychiatric disorders in early adulthood was detected in females but not in males. In the youngest cohorts, the cumulative incidence of hospital‐treated psychiatric disorders was at the same level in males and females, whereas in oldest cohort, males had higher incidence than females.
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spelling pubmed-78945262021-03-02 Cumulative incidences of hospital‐treated psychiatric disorders are increasing in five Finnish birth cohorts Kerkelä, Martta Gyllenberg, David Gissler, Mika Sillanmäki, Lauri Keski-Säntti, Markus Hinkka-Yli-Salomäki, Susanna Filatova, Svetlana Hurtig, Tuula Miettunen, Jouko Sourander, Andre Veijola, Juha Acta Psychiatr Scand Original Articles OBJECTIVE: The aim of this study was to explore changes in the incidences of childhood and early adulthood hospital‐treated psychiatric disorders in five large Finnish birth cohorts of individuals born between 1966 and 1997. METHODS: The five birth cohorts were as follows: Northern Finland Birth Cohort 1966 (NFBC 1966) and 1986 (NFBC 1986), 1987 Finnish Birth Cohort (FBC 1987) and 1997 (FBC 1997), and Finnish 1981 Birth Cohort Study (FBCS 1981). Incidences of hospital‐treated psychiatric disorders in each cohort were calculated separately for males (N = 71,209) and females (N = 65,190). Poisson regression was used to test difference in proportions of psychiatric disorders in wide range of diagnosis classes separately in childhood and adolescence, and early adulthood. RESULTS: The total incidences of psychiatric disorders in childhood and adolescence among males has increased in the birth cohorts over decades (Incidence Rate Ratio, IRR = 1.04 (1.04–1.05); p < 0.001). Similar result was seen among females (IRR = 1.04 (1.03–1.04); p < 0.001). In early adulthood, there was significant increase among females (IRR = 1.04 (1.03–1.05); p < 0.001), but among males, the change was not significant (IRR = 0.99 (0.99–1.00), p = 0.051). CONCLUSIONS: The main finding was that the cumulative incidence of hospital‐treated psychiatric disorders increased over the decades in Finland. The increasing trend in hospital‐treated psychiatric disorders in early adulthood was detected in females but not in males. In the youngest cohorts, the cumulative incidence of hospital‐treated psychiatric disorders was at the same level in males and females, whereas in oldest cohort, males had higher incidence than females. John Wiley and Sons Inc. 2020-11-24 2021-02 /pmc/articles/PMC7894526/ /pubmed/33111973 http://dx.doi.org/10.1111/acps.13247 Text en © 2020 The Authors. Acta Psychiatrica Scandinavica published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Articles
Kerkelä, Martta
Gyllenberg, David
Gissler, Mika
Sillanmäki, Lauri
Keski-Säntti, Markus
Hinkka-Yli-Salomäki, Susanna
Filatova, Svetlana
Hurtig, Tuula
Miettunen, Jouko
Sourander, Andre
Veijola, Juha
Cumulative incidences of hospital‐treated psychiatric disorders are increasing in five Finnish birth cohorts
title Cumulative incidences of hospital‐treated psychiatric disorders are increasing in five Finnish birth cohorts
title_full Cumulative incidences of hospital‐treated psychiatric disorders are increasing in five Finnish birth cohorts
title_fullStr Cumulative incidences of hospital‐treated psychiatric disorders are increasing in five Finnish birth cohorts
title_full_unstemmed Cumulative incidences of hospital‐treated psychiatric disorders are increasing in five Finnish birth cohorts
title_short Cumulative incidences of hospital‐treated psychiatric disorders are increasing in five Finnish birth cohorts
title_sort cumulative incidences of hospital‐treated psychiatric disorders are increasing in five finnish birth cohorts
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7894526/
https://www.ncbi.nlm.nih.gov/pubmed/33111973
http://dx.doi.org/10.1111/acps.13247
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