{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T21:50:56Z","timestamp":1784757056881,"version":"3.55.0"},"reference-count":30,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2017,4,3]],"date-time":"2017-04-03T00:00:00Z","timestamp":1491177600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol Psychiatr Sci"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec id=\"S2045796017000099_sec_a1\"><jats:title>Aims.<\/jats:title><jats:p>The use of specialised psychiatric services for depression and anxiety has increased steadily among young people in Sweden during recent years. It is not known to what extent this service use is due to an increase in psychiatric morbidity, or whether other adversities explain these trends. The aim of this study is to examine if there is increased use of psychiatric services among young adults in Sweden between 2000 and 2010, and if so, to what extent this increase is associated with differences in depression, anxiety and negative life events.<\/jats:p><\/jats:sec><jats:sec id=\"S2045796017000099_sec_a2\" sec-type=\"methods\"><jats:title>Methods.<\/jats:title><jats:p>This is a repeated cross-sectional study of 20\u201330-year old men and women in Stockholm County in 2000 and 2010 (<jats:italic>n<\/jats:italic>\u00a0=\u00a02590 and <jats:italic>n<\/jats:italic>\u00a0=\u00a01120). Log-binomial regression analyses were conducted to compare the prevalence of service use, depression and panic disorder between the two cohorts. Self-reported life events were entered individually and as a summary index, and entered as potential mediators. Different effects of life events on service use were examined through interaction analysis. We report prevalence proportion ratios (PPR) with 95% confidence intervals.<\/jats:p><\/jats:sec><jats:sec id=\"S2045796017000099_sec_a3\" sec-type=\"results\"><jats:title>Results.<\/jats:title><jats:p>Specialised psychiatric service use, but also depression and panic disorder was more common in the younger cohort (current service use 2.4 and 5.0%). The younger cohort did not report more life events overall or among those with depression or anxiety. Neither depression, panic disorder nor life events could explain the increased use of psychiatric services in the younger cohort (Fully adjusted model PPR\u00a0=\u00a01.70, 1.20\u20132.40 95% CI). There was no significant interaction between cohort and life events in predicting psychiatric service use.<\/jats:p><\/jats:sec><jats:sec id=\"S2045796017000099_sec_a4\" sec-type=\"conclusion\"><jats:title>Conclusion.<\/jats:title><jats:p>This study provides initial support for an increase in service use among young adults compared with 10 years earlier. The increased service use cannot be explained with increasing worse life situations.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s2045796017000099","type":"journal-article","created":{"date-parts":[[2017,4,3]],"date-time":"2017-04-03T08:08:01Z","timestamp":1491206881000},"page":"510-518","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":13,"title":["Mental health service use, depression, panic disorder and life events among Swedish young adults in 2000 and 2010: a repeated cross-sectional population study in Stockholm County, Sweden"],"prefix":"10.1017","volume":"27","author":[{"given":"A.","family":"Lundin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Forsell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Dalman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2017,4,3]]},"reference":[{"key":"S2045796017000099_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(00)00309-8"},{"key":"S2045796017000099_ref5","first-page":"1532","article-title":"Young people's mental health baffles researchers","volume":"110","author":"Cederblad","year":"2013","journal-title":"Lakartidningen"},{"key":"S2045796017000099_ref22","volume-title":"Leaving the Nest. A Description of Young People Moving from Home","author":"Nylin","year":"2015"},{"key":"S2045796017000099_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/apa.13075"},{"key":"S2045796017000099_ref25","doi-asserted-by":"publisher","DOI":"10.4054\/DemRes.2015.32.26"},{"key":"S2045796017000099_ref10","doi-asserted-by":"publisher","DOI":"10.1177\/0020764004043126"},{"key":"S2045796017000099_ref16","volume-title":"Vem har v\u00e5rdvalet gynnat? En j\u00e4mf\u00f6rande studie mellan tre landsting f\u00f6re och efter v\u00e5rdvalets inf\u00f6rande i prim\u00e4rv\u00e5rden","author":"Janl\u00f6v","year":"2013"},{"key":"S2045796017000099_ref9","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-200004000-00013"},{"key":"S2045796017000099_ref13","unstructured":"H\u00e4llstr\u00f6m C (2015). Normala livskriser f\u00f6rvrids till sjukdom (Normal life crises distorted to disease). Debate article published 4 May 2015. Svenska dagbladet."},{"key":"S2045796017000099_ref1","doi-asserted-by":"publisher","DOI":"10.1177\/1403494811424611"},{"key":"S2045796017000099_ref28","volume-title":"Folkh\u00e4lsorapport 2011. Folkh\u00e4lsan i Stockholm \u2013 I dag och i morgon","author":"Forsberg","year":"2011"},{"key":"S2045796017000099_ref8","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.132.3.477"},{"key":"S2045796017000099_ref12","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.57.1.114"},{"key":"S2045796017000099_ref3","doi-asserted-by":"publisher","DOI":"10.1177\/0020764008098838"},{"key":"S2045796017000099_ref7","doi-asserted-by":"publisher","DOI":"10.1080\/08039480601129333"},{"key":"S2045796017000099_ref23","volume-title":"Mental Health and Work Sweden","year":"2013"},{"key":"S2045796017000099_ref14","unstructured":"H\u00e4llstr\u00f6m T , Thakker KD , Forsell Y , Lundberg I , Tingh\u00f6g P (2003). The PART Study. A Population Based Study of Mental Health in the Stockholm County: Study Design. Phase l (1998\u20132000). http:\/\/www.folkhalsoguiden.se\/sv\/Publikationer\/515\/509\/Ovriga\/PART-studien-Teknisk-rapport\/."},{"key":"S2045796017000099_ref21","volume-title":"Official Statistics of Sweden. Statistics \u2013 Health and Medical Care","author":"Lundqvist","year":"2012"},{"key":"S2045796017000099_ref24","unstructured":"Pha (2015). Swedish National Public Health Survey 2004\u20132014 database. Public Health Agency of Sweden. Retrieved 13 July 2015 from http:\/\/www.folkhalsomyndigheten.se\/amnesomraden\/statistik-och-undersokningar\/enkater-och-undersokningar\/nationella-folkhalsoenkaten\/psykisk-halsa\/sjukdomar-och-besvar."},{"key":"S2045796017000099_ref27","volume-title":"The Anxiety Disease","author":"Sheehan","year":"1983"},{"key":"S2045796017000099_ref20","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-005-0911-4"},{"key":"S2045796017000099_ref17","doi-asserted-by":"publisher","DOI":"10.1177\/1403494812459459"},{"key":"S2045796017000099_ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-005-0876-3"},{"key":"S2045796017000099_ref29","unstructured":"Sr (2014). Unga flickor m\u00e5r allt s\u00e4mre (Deteriorating health in girls). Retrieved 4 July 2014 from http:\/\/sverigesradio.se\/sida\/artikel.aspx?programid=1650&artikel=5906095 (Swedish state radio SR P1. 4 July 2014)."},{"key":"S2045796017000099_ref30","unstructured":"Social Board of Health and Welfare (2015). 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