The prevalence and determinants of anxiety and depression complaints
background Psychological disorders
form a major health burden in the Dutch population.
Interestingly, strategies focusing on early
intervention are promising to decrease the chronic
disease burden. In this respect, adequate risk profiling
is crucial to initiate treatment on time and
identification and treatment of modifiable risk
factors can help to prevent events from occurring.
aim To evaluate the relationship between
psychological distress , demographic factors (gender,
age, race and marital status) and modifiable
lifestyle variables (obesity, psychical inactivity,
tobacco use, alcohol use, experienced stress and
serious life events in recent past).
methods Cross-sectional data (N = 4731)
were collected from a healthy population participating
in the niped PreventionCompass program,
a large approach for medical and psychological
prevention and lifestyle intervention based
on integrated risk profiling. The data were analyzed
using logistic regression models.
results The multivariate model produced
significant corrected associations between
psychological distress measured by the Kessler 10
questionnaire and the variables gender, race, marital
status, experienced stress, serious life events in
recent past, tobacco use and unhealthy aspects of
nutrition. For obesity and physical activity no
associations could be found.
conclusion Incorporating significant
demographic and lifestyle determinants in a risk
assessment for psychological disorders would be
of interest to refine risk profiling algorithms.
These results further indicate that an integrated
approach could be useful to improve mental
health and lifestyle simultaneously.