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Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

Self-diagnosed depression in the Norwegian general population – associations with neuroticism, extraversion, optimism, and general self-efficacy

Authors: Tore Bonsaksen, Tine K. Grimholt, Laila Skogstad, Anners Lerdal, Øivind Ekeberg, Trond Heir, Inger Schou-Bredal

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

Multi-item rating scales for depression informs about the level of depression, but does not allow individuals to state by self-evaluation whether they feel depressed or not. The insider perspective on depression is rarely assessed. This study investigated the prevalence of self-diagnosed depression in the Norwegian general population, and associations with sociodemographic and psychological factors.

Methods

As part of a national survey, the General Self-Efficacy Scale, the Life Orientation Test-Revised, a short version of the Eysenck Personality Questionnaire and a one-item measure of self-diagnosed depression was administered to 5.500 persons in the general Norwegian population. Of the 4961 eligible participants ≥ 18 years of age, 1.787 (response rate 36%) participated in the survey, and 1.684 of these had valid scores on the relevant scales. The associations between sociodemographic factors and self-diagnosed depression were examined using univariate and multivariate logistic regression analyses.

Results

One hundred and thirty-six participants (8.1%) reported depression during the preceding month. When adjusting for sociodemographic and psychological variables, higher age (OR = 0.82), being in work (OR = 0.57), and higher levels of general self-efficacy (OR = 0.67) and optimism (OR = 0.52) were associated with lower risk of self-diagnosed depression, whereas higher levels of neuroticism (OR = 1.97) was associated with higher risk.

Conclusions

The prevalence of self-diagnosed depression in the adult Norwegian population was higher for women than for men. Higher age, being in work and having higher levels of psychological resources appear to reduce the risk of self-diagnosed depression, whereas neuroticism increases the risk.
Literature
2.
go back to reference Institute for Health Metrics and Evaluation (IHME). Norway: state of the nation’s health - findings from the global burden of disease. Seattle: IHME; 2016. Institute for Health Metrics and Evaluation (IHME). Norway: state of the nation’s health - findings from the global burden of disease. Seattle: IHME; 2016.
3.
go back to reference American Psychiatric Association. Diagnostic and statistical manual of the mental disorders - DSM-5. Washington, DC: American Psychiatric Association; 2013. American Psychiatric Association. Diagnostic and statistical manual of the mental disorders - DSM-5. Washington, DC: American Psychiatric Association; 2013.
8.
go back to reference Kotov R, Gamez W, Schmidt F, Watson D. Linking “big” personality traits to anxiety, depressive, and substance use disorders: a meta-analysis. Psychol Bull. 2010;136(5):768–821.CrossRefPubMed Kotov R, Gamez W, Schmidt F, Watson D. Linking “big” personality traits to anxiety, depressive, and substance use disorders: a meta-analysis. Psychol Bull. 2010;136(5):768–821.CrossRefPubMed
9.
go back to reference Jylhä P, Isometsä E. The relationship of neuroticism and extraversion to symptoms of anxiety and depression in the general population. Depress Anxiety. 2006;23(5):281–9.CrossRefPubMed Jylhä P, Isometsä E. The relationship of neuroticism and extraversion to symptoms of anxiety and depression in the general population. Depress Anxiety. 2006;23(5):281–9.CrossRefPubMed
10.
go back to reference Enns MW, Cox BJ. Personality dimensions and depression: review and commentary. Can J Psychiatr. 1997;42(3):274–84.CrossRef Enns MW, Cox BJ. Personality dimensions and depression: review and commentary. Can J Psychiatr. 1997;42(3):274–84.CrossRef
11.
go back to reference Schou I, Ekeberg Ø, Ruland CM, Sandvik L, Kåresen R. Pessimism as a predictor of emotional morbidity one year following breast cancer surgery. Psychooncology. 2004;13(5):309–20.CrossRefPubMed Schou I, Ekeberg Ø, Ruland CM, Sandvik L, Kåresen R. Pessimism as a predictor of emotional morbidity one year following breast cancer surgery. Psychooncology. 2004;13(5):309–20.CrossRefPubMed
12.
go back to reference Kepka S, Baumann C, Anota A, Buron G, Spitz E, Auquier P, Guillemin F, Mercier M. The relationship between traits optimism and anxiety and health-related quality of life in patients hospitalized for chronic diseases: data from the SATISQOL study. Health Qual Life Outcomes. 2013;11:134.CrossRefPubMedPubMedCentral Kepka S, Baumann C, Anota A, Buron G, Spitz E, Auquier P, Guillemin F, Mercier M. The relationship between traits optimism and anxiety and health-related quality of life in patients hospitalized for chronic diseases: data from the SATISQOL study. Health Qual Life Outcomes. 2013;11:134.CrossRefPubMedPubMedCentral
13.
go back to reference Bandura A, Pastorelli C, Barbaranelli C, Caprara GV. Self-efficacy pathways to childhood depression. J Pers Soc Psychol. 1999;76(2):258–69.CrossRefPubMed Bandura A, Pastorelli C, Barbaranelli C, Caprara GV. Self-efficacy pathways to childhood depression. J Pers Soc Psychol. 1999;76(2):258–69.CrossRefPubMed
14.
go back to reference Bandura A. Self-efficacy: the exercise of control. New York: W.H. Freeman and Company; 1997. Bandura A. Self-efficacy: the exercise of control. New York: W.H. Freeman and Company; 1997.
15.
go back to reference Kendler KS, Gardner CO, Neale MC, Prescott CA. Genetic risk factors for major depression in men and women: similar or different heritabilities and same or partly distinct genes? Psychol Med. 2001;31(4):605–16.PubMed Kendler KS, Gardner CO, Neale MC, Prescott CA. Genetic risk factors for major depression in men and women: similar or different heritabilities and same or partly distinct genes? Psychol Med. 2001;31(4):605–16.PubMed
16.
go back to reference Schuch JJJ, Roest AM, Nolen WA, Penninx BWJH, de Jonge P. Gender differences in major depressive disorder: results from the Netherlands study of depression and anxiety. J Affect Disord. 2014;156:156–63.CrossRefPubMed Schuch JJJ, Roest AM, Nolen WA, Penninx BWJH, de Jonge P. Gender differences in major depressive disorder: results from the Netherlands study of depression and anxiety. J Affect Disord. 2014;156:156–63.CrossRefPubMed
17.
go back to reference Ferlander S, Stickley A, Kislitsyna O, Jukkala T, Carlson P, Mäkinen IH. Social capital – a mixed blessing for women? A cross-sectional study of different forms of social relations and self-rated depression in Moscow. BMC Psychol. 2016;4:37.CrossRefPubMedPubMedCentral Ferlander S, Stickley A, Kislitsyna O, Jukkala T, Carlson P, Mäkinen IH. Social capital – a mixed blessing for women? A cross-sectional study of different forms of social relations and self-rated depression in Moscow. BMC Psychol. 2016;4:37.CrossRefPubMedPubMedCentral
18.
go back to reference Grav S, Hellzèn O, Romild U, Stordal E. Association between social support and depression in the general population: the HUNT study, a cross-sectional survey. J Clin Nurs. 2012;21(1–2):111–20.CrossRefPubMed Grav S, Hellzèn O, Romild U, Stordal E. Association between social support and depression in the general population: the HUNT study, a cross-sectional survey. J Clin Nurs. 2012;21(1–2):111–20.CrossRefPubMed
19.
go back to reference Goodwin RD, Gotlib IH. Gender differences in depression: the role of personality factors. Psychiatry Res. 2004;126(2):135–42.CrossRefPubMed Goodwin RD, Gotlib IH. Gender differences in depression: the role of personality factors. Psychiatry Res. 2004;126(2):135–42.CrossRefPubMed
20.
go back to reference Vianello M, Schnabel K, Sriram N, Nosek B. Gender differences in implicit and explicit personality traits. Pers Individ Dif. 2013;55(8):994–9.CrossRef Vianello M, Schnabel K, Sriram N, Nosek B. Gender differences in implicit and explicit personality traits. Pers Individ Dif. 2013;55(8):994–9.CrossRef
21.
go back to reference Bonsaksen T, Lerdal A, Heir T, Ekeberg Ø, Skogstad L, Grimholt TK, Schou-Bredal I. General self-efficacy in the Norwegian population: differences and similarities between sociodemographic groups (early online). Scand J Public Health. 2018; Bonsaksen T, Lerdal A, Heir T, Ekeberg Ø, Skogstad L, Grimholt TK, Schou-Bredal I. General self-efficacy in the Norwegian population: differences and similarities between sociodemographic groups (early online). Scand J Public Health. 2018;
22.
go back to reference Schou-Bredal I, Heir T, Skogstad L, Bonsaksen T, Lerdal A, Grimholt TK, Ekeberg Ø. Population-based norms of the life orientation test revised (LOT-R). Int J Clin Health Psychol. 2017;17(3):216–24.CrossRef Schou-Bredal I, Heir T, Skogstad L, Bonsaksen T, Lerdal A, Grimholt TK, Ekeberg Ø. Population-based norms of the life orientation test revised (LOT-R). Int J Clin Health Psychol. 2017;17(3):216–24.CrossRef
23.
24.
go back to reference Chioqueta AP, Stiles TC. Personality traits and the development of depression, hopelessness, and suicide ideation. Pers Individ Dif. 2005;38(6):1283–91.CrossRef Chioqueta AP, Stiles TC. Personality traits and the development of depression, hopelessness, and suicide ideation. Pers Individ Dif. 2005;38(6):1283–91.CrossRef
25.
go back to reference Vasey MW, Harbaugh CN, Lonigan CJ, Phillips BM, Hankin BL, Willem L, Bijttebier P. Dimensions of temperament and depressive symptoms: replicating a three-way interaction. J Res Pers. 2013;47(6):908–21.CrossRefPubMedPubMedCentral Vasey MW, Harbaugh CN, Lonigan CJ, Phillips BM, Hankin BL, Willem L, Bijttebier P. Dimensions of temperament and depressive symptoms: replicating a three-way interaction. J Res Pers. 2013;47(6):908–21.CrossRefPubMedPubMedCentral
26.
go back to reference Pomeroy IM, Clark CR, Philp I. The effectiveness of very short scales for depression screening in elderly medical patients. Int J Geriatr Psychiatry. 2001;16(3):321–6.CrossRefPubMed Pomeroy IM, Clark CR, Philp I. The effectiveness of very short scales for depression screening in elderly medical patients. Int J Geriatr Psychiatry. 2001;16(3):321–6.CrossRefPubMed
27.
go back to reference Gardner DG, Cummings LL, Dunham RB, Pierce JL. Single-item versus multiple-item measurement scales: an empirical comparison. Educ Psychol Meas. 1998;58(6):898–915.CrossRef Gardner DG, Cummings LL, Dunham RB, Pierce JL. Single-item versus multiple-item measurement scales: an empirical comparison. Educ Psychol Meas. 1998;58(6):898–915.CrossRef
28.
go back to reference Mahoney J, Drinka TJ, Abler R, Gunter-Hunt G, Matthews C, Gravenstein S, Carnes M. Screening for depression: single question versus GDS. J Am Geriatr Soc. 1994;42(9):1006–8.CrossRefPubMed Mahoney J, Drinka TJ, Abler R, Gunter-Hunt G, Matthews C, Gravenstein S, Carnes M. Screening for depression: single question versus GDS. J Am Geriatr Soc. 1994;42(9):1006–8.CrossRefPubMed
29.
go back to reference Gjerdingen D, Crow S, McGovern P, Miner M, Center B. Stepped care treatment of postpartum depression: impact on treatment, health, and work outcomes. J Am Board Fam Med. 2009;22(5):473–82.CrossRefPubMedPubMedCentral Gjerdingen D, Crow S, McGovern P, Miner M, Center B. Stepped care treatment of postpartum depression: impact on treatment, health, and work outcomes. J Am Board Fam Med. 2009;22(5):473–82.CrossRefPubMedPubMedCentral
31.
go back to reference Bergkvist L, Rossiter JR. The predictive validity of multiple-item versus single-item measures of the same constructs. J Marketing Res. 2007;44(2):175–84.CrossRef Bergkvist L, Rossiter JR. The predictive validity of multiple-item versus single-item measures of the same constructs. J Marketing Res. 2007;44(2):175–84.CrossRef
32.
go back to reference Hopcroft RL, Bradley DB. The sex difference in depression across 29 countries. Soc Forces. 2007;85(4):1483–507.CrossRef Hopcroft RL, Bradley DB. The sex difference in depression across 29 countries. Soc Forces. 2007;85(4):1483–507.CrossRef
33.
go back to reference Ahmad F, Jhajj AK, Stewart DE, Burghardt M, Bierman AS. Single item measures of self-rated mental health: a scoping review. BMC Health Serv Res. 2014;14(1):398.CrossRefPubMedPubMedCentral Ahmad F, Jhajj AK, Stewart DE, Burghardt M, Bierman AS. Single item measures of self-rated mental health: a scoping review. BMC Health Serv Res. 2014;14(1):398.CrossRefPubMedPubMedCentral
34.
go back to reference Chochinov HM, Wilson KG, Enns M, Lander S. “Are you depressed?” screening for depression in the terminally ill. Am J Psychiatry. 1997;154(5):674–6.CrossRefPubMed Chochinov HM, Wilson KG, Enns M, Lander S. “Are you depressed?” screening for depression in the terminally ill. Am J Psychiatry. 1997;154(5):674–6.CrossRefPubMed
35.
go back to reference Skoogh J, Ylitalo N, Larsson Omerov P, Hauksdottir A, Nyberg U, Wilderang U, Johansson B, Gatz M, Steineck G. ‘A no means no’ - measuring depression using a single-item question versus hospital anxiety and depression scale (HADS-D). Ann Oncol. 2010;21(9):1905–9.CrossRefPubMed Skoogh J, Ylitalo N, Larsson Omerov P, Hauksdottir A, Nyberg U, Wilderang U, Johansson B, Gatz M, Steineck G. ‘A no means no’ - measuring depression using a single-item question versus hospital anxiety and depression scale (HADS-D). Ann Oncol. 2010;21(9):1905–9.CrossRefPubMed
36.
go back to reference Schwarzer R, Jerusalem M. Generalized self-efficacy scale. In: Weinman J, Wright S, Johnston M, editors. Measures in health psychology: A user's portfolio. Winsor: Nfer-Nelson; 1995. p. 35–7. Schwarzer R, Jerusalem M. Generalized self-efficacy scale. In: Weinman J, Wright S, Johnston M, editors. Measures in health psychology: A user's portfolio. Winsor: Nfer-Nelson; 1995. p. 35–7.
37.
go back to reference Scheier MF, Carver CS, Bridges MW. Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a reevaluation of the life orientation test. J Pers Soc Psychol. 1994;67(6):1063–78.CrossRefPubMed Scheier MF, Carver CS, Bridges MW. Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a reevaluation of the life orientation test. J Pers Soc Psychol. 1994;67(6):1063–78.CrossRefPubMed
38.
go back to reference Eysenck S, Eysenck H, Barrett P. A revised version of the psychoticism scale. Pers Individ Dif. 1985;6(1):21–9.CrossRef Eysenck S, Eysenck H, Barrett P. A revised version of the psychoticism scale. Pers Individ Dif. 1985;6(1):21–9.CrossRef
39.
go back to reference Brunes A, Augestad LB, Gudmundsdottir SL. Personality, physical activity, and symptoms of anxiety and depression: the HUNT study. Soc Psychiatry Psychiatr Epidemiol. 2013;48(5):745–56.CrossRefPubMed Brunes A, Augestad LB, Gudmundsdottir SL. Personality, physical activity, and symptoms of anxiety and depression: the HUNT study. Soc Psychiatry Psychiatr Epidemiol. 2013;48(5):745–56.CrossRefPubMed
40.
go back to reference IBM Corporation. SPSS for windows, version 24. Armonk: IBM Corp; 2016. IBM Corporation. SPSS for windows, version 24. Armonk: IBM Corp; 2016.
42.
go back to reference Ayuso-Mateos JL, Vazquez-Barquero JL, Dowrick C, Lahtinen V, Dalgard OS, Casey P, Wilkinson C, Lasa L, Page H, Dunn G, et al. Depressive disorders in Europe: prevalence figures from the ODIN study. Br J Psychiatry. 2001;179(4):308–16.CrossRefPubMed Ayuso-Mateos JL, Vazquez-Barquero JL, Dowrick C, Lahtinen V, Dalgard OS, Casey P, Wilkinson C, Lasa L, Page H, Dunn G, et al. Depressive disorders in Europe: prevalence figures from the ODIN study. Br J Psychiatry. 2001;179(4):308–16.CrossRefPubMed
43.
go back to reference Boerema AM, Kleiboer A, Beekman ATF, van Zoonen K, Dijkshoorn H, Cuijpers P. Determinants of help-seeking behavior in depression: a cross-sectional study. BMC Psychiatry. 2016;16:78.CrossRefPubMedPubMedCentral Boerema AM, Kleiboer A, Beekman ATF, van Zoonen K, Dijkshoorn H, Cuijpers P. Determinants of help-seeking behavior in depression: a cross-sectional study. BMC Psychiatry. 2016;16:78.CrossRefPubMedPubMedCentral
44.
go back to reference Roy-Byrne PP, Stang P, Wittchen HU, Ustun B, Walters E, Kessler RC. Lifetime panic-depression comorbidity in the National Comorbidity Survey. Association with symptoms, impairment, course and help-seeking. Br J Psychiatry. 2000;176(3):229–35.CrossRefPubMed Roy-Byrne PP, Stang P, Wittchen HU, Ustun B, Walters E, Kessler RC. Lifetime panic-depression comorbidity in the National Comorbidity Survey. Association with symptoms, impairment, course and help-seeking. Br J Psychiatry. 2000;176(3):229–35.CrossRefPubMed
45.
go back to reference Gulliver A, Griffiths KM, Christensen H, Brewer JL. A systematic review of help-seeking interventions for depression, anxiety and general psychological distress. BMC Psychiatry. 2012;12(1):81.CrossRefPubMedPubMedCentral Gulliver A, Griffiths KM, Christensen H, Brewer JL. A systematic review of help-seeking interventions for depression, anxiety and general psychological distress. BMC Psychiatry. 2012;12(1):81.CrossRefPubMedPubMedCentral
46.
go back to reference Simon GE, Goldberg DP, Von Korff M, Ustun TB. Understanding cross-national differences in depression prevalence. Psychol Med. 2002;32(4):585–94.CrossRefPubMed Simon GE, Goldberg DP, Von Korff M, Ustun TB. Understanding cross-national differences in depression prevalence. Psychol Med. 2002;32(4):585–94.CrossRefPubMed
47.
go back to reference Magaard JL, Seeralan T, Schulz H, Brütt AL. Factors associated with help-seeking behaviour among individuals with major depression: a systematic review. PLoS One. 2017;12(5):e0176730.CrossRefPubMedPubMedCentral Magaard JL, Seeralan T, Schulz H, Brütt AL. Factors associated with help-seeking behaviour among individuals with major depression: a systematic review. PLoS One. 2017;12(5):e0176730.CrossRefPubMedPubMedCentral
48.
go back to reference Kim YH. Correlation of mental health problems with psychological constructs in adolescence: final results from a 2-year study. Int J Nurs Stud. 2003;40(2):115–24.CrossRefPubMed Kim YH. Correlation of mental health problems with psychological constructs in adolescence: final results from a 2-year study. Int J Nurs Stud. 2003;40(2):115–24.CrossRefPubMed
49.
go back to reference Bonsaksen T, Haukeland-Parker S, Lerdal A, Fagermoen MS. A 1-year follow-up study exploring the associations between perception of illness and health-related quality of life in persons with chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis. 2014;9:41–50.PubMed Bonsaksen T, Haukeland-Parker S, Lerdal A, Fagermoen MS. A 1-year follow-up study exploring the associations between perception of illness and health-related quality of life in persons with chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis. 2014;9:41–50.PubMed
51.
go back to reference Dooley D, Catalano R, Wilson G. Depression and unemployment: panel findings from the epidemiologic catchment area study. Am J Community Psychol. 1994;22(6):745–65.CrossRefPubMed Dooley D, Catalano R, Wilson G. Depression and unemployment: panel findings from the epidemiologic catchment area study. Am J Community Psychol. 1994;22(6):745–65.CrossRefPubMed
52.
go back to reference Wanous JP, Reichers AE, Hudy MJ. Overall job satisfaction: how good are single-item measures? J Appl Psychol. 1997;82(2):247–52.CrossRefPubMed Wanous JP, Reichers AE, Hudy MJ. Overall job satisfaction: how good are single-item measures? J Appl Psychol. 1997;82(2):247–52.CrossRefPubMed
53.
go back to reference Littman AJ, White E, Satia JA, Bowen DJ, Kristal AR. Reliability and validity of 2 single-item measures of psychosocial stress. Epidemiology. 2006;17(4):398–403.CrossRefPubMed Littman AJ, White E, Satia JA, Bowen DJ, Kristal AR. Reliability and validity of 2 single-item measures of psychosocial stress. Epidemiology. 2006;17(4):398–403.CrossRefPubMed
54.
go back to reference Nagy MS. Using a single-item approach to measure facet job satisfaction. J Occup Organ Psychol. 2002;75(1):77–86.CrossRef Nagy MS. Using a single-item approach to measure facet job satisfaction. J Occup Organ Psychol. 2002;75(1):77–86.CrossRef
Metadata
Title
Self-diagnosed depression in the Norwegian general population – associations with neuroticism, extraversion, optimism, and general self-efficacy
Authors
Tore Bonsaksen
Tine K. Grimholt
Laila Skogstad
Anners Lerdal
Øivind Ekeberg
Trond Heir
Inger Schou-Bredal
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5990-8

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