Factors associated with psychological distress in a community-dwelling Japanese population

The Ohsaki Cohort 2006 study

Shinichi Kuriyama, Naoki Nakaya, Kaori Ohmori-Matsuda, Taichi Shimazu, Nobutaka Kikuchi, Masako Kakizaki, Toshimasa Sone, Fumi Sato, Masato Nagai, Yumi Sugawara, Munira Akhter, Mizuka Higashiguchi, Naru Fukuchi, Hideko Takahashi, Atsushi Hozawa, Ichiro Tsuji

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

Background: In Asia, there has been no population-based epidemiological study using the K6, a 6-item instrument that assesses nonspecific psychological distress. Methods: Using cross-sectional data from 2006, we studied 43 716 (20 168 men and 23 548 women) communitydwelling people aged 40 years or older living in Japan. We examined the association between psychological distress and demographic, medical, lifestyle, and social factors by using the K6, with psychological distress defined as 13 or more points out of a total of 24 points. Results: The following variables were significantly associated with psychological distress among the population: female sex, young and old age, a history of serious disease (hypertension, diabetes mellitus, stroke, myocardial infarction, or cancer), current smoking, former alcohol drinking, low body mass index, shorter daily walking time, lack of social support (4 of 5 components), and lack of participation in community activities (4 of 5 components). Among men aged 40 to 64 years, only "lack of social support for consultation when in trouble"and a history of diabetes mellitus remained significant on multivariate analysis. Among men aged 65 years or older, age was not significantly associated with psychological distress, and the significant association with current smoking disappeared on multivariate analysis. Among women aged 40 to 64 years, a history of stroke was not associated with psychological distress. Among women aged 65 years or older, the significant association with current smoking disappeared on multivariate analysis. Conclusions: A number of factors were significantly associated with psychological distress, as assessed by the K6. These factors differed between men and women, and also between middle-aged and elderly people.

Original languageEnglish
Pages (from-to)294-302
Number of pages9
JournalJournal of Epidemiology
Volume19
Issue number6
DOIs
Publication statusPublished - 01-11-2009

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Independent Living
Cohort Studies
Psychology
Population
Multivariate Analysis
Smoking
Social Support
Diabetes Mellitus
Stroke
Alcohol Drinking
Walking
Life Style
Epidemiologic Studies
Japan
Body Mass Index
Referral and Consultation
Myocardial Infarction
Demography
Hypertension

All Science Journal Classification (ASJC) codes

  • Epidemiology

Cite this

Kuriyama, Shinichi ; Nakaya, Naoki ; Ohmori-Matsuda, Kaori ; Shimazu, Taichi ; Kikuchi, Nobutaka ; Kakizaki, Masako ; Sone, Toshimasa ; Sato, Fumi ; Nagai, Masato ; Sugawara, Yumi ; Akhter, Munira ; Higashiguchi, Mizuka ; Fukuchi, Naru ; Takahashi, Hideko ; Hozawa, Atsushi ; Tsuji, Ichiro. / Factors associated with psychological distress in a community-dwelling Japanese population : The Ohsaki Cohort 2006 study. In: Journal of Epidemiology. 2009 ; Vol. 19, No. 6. pp. 294-302.
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abstract = "Background: In Asia, there has been no population-based epidemiological study using the K6, a 6-item instrument that assesses nonspecific psychological distress. Methods: Using cross-sectional data from 2006, we studied 43 716 (20 168 men and 23 548 women) communitydwelling people aged 40 years or older living in Japan. We examined the association between psychological distress and demographic, medical, lifestyle, and social factors by using the K6, with psychological distress defined as 13 or more points out of a total of 24 points. Results: The following variables were significantly associated with psychological distress among the population: female sex, young and old age, a history of serious disease (hypertension, diabetes mellitus, stroke, myocardial infarction, or cancer), current smoking, former alcohol drinking, low body mass index, shorter daily walking time, lack of social support (4 of 5 components), and lack of participation in community activities (4 of 5 components). Among men aged 40 to 64 years, only {"}lack of social support for consultation when in trouble{"}and a history of diabetes mellitus remained significant on multivariate analysis. Among men aged 65 years or older, age was not significantly associated with psychological distress, and the significant association with current smoking disappeared on multivariate analysis. Among women aged 40 to 64 years, a history of stroke was not associated with psychological distress. Among women aged 65 years or older, the significant association with current smoking disappeared on multivariate analysis. Conclusions: A number of factors were significantly associated with psychological distress, as assessed by the K6. These factors differed between men and women, and also between middle-aged and elderly people.",
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Kuriyama, S, Nakaya, N, Ohmori-Matsuda, K, Shimazu, T, Kikuchi, N, Kakizaki, M, Sone, T, Sato, F, Nagai, M, Sugawara, Y, Akhter, M, Higashiguchi, M, Fukuchi, N, Takahashi, H, Hozawa, A & Tsuji, I 2009, 'Factors associated with psychological distress in a community-dwelling Japanese population: The Ohsaki Cohort 2006 study', Journal of Epidemiology, vol. 19, no. 6, pp. 294-302. https://doi.org/10.2188/jea.JE20080076

Factors associated with psychological distress in a community-dwelling Japanese population : The Ohsaki Cohort 2006 study. / Kuriyama, Shinichi; Nakaya, Naoki; Ohmori-Matsuda, Kaori; Shimazu, Taichi; Kikuchi, Nobutaka; Kakizaki, Masako; Sone, Toshimasa; Sato, Fumi; Nagai, Masato; Sugawara, Yumi; Akhter, Munira; Higashiguchi, Mizuka; Fukuchi, Naru; Takahashi, Hideko; Hozawa, Atsushi; Tsuji, Ichiro.

In: Journal of Epidemiology, Vol. 19, No. 6, 01.11.2009, p. 294-302.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Factors associated with psychological distress in a community-dwelling Japanese population

T2 - The Ohsaki Cohort 2006 study

AU - Kuriyama, Shinichi

AU - Nakaya, Naoki

AU - Ohmori-Matsuda, Kaori

AU - Shimazu, Taichi

AU - Kikuchi, Nobutaka

AU - Kakizaki, Masako

AU - Sone, Toshimasa

AU - Sato, Fumi

AU - Nagai, Masato

AU - Sugawara, Yumi

AU - Akhter, Munira

AU - Higashiguchi, Mizuka

AU - Fukuchi, Naru

AU - Takahashi, Hideko

AU - Hozawa, Atsushi

AU - Tsuji, Ichiro

PY - 2009/11/1

Y1 - 2009/11/1

N2 - Background: In Asia, there has been no population-based epidemiological study using the K6, a 6-item instrument that assesses nonspecific psychological distress. Methods: Using cross-sectional data from 2006, we studied 43 716 (20 168 men and 23 548 women) communitydwelling people aged 40 years or older living in Japan. We examined the association between psychological distress and demographic, medical, lifestyle, and social factors by using the K6, with psychological distress defined as 13 or more points out of a total of 24 points. Results: The following variables were significantly associated with psychological distress among the population: female sex, young and old age, a history of serious disease (hypertension, diabetes mellitus, stroke, myocardial infarction, or cancer), current smoking, former alcohol drinking, low body mass index, shorter daily walking time, lack of social support (4 of 5 components), and lack of participation in community activities (4 of 5 components). Among men aged 40 to 64 years, only "lack of social support for consultation when in trouble"and a history of diabetes mellitus remained significant on multivariate analysis. Among men aged 65 years or older, age was not significantly associated with psychological distress, and the significant association with current smoking disappeared on multivariate analysis. Among women aged 40 to 64 years, a history of stroke was not associated with psychological distress. Among women aged 65 years or older, the significant association with current smoking disappeared on multivariate analysis. Conclusions: A number of factors were significantly associated with psychological distress, as assessed by the K6. These factors differed between men and women, and also between middle-aged and elderly people.

AB - Background: In Asia, there has been no population-based epidemiological study using the K6, a 6-item instrument that assesses nonspecific psychological distress. Methods: Using cross-sectional data from 2006, we studied 43 716 (20 168 men and 23 548 women) communitydwelling people aged 40 years or older living in Japan. We examined the association between psychological distress and demographic, medical, lifestyle, and social factors by using the K6, with psychological distress defined as 13 or more points out of a total of 24 points. Results: The following variables were significantly associated with psychological distress among the population: female sex, young and old age, a history of serious disease (hypertension, diabetes mellitus, stroke, myocardial infarction, or cancer), current smoking, former alcohol drinking, low body mass index, shorter daily walking time, lack of social support (4 of 5 components), and lack of participation in community activities (4 of 5 components). Among men aged 40 to 64 years, only "lack of social support for consultation when in trouble"and a history of diabetes mellitus remained significant on multivariate analysis. Among men aged 65 years or older, age was not significantly associated with psychological distress, and the significant association with current smoking disappeared on multivariate analysis. Among women aged 40 to 64 years, a history of stroke was not associated with psychological distress. Among women aged 65 years or older, the significant association with current smoking disappeared on multivariate analysis. Conclusions: A number of factors were significantly associated with psychological distress, as assessed by the K6. These factors differed between men and women, and also between middle-aged and elderly people.

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U2 - 10.2188/jea.JE20080076

DO - 10.2188/jea.JE20080076

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EP - 302

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JF - Journal of Epidemiology

SN - 0917-5040

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