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Koivumaa-Honkanen H, Kaprio J, Honkanen R, et al. Life satisfaction and depression in a 15-year follow-up of healthy adults. Soc Psychiatry Psychiatr Epidemiol. 2004;39(12):994-9doi: 10.1007/s00127-004-0833-6.
Koivumaa-Honkanen, H., Kaprio, J., Honkanen, R., Viinamäki, H., & Koskenvuo, M. (2004). Life satisfaction and depression in a 15-year follow-up of healthy adults. Social psychiatry and psychiatric epidemiology, 39(12), 994-9. https://doi.org/10.1007/s00127-004-0833-6
Koivumaa-Honkanen, Heli, et al. "Life satisfaction and depression in a 15-year follow-up of healthy adults." Social psychiatry and psychiatric epidemiology vol. 39,12 (2004): 994-9. doi: https://doi.org/10.1007/s00127-004-0833-6
Koivumaa-Honkanen H, Kaprio J, Honkanen R, Viinamäki H, Koskenvuo M. Life satisfaction and depression in a 15-year follow-up of healthy adults. Soc Psychiatry Psychiatr Epidemiol. 2004 Dec;39(12):994-9. doi: 10.1007/s00127-004-0833-6. PMID: 15583908.
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Soc Psychiatry Psychiatr Epidemiol. 2004 Dec;39(12):994-9. doi: 10.1007/s00127-004-0833-6.

Life satisfaction and depression in a 15-year follow-up of healthy adults.

Social psychiatry and psychiatric epidemiology

Heli Koivumaa-Honkanen, Jaakko Kaprio, Risto Honkanen, Heimo Viinamäki, Markku Koskenvuo

Affiliations

  1. Dept. of Psychiatry/2700, Kuopio University Hospital, P. O. B. 1777, 70211 Kuopio, Finland. [email protected]

PMID: 15583908 DOI: 10.1007/s00127-004-0833-6

Abstract

OBJECTIVE: The aim of this study was to investigate the cross-sectional and longitudinal relationship between life satisfaction and depressive symptoms in healthy adults.

METHOD: This is a 15-year prospective cohort study with a nationwide sample of healthy Finnish adults (N = 9679), aged 18-45, who responded to postal questionnaires in 1975, 1981 and 1990 including a 4-item life satisfaction (LS) scale (range 4-20) and, in 1990, the 21-item Beck Depression Inventory (BDI).

RESULTS: A strong linear association was found between concurrent LS and BDI scales (r = 0.6). With an LS cut-off point of 11/12, moderate/severe depression (BDI > or = 19) was detected with 87% sensitivity, 88 % specificity and a 94% area under the ROC curve. Longitudinally, a strongly increased risk of moderate/severe depression in 1990 was observed among the dissatisfied (LS 12-20) compared with the satisfied (LS 4-6) in 1975 (OR = 6.7; 95 %CI 4.2-10.9) and in 1981 (OR = 10.4; 6.1-17.6).

CONCLUSION: The 4-item LS scale can identify a group of healthy people from the general population with a high risk of having or developing depressive symptoms. Since low life satisfaction also indicates an elevated risk of other adverse health outcomes, the assessment of subjective well-being should be encouraged both in surveys and in clinical practice.

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