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David Walker's 'Anxious Nation' had had its greatest influence on scholars working on Australian encounters with Asia. But the book's most significant achievement was to identify the central importance occupied by Asia – or, more precisely, the spectre of Asia – in Australian history. It diagnosed Australia's desperate search for security, its defensive posturing as a 'White Man's Country', and the longstanding search for 'engagement' as part of the same malady: a hyperawareness of Asia's proximity and power, and the sense that it would determine Australia's future. This was less a book about Asia than it was about Australia. Until it is recognised as such, and fully drawn into mainstream Australian histories and survey courses, the task of understanding Australia's national character in light of its neuroses remains incomplete. A quarter century after its publication, historians of Australia still have a lot to learn about their anxious nation. [ABSTRACT FROM AUTHOR]

The aim of the present study was to examine the cross-cultural differences in the relationship between personality traits and neurasthenia across early adolescence. The participants were from Australia and China. Adolescents' personality was measured by the Junior Eysenck Personality Questionnaire, and neurasthenia was measured by the Somatic and Psychological Health Report. Structural equation modeling showed that neuroticism significantly predicted neurasthenia for both Chinese and Australian adolescents. Multigroup comparisons indicated that the strength of the relationship between neuroticism and neurasthenia was consistent across Australian and Chinese adolescents. Our findings imply that the relationship between personality traits and neurasthenia is consistent across different cultures. [ABSTRACT FROM AUTHOR]

Objective: There is some evidence that personality relates to childbearing in adulthood but the importance of personality for reproductive capacity is unknown. This study explored cross-time associations between the major dimensions of trait personality and self-reported fertility and fecundity. Methods: A representative sample of young Australian adults [n = 4501; age range ≈ 18-44 (women), 18-54 (men)] provided information on personality, fertility, fertility intentions, fecundity and lifestyle factors (cigarette smoking, alcohol consumption, physical activity) in 2006 and again in 2016. Older Australian adults [n = 4359; age ≥ 45 (women), ≥ 55 (men)] provided information on personality, lifestyle factors and completed fertility. Results: After controlling for sociodemographic factors, completed fertility was associated with higher agreeableness in both sexes, and lower conscientiousness and openness in women. In younger adults, higher levels of openness were associated with fewer children 10 years later in both sexes, and higher extraversion was associated with more children 10 years later in men. The association between fertility intentions and subsequent fertility was stronger among women scoring higher on conscientiousness, and women scoring higher on neuroticism were more likely to acquire medical or health difficulties in having children - an effect that was mediated by higher levels of cigarette smoking. Conclusions: The study provides initial evidence for an association between personality and the acquisition of difficulties in having children. [ABSTRACT FROM AUTHOR]

General practice has an important role within the Australian healthcare system to provide access to care and effective management of chronic health conditions. However, people with serious mental illness experience challenges associated with service access. The current paper seeks to examine drivers of access to general practice for people with common and serious mental disorders, compared with people who access care for type II diabetes, a common physical health problem managed in general practice. The Bettering the Evaluation and Care of Health (BEACH) programme provides the most comprehensive and objective measurement of general practitioner activity in Australia. Using BEACH data, this study compared general practice encounters for depression, anxiety, bipolar disorder, schizophrenia, and type II diabetes during a 10-year period between 2006 and 2016. Analysis revealed more frequent encounters for depression compared to anxiety, and a higher representation of women in encounters for bipolar disorder compared to men. The relationship between number of encounters and patient age was strongly associated with the life course and mortality characteristics associated with each disorder. The findings highlight specific challenges associated with access to primary care for people with serious mental illness, and suggest areas of focus to improve the ability of these patients to access and navigate the health system. [ABSTRACT FROM AUTHOR]

Background: Rural communities in Australia face significant disadvantages relating to geographical isolation and limited access to mental health services. Documenting general practitioners' (GP) experiences and perception of mental health services in rural Australia may be useful to gain insight into rural GP management of mild to moderate depression. Aims: To explore GPs' experience and views on which factors influence access to mental health services for mild to moderate depression. Method: This qualitative study was conducted in 2014 in the Northern Rivers, NSW, Australia. Data were obtained from semi-structured in-depth face-to-face interviews with ten GPs, and analyses were performed using a general inductive method of thematic analysis. Results: Most GPs believed that the current services for managing mild-moderate depression were adequate, however they also identified the need for better access and more services that were free for patients. GPs had a positive perception of management of depression in a rural setting, identifying advantages including better doctor-patient relationships, continuity of care and the proximity of services. However, GPs also identified several barriers to access to mental health services in a rural setting, including long waiting-times, inadequate patient rapport with referred professionals, cost of treatment, transportation, geographical location, stigma, and lack of education about available mental health services. As a result, GPs frequently self-managed patients in addition to referring them to other community mental health service providers where possible. Conclusion: Overall, GPs appeared relatively satisfied with the resources available in their communities but also identified numerous barriers to access and room for improvement. Rural GPs often self-managed patients in addition to referring patients to other mental health services providers. This should be taken into account when designing mental health policies, developing new services or re-designing current services in rural communities. [ABSTRACT FROM AUTHOR]

Objective:Sufficient and good-quality sleep is important for individual functioning. This study explored associations between personality and sleep duration and sleep quality in adulthood. The mediating role of hedonic balance and the moderating roles of age and sex were also explored. Method:A nationally representative sample of Australian adults (n = 14,065;Mage = 44.4 years; 53.1% women) completed self-report measures of personality, sleep, hedonic balance and demographic variables (e.g. health status, employment status) in late 2013. Results:After controlling for demographic variables, we found that high neuroticism was associated with poorer sleep quality, and both long and short sleep durations (a curvilinear relationship). Small effects were also observed relating high extraversion and low openness to better sleep quality. Hedonic balance mediated all linear and non-linear associations between personality and sleep. Additional moderator analyses showed that high openness was more strongly related to poor sleep quality among men and young adults. High neuroticism was more strongly related to poor sleep quality among men. Conclusion:Findings indicate that personality is important for sleep in adulthood and that hedonic balance features a prominent role in this association. [ABSTRACT FROM PUBLISHER]

There are ongoing debates both in personality psychology and social psychology on the causes and consequences of personality stability and change. Recent work on social roles suggests that as people change roles (e.g. employee to manager), different experiences and demands are internalised into one's self-concept shaping identity and personality. In this paper, the emphasis moves beyond 'roles' to other group memberships (e.g. ethnicity) in shaping one's self-view and self-rated personality (e.g. Neuroticism). The results of two experiments demonstrated that the salience of a particular group membership (as a Non-Aboriginal Australian) did significantly impact on Neuroticism. Such findings suggest that social identity processes may offer a hitherto neglected avenue for helping to explain personality (dis)continuity. Implications of these findings for both fields are discussed. Copyright © 2012 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

The current study utilised two measures of health beliefs to predict health behaviour. Christensen, Moran and Wiebe (1999) developed the Irrational Health Belief Scale (IHBS) as an alternative to the more traditionally and widely used scales from the Health Belief Model (HBM). The IHBS has not previously been compared with a scale from the HBM in a non-clinical population. Furthermore, unlike the HBM, the IHBS has not been tested on a population outside North America. In the present study, 157 Australian university students (131 females and 26 males, mean age 21.9 years) completed both scales along with other scales measuring control variables of personality, locus of control and affect. The Personal Lifestyle Questionnaire (PLQ) measured health behaviour. Hierarchical multiple regression revealed that the IHBS could not significantly (p > .05) predict health behaviour while the HBM significantly accounted for 8% of variance in the PLQ. Neuroticism and positive affect were the best predictors of health behaviour, accounting for 19% of variance. Close examination of IHBS items raised doubts regarding construct validity, suggesting the scale requires further development before cross-cultural application. [ABSTRACT FROM AUTHOR]

This study investigated the culture specificity of Taijin-Kyofusho (TK) offensive type by examining whether symptoms of the disorder covary with social phobia and determining the proportion of those who meet criteria for a diagnosis of TK offensive type among Australian socially phobic individuals. The study included a total of 94 participants who met the DSM-IV criteria for social phobia and 39 normal controls who did not meet criteria for any mental disorder. All participants were born in Western countries and resided in Australia. Results showed that levels of offensive worry were significantly elevated in socially phobic individuals and decreased after treatment of their social phobia, pointing to a close relationship between symptoms of TK offensive type and social anxiety. Correlational analysis indicated that TK offensive type and social phobia appear to represent distinct constructs, although the two constructs were clearly strongly related. However, diagnostic examination revealed that the prevalence of reported offensive symptoms (eight out of 94; 8.5%) was extremely low among participants with social phobia in Australia and none of them met the full criteria for TK offensive type. The mixed findings relevant to the existence of TK offensive type among an Australian sample with social phobia are discussed in relation to cultural influences on life interference, referral behaviors, and diagnostic customs. Depression and Anxiety 0:1–8, 2007. © 2007 Wiley-Liss, Inc. [ABSTRACT FROM AUTHOR]

The article focuses on a study on multiple measures of neuroticism of two cohorts from Australia, and the Netherlands. The study was conducted to study the personality dimension of anxiety or depressive disorders to gain insights on their etiology. A comprehensive genome-wide linkage study of neuroticism was performed, where results from the two countries were compared. Results showed an overlap of the linkage analysis in both countries, where it was concluded a possible causal variants for neuroticism.

Effective treatments for common anxiety and mood disorders exist, yet epidemiological studies reveal that the unmet need for treatment in the community remains high. This study investigates the significance of the initial delay to first seek professional help in this unmet need for treatment in an Australian sample. Help-seeking history was retrospectively reported by 273 new referrals to a specialist anxiety treatment clinic who had a primary diagnosis of an anxiety (78%) or mood disorder (22%). Clinical, demographic and attitudinal variables were tested as potential predictors of length of the delay. Average help-seeking delay was 8.2 years (range 0–72 years). Younger age at symptom onset and slower problem recognition were associated with delayed help-seeking, and older people were more likely to report longer delays. We conclude that delays to first seek treatment are long and contribute significantly to the unmet need for treatment for anxiety and mood disorders, and that lack of problem recognition is a significant barrier to help-seeking. [ABSTRACT FROM AUTHOR]

Background: Only a limited number of population-based studies have been able to prospectively follow the mental health of their participants. We aimed to describe diagnostic changes in a population based cohort over a two year period, and to explore associations between a range of individual factors and recovery from, or onset of, disorders.Methods: Two year, face-to-face follow-up of a community-based cohort drawn from random telephone screening using the CIDI as diagnostic instrument. Unlike most similar research we did not exclude individuals with prior history from analysis.Results: 1407 participants were administered face-to-face interviews and 968 were re-interviewed. In multivariate analysis, recent adverse life events, poor physical health, and high neuroticism score were significant predictors of developing a mental disorder in participants who were disorder free at baseline. Higher baseline levels of physical activity were protective of new disorders in univariate analysis. Most participants with a baseline disorder and not lost to follow-up were disorder-free two years later. For participants with a disorder at both interviews, there was marked lability in diagnoses, with only a small minority having an unchanged diagnosis at both baseline and follow-up. Factors predicting a poor outcome in participants with a disorder included the number of baseline diagnoses, high neuroticism score and adverse life events.Conclusions: These findings suggest that the diagnosis of common mental disorders is complex and that diagnoses are relatively unstable. The factors that influence the emergence of mental disorders in individuals who may, or may not, have had a disorder in the past, are similar to those associated with the development of new disorders in subjects without a lifetime history. [ABSTRACT FROM AUTHOR]

Objective: To measure awareness of beyondblue: the national depression initiative and Ybblue (the youth program of beyondblue) in Australian young people and associations between awareness and measures of mental health literacy. Method: A national telephone survey of mental health literacy was conducted with 3746 young people aged 12-25 years. Participants were asked to spontaneously recall organizations related to mental health problems, as well as whether they recognized beyondblue. Results: Overall, 44% of young people were aware of beyondblue, including 12.1% who spontaneously recalled beyondblue as an organization related to mental health problems. Awareness was lower in males and generally increased with age. Awareness of beyondblue was associated with better recognition of depression and greater exposure to depression in self or family and friends. Participants aware of beyondblue were more likely to rate antidepressants and some professional interventions as helpful for depression, and were less likely to rate dealing with the problem alone or using alcohol as helpful. Awareness was not associated with social distance scores or psychological distress. Conclusions: beyondblue: the national depression initiative has reached a good proportion of Australian young people, and awareness is associated with better mental health literacy. Males and younger adolescents could be targeted for improvements in awareness. [ABSTRACT FROM AUTHOR]

Families in remote mining towns constitute a specific sociological group living under unique geographical and sociocultural circumstances. Isolation from friends and relatives and limited resources and opportunities for family members of mine workers are some of the distinct disadvantages of these towns. Decades ago it was observed that a large number of women in new and remote mining towns suffered from neurotic problems. In contemporary times there is a deficit of knowledge about the mental health of women in remote mining towns. However, there are certain indicators of significant mental distress among women living in these particular environments. Deriving from a review of literature, this paper explores various mining work-related issues and sociocultural settings and processes within remote mining towns that could possibly exert coercive pressures on the psychological health of female partners of mine workers and their relationship well-being. The paper suggests that work schedules and preponderance of men in mining jobs help promote a patriarchal culture within the community and the family; thereby marginalising women to a secondary status. Limited opportunities and resources within the community isolate women to domestic lives; while atypical work rosters associated with mining employment could negatively impact on the relationship well-being of couples. The paper recommends that an inquiry into psychiatric well-being among women of remote mining communities needs to consider the sociocultural structure and processes within these communities, and the structural nature of the mining job that could be responsible for role strain-induced stress and mental health problems among these women. [ABSTRACT FROM AUTHOR]

Abstract This paper reports on the clinical and demographic characteristics of the first 1000 consecutive patients attending an anxiety disorders clinic at a district hospital in Sydney, Australia. Data from a large epidemiological study of the Australian population were used as a yardstick for broad comparison. Contrary to past research, a lower prevalence of comorbid anxiety and depression was found in the clinic, possibly because a portion of those patients were filtered out and referred elsewhere for treatment for depression. More female patients attended the clinic than the epidemiological study would predict. Greater numbers of patients with panic disorder, and fewer with posttraumatic stress disorder and social phobia were seen in the clinic than would be predicted by the epidemiological data. Although inferences are tentative because of the differing methods of diagnosis used, the findings indicate the value of comparing epidemiological and clinic profiles to identify those categories of anxiety patients that underutilise services. [ABSTRACT FROM AUTHOR]

We examine the hypothesis that environmental transmission is a significant factor in individual differences for Neuroticism among 45,850 members of extended twin kinships from Australia (N = 20,945) and the United States (N = 24,905). To this large data set we fitted a model estimating genetic and environmental components of variance and gene-environmental covariance to examine the causes of individual differences in Neuroticism. For the combined sample we reject models including environmental transmission, shared environment, and a special twin environment in favor of more parsimonious genetic models. The best-fitting model involved only modest assortative mating, nonshared environment, and both additive and nonadditive genetic components. We conclude, first, that there is no evidence for environmental transmission as a contribution to individual differences in Neuroticism in these replicated samples, drawn from different continents, and, second, that a simple genetic structure underlies familial resemblance for the personality trait of Neuroticism. It is interesting that, despite the opportunity provided by the elaborate design and extensive power of our study, the picture revealed for the causes of individual differences in Neuroticism is little more complex than that found from earlier, simpler designs applied to smaller samples. However, this simplicity could not have been confirmed without using a highly informative design and a very large sample. [ABSTRACT FROM AUTHOR]

This study examines data from 47,238 episodes of hospitalization in New South Wales, Australia, pertaining to the patients suffering from mental disorders, i.e. those patients with a principal diagnosis coded from 290 to 315 inclusive, according to the 8th revision of the International Classification of Diseases.An overall prevalence of nine episodes of hospitalization due to mental disorders was found per 1000 population per annum. Major disease categories were neuroses and alcoholism (each accounting for 21% of the total episodes) followed by schizophrenia (16%) and affective psychosis (11%); there were substantial differences by age, sex, marital status and ethnic origin. [ABSTRACT FROM PUBLISHER]

In a prospective study of a community sample, we examined changes in social relationships accompanying the onset and remission of neurotic symptoms. For those who developed symptoms in the course of 12 months, no decrease was found in the availability or reported adequacy of either close or diffuse ties, compared to those who remained symptom-free. For those having a remission, an increase in the adequacy of social relationships and a decrease in rows was observed only in those who improved later on, at the 12-month interview. But with either the onset or remission of symptoms, the availability of relationships remained unchanged. These observations cannot establish the direction of causality, but suggest that neurotic symptoms are more associated with the perception of social relationships than with the structure of personal networks. [ABSTRACT FROM AUTHOR]

A standardized study of the point prevalence of non-psychotic disorder was carried out on a systematic sample of Canberra residents (N = 756). Rates were estimated for PSE CATEGO diagnoses and the Index of Definition. The association between neurosis and deficiencies in social relationships was examined, using the Interview Schedule for Social Interaction (ISSI). An objective measure of exposure to adversity was also obtained at interview. Both attachment and social integration (affectionally close and more diffuse relationships) were found to be negatively associated with neurosis. This association holds in its own right, in addition to an interaction with the load of adversity. The associations are weaker for men. The significance of this work lies in its demonstration of an association between neurosis and the lack of social ties, and in its attempt to obtain a specification of those elements in social relationships which, when deficient, may be associated with neurosis. The direction of causality has now to be investigated. [ABSTRACT FROM AUTHOR]

The function of religion in human society is complex. The part played by religion in psychiatric disorders is even more obscure. Previous literature and theories are divided into two groups: one school believes that intense religiosity is a symptom-complex indicative of psychiatric disorder, while the opposing view is that religious belief in some way acts as a defence mechanism protecting the individual and his psyche. The present study of 50 Jehovah's Witnesses admitted to the Mental Health Service facilities of Western Australia suggests that members of this section of the community are more likely to be admitted to a psychiatric hospital than the general population. Furthermore, followers of the sect are three times more likely to be diagnosed as suffering from schizophrenia and nearly four times more likely from paranoid schizophrenia than the rest of the population at risk. These findings suggest that being a member of the Jehovah's Witnesses faith may be a risk factor predisposing to a schizophrenic illness. Further studies would be interesting in investigating whether pre-psychotic people are more likely to join the sect than normal people and what part (if any) membership has in bringing about such a breakdown. [ABSTRACT FROM AUTHOR]

The article examines the relationship between parental loss and subsequent suicidal attempts of patients with neurotic and sociopathic disorders. Eighty-one patients who had suicidal attempts were compared with non-suicidal controls with respect to incidence of parental loss. Results showed that the incidence of loss was found to be significantly higher in suicidal than in non-suicidal neurotics. It was also revealed that the proportion of neurotic patients who had suffered loss in the first 4 years of life was significantly greater in the suicidal group than in non-suicidal controls. Implications of the findings are discussed.

Reliance on self-report to measure problematic smartphone use is a limitation of the extant literature. It is unclear whether self- and other-ratings of problematic smartphone use converge and whether correlations between personality and self-reported problematic smartphone use are distorted by common method bias. The current study provides the first comprehensive assessment of self-other agreement of problematic smartphone use and the relationship between personality and other-rated problematic smartphone use in a large sample of young adults. Focal participants (n = 1073) were Australian university students who completed measures of Big Five (IPIP) and HEXACO (HEXACO PI-R) personality, and problematic smartphone use. One or more people who knew the focal participant well (n = 2445) rated the focal participant's problematic smartphone use. People rated their own smartphone use as more problematic than did others. Self- and other-ratings of problematic smartphone use correlated 0.38. The pattern of self-other and other-other correlations indicated that self-ratings were more accurate than other-ratings. The pattern of high neuroticism and low conscientiousness predicting greater problematic smartphone use was observed for both self- and other-ratings. Findings suggest that self-report measures are reasonably valid, problematic smartphone usage is observable, and the relationship between personality and problematic smartphone use is robust. • There is agreement between self-rated and other-rated problematic smartphone use. • Self-rated personality predicts other-rated problematic smartphone use. • Problematic smartphone use has elements that are objective and observable by others. • Self-rated problematic smartphone use scales are reliable measures for research. [ABSTRACT FROM AUTHOR]

Objectives: To examine factors contributing to psychological well‐being and ill‐being in older Australian women. Methods: A multi‐variable model examining personality traits, life events, medical diagnoses, and cognitive appraisal was tested on 296 women (mean age = 69.13, standard deviation = 10.20) from the Longitudinal Assessment of Women Study using a cross‐sectional design. Results: Neuroticism, optimism, and extraversion were associated with both well‐being and ill‐being, but these relationships were partially mediated by cognitive appraisal. The relationship between number of life events and ill‐being was fully mediated by cognitive appraisal, while the relationship between number of life events and well‐being was partially mediated by cognitive appraisal. The number of medical diagnoses directly predicted well‐being. Conclusions: The supported model suggests that individual and public‐health interventions targeting personality traits, cognitive appraisal, and life events might have potential to improve well‐being and reduce ill‐being as individuals age. [ABSTRACT FROM AUTHOR]