Effect of a national mental health campaign on population mental resilience in the Netherlands: a retrospective longitudinal cohort analysis using a dynamical systems perspective.

Additionally, we detected a small increasing trend change in the percentage of participants reporting to be mentally unhealthy (beta: 0.11, SE: 0.04, p-value = 0.002), a decreasing trend change in medication use for depression and/or anxiety (beta: −0.31, SE 0.12, p = 0.01), as well as differential trend changes in mental healthcare use (medium versus low social support, beta: −0.31; SE: 0.15; p-value = 0.04; non-Dutch with a LMIC background versus Dutch origin, beta: 0.67, SE: 0.25, p = 0.01).

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Also, we detected a negative trend change in medication use for depression and/or anxiety ( Supplementary Table S6 , beta: −0.31, SE 0.12, p = 0.01) and in mental healthcare use in those experiencing medium versus low social support levels ( Supplementary Table S8 , beta: −0.31; SE: 0.15; p-value = 0.04), yet an increasing trend change in mental healthcare use in participants of non-Dutch origin with a LMIC background versus participants of Dutch origin ( Supplementary Table S11 , beta: 0.67, SE: 0.25, p = 0.01).

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Trends in mental health and mental healthcare use There was a small trend change in the percentage of self-reported mental ill-health before (decrease from 17.00% in 2012 to 14.03% in 2015) versus after (stabilizing values from 16.02% in 2016 to 16.47% in 2019) the start of the campaign ( Table 2 , beta: 0.11, SE: 0.04, p-value = 0.002; Fig. 2 ), but no differential effects in sociodemographic subgroups ( Supplementary Tables S3–S5 and S10–S11 ).

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Also, we detected a negative trend change in medication use for depression and/or anxiety ( Supplementary Table S6 , beta: −0.31, SE 0.12, p = 0.01) and in mental healthcare use in those experiencing medium versus low social support levels ( Supplementary Table S8 , beta: −0.31; SE: 0.15; p-value = 0.04), yet an increasing trend change in mental healthcare use in participants of non-Dutch origin with a LMIC background versus participants of Dutch origin ( Supplementary Table S11 , beta: 0.67, SE: 0.25, p = 0.01).

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