Negative socioeconomic changes and mental disorders: a longitudinal study

Barbaglia, Gabriela; Have, Margreet ten; Dorsselaer, Saskia van; Alonso, Jordi; Graaf, Ron de

doi:10.1136/jech-2014-204184

Cited by 44 publications

(45 citation statements)

References 36 publications

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“…In this context, our findings support the hypothesis that the worsening of socioeconomic conditions observed during this period could have contributed to mental health decline [19], particularly amongst immigrants [34], as our data refer to years just before and after global economic crisis. Conversely to what was observed in Spain, a country with similar socioeconomic characteristics as Italy [35], we did not find any increase in differences in poor self-perceived mental health amongst immigrant women compared with natives.…”

Section: Discussionsupporting

confidence: 87%

The variation in the health status of immigrants and Italians during the global crisis and the role of socioeconomic factors

Petrelli¹,

Napoli²,

Rossi³

et al. 2017

Int J Equity Health

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BackgroundThe effects of the recent global economic and financial crisis especially affected the most vulnerable social groups. Objective of the study was to investigate variation of self-perceived health status in Italians and immigrants during the economic global crisis, focusing on demographic and socioeconomic factors.MethodsThrough a cross-sectional design we analyzed the national sample of multipurpose surveys “Health conditions and use of health services” (2005 and 2013) conducted by the Italian National Institute of Statistics (ISTAT). Physical Component Summary (PCS) and Mental Component Summary (MCS) scores, derived from SF-12 questionnaire, were assumed as study outcome, dichotomizing variables distribution at 1st quartile. Prevalence rate ratios (PRR) were estimated through log-binomial regression models, stratified by citizenship and gender, evaluating the association between PCS and MCS with surveys’ year, adjusting for age, educational level, employment status, self-perceived economic resources, smoking habits, body mass index.ResultsFrom 2005 to 2013 the proportion of people not employed or reporting scarce/insufficient economic resources increased, especially among men, in particular immigrants. Compared with 2005 we observed in 2013 among Italians a significant lower probability of worse PCS (PRR = 0.96 both for males and females), while no differences were observed among immigrants; a higher probability of worse MCS was observed, particularly among men (Italians: PRR = 1.26;95%CI:1.22–1.29; immigrants: PRR = 1.19;95%CI:1.03–1.38). Self-perceived scarce/insufficient economic resources were strongly and significantly associated with worse PCS and MCS for all subgroups. Lower educational level was strongly associated with worse PCS in Italians and slightly associated with worse MCS for all subgroups. Being not employed was associated with worse health status, especially mental health among men.ConclusionsOur findings support the hypothesis that economic global crisis could have negatively affected health status, particularly mental health, of Italians and immigrants. Furthermore, results suggest socioeconomic inequalities increase, in economic resources availability dimension. In a context of public health resources’ limitation due to financial crisis, policy decision makers and health service managers must face the challenge of equity in health.

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Section: Discussionsupporting

confidence: 87%

The variation in the health status of immigrants and Italians during the global crisis and the role of socioeconomic factors

Petrelli¹,

Napoli²,

Rossi³

et al. 2017

Int J Equity Health

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“…The situation is likely to worsen now as Brazil undergoes a harsh economic recession; it has been shown that economic crises that lead to job losses and income reductions, even in rich countries, have an important negative impact on mental health [41]. …”

Section: Discussionmentioning

confidence: 99%

Social inequalities in mental disorders and substance misuse in young adults

Barros

Matijasevich

Santos

et al. 2018

Soc Psychiatry Psychiatr Epidemiol

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PurposeTo investigate the association between mental disorders and substance misuse at 30 years of age with gender, socioeconomic position at birth, and family income trajectories.MethodsThe 1982 Pelotas Birth Cohort was used; all 5914 children born alive at hospital were originally enrolled (99.2% of all city births). In 2012, 3701 subjects were located and interviewed (68% retention rate). Mental disorders and substance misuse were assessed, and their prevalence analysed according to gender, socioeconomic status at birth, and four different income trajectories: always poor, never poor, poor at birth/non-poor at age 30, and non-poor at birth/poor at age 30.ResultsWhile women presented higher prevalence of mental disorders, substance misuse was much more frequent among men. Individuals in the lowest income quintile at birth presented 2–5 times more mental disorders and substance misuse than those in the highest quintile. Young adults who were always poor or were not poor at birth but were poor at 30 years of age had a higher prevalence of mental disorders than the other groups.ConclusionsThe high rates of mental disorders and lifetime suicide attempts in young adults, especially those who were always poor or became poor after childhood, suggest that recent socioeconomic-related stressful situations may have a higher impact on the current mental health than events earlier in life. However, we could not identify at what specific ages socioeconomic changes were more important.Electronic supplementary materialThe online version of this article (10.1007/s00127-018-1526-x) contains supplementary material, which is available to authorized users.

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“…Job loss is one of those critical life events that is frequent and can be regarded as example constellation for AjD. Research has shown its negative impact on physical health (Gallo et al, 2004), health behaviour (Gallo, Bradley, Siegel, & Kasl, 2001), and mental health (Ziersch, Baum, Woodman, Newman, & Jolley, 2014), in particular the onset of depressive symptoms and anxiety reactions (Barbaglia, Have, Dorsselaer, Alonso, & De Graaf, 2014). …”

Section: Socio-interpersonal Model Of Stress-response Syndromesmentioning

confidence: 99%

A socio-interpersonal approach to adjustment disorder: the example of involuntary job loss

Lorenz

Perkonigg

Maercker

2018

European Journal of Psychotraumatology

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Background: Adjustment disorder (AjD) was redefined for ICD-11 with core symptoms of preoccupation with a stressor and failure to adapt. The socio-interpersonal framework model for stress-response syndromes suggests that interpersonal factors, besides intrapersonal processes, substantially contribute to the development of AjD. Objective: The current study aimed to identify predictive factors in the development of AjD symptoms by the application of a framework model for stress-response syndromes. Method: N = 321 recently laid-off participants (47.7% female) were assessed with a newly developed standardized clinical diagnostic interview section on ICD-11 AjD. Self-report questionnaires measured AjD symptom severity, and interpersonal and intrapersonal predictors. Path analysis was used to model the associations between AjD symptom severity and the predictor variables. We conducted logistic regression to identify associated characteristics of diagnostic status. Results: AjD symptoms were highly prevalent and 25.6% of participants met the diagnostic criteria. Higher loneliness, higher dysfunctional disclosure, and lower self-efficacy were associated with both higher symptom severity and higher likelihood of meeting the diagnostic criteria for AjD. Higher perceived social support was associated with higher likelihood for AjD diagnosis. Conclusions: Research on risk factors for AjD is still sparse. This study provided empirical evidence on the role of interpersonal factors supporting the socio-interpersonal model for stress-response syndromes.

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Negative socioeconomic changes and mental disorders: a longitudinal study

Cited by 44 publications

References 36 publications

The variation in the health status of immigrants and Italians during the global crisis and the role of socioeconomic factors

The variation in the health status of immigrants and Italians during the global crisis and the role of socioeconomic factors

Social inequalities in mental disorders and substance misuse in young adults

A socio-interpersonal approach to adjustment disorder: the example of involuntary job loss

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