Mental health outcomes in times of economic recession: a systematic literature review.
Mental health outcomes in times of economic recession: a systematic literature review.
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DOI：
10.1186/s12889-016-2720-y
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发表时间：
2016-02-03
影响因子：
4.5
通讯作者：
Caldas-de-Almeida JM
中科院分区：
文献类型：
--
作者：
Frasquilho D;Matos MG;Salonna F;Guerreiro D;Storti CC;Gaspar T;Caldas-de-Almeida JM
处于衰退中的国家经历了高失业率和生活条件的下降，有人认为，这对其人口的健康产生了负面影响。本审查审查了经济衰退和心理健康结果之间可能存在关联的最新证据。通过Medline、SqucINFO、SciELO和EBSCO host确定的记录的文献综述。只考虑了2004至2014年间发表的原创研究论文、同行评议、非定性研究以及关于经济因素与心理健康指标之间的关联的报告。101篇论文符合纳入标准。证据一致地表明，经济衰退和诸如失业、收入下降和无法管理的债务等中介因素与精神健康不良、常见精神障碍、与物质相关的障碍和自杀行为的发生率增加显著相关。根据对选定调查的彻底分析，我们得出结论，经济衰退时期可能与精神健康问题的高发有关，包括常见的精神障碍、物质障碍，以及最终的自杀行为。大多数研究都是基于横断面研究，这严重限制了因果关系的推断。总结了结论，考虑到了关于经济衰退期间可能减少人口负面心理健康后果的成本效益措施的国际政策建议。
Countries in recession experience high unemployment rates and a decline in living conditions, which, it has been suggested, negatively influences their populations’ health. The present review examines the recent evidence of the possible association between economic recessions and mental health outcomes. Literature review of records identified through Medline, PsycINFO, SciELO, and EBSCO Host. Only original research papers, published between 2004 and 2014, peer-reviewed, non-qualitative research, and reporting on associations between economic factors and proxies of mental health were considered. One-hundred-one papers met the inclusion criteria. The evidence was consistent that economic recessions and mediators such as unemployment, income decline, and unmanageable debts are significantly associated with poor mental wellbeing, increased rates of common mental disorders, substance-related disorders, and suicidal behaviours. On the basis of a thorough analysis of the selected investigations, we conclude that periods of economic recession are possibly associated with a higher prevalence of mental health problems, including common mental disorders, substance disorders, and ultimately suicidal behaviour. Most of the research is based on cross-sectional studies, which seriously limits causality inferences. Conclusions are summarised, taking into account international policy recommendations concerning the cost-effective measures that can possibly reduce the occurrence of negative mental health outcomes in populations during periods of economic recession.