An association of economic hardship with depression and suicidality in times of recession in Greece
An association of economic hardship with depression and suicidality in times of recession in Greece
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DOI：
10.1016/j.psychres.2019.02.058
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发表时间：
2019-09-01
影响因子：
11.3
通讯作者：
Stefanis, Nikos
中科院分区：
文献类型：
--
作者：
Economou, Marina;Peppou, Lily E.;Stefanis, Nikos
在持续衰退期间，尚未探讨经济困难的客观和主观衡量标准对心理健康影响的相互作用。本研究旨在通过调查希腊的收入和经济困难在引发严重抑郁症和自杀方面的关系来填补这一空白，同时考虑到性别差异。 2013 年，随机抽取了 2188 名成年人参加了电话调查（回复率 = 81%）。使用 SCID-IV 的相关模块评估重度抑郁症和自杀倾向；而财务困难则是通过个人经济困难指数来衡量的。还收集了有关混杂变量的信息。收入对重度抑郁症有独立影响（OR = 0.37，95%CI = 0.22-0.63），这种影响在男性中比女性更明显。相反，经济困难对抑郁产生强烈且独立的影响（OR = 1.16，95%CI = 1.13-1.2）。研究发现，只有男性的收入与自杀倾向有很强的关联。而经济困难在两性中均无关。经济困难的主观和客观指数对经济衰退期间的心理健康结果产生不同的影响。对性别问题敏感的政策和干预措施应旨在减轻该国经济衰退的社会影响。
The interplay between objective and subjective measures of economic hardship on influencing mental health has not been explored during a period of enduring recession. The present study aims to fill this gap by investigating the relationship between income and economic difficulties in evoking major depression and suicidality in Greece, while taking into consideration gender differences. A random and representative sample of 2188 adults participated in a telephone survey in 2013 (response rate = 81%). Major depression and suicidality were assessed with the pertinent modules of SCID-IV; while financial difficulties were measured by the Index of Personal Economic Distress. Information on confounder variables was also gleaned. Income exerted an independent effect on major depression (OR = 0.37, 95%CI = 0.22-0.63), which was more pronounced among men than women. On the contrary, financial difficulties exerted a strong and independent effect on depression (OR = 1.16, 95%CI = 1.13-1.2). Income was found to bear a strong association with suicidality only among men; whereas financial difficulties were unrelated in both genders. Subjective and objective indices of economic hardship exert a differential impact on mental health outcomes amid recession. Gender-sensitive policies and interventions should be geared towards softening the social effects of the recession in the country.