PMID: 9657786Jul 10, 1998Paper

Poverty, unemployment, and common mental disorders: population based cohort study

BMJ : British Medical Journal
S Weich, G Lewis

Abstract

To determine whether poverty and unemployment increase the likelihood of or delay recovery from common mental disorders, and whether these associations could be explained by subjective financial strain. Prospective cohort study. England, Wales, and Scotland. 7726 adults aged 16-75 living in private households. Common mental disorders were assessed using the general health questionnaire, a self assessed measure of psychiatric morbidity. Poverty and unemployment (odds ratio 1.86, 95% confidence interval 1.18 to 2.94) were associated with the maintenance but not onset of episodes of common mental disorders. Associations between poverty and employment and maintenance of common mental disorders, however, were much smaller than those of cross sectional studies. Financial strain at baseline was independently associated with both onset (1.57, 1.19 to 2.07) and maintenance (1.86, 1.36 to 2.53) even after adjusting for objective indices of standard of living. Poverty and unemployment increased the duration of episodes of common mental disorders but not the likelihood of their onset. Financial strain was a better predictor of future psychiatric morbidity than either of these more objective risk factors though the nature of this risk facto...Continue Reading

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Citations

Jan 27, 2005·Social Psychiatry and Psychiatric Epidemiology·P RüeschD Hell
May 20, 2005·Social Psychiatry and Psychiatric Epidemiology·Truda BellGlyn Lewis
Sep 5, 2006·Social Psychiatry and Psychiatric Epidemiology·Sylvia HelbigFrank Jacobi
Oct 3, 2006·Social Psychiatry and Psychiatric Epidemiology·Alexander N OrtegaMargarita Alegría
Dec 13, 2006·Social Psychiatry and Psychiatric Epidemiology·Katherine M AppletonDavid Kessler
Dec 26, 2009·Social Psychiatry and Psychiatric Epidemiology·Christopher DowrickM Whitehead
Mar 20, 2010·Social Psychiatry and Psychiatric Epidemiology·Zoltan KozinszkyAttila Pál
Jan 25, 2012·Social Psychiatry and Psychiatric Epidemiology·Glòria Durà-Vilà, Matthew Hodes
Nov 28, 2012·Social Psychiatry and Psychiatric Epidemiology·Bauke T StegengaMichael King
Nov 28, 2012·Social Psychiatry and Psychiatric Epidemiology·Kelly A AllottLisa J Phillips
Apr 9, 2013·Social Psychiatry and Psychiatric Epidemiology·Ruth C BrownAnanda B Amstadter
Jul 30, 2008·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Siegfried GeyerMechthild Neises
Jul 17, 2012·Journal of Immigrant and Minority Health·Mary AglipayYue Chen
Apr 5, 2001·Social Science & Medicine·M Benzeval, K Judge
Feb 16, 2005·The American Journal of Orthopsychiatry·Christopher G Hudson
Sep 29, 2011·European Journal of Public Health·Laura Pulkki-RåbackMarianna Virtanen
Dec 19, 2003·International Journal of Epidemiology·P VirtanenM Koskenvuo
Oct 1, 2005·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Bassem R SaabOona M R Campbell
May 10, 2011·Social Cognitive and Affective Neuroscience·Peter ButterworthKaarin J Anstey
Sep 3, 1999·BMJ : British Medical Journal·P Leino-ArjasE Matikainen
Jul 3, 2013·Journal of Epidemiology and Community Health·Ellen FlintAmanda Sacker
Aug 18, 2004·Journal of Epidemiology and Community Health·R D WigginsM Bartley
Feb 15, 2005·Journal of Epidemiology and Community Health·Claudia ThomasStephen A Stansfeld
Dec 22, 2006·Journal of Epidemiology and Community Health·Claudia ThomasStephen Stansfeld
Oct 12, 2000·Journal of Epidemiology and Community Health·K IsmailS Wessely
Apr 4, 2000·Journal of Epidemiology and Community Health·M J Saurel-CubizollesN Lelong
May 16, 2002·Journal of Epidemiology and Community Health·S WeichS P Jenkins
Jun 25, 2003·Journal of Epidemiology and Community Health·R ArayaR Fritsch
Jan 18, 2006·BMC Public Health·Michael KingIrwin Nazareth

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