Poverty, unemployment, and common mental disorders : population based cohort study.
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.
Main outcome measures
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 factor and its relation with poverty and unemployment remain unclear.
Mots-clés Pascal : Trouble psychiatrique, Facteur risque, Pauvreté, Chomage, Etude cohorte, Exploration clinique, Méthodologie, Angleterre, Grande Bretagne, Royaume Uni, Europe, Pays de Galles, Ecosse, Homme, Système nerveux pathologie, Psychopathologie, Psychiatrie
Mots-clés Pascal anglais : Mental disorder, Risk factor, Poverty, Unemployment, Cohort study, Clinical investigation, Methodology, England, Great Britain, United Kingdom, Europe, Wales, Scotland, Human, Nervous system diseases, Psychopathology, Psychiatry
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0354211
Code Inist : 002B18H08. Création : 27/11/1998.