Background There is evidence to support a link between unemployment and lower levels of psychological well-being, but debate continues as to whether unemployment results in psychological morbidity, or whether the association is due to those who are more vulnerable to mental illness becoming unemployed.
Here we assess the effect of recent and accumulated unemployment in young men on the risk of developing depression and anxiety leading to medical consultation.
Adjustment was made for a measure of pre-existing tendency to depression, behavioural maladjustment, social class, qualifications and region of residence.
Methods Some 3241 men from the National Child Development Study (the 1958 British birth cohort) with data from birth to age 33 years, collected at birth and ages 7,11,16,23 and 33 years were used in these analyses.
The outcome measure was onset age of anxiety or depression between ages 24 and 33 years, that resulted in consultation with a GP or a specialist.
This was used in Cox proportional hazards models where two measures of unemployment were modelled as time varying covariates.
Pre-existing tendency to depression was measured by the Malaise Inventory prior to the experience of unemployment at age 23 years.
Two measures of unemployment were investigated :
Any unemployment in the year prior to onset (recent unemployment) and all accumulated unemployment prior to onset (divided into four categories : 0,1-12,13-36 and 37+months of unemployment). (...)
Mots-clés Pascal : Etat dépressif, Angoisse anxiété, Chomage, Consultation, Médecin, Vulnérabilité, Epidémiologie, Facteur risque, Adulte jeune, Homme, Mâle, Grande Bretagne, Royaume Uni, Europe, Etude cohorte, Trouble humeur, Personnel sanitaire
Mots-clés Pascal anglais : Depression, Anxiety, Unemployment, Consultation, Physician, Vulnerability, Epidemiology, Risk factor, Young adult, Human, Male, Great Britain, United Kingdom, Europe, Cohort study, Mood disorder, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0147600
Code Inist : 002B18C07A. Création : 16/11/1999.