The mental health risks of economic crisis in Spain
Evidence from primary care centres, 2006 and 2010
Datos Bibliográficos
| ID | 23315503 |
|---|---|
| Autores | Margalida Gili (0000-0002-0535-6773, Servei de Salut de les Illes Balears), Miquel Roca (0000-0001-7301-8373, Servei de Salut de les Illes Balears), Sanjay Basu (0000-0002-0599-6332, San Francisco General Hospital), Martin Mckee (0000-0002-0121-9683, London School of Hygiene & Tropical Medicine), David Stuckler (0000-0002-1288-8401, University of Cambridge) |
| Año | 2013 |
| Volumen | 23 |
| Número | 1 |
| Páginas | 103-108 |
| Fecha de publicación | 2013-02-01 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | European Journal of Public Health (JOURNAL) |
| Identificadores de la revista | ISSN: 1101-1262 • E-ISSN: 1464-360X |
| Editorial | Oxford University Press (OUP) (PUBLISHER) |
| DOI | 10.1093/eurpub/cks035 |
| PMID | 23132877 |
| OpenAlex | W2140339278 |
| Idioma | EN |
| Citas recibidas | 124 |
| Referencias citadas | 18 |
BACKGROUND: Nearly all European countries have been affected by the economic crisis that began in 2007, but the consequences have been among the worst in Spain. We investigated the associations of the recession on the frequency of mood, anxiety, somatoform, alcohol-related and eating disorders among those visiting Spanish primary care settings. METHODS: Primary care physicians selected randomized samples of patients attending primary care centres representing Spain's consulting populations. A total of 7940 patients in 2006-07 and 5876 in 2010-11 were administered the Primary Care Evaluation of Mental Disorders (PRIME-MD) instrument to diagnose mental disorders. Multivariate logistic regression models were used to quantify overall changes in the frequency of mental disorders, adjusting for potential socio-demographic differences in consulting populations unrelated to economic factors. RESULTS: Compared with the pre-crisis period of 2006, the 2010 survey revealed substantial and significant increases in the proportion of patients with mood (19.4% in major depression), anxiety (8.4% in generalized anxiety disorder), somatoform (7.3%) and alcohol-related disorders (4.6% in alcohol dependence), all significant at P < 0.001, but not in eating disorders (0.15%, P = 0.172). Independent of observed risks of unemployment [odds ratio (OR) = 1.72, P < 0.001], we observed a significantly elevated risk of major depression associated with mortgage repayment difficulties (OR = 2.12, P < 0.001) and evictions (OR = 2.95, P < 0.001). About one-third of the overall risk in the consulting population's attendance with mental health disorders could be attributed to the combined risks of household unemployment and mortgage payment difficulties. CONCLUSION: Recession has significantly increased the frequency of mental health disorders and alcohol abuse among primary care attendees in Spain, particularly among families experiencing unemployment and mortgage payment difficulties.
Anxiety · Attendance · Depression (economics) · Environmental health · Logistic regression · Mental health · Mood · Mood disorders · Population · Psychiatry · Unemployment · COVID-19 and Mental Health · Demography · Employment and Welfare Studies · Internal Medicine · Medicine · Mental Health Treatment and Access
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| Obras citantes distintas | 124 |
|---|---|
| Citas por año | 2,21 |
| Intervalo de citas | 1970 - 2026 (57) |
| Velocidad de citación | current |
| Altamente citado | Sí |
| Tipos de cita | Neutras: 113 |