scholarly journals Heterogeneity in the association between youth unemployment and mental health later in life: a quantile regression analysis of longitudinal data from English schoolchildren

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e047997
Author(s):  
Liam Wright ◽  
Jenny Head ◽  
Stephen Jivraj
Keyword(s):  
Mental Health ◽  
Quantile Regression ◽  
Employment Status ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Youth Unemployment ◽  
Secondary Outcome ◽  
Marginal Effects ◽  
Current Employment Status ◽  
Prospective Longitudinal

ObjectivesAn association between youth unemployment and poorer mental health later in life has been found in several countries. Little is known about whether this association is consistent across individuals or differs in strength. We adopt a quantile regression approach to explore heterogeneity in the association between youth unemployment and later mental health along the mental health distribution.DesignProspective longitudinal cohort of secondary schoolchildren in England followed from age 13/14 in 2004 to age 25 in 2015.SettingEngland, UK.Participants7707 participants interviewed at age 25.Primary and secondary outcome measures12-Item General Health Questionnaire (GHQ) Likert score, a measure of minor psychiatric morbidity.ResultsYouth unemployment was related to worse mental health at age 25. The association was several times stronger at deciles of GHQ representing the poorest levels of mental health. This association was only partly attenuated when adjusting for confounding variables and for current employment status. In fully adjusted models not including current employment status, marginal effects at the 50th percentile were 0.73 (95% CI −0.05 to 1.54, b=0.11) points, while marginal effects at the 90th percentile were 3.76 (95% CI 1.82 to 5.83; b=0.58) points. The results were robust to different combinations of control variables.ConclusionsThere is heterogeneity in the longitudinal association between youth unemployment and mental health, with associations more pronounced at higher levels of psychological ill health. Youth unemployment may signal clinically relevant future psychological problems among some individuals.

scholarly journals How robust is the association between youth unemployment and later mental health? An analysis of longitudinal data from English schoolchildren

2021 ◽  
pp. oemed-2021-107473
Author(s):  
Liam Wright ◽  
Jenny A Head ◽  
Stephen Jivraj
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Global Financial Crisis ◽  
General Health Questionnaire ◽  
Youth Unemployment ◽  
Negative Control ◽  
Curve Analysis ◽  
Model Specification ◽  
Health Questionnaire ◽  
Regression Adjustment

BackgroundSeveral studies show that youth unemployment is associated with worse mental health later in life. However, existing studies report results for only one model, or a few models, and use regression adjustment to support causal claims. We use two novel methods to address these gaps in the literature.MethodsWe use data from Next Steps, a cohort study of English schoolchildren who entered the labour market in the aftermath of the 2008–2009 global financial crisis, and measure mental health using the 12-item General Health Questionnaire (GHQ-12) at age 25. We use specification curve analysis and a negative control outcome design (a form of placebo test) to test whether associations between youth unemployment and later GHQ-12 scores are sensitive to model specification or are likely to be confounded by unobserved factors.ResultsWe find that the association between unemployment and later GHQ-12 is qualitatively similar across 99.96% of the 120 000 models we run. Statistically significant associations with two placebo outcomes, height and patience, are not present when regression adjustments are made.ConclusionsThere is clear evidence that youth unemployment is related to later mental health, and some evidence that this cannot be easily explained by unobserved confounding.

scholarly journals Paid employment and common mental disorders in 50–64-year olds: analysis of three cross-sectional nationally representative survey samples in 1993, 2000 and 2007

2017 ◽  
Vol 28 (1) ◽  
pp. 88-99
Author(s):  
G. Perera ◽  
G. Di Gessa ◽  
L. M. Corna ◽  
K. Glaser ◽  
R. Stewart
Keyword(s):  
Mental Health ◽  
Employment Status ◽  
Common Mental Disorders ◽  
Common Mental Disorder ◽  
Psychiatric Morbidity ◽  
Housing Tenure ◽  
Cross Sectional ◽  
Paid Employment ◽  
Nationally Representative ◽  
Over Time

Aims.Associations between employment status and mental health are well recognised, but evidence is sparse on the relationship between paid employment and mental health in the years running up to statutory retirement ages using robust mental health measures. In addition, there has been no investigation into the stability over time in this relationship: an important consideration if survey findings are used to inform future policy. The aim of this study is to investigate the association between employment status and common mental disorder (CMD) in 50–64-year old residents in England and its stability over time, taking advantage of three national mental health surveys carried out over a 14-year period.Methods.Data were analysed from the British National Surveys of Psychiatric Morbidity of 1993, 2000 and 2007. Paid employment status was the primary exposure of interest and CMD the primary outcome – both ascertained identically in all three surveys (CMD from the revised Clinical Interview Schedule). Multivariable logistic regression models were used.Results.The prevalence of CMD was higher in people not in paid employment across all survey years; however, this association was only present for non-employment related to poor health as an outcome and was not apparent in those citing other reasons for non-employment. Odds ratios for the association between non-employment due to ill health and CMD were 3.05 in 1993, 3.56 in 2000, and 2.80 in 2007, after adjustment for age, gender, marital status, education, social class, housing tenure, financial difficulties, smoking status, recent physical health consultation and activities of daily living impairment.Conclusions.The prevalence of CMD was higher in people not in paid employment for health reasons, but was not associated with non-employment for other reasons. Associations had been relatively stable in strength from 1993 to 2007 in those three cross-sectional nationally representative samples.

scholarly journals Rehabilitation of the handicapped child - Who cares for the caregiver?

1996 ◽  
Vol 52 (3) ◽  
pp. 56-59
Author(s):  
Seyi L. Amosun ◽  
Benson A. Ikuesan ◽  
Lyabo J. Oloyede
Keyword(s):  
Mental Health ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Cross Sectional Study ◽  
Handicapped Child ◽  
Cross Sectional ◽  
Handicapped Children ◽  
Psychological Disturbances ◽  
Threshold Score ◽  
Minor Ailments

The mental health of caregivers of handicapped children (n=68), and of caregivers of children with minor ailments (n=40), was assessed using the General Health Questionnaire (GHQ). In the cross-sectional study, the caregivers of handicapped children had a significantly higher mean score which was above the threshold score. This suggests that the task of caring for disabled children may have a stressful impact on the caregivers which may contribute to psychiatric morbidity. There is a need to periodically assess the mental health of the caregiver, even as the rehabilitation of the handicapped child progresses. Addressing the psychological disturbances in the caregiver should form part of the treatment of the handicapped child.

Psychological Problems in Christian and Moslem Primary Care Patients in Greece

2002 ◽  
Vol 32 (3) ◽  
pp. 285-294 ◽  
Author(s):  
C. Androutsopoulou ◽  
M. Livaditis ◽  
K. I. Xenitidis ◽  
G. Trypsianis ◽  
M. Samakouri ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Problems ◽  
General Health Questionnaire ◽  
Health Centre ◽  
Psychiatric Morbidity ◽  
Health Problems ◽  
Psychological Problems ◽  
Care Staff ◽  
Health Care Staff

Objective: Psychiatric problems are often expressed through, or coexist with, somatic symptoms. Cultural factors may influence this association. This study aims to 1) estimate the prevalence of mental health problems in a sample of primary care attendees in a rural area of Greece, and 2) investigate the differences in psychiatric symptomatology among patients from different religious/cultural backgrounds. Method: Over a three-month period, 300 consecutive adult patients (Christians and Moslems) at the rural Primary Care Health Centre of Iasmos in Thrace, Greece, were assessed with the 28-item General Health Questionnaire. Results: The probable prevalence of mental health problems was estimated at 32 percent. Only for a small minority of the patients (3.3 percent) psychological problems were the presenting complaint. Moslems scored significantly higher than Christians in the somatic complaints subscale ( p < 0.001). Conclusions: Mental health problems are common in primary care although they rarely constitute a reason for consultation. Sociocultural background may affect the presentation of psychological distress. Primary health care staff have a significant role in identifying hidden psychiatric morbidity.

The Mental Health of Elderly Couples II. Concordance for Psychiatric Morbidity in Spouses

1987 ◽  
Vol 150 (3) ◽  
pp. 303-308 ◽  
Author(s):  
J. M. Eagles ◽  
L. G. Walker ◽  
G. W. Blackwood ◽  
J. A. G. Beattie ◽  
D. B. Restall
Keyword(s):  
Mental Health ◽  
General Health ◽  
Community Sample ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Married Couples ◽  
The Self ◽  
Depression And Anxiety ◽  
Health Questionnaire ◽  
Self Assessment

A community sample of elderly married couples completed the 60-item General Health Questionnaire and the Leeds General Scales for the Self-Assessment of Depression and Anxiety. Significant concordance was demonstrated between the spouses' scores on these scales. Concordance was higher for depression than for anxiety. There was little to support previous findings that wives are more likely than husbands to be concordant with an ill spouse. The spouse concordance rates for psychiatric morbidity were similar to those found in studies of younger married couples.

scholarly journals Psychiatric Morbidity among Caregivers of Schizophrenia Patients – A Study in Tertiary Care Psychiatric Hospital in Dhaka

2015 ◽  
Vol 2 (1) ◽  
pp. 12-17
Author(s):  
MM Jalal Uddin ◽  
Md. Tariqul Alam ◽  
Helal Uddin Ahmed ◽  
Niaz Mohammad Khan ◽  
MA Hamid ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Disorders ◽  
General Health Questionnaire ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Adjustment Disorder ◽  
Cross Sectional Study ◽  
Somatoform Disorder ◽  
Cross Sectional ◽  
Axis I

Background: Severe mental illness like schizophrenia has far-reaching consequence for both patients and caregivers and their relatives and they also experience feeling of loss and grief. They are confronted with uncertainty and emotion of shame, guilt and anger like the patients they feel stigmatized and socially isolated. Caring for a family member with schizophrenia is an enduring stressor and causes considerable amount of burden. Objective: To assess mental health status of the caregivers of schizophrenia patients. Methodology: This descriptive cross sectional study was done among the caregivers of schizophrenia patients in outpatient and inpatient department of National Institute of Mental Health (NIMH), Dhaka, Bangladesh from September 2010 to February 2011. A semi-structured Questionnaire and General Health Questionnaire-28 (GHQ-28) were applied to the caregivers of schizophrenia patients who fulfilled the inclusion criteria. Among the respondents whose GHO-28 score were 4 or above Structured Clinical Interview for DSM-IV Axis I Non Patient (SCID-I/NP) version was applied to identify psychiatric disorders among the caregivers of schizophrenia.Results: Out of 272 respondents most of them were female (88.97%), housewife (72.42%) of 21 to 50 yrs age (80.51%). In this study 22.43% of respondents were suffering from different types of mental disorders. Among them major depressive disorder were most prevalent (11.8%). Other psychiatric disorders were found generalized anxiety disorder (4.8%), pain disorder (2.9%). Less common were panic disorder, social phobia, adjustment disorder and undifferentiated somatoform disorder (0.7% in each type).Conclusions: Significant proportions of the caregiver of schizophrenic patients were suffering from psychiatric disorders that did not get any psychiatric treatment.Journal of Current and Advance Medical Research 2015;2(1):12-17DOI:  http://dx.doi.org/10.3329/jcamr.v2i1.22581

Types of social support as predictors of psychiatric morbidity in a cohort of British Civil Servants (Whitehall II Study)

1998 ◽  
Vol 28 (4) ◽  
pp. 881-892 ◽  
Author(s):  
S. A. STANSFELD ◽  
R. FUHRER ◽  
M. J. SHIPLEY
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Emotional Support ◽  
General Health ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Health Questionnaire ◽  
Men And Women ◽  
Good Mental Health

Background. Few studies have examined prospectively both the direct and buffering effects of types of social support and social networks on mental health. This paper reports longitudinal associations between types of social support and psychiatric morbidity from the Whitehall II study.Methods. Social support was measured by the Close Persons Questionnaire and psychiatric morbidity by the General Health Questionnaire at baseline (1985–1988) and at first follow-up (1989) in 7697 male and female London-based civil servants aged 35–55 years at baseline. The cohort was followed up and baseline measures were used to predict psychiatric disorder measured by the General Health Questionnaire at second follow-up (1991–1993).Results. Longitudinal analyses showed that low confiding/emotional support in men and high negative aspects of close relationships in men and women were associated with greater risk of psychiatric morbidity even after adjustment for baseline General Health Questionnaire score. There was no evidence of a buffering effect among men or women who experienced life events or chronic stressors. Controlling for a personality measure of hostility did not affect the observed relations.Conclusions. The present findings illustrate that different types of support are risk factors for psychological distress and that they operate in different ways for men and women. Direct effects of emotional support are predictive of good mental health in men and negative aspects of close relations predict poor mental health in both men and women. Emotional support is predictive of good mental health in women whereas, confiding alone is not.

Decomposition and changes in socio-economic inequalities in mental health in Barcelona between 2006 and 2016

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Xavier Bartoll-Roca ◽  
Mercè Gotsens ◽  
Laia Palència
Keyword(s):  
Mental Health ◽  
Employment Status ◽  
Health Surveys ◽  
Concentration Index ◽  
Design Methodology ◽  
General Health Questionnaire ◽  
Content Type ◽  
Economic Determinants ◽  
Gender Based ◽  
And Gender

Purpose This study aims, firstly, to analyse the contribution of socio-economic determinants to mental health (MH) inequalities before the economic crisis, in 2006, and again in a year during recovery, 2016, and secondly, to analyse the changes in these contributions between the two points in time in Barcelona city. Design/methodology/approach The concentration index (CI) was calculated for MH inequalities for the population aged 16 or older using the Barcelona Health Surveys for 2006 and 2016. MH was measured with the 12-item General Health Questionnaire. The CI was broken down for each year and gender based on a set of socio-economic determinants plus social support and the presence of chronic diseases. The contribution of each factor to variation in MH inequality between the two points in time was analysed with Oaxaca decomposition. Findings Income inequalities in MH increased for men and women (a CI from −0.06 in 2006 to around −0.16 in 2016). Employment status and social class are the main contributors to MH inequalities (more than 50%), except for women in 2006 that is chronic disease. The main contribution to increases in MH inequality between 2006 and 2016 was due to unemployment (26.5% men, 23.8% women), being a student (22.8% men, 20.7% women), homemaker in women (30.7%) and men in the manual class (31.6%). Originality/value MH inequalities have been amplified between the two years among the economically vulnerable population or for those who are out of the labour market with unexpected changes for women.

Normality, deviance and minor psychiatric morbidity in the community

1993 ◽  
Vol 23 (2) ◽  
pp. 475-485 ◽  
Author(s):  
Jeremy Anderson ◽  
Felicia Huppert ◽  
Geoffrey Rose
Keyword(s):  
Mental Health ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Collective Responsibility ◽  
Well Being ◽  
Control Measures ◽  
Frequency Distributions ◽  
Factors Affecting ◽  
Close Relationship ◽  
Large Random Sample

SynopsisThis paper investigates factors affecting the distribution of psychiatric morbidity in the community. It identifies a close relationship between mean Chronic General Health Questionnaire (CGHQ) scores in subdivisions of a large random sample of the community (the Health and Lifestyle Survey, N = 6317) and the prevalence in these groups of abnormal, above-threshold CGHQ scores. The frequency distributions of CGHQ scores in these different populations move up and down as a whole: like other physiological and behavioural attributes, these mental health outcomes in individuals are associated with characteristics of the populations in which they arise. Populations thus carry a collective responsibility for their own mental health and well-being. This implies that explanations for the differing prevalence rates of psychiatric morbidity must be sought in the characteristics of their parent populations; and control measures are unlikely to succeed if they do not involve population-wide changes.

The Pattern and Prevalence of Symptoms During the Menstrual Cycle

1985 ◽  
Vol 147 (2) ◽  
pp. 164-169 ◽  
Author(s):  
Olga van den Akker ◽  
Andrew Steptoe
Keyword(s):  
Menstrual Cycle ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Follicular Phase ◽  
Symptom Reporting ◽  
Health Questionnaire ◽  
High Trait ◽  
Menstrual Distress ◽  
High Trait Anxiety ◽  
Prospective Longitudinal

SummaryOne hundred volunteers completed a modified version of the Moos Menstrual Distress Questionnaire daily for 35 days. The purpose of the study was disguised. None of the participants was taking oral contraceptives. Significantly more symptoms were reported in the premenstrual and menstrual phases and fewer during the follicular phase of the cycle, but the pattern of response varied considerably between subjects. Symptom reporting was higher, in all phases of the cycle, in women with high trait anxiety or psychiatric morbidity (indexed by the General Health Questionnaire) but these measures did not relate to fluctuations of symptoms around the menstrual cycle. The need for prospective longitudinal studies of menstrual cycle symptomatology is emphasised.

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