scholarly journals Parental income as a marker for socioeconomic position during childhood and later risk of developing a secondary care-diagnosed mental disorder examined across the full diagnostic spectrum: a national cohort study

BMC Medicine ◽  
2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Christian Hakulinen ◽  
Pearl L. H. Mok ◽  
Henriette Thisted Horsdal ◽  
Carsten B. Pedersen ◽  
Preben B. Mortensen ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Low Income ◽  
Secondary Care ◽  
Income Quintile ◽  
Socioeconomic Mobility ◽  
Parental Income ◽  
National Cohort ◽  
Subsequent Risk

Abstract Background Links between parental socioeconomic position during childhood and subsequent risks of developing mental disorders have rarely been examined across the diagnostic spectrum. We conducted a comprehensive analysis of parental income level, including income mobility, during childhood and risks for developing mental disorders diagnosed in secondary care in young adulthood. Methods National cohort study of persons born in Denmark 1980–2000 (N = 1,051,265). Parental income was measured during birth year and at ages 5, 10 and 15. Follow-up began from 15th birthday until mental disorder diagnosis or 31 December 2016, whichever occurred first. Hazard ratios and cumulative incidence were estimated. Results A quarter (25.2%; 95% CI 24.8–25.6%) of children born in the lowest income quintile families will have a secondary care-diagnosed mental disorder by age 37, versus 13.5% (13.2–13.9%) of those born in the highest income quintile. Longer time spent living in low-income families was associated with higher risks of developing mental disorders. Associations were strongest for substance misuse and personality disorders and weaker for mood disorders and anxiety/somatoform disorders. An exception was eating disorders, with low parental income being associated with attenuated risk. For all diagnostic categories examined except for eating disorders, downward socioeconomic mobility was linked with higher subsequent risk and upward socioeconomic mobility with lower subsequent risk of developing mental disorders. Conclusions Except for eating disorders, low parental income during childhood is associated with subsequent increased risk of mental disorders diagnosed in secondary care across the diagnostic spectrum. Early interventions to mitigate the disadvantages linked with low income, and better opportunities for upward socioeconomic mobility could reduce social and mental health inequalities.

scholarly journals Mental disorders and total mortality after 20 years in an adult general population sample

2020 ◽  
Vol 63 (1) ◽  
Author(s):  
Ulrich John ◽  
Hans-Jürgen Rumpf ◽  
Monika Hanke ◽  
Christian Meyer
Keyword(s):  
Eating Disorders ◽  
Substance Use ◽  
General Population ◽  
Mental Disorders ◽  
Panic Disorder ◽  
Mental Disorder ◽  
Alcohol Dependence ◽  
Population Sample ◽  
Total Mortality ◽  
Study Participants

Abstract Background. General population data on associations between mental disorders and total mortality are rare. The aim was to analyze whether the number of mental disorders, single substance use, mood, anxiety, somatoform or eating disorders during the lifetime and whether treatment utilization may predict time to death 20 years later in the general adult population. Methods. We used data from the Composite International Diagnostic Interview, which includes DSM-IV diagnoses for substance use, mood, anxiety, somatoform, and eating disorders, for a sample of 4,075 residents in Germany who were 18–64 years old in 1996. Twenty years later, mortality was ascertained using the public mortality database for 4,028 study participants. Cox proportional hazards models were applied for disorders that existed at any time in life before the interview. Results. The data revealed increased hazard ratios (HRs) for number of mental disorders (three or more; HR 1.4; 95% confidence interval [CI] 1.1–1.9) and for single disorders (alcohol dependence, dysthymia, panic disorder with agoraphobia, and hypochondriasis), with the reference group being study participants who had not suffered from any of the mental disorders analyzed and with adjustments made for age, sex, and education. Among individuals with any mental disorder during their lifetimes, having been an inpatient in treatment for a mental disorder was related to a higher HR (2.2; CI 1.6–3.0) than was not having been in any treatment for a mental disorder. Conclusions. In this sample of adults in the general population, three or more mental disorders, alcohol dependence, dysthymia, panic disorder with agoraphobia, and hypochondriasis were related to premature death.

scholarly journals Perceived burden of care and reported coping strategies and needs for family caregivers of people with mental disorders in Zimbabwe

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Bazondlile D. Marimbe ◽  
Frances Cowan ◽  
Lazarus Kajawu ◽  
Florence Muchirahondo ◽  
Crick Lund
Keyword(s):  
Mental Disorders ◽  
Mental Disorder ◽  
Coping Strategies ◽  
Low Income ◽  
Health Care Professionals ◽  
Financial Burden ◽  
Bipolar Affective Disorder ◽  
Family Members ◽  
Low Income Countries ◽  
Care Giving

Background: Mental health service resources are inadequate in low-income countries, and families are frequently expected to provide care for their relative with a mental disorder. However, research on the consequences of care giving has been limited in low-income countries, including Zimbabwe.Objective: The study explored the perceived impact of mental illness, reported coping strategies and reported needs of family members of persons diagnosed with bipolar affective disorder or schizophrenia attending a psychiatric hospital in Harare, Zimbabwe.Methods: A purposive sample of 31 family members participated in in-depth interviews and focus group discussions using standardized study guides. Participants were also screened for Common Mental Disorders (CMD) using the 14-item Shona Symptom questionnaire (SSQ). Qualitative data were analyzed thematically. Statistical Package for Social Sciences (SPSS version 16) was used for quantitative data analysis.Results: Caregivers experienced physical, psychological, emotional, social and financial burden associated with care giving. They used both emotion-focused and problem-focused coping strategies depending on the ill family members’ behaviours. Seeking spiritual assistance emerged as their most common way of coping. Twenty one (68%) of the caregivers were at risk of CMD and were referred to a psychiatrist for further management. Caregivers required support from health care professionals to help them cope better.Conclusion: Caregivers carry a substantial and frequently unrecognized burden of caring for a family member with mental disorder. Better support is needed from health professionals and social services to help them cope better. Further research is required to quantitatively measure caregiver burden and evaluate potential interventions in Zimbabwe.

Poverty, psychological disorder and disability in primary care attenders in Goa, India

1998 ◽  
Vol 172 (6) ◽  
pp. 533-536 ◽  
Author(s):  
Vikram Patel ◽  
Jerson Pereira ◽  
Livia Countinho ◽  
Romaldina Fernandes ◽  
John Fernandes ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Mental Disorder ◽  
Low Income ◽  
Common Mental Disorders ◽  
Common Mental Disorder ◽  
Female Gender ◽  
Psychological Disorder ◽  
Low Income Countries ◽  
Health Clinic ◽  
Primary Health

BackgroundThis study examined the association of common mental disorders in primary health clinic attenders with indicators of poverty and disability in Goa, India.MethodAdult attenders (n=303) in two primary health clinics were recruited.ResultsThere were 141 (46.5%) cases of common mental disorder. The following were associated with common mental disorder: female gender; inability to buy food due to lack of money; and being in debt. Cases scored significantly higher on all measures of disability. Primary health clinic staff recognised a third of the morbidity but used multiple oral drugs, injectable vitamins and benzodiazepines to treat common mental disorders.ConclusionsPoverty is closely associated with common mental disorder which in turn is associated with deprivation and despair. Primary mental health care priorities in low-income countries need to shift from psychotic disorders which often need specialist care to common mental disorders. Health policy and development agencies need to acknowledge the intimate association of female gender and poverty with these disorders.

scholarly journals Risk factors for common mental disorders in women

2006 ◽  
Vol 189 (6) ◽  
pp. 547-555 ◽  
Author(s):  
Vikram Patel ◽  
Betty R. Kirkwood ◽  
Sulochana Pednekar ◽  
Helen Weiss ◽  
David Mabey
Keyword(s):  
Mental Disorders ◽  
Mental Disorder ◽  
Low Income ◽  
Common Mental Disorders ◽  
Common Mental Disorder ◽  
Psychological Symptom ◽  
Population Based ◽  
Physical Illness ◽  
Chronic Physical Illness ◽  
Incident Cases

BackgroundThe determinants of common mental disorders in women have not been described in longitudinal studies from a low-income country.MethodPopulation-based cohort study of 2494 women aged 18 to 50 years, in India. The Revised Clinical Interview Schedule was used for the detection of common mental disorders.ResultsThere were 39 incident cases of common mental disorder in 2166 participants eligible for analysis (12-month rate 1.8%, 95% CI 1.3–2.4%). The following baseline factors were independently associated with the risk for common mental disorder: poverty (low income and having difficulty making ends meet); being married as compared with being single; use of tobacco; experiencing abnormal vaginal discharge; reporting a chronic physical illness; and having higher psychological symptom scores at baseline.ConclusionsProgrammes to reduce the burden of common mental disorder in women should target poorer women, women with chronic physical illness and who have gynaecological symptoms, and women who use tobacco.

scholarly journals Change in Work-Related Income Following the Uptake of Treatment for Mental Disorders Among Young Migrant Women in Norway: A National Register Study

2020 ◽  
Author(s):  
Kamila Angelika Hynek ◽  
Melanie Lindsay Straiton ◽  
Anna-Clara Hollander ◽  
Aart Liefbroer ◽  
Lars Johan Hauge
Keyword(s):  
Mental Disorders ◽  
Mental Disorder ◽  
Low Income ◽  
Fixed Effects ◽  
Interaction Analysis ◽  
Mental Healthcare ◽  
Migrant Women ◽  
Income Loss ◽  
Migrant Background ◽  
Work Related

Abstract Background: Mental disorders are associated with several work-related outcomes such as loss of income. However, studies investigating the effect of mental disorders on work-related income by migrant background are lacking. This study aimed to assess the change in work-related income following the uptake of outpatient mental healthcare (OPMH) treatment, a proxy for mental disorder, in young women with migrant background. Additionally, we looked at how this varied by income level.Methods: This study makes use of data from several national registries. The study population consisted of women aged 23-40 years residing in Norway for at least three consecutive years between 2006 and 2013 (N=640,527). By using a stratified linear regression with individual fixed effects, we investigated differences between the majority women, descendants and eight migrant groups. Interaction analysis was conducted in order to examine the differences in income loss following the uptake of OPMH treatment among women with and without migrant background. Results: Results show that OPMH treatment was associated with a decrease in income for all groups. However, the negative effect was stronger among those with low income. Only migrant women from EU Eastern Europe with a high income were not significantly affected following OPMH treatment. Conclusions: Experiencing a mental disorder during a critical age for establishment in the labour market may not only affect income but also subsequent workforce participation and dependency on social welfare services, regardless of migrant background, resulting in large economic costs for both the individual and for the society as a whole.

Do We Need Another Eating Disorder?

2020 ◽  
pp. 3-20
Author(s):  
Pamela K. Keel
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Purging Disorder

Most people know about anorexia and some know about bulimia, but very few have ever heard of purging disorder. Purging disorder is an eating disorder characterized by self-induced vomiting or misuse of laxatives, diuretics, or other medications to influence weight or shape in individuals who are not underweight and who do not have large binges. This chapter describes how and when purging disorder was first identified, placing it in the context of the identification of other eating disorders and the factors that determine whether a condition should be considered a new mental disorder. It describes how purging disorder came to be included as an “other specified feeding or eating disorder” in the fifth edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders.

Categorical Versus Dimensional Models of Mental Disorder: The Taxometric Evidence

2003 ◽  
Vol 37 (6) ◽  
pp. 696-704 ◽  
Author(s):  
Nick Haslam
Keyword(s):  
Eating Disorders ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Stress Disorder ◽  
Borderline Personality ◽  
Latent Structure ◽  
Generalized Anxiety ◽  
Antisocial Personality ◽  
Categorical Models ◽  
Dimensional Models

Objective: To review studies of the categorical versus dimensional status of mental disorders that employ taxometric methodology. Method: A comprehensive qualitative review of all published taxometric studies of psychopathology. Results: Categorical and dimensional models each receive well-replicated support for some groups of mental disorders. Studies favour categorical models for melancholia, eating disorders, pathological dissociation, and schizotypal and antisocial personality disorders. Dimensional models tend to be favoured for the broad neurotic spectrum – general depression, generalized anxiety, posttraumatic stress disorder – and for borderline personality disorder. Conclusions: Taxometric research clarifies the latent structure of psychopathology in ways that have implications for the classification, assessment, explanation and conceptualization of mental disorder

scholarly journals Change in Work-Related Income Following the Uptake of Treatment for Mental Disorders Among Young Migrant Women in Norway: A National Register Study

2021 ◽  
Author(s):  
Kamila Angelika Hynek ◽  
Anna-Clara Hollander ◽  
Aart Liefbroer ◽  
Lars Johan Hauge ◽  
Melanie Lindsay Straiton
Keyword(s):  
Mental Disorders ◽  
Mental Disorder ◽  
Low Income ◽  
Fixed Effects ◽  
Interaction Analysis ◽  
Mental Healthcare ◽  
Migrant Women ◽  
Income Loss ◽  
Migrant Background ◽  
Work Related

Abstract Purpose Mental disorders are associated with several work-related outcomes such as loss of income. Not much is known about how this varies with migrant background. This study investigated the change in work-related income following the uptake of outpatient mental healthcare (OPMH) treatment, a proxy for mental disorder, in young women with and without migrant background. Additionally, we looked at how the association varied by income levelMethods Using data from four national registries, the study population consisted of women aged 23-40 years residing in Norway for at least three consecutive years between 2006 and 2013 (N=640,527). By using a stratified linear regression with individual fixed effects, we investigated differences between majority women, descendants and eight migrant groups. Interaction analysis was conducted in order to examine differences in income loss following the uptake of OPMH treatment among women with and without migrant background. Results OPMH treatment was associated with a decrease in income for all groups. However, the negative effect was stronger among those with low income. Only migrant women from EU Eastern Europe with a high income were not significantly affected following OPMH treatment. Conclusion Experiencing a mental disorder during a critical age for establishment in the labour market may not only affect income but also subsequent workforce participation and dependency on social welfare services, regardless of migrant background, resulting in large economic costs for both the individual and for society as a whole.

scholarly journals Change in Work-Related Income Following the Uptake of Treatment for Mental Disorders Among Young Migrant and Non-migrant Women in Norway: A National Register Study

2022 ◽  
Vol 9 ◽  
Author(s):  
Kamila Angelika Hynek ◽  
Anna-Clara Hollander ◽  
Aart C. Liefbroer ◽  
Lars Johan Hauge ◽  
Melanie Lindsay Straiton
Keyword(s):  
Labor Market ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Low Income ◽  
Fixed Effects ◽  
Interaction Analysis ◽  
Migrant Women ◽  
Migrant Background ◽  
Work Related ◽  
Increased Risk

Background: Women, and migrant women in particular, are at increased risk of many common mental disorders, which may potentially impact their labor market participation and their work-related income. Previous research found that mental disorders are associated with several work-related outcomes such as loss of income, however, not much is known about how this varies with migrant background. This study investigated the change in work-related income following the uptake of outpatient mental healthcare (OPMH) treatment, a proxy for mental disorder, in young women with and without migrant background. Additionally, we looked at how the association varied by income level.Methods: Using data from four national registries, the study population consisted of women aged 23–40 years residing in Norway for at least three consecutive years between 2006 and 2013 (N = 640,527). By using a stratified linear regression with individual fixed effects, we investigated differences between majority women, descendants and eight migrant groups. Interaction analysis was conducted in order to examine differences in income loss following the uptake of OPMH treatment among women with and without migrant background.Results: Results showed that OPMH treatment was associated with a decrease in income for all groups. However, the negative effect was stronger among those with low income. Only migrant women from Western and EU Eastern Europe with a high income were not significantly affected following OPMH treatment.Conclusion: Experiencing a mental disorder during a critical age for establishment in the labor market can negatively affect not only income, but also future workforce participation, and increase dependency on social welfare services and other health outcomes, regardless of migrant background. Loss of income due to mental disorders can also affect future mental health, resulting in a vicious circle and contributing to more inequalities in the society.

scholarly journals The Intersection between Criminal Accusations, Victimization, and Mental Disorders: A Canadian Population-Based Study

2020 ◽  
Vol 65 (7) ◽  
pp. 492-501
Author(s):  
Hygiea Casiano ◽  
Jennifer M. Hensel ◽  
Mariette J. Chartier ◽  
Okechukwu Ekuma ◽  
Leonard MacWilliam ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Mental Disorder ◽  
Low Income ◽  
Population Level ◽  
Time Frame ◽  
Population Based ◽  
Fiscal Year ◽  
Adjusted Relative Risk ◽  
Referent Group ◽  
Criminal Accusation

Objective: Understand the relationship between criminal accusations, victimization, and mental disorders at a population level using administrative data from Manitoba, Canada. Method: Residents aged 18 to 64 between April 1, 2007, and March 31, 2012 ( N = 793,024) with hospital- and physician-diagnosed mental disorders were compared to those without. Overall and per-person rates of criminal accusations and reported victimization in the 2011/2012 fiscal year were examined. Relative risks were calculated, adjusting for age, sex, income, and presence of a substance use disorder. The overlap between diagnosed mental disorders, accusations, and victimization with a χ2 test of independence was studied. Results: Twenty-four percent ( n = 188,693) of the population had a mental disorder over the 5-year time frame. Four to fifteen percent of those with a mental disorder had a criminal accusation, compared to 2.4% of the referent group. Individuals with mental disorders, especially psychotic or personality disorders, were often living in low-income, urban neighborhoods. The adjusted relative risk of accusations and victimization remained 2 to 5 times higher in those with mental disorders compared to the referent group. Criminal accusations and victimization were most prevalent among individuals with a history of attempted suicide (15.2% had an accusation and 8.1% were victims). The risk of victimization in the same year as a criminal accusation was significantly increased among those with mental disorders compared to those without (χ2 = 211.8, P < 0.001). Conclusions: Individuals with mental disorders are at elevated risk of both criminal involvement and victimization. The identification of these multiply-stigmatized individuals may lead to better intervention and support.

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