Debt, common mental disorders and mental health service use.
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| Title: | Debt, common mental disorders and mental health service use. |
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| Authors: | Gunasinghe, Cerisse, Gazard, Billy, Aschan, Lisa, MacCrimmon, Shirlee, Hotopf, Matthew, Hatch, Stephani L. |
| Source: | Journal of Mental Health. Dec2018, Vol. 27 Issue 6, p520-528. 9p. 4 Charts, 2 Maps. |
| Subjects: | Economics, Mental illness, Mental illness risk factors, Convalescence, Debt, Mental health, Mental health services, Self-evaluation, Surveys, Socioeconomic factors, Cross-sectional method |
| Geographic Terms: | United Kingdom |
| Abstract: | Background: Uncertainty remains as to whether the effects of debt on common mental disorder (CMD) are persistent over time and what impact it has on mental health service use (MHSU). Aims: To determine the distribution of debt across sociodemographic and socioeconomic statuses; to examine whether debt influences CMD recovery over time; and to determine the effects of episodic and/or long-term debt and CMD on MHSU outcomes. Methods: Data were collected from phase 1 (N = 1698) and phase 2 (N = 1052) of the South East London Community Health (SELCoH) study, a population-based survey. Results: 37.2% of participants who reported debt at SELCoH 1 and 46.6% at SELCoH 2 experienced concurrent CMD. Those with concurrent exposure to debt and CMD at SELCoH 1 were at greater risk of CMD at SELCoH 2. Debt accumulation was strongly associated with CMD cross-sectionally; however, this somewhat dissipated over time. Reporting any debt at SELCoH 2 or debt at both time-points were strongly associated with MHSU in the past year in the fully adjusted model adjusting for prior mental health. Conclusions: More focus is needed on concurrent exposure to debt and CMD with regards to subsequent psychological impact and consequences for MHSU. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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