Lorant Vincent, Croux Christophe, Weich Scott, Deliège Denise, Mackenbach Johan, Ansseau Marc
Public Health School, Catholic University of Louvain, Brussels, Belgium and Erasmus University Medical Centre, Rotterdam, The Netherlands.
Br J Psychiatry. 2007 Apr;190:293-8. doi: 10.1192/bjp.bp.105.020040.
Low socio-economic status is associated with a higher prevalence of depression, but it is not yet known whether change in socio-economic status leads to a change in rates of depression.
To assess whether longitudinal change in socio-economic factors affects change of depression level.
In a prospective cohort study using the annual Belgian Household Panel Survey (1992-1999), depression was assessed using the Global Depression Scale. Socio-economic factors were assessed with regard to material standard of living, education, employment status and social relationships.
A lowering in material standard of living between annual waves was associated with increases in depressive symptoms and caseness of major depression. Life circumstances also influenced depression. Ceasing to cohabit with a partner increased depressive symptoms and caseness, and improvement in circumstances reduced them; the negative effects were stronger than the positive ones.
The study showed a clear relationship between worsening socio-economic circumstances and depression.
社会经济地位低下与抑郁症患病率较高相关，但社会经济地位的变化是否会导致抑郁症发病率的变化尚不清楚。
评估社会经济因素的纵向变化是否会影响抑郁水平的变化。
在一项前瞻性队列研究中，使用年度比利时家庭面板调查（1992 - 1999年），采用全球抑郁量表评估抑郁症。从生活物质水平、教育程度、就业状况和社会关系方面评估社会经济因素。
年度调查期间生活物质水平的降低与抑郁症状增加及重度抑郁症病例数增加相关。生活状况也会影响抑郁症。与伴侣不再同居会增加抑郁症状和病例数，状况改善则会减少；负面影响比正面影响更强。
该研究表明社会经济状况恶化与抑郁症之间存在明显关联。
