Columbia University, Teachers College, Department of Clinical Psychology, New York, NY, USA.
New York University School of Medicine, Department of Psychiatry, New York, NY USA.
Psychiatry Res. 2017 Jul;253:79-83. doi: 10.1016/j.psychres.2017.03.036. Epub 2017 Mar 22.
Job loss has been associated with the emergence of depression and subsequent long-term diminished labor market participation. In a sample of 500 adults who lost their jobs, trajectories of depression severity from four years before to four years after job loss were identified using Latent Growth Mixture Modeling. Rates of unemployment by trajectory were compared at two and four years following job loss. Four trajectories demonstrated optimal model fit including resilience (72%), chronic pre-to-post job loss depression (9%), emergent depression (10%), and remitting depression (9%). Logistic regression comparing reemployment status by class while controlling for age, gender, and education at two-years post job loss revealed no significant differences by class. An identical logistic regression on four-year reemployment revealed significant differences by class with post-hoc analyses revealing emergent depression resulting in a 33.3% reemployment rate compared to resilient individuals (60.4%) together indicating that depression affects reemployment rather than lack of reemployment causing the emergence of depression. The emergence of depression following job loss significantly increases the risk of continued unemployment. However, observed high rates of resilience with resulting downstream benefits in reemployment mitigates significant concern about the effects of wide spread unemployment on ongoing global economic recovery following the Great Recession.
失业与抑郁的出现以及随后长期劳动力市场参与度的降低有关。在一项针对 500 名失业成年人的样本中,使用潜在增长混合建模确定了从失业前四年到后四年抑郁严重程度的轨迹。比较了在失业后两年和四年的失业率。四个轨迹显示出最佳的模型拟合度,包括韧性(72%)、慢性失业前到失业后抑郁(9%)、突发性抑郁(10%)和缓解性抑郁(9%)。在控制了失业后两年的年龄、性别和教育程度后,通过分类比较重新就业状况的逻辑回归显示,在分类上没有显著差异。在四年重新就业的逻辑回归上也存在显著差异,事后分析显示,突发性抑郁导致重新就业率为 33.3%,而韧性个体的重新就业率为 60.4%,这表明抑郁会影响重新就业,而不是缺乏重新就业导致抑郁的出现。失业后抑郁的出现显著增加了持续失业的风险。然而,观察到的高韧性率以及随之而来的重新就业的下游好处,减轻了对大衰退后广泛失业对全球经济持续复苏的影响的重大担忧。