1 Department of Sociology, University of the Aegean, Mytilene, Greece.
2 Department of Business Administration, Alexander Technological Educational Institute of Thessaloniki, Sindos, Greece.
Int J Soc Psychiatry. 2017 Aug;63(5):459-467. doi: 10.1177/0020764017712743. Epub 2017 Jun 12.
This study draws on old and well-established evidence that economic change, and especially recession, affects people's lives, behavior and mental health. Even though the literature is rich on the relationship between unemployment and mental distress, there is a renewed research interest on the link between socio-economic inequalities and psychological health.
The study investigates the relationship of social class with mental distress during the hard times of persistent and severe economic crisis in Greece by conducting a comparative, community study in the country's second largest city, Thessaloniki.
A face-to-face structured interview covering living conditions, life events, chronic stressors and coping strategies was employed to 300 residents of socio-economically contrasting neighborhood areas. Social class was operationalized by Erik Olin Wright's social class position typology, based on ownership and control over productive assets. The method of multiple correspondence analysis (MCA) was also applied to analyze the collected data.
The results indicated that mental distress was significantly differentiated across social classes and in each residential area. Unemployed and unskilled workers were the most vulnerable groups in terms of psychological health. Chronic stress arose in this study as a risk factor for poor mental health outcomes and it was associated to low marital quality, intense economic burden and impoverished housing conditions.
Those who face income loss, job loss and disability are at high risk for poverty and marginalization, suffering from greater psychological distress.
本研究借鉴了旧的、成熟的证据,即经济变化,尤其是衰退,会影响人们的生活、行为和心理健康。尽管文献中已有大量关于失业与精神困扰之间关系的研究,但人们对社会经济不平等与心理健康之间的联系重新产生了研究兴趣。
本研究通过在希腊第二大城市塞萨洛尼基进行一项比较性的社区研究,调查在持续严重经济危机的困难时期,社会阶层与精神困扰之间的关系。
采用面对面的结构化访谈,涵盖生活条件、生活事件、慢性压力源和应对策略,对来自社会经济背景差异较大的两个邻里地区的 300 名居民进行了调查。社会阶层是根据埃里克·奥林·赖特的社会阶层地位类型学,根据对生产性资产的所有权和控制权来操作化的。还应用了多元对应分析(MCA)方法来分析收集的数据。
研究结果表明,精神困扰在社会阶层和每个居住地区之间存在显著差异。失业和非熟练工人是心理健康最脆弱的群体。在本研究中,慢性压力是心理健康不良结果的一个风险因素,与低婚姻质量、强烈的经济负担和贫困的住房条件有关。
那些面临收入损失、失业和残疾的人面临贫困和边缘化的高风险,遭受更大的心理困扰。