Department of Psychology, University of Sheffield, Sheffield, United Kingdom.
School of Health and Related Research, University of Sheffield, Sheffield, United Kingdom.
Depress Anxiety. 2018 Jun;35(6):560-573. doi: 10.1002/da.22765. Epub 2018 Apr 26.
Socioeconomic deprivation is associated with higher prevalence of mental health problems; however, the influence of socioeconomic status (SES) on psychological therapy outcomes is as yet unclear.
To review published evidence on the association between indicators of SES (income, education, employment, neighborhood deprivation, social position) and the outcomes of psychological interventions for depression and anxiety.
Systematic review and meta-analysis of outcomes research studies published in the last 10 years.
Seventeen studies including 165,574 patients measured at least one indicator of SES and its relationship with psychological therapy outcomes. Twelve of these studies found significant relationships between SES measures and mental health outcomes. Six studies focusing on employment status offered sufficient quantitative information to conduct meta-analysis. The overall effect of employment was not significant (-0.66, confidence of interval (CI) -1.33, 0.02). A sensitivity analysis (k = 5) showed a small effect (-0.22, CI -0.36, -0.09) of employment on treatment outcomes.
There is some evidence to indicate that socioeconomic deprivation is associated with poorer treatment outcomes, although limitations of the available data warrant treating this as a preliminary conclusion.
社会经济贫困与心理健康问题的高发率有关；然而，社会经济地位（SES）对心理治疗结果的影响尚不清楚。
综述发表的关于 SES 指标（收入、教育、就业、邻里贫困、社会地位）与抑郁和焦虑的心理干预结果之间关联的证据。
对过去 10 年发表的结局研究进行系统评价和荟萃分析。
17 项研究纳入了 165574 名至少测量了一种 SES 指标及其与心理治疗结局关系的患者。其中 12 项研究发现 SES 测量值与心理健康结局之间存在显著关系。6 项关注就业状况的研究提供了足够的定量信息进行荟萃分析。就业状况的总体效果不显著（-0.66，置信区间（CI）-1.33，0.02）。敏感性分析（k=5）显示，就业对治疗结局的影响较小（-0.22，CI -0.36，-0.09）。
有一些证据表明，社会经济贫困与较差的治疗结果有关，尽管现有数据的局限性需要将此作为初步结论。
