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经济衰退对抑郁症及个人和社会福祉的影响:以西班牙(2006-2013 年)为例。

The impact of economic recessions on depression and individual and social well-being: the case of Spain (2006-2013).

机构信息

Department of Clinical Psychology, School of Psychology, Complutense University of Madrid, 28223, Madrid, Spain.

School of Health Sciences, Francisco de Vitoria University, Madrid, Spain.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2018 Sep;53(9):977-986. doi: 10.1007/s00127-018-1558-2. Epub 2018 Jul 10.

Abstract

PURPOSE

Although there is abundant evidence about the impact of economic crises on depression and other mental health problems, little is known about the protective role of variables linked to positive functioning (i.e., psychological well-being).

METHODS

We analyzed data from Spain, one of the European countries most affected by the 2008-2013 economic recession, collected in Round 3 (R3, 2006) and Round 6 (R6, 2013) of the European Social Survey interviews. Both surveys included measures of psychological well-being, social well-being and depression. Both samples were nationally representative of the general population (R3: 1877 participants, 49.2% men; R6: 1889 participants, 48.9% men).

RESULTS

Data from the R6 survey showed that, compared to data gathered in R3 (i.e., before the onset of the recession) Spanish citizens showed significantly less life satisfaction (95% CIs 0.37-0.63), less personal optimism (95% CIs 0.03-0.15), less social optimism (95% CIs 0.75-0.85), and higher levels of depressive symptoms (95% CIs - 0.74 to - 0.19). Structural equation modeling revealed that protective factors for depression changed in both rounds. In R3 (2006), close relationships, social optimism and social trust were significant mediators between well-being and depression. However, social optimism and social trust were no longer significant in R6 (2013), whereas close relationships remained a partial mediator of the effects of psychological well-being on depression.

CONCLUSIONS

Economic crises are associated with a significant increase in depressive symptoms. Furthermore, financial crises seem to have a corrosive impact on mental health by reducing the mediating effects of positive beliefs regarding the good nature of society.

摘要

目的

尽管有大量证据表明经济危机对抑郁和其他心理健康问题有影响,但人们对与积极功能(即心理幸福感)相关的变量的保护作用知之甚少。

方法

我们分析了来自西班牙的数据,西班牙是受 2008-2013 年经济衰退影响最大的欧洲国家之一,这些数据来自欧洲社会调查的第 3 轮(R3,2006 年)和第 6 轮(R6,2013 年)访谈。这两项调查都包括心理幸福感、社会幸福感和抑郁的测量。这两个样本都是全国代表性的总人口样本(R3:1877 名参与者,49.2%为男性;R6:1889 名参与者,48.9%为男性)。

结果

R6 调查的数据显示,与 R3(即经济衰退前)收集的数据相比,西班牙公民的生活满意度显著降低(95%置信区间为 0.37-0.63),个人乐观度降低(95%置信区间为 0.03-0.15),社会乐观度降低(95%置信区间为 0.75-0.85),抑郁症状水平升高(95%置信区间为-0.74 至-0.19)。结构方程模型显示,两轮中抑郁的保护因素都发生了变化。在 R3(2006 年),亲密关系、社会乐观度和社会信任是幸福感和抑郁之间的重要中介因素。然而,在 R6(2013 年)中,社会乐观度和社会信任不再具有显著意义,而亲密关系仍然是心理幸福感对抑郁影响的部分中介因素。

结论

经济危机与抑郁症状显著增加有关。此外,金融危机似乎通过降低对社会良好本质的积极信念的中介作用,对心理健康产生了腐蚀性影响。

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