Marcal Katherine
George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri, USA.
Soc Work Ment Health. 2018;16(3):266-283. doi: 10.1080/15332985.2017.1385565. Epub 2017 Nov 2.
Housing problems threaten maternal mental health, but the nature of the relationship between housing and depression across time is not fully understood. Drawing upon the literatures of household shocks and depressive illness, the present study leveraged longitudinal data from the Fragile Families and Child Well-Being Study to probe the relationship between a housingrelated crisis and depression among at-risk mothers ( = 2,503). Binary logistic regression tested whether a housing crisis predicted an episode of depression across up to one-, three-, and seven-year time lags. The sample was then balanced on key predictors of housing crises using greedy matching with propensity scores; regression models were replicated on the new matched samples. Results showed a housing crisis significantly elevated risk for depression within one year, but effects were attenuated across three and seven years; findings were consistent in the matched samples. Implications include the need to develop new conceptualizations of depression in the context of housing instability. Brief interventions may be most effective for addressing distress associated with housing crises and improving treatment access. Policies and programs addressing the lack of affordable housing in the United States may be effective means of reducing the burden of mental disorder on families with children.
住房问题威胁着母亲的心理健康,但住房与抑郁症之间随时间变化的关系本质尚未完全明晰。本研究借鉴家庭冲击和抑郁症相关文献,利用脆弱家庭与儿童福祉研究的纵向数据,探究住房相关危机与高危母亲(n = 2503)抑郁症之间的关系。二元逻辑回归检验了住房危机是否能预测长达1年、3年和7年时间滞后的抑郁症发作情况。随后,通过倾向得分贪婪匹配法对样本进行住房危机关键预测因子平衡;在新的匹配样本上重复回归模型。结果显示,住房危机在1年内显著增加了抑郁症风险,但在3年和7年时影响减弱;在匹配样本中结果一致。这意味着需要在住房不稳定的背景下对抑郁症形成新的概念理解。简短干预可能对解决与住房危机相关的困扰及改善治疗可及性最为有效。解决美国经济适用房短缺问题的政策和项目可能是减轻有子女家庭精神障碍负担的有效手段。