Holmgren Rebecka, Nilsson Sundström Emma, Levinsson Henrik, Ahlström Richard
PBM, Malmö, Sweden.
Division of Psychiatry Malmö, Skåne Region, Malmö, Sweden.
Scand J Psychol. 2019 Feb;60(1):50-58. doi: 10.1111/sjop.12511. Epub 2018 Dec 25.
This cross-sectional study examined psychological mechanisms in order to increase knowledge regarding mental illness amongst 561 over-indebted individuals in Sweden. Differences were explored between individuals with probable clinical depression and/or anxiety and individuals without probable clinical depression and/or anxiety, considering objective measures of the debt, financial strain, coping strategies as well as sociodemographic variables. Furthermore, binary logistic regression analyses were performed in order to construct a model of predictors of mental illness. In order to collect the data, Hospital Anxiety and Depression Scale (HADS), Brief Coping Orientation to Problems Experienced (COPE_, as well as questions formulated by the research team, were used as measures. Prominent results showed that over-indebted individuals with probable clinical depression and/or anxiety were younger, showed greater levels of financial strain, used adaptive coping strategies to a lesser extent, and maladaptive coping strategies to a greater extent. Additionally, financial strain, use of maladaptive and emotion-focused coping, age and employment status were significant predictors of mental illness. These results put emphasis on the importance of adaptive coping as well as the psychological exposure of over-indebted individuals.
这项横断面研究探究了心理机制，以增进对瑞典561名过度负债个体精神疾病的了解。研究考虑了债务、经济压力、应对策略以及社会人口统计学变量的客观指标，探讨了可能患有临床抑郁症和/或焦虑症的个体与未患有临床抑郁症和/或焦虑症的个体之间的差异。此外，进行了二元逻辑回归分析，以构建精神疾病预测因素模型。为收集数据，使用了医院焦虑抑郁量表（HADS）、经历问题的简短应对取向（COPE）以及研究团队提出的问题作为测量工具。显著结果表明，可能患有临床抑郁症和/或焦虑症的过度负债个体更年轻，经济压力水平更高，较少使用适应性应对策略，而较多使用适应不良的应对策略。此外，经济压力、适应不良和以情感为中心的应对方式的使用、年龄和就业状况是精神疾病的重要预测因素。这些结果强调了适应性应对的重要性以及过度负债个体的心理暴露情况。
