Jansen Josephien L, Hao Jiasi, Bruggeman Richard, Simons Claudia J P, Van der Pluijm Marieke, Koerts Janneke, Krabbendam Lydia
Department of Clinical and Developmental Neuropsychology, University of Groningen, Grote Kruisstraat 2/1, 9712 TS Groningen, The Netherlands.
Department of Epidemiology, University Medical Center Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands.
J Clin Med. 2024 Oct 6;13(19):5945. doi: 10.3390/jcm13195945.
. Psychotic disorders have a strong negative impact on people's lives, including their financial situation. This study aimed to examine differences in unmet financial needs between people with psychotic disorders, parents, siblings, and controls. Secondly, we aimed to examine whether family clustering contributes to unmet financial needs. Lastly, we aimed to examine to what extent demographic, economic, psychiatric, functional, and cognitive characteristics and substance use predict unmet financial needs in people with psychosis. Data from the first assessment of people with psychosis ( = 956), siblings ( = 889), parents ( = 858), and controls ( = 496) included in the Genetic Risk and Outcome of Psychosis study were used. Group differences were assessed with Kruskal-Wallis tests (aim 1), while a mixed-effects logistic regression analysis and explorative and confirmative ordinal logistic regression analyses were conducted for aims 2 and 3, respectively. Twenty-four percent of people with psychotic disorders reported unmet financial needs. These levels of unmet financial needs were significantly higher than levels for siblings, parents, and controls. We found a negligible influence of (direct) familial clustering on unmet financial needs. Lastly, cannabis and tobacco use significantly and consistently predicted higher levels of unmet financial needs of people with psychosis. Relatively high levels of unmet financial needs occurred in a heterogeneous group of people with psychosis, especially when people used cannabis or tobacco. Unmet financial needs can have detrimental consequences for mental health, stigmatization, leisure time activities, and social engagement. Thus, it is pivotal to recognize unmet financial needs, especially combined with substance use, as a crucial stressor for people with psychosis.
精神障碍对人们的生活，包括他们的财务状况有强烈的负面影响。本研究旨在探讨精神障碍患者、父母、兄弟姐妹及对照组在未满足的经济需求方面的差异。其次，我们旨在研究家庭聚集性是否会导致未满足的经济需求。最后，我们旨在研究人口统计学、经济、精神、功能和认知特征以及物质使用在多大程度上可预测精神病患者未满足的经济需求。使用了精神病遗传风险与结局研究中首次评估的精神病患者（n = 956）、兄弟姐妹（n = 889）、父母（n = 858）和对照组（n = 496）的数据。目标1通过Kruskal-Wallis检验评估组间差异，而目标2和3分别进行混合效应逻辑回归分析以及探索性和验证性有序逻辑回归分析。24%的精神障碍患者报告有未满足的经济需求。这些未满足的经济需求水平显著高于兄弟姐妹、父母和对照组的水平。我们发现（直接）家庭聚集性对未满足的经济需求影响可忽略不计。最后，大麻和烟草使用显著且一致地预测了精神病患者更高水平的未满足经济需求。在一组异质性的精神病患者中，尤其是当人们使用大麻或烟草时，会出现相对较高水平的未满足经济需求。未满足的经济需求可能对心理健康、污名化、休闲活动和社会参与产生不利影响。因此，认识到未满足的经济需求，尤其是与物质使用相结合时，是精神病患者的一个关键压力源，这一点至关重要。
