Utilize este identificador para referenciar este registo: http://hdl.handle.net/10362/23655
Título: Mental health outcomes in times of economic recession
Autor: Frasquilho, Diana
Matos, Margarida Gaspar
Salonna, Ferdinand
Guerreiro, Diogo
Storti, Cláudia C.
Gaspar, Tânia
Caldas-De-Almeida, José M
Palavras-chave: Economic recession
Mental disorders
Mental health
Substance-related disorders
Public Health, Environmental and Occupational Health
Data: 3-Fev-2016
Resumo: Background: Countries in recession experience high unemployment rates and a decline in living conditions, which, it has been suggested, negatively influences their populations' health. The present review examines the recent evidence of the possible association between economic recessions and mental health outcomes. Methods: Literature review of records identified through Medline, PsycINFO, SciELO, and EBSCO Host. Only original research papers, published between 2004 and 2014, peer-reviewed, non-qualitative research, and reporting on associations between economic factors and proxies of mental health were considered. Results: One-hundred-one papers met the inclusion criteria. The evidence was consistent that economic recessions and mediators such as unemployment, income decline, and unmanageable debts are significantly associated with poor mental wellbeing, increased rates of common mental disorders, substance-related disorders, and suicidal behaviours. Conclusion: On the basis of a thorough analysis of the selected investigations, we conclude that periods of economic recession are possibly associated with a higher prevalence of mental health problems, including common mental disorders, substance disorders, and ultimately suicidal behaviour. Most of the research is based on cross-sectional studies, which seriously limits causality inferences. Conclusions are summarised, taking into account international policy recommendations concerning the cost-effective measures that can possibly reduce the occurrence of negative mental health outcomes in populations during periods of economic recession.
Descrição: Frasquilho D. receives a grant from the Portuguese Foundation for Science and Technology (FCT), reference SFRH/BD/80846/2011. This paper was also supported by the ECOP project "Support for creating excellent research teams and intersectoral mobility at Palacky University in Olomouc" ( reg. no. CZ.1.07/2.3.00/30.0004), and by the Czech Ministry of Education, Youth and Sport under contract no. LG 14043 and LG 14042. The authors wish to thank Dr. Sharon Leahy from the University of St. Andrews who assisted in the proof-reading of the manuscript.
Peer review: yes
URI: http://www.scopus.com/inward/record.url?scp=84959571252&partnerID=8YFLogxK
DOI: http://dx.doi.org/10.1186/s12889-016-2720-y
ISSN: 1471-2458
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