Effect of spiritual intelligence and employment status on the association between education and depressive symptoms among adults in rural Puducherry, India: A mediation analysis.

IF 2.5 4区 医学 Q2 PSYCHIATRY
Vishnu Rajan, Yamini Marimuthu, Vikas Menon, Ganesh Kumar Saya, Ruben Raj
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Abstract

Background: Depression is a major global health concern, particularly in India, where it significantly impacts the population's well-being. The interplay of various factors, including education, employment status, and spiritual intelligence, contributes to the complex landscape of depressive symptoms among adults.

Methodology: A community-based cross-sectional study was conducted in the rural service areas of a tertiary care medical institution in rural India from March 2021 to September 2022. The study employed structured questionnaires and validated scales to assess depressive symptoms, spiritual intelligence, educational status, and occupational status among participants. Structural equation modelling was used for mediation analysis to evaluate the effect of spiritual intelligence and employment status on the association between education and depressive symptoms.

Results: The study included 381 participants, with a prevalence of depressive symptoms at 14.4%. Higher educational attainment was associated with lower odds of depressive symptoms (aOR = 0.34, 95% CI [0.17, 0.67]). Employment status mediated the relationship between education and depression, with employed individuals exhibiting lower odds of depressive symptoms (aOR = 0.42, 95% CI [0.22, 0.82]). While spiritual intelligence was higher among those with formal education, its direct impact on depression was not statistically significant. The mediation analysis revealed that a significant portion (77.5%) of the total effect of education on depression was mediated through employment status and spiritual intelligence.

Conclusion: The study underscores the importance of education and employment opportunities in mitigating depressive symptoms among rural adults. It suggests targeted interventions that promote education and employment support to enhance mental health resilience. While spiritual intelligence may influence mental health outcomes, its exact role requires further investigation.

精神智力和就业状况对印度普度切里农村地区成年人受教育程度与抑郁症状之间关系的影响:中介分析
背景:抑郁症是全球关注的一个主要健康问题,在印度尤其如此,它严重影响着印度人民的福祉。包括教育、就业状况和精神智力在内的各种因素相互作用,造成了成年人抑郁症状的复杂面貌:2021 年 3 月至 2022 年 9 月,在印度农村地区一家三级医疗机构的农村服务区开展了一项基于社区的横断面研究。研究采用了结构化问卷和经过验证的量表来评估参与者的抑郁症状、精神智力、教育状况和职业状况。研究采用结构方程模型进行中介分析,以评估精神智力和就业状况对教育程度与抑郁症状之间关系的影响:研究共纳入了 381 名参与者,抑郁症状的发生率为 14.4%。教育程度越高,抑郁症状出现的几率越低(aOR = 0.34,95% CI [0.17,0.67])。就业状况是教育与抑郁之间关系的中介,就业者出现抑郁症状的几率较低(aOR = 0.42,95% CI [0.22,0.82])。虽然受过正规教育的人精神智力较高,但其对抑郁的直接影响在统计学上并不显著。中介分析显示,在教育对抑郁的总影响中,有很大一部分(77.5%)是通过就业状况和灵性智力来中介的:这项研究强调了教育和就业机会对减轻农村成年人抑郁症状的重要性。研究建议采取有针对性的干预措施,促进教育和就业支持,以增强心理健康复原力。虽然精神智力可能会影响心理健康结果,但其确切作用还需要进一步研究。
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来源期刊
CiteScore
12.30
自引率
1.30%
发文量
120
期刊介绍: The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities. Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas. The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.
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