Social determinants of mental health: The role of proximal and distal factors.

IF 2.7 4区医学 Q2 PSYCHIATRY

International Journal of Social Psychiatry Pub Date : 2025-07-08 DOI:10.1177/00207640251347675

Maša Vukčević Marković, Marko Živanović, Jana Dimoski, Matija Gvozden

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引用次数: 0

Abstract

Background: A body of evidence indicates that mental health is influenced by social factors.

Aims: This study aims to explore the social determinants of mental disorders by applying a conceptual framework for the social determinants of mental disorders.

Method: The study was conducted on a representative sample of the Serbian population (N = 1,000, age range, 18-65 years). A wide spectrum of mental disorders (depression, anxiety, suicidal ideation, obsessive-compulsive symptoms, somatization, eating disorders, post-traumatic stress disorder, dissociation, and prodromal symptoms) and five domains of proximal and distal social determinants of mental health were assessed.

Results: Distal variables predicted symptom severity across all disorders. Proximal variables predicted symptom severity of all disorders over and above distal predictors.

Conclusions: Our study highlights the importance of a wide range of social determinants that contribute to mental health.

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心理健康的社会决定因素：近端和远端因素的作用。

背景：大量证据表明，心理健康受到社会因素的影响。目的：本研究旨在通过应用精神障碍的社会决定因素的概念框架来探讨精神障碍的社会决定因素。方法：对塞尔维亚人口的代表性样本进行研究（N = 1,000，年龄范围为18-65岁）。广泛的精神障碍（抑郁、焦虑、自杀意念、强迫症状、躯体化、饮食失调、创伤后应激障碍、分离和前驱症状）和心理健康的近端和远端社会决定因素的五个领域进行了评估。结果：远端变量预测了所有疾病的症状严重程度。近端变量预测所有疾病的症状严重程度高于远端预测因子。结论：我们的研究强调了影响心理健康的各种社会决定因素的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Social Psychiatry PSYCHIATRY-

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.