伊朗人心理健康调查（IranMHS）中的客观社会经济地位、主观社会地位和精神障碍：中介分析

IF 4.9 2区医学 Q1 CLINICAL NEUROLOGY

Journal of affective disorders Pub Date : 2024-12-03 DOI:10.1016/j.jad.2024.12.019

Nastaran Nasirpour , Ramin Mojtabai , Ebtesam Savari , Ahmad Hajebi , Afarin Rahimi-Movaghar , Abbas Motevalian

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引用次数: 0

摘要

背景：有充分的证据表明，社会经济地位，客观量化的有形资源，影响心理健康结果。然而，客观社会经济地位（OSS）与心理健康之间的社会心理机制尚不清楚。本研究考察了个体对社会状况的感知——主观社会地位（SSS）——在多大程度上介导了OSS与精神障碍12个月患病率之间的联系。方法：我们采用伊朗心理健康调查（IranMHS）的数据，通过对7886名伊朗成年人的访谈收集。我们使用综合国际诊断访谈（CIDI 2.1）来评估任何精神障碍、任何焦虑障碍和任何重度抑郁症（MDD）。我们根据教育、职业、财富和综合OSS指数来衡量OSS，而SSS则使用麦克阿瑟量表进行评估。我们调查了间接关联，并按性别进行了分层分析。结果：女性4499例（57.0 %），城市4380例（55.5 %），平均（SE）年龄31.7（0.2）岁。SSS有部分或完全的调节作用。具体而言，财富（调解百分比：78.9% %）、教育（73.3 %）、OSS指数（56.0% %）和职业（33.3% %）通过SSS对任何精神障碍的影响存在显著的间接影响。局限性：数据的横断面性质对建立因果关系提出了限制。结论：我们的研究结果强调了SSS作为将OSS与精神障碍联系起来的社会心理机制的作用。更好地理解影响OSS和SSS之间关系的社会因素可能会增强我们对社会经济地位对心理健康影响的认识。

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Objective socioeconomic status, subjective social status, and mental disorders in Iranian mental health survey (IranMHS): A mediation analysis

Background

There is ample evidence that socioeconomic status, objectively quantified by tangible resources, impacts mental health outcomes. However, the psychosocial mechanism linking objective socioeconomic status (OSS) with mental health is not clear. This study examined to what extent associations between OSS and the twelve-month prevalence of mental disorders, are mediated by the individual perception of social conditions—the subjective social status (SSS).

Methods

We employed data from the Iranian Mental Health Survey (IranMHS), collected through interviews with 7886 Iranian adults. We used the Composite International Diagnostic Interview (CIDI 2.1) to assess any mental disorder, any anxiety disorder, and any major depressive disorder (MDD). We measured OSS based on education, occupation, wealth, and a composite OSS index, while SSS was evaluated using the MacArthur scale. We investigated the indirect associations and stratified the analyses by gender.

Results

In this national sample, 4499 (57.0 %) were women, 4380 (55.5 %) were urban, and the mean (SE) age was 31.7 (0.2) years. SSS had a partial to full mediating effect. Specifically, there were significant indirect effects for the impact of wealth (mediation percentage: 78.9 %), education (73.3 %), OSS index (56.0 %), and occupation (33.3 %) on any mental disorder through SSS.

Limitations

The cross-sectional nature of the data presents constraints in establishing causal relationships.

Conclusions

Our findings highlight the role of SSS as the psychosocial mechanism linking OSS with mental disorders. A better understanding of the social factors that influence the association between OSS and SSS may enhance our insight into the mental health effects of socioeconomic status.

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来源期刊

Journal of affective disorders 医学-精神病学

CiteScore

10.90

自引率

6.10%

发文量

1319

审稿时长

9.3 weeks

期刊介绍： The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.