Related Experiment Videos
Status inconsistency and common mental disorders in the Israel-based world mental health survey
Gilad Gal1, Giora Kaplan, Raz Gross
1Mental Health Epidemiology and Psychosocial Aspects of Illness, The Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Tel Hashomer, Israel. giladga@gertner.health.gov.il
Objective:
Research on status inconsistency (SI) and its impact on mental health has been dormant for many years. This study tested the association between SI and emotional distress, anxiety and mood disorders.
Methods:
Data were gathered from the Israel-based component of the World Mental Health Survey (n = 4,859). SI was defined by the combination of high education (13+ years) with low income (1st decile). Mood and anxiety disorders were diagnosed with the composite international diagnostic instrument (CIDI), and emotional distress was measured with the 12-item general health questionnaire (GHQ-12).
Results:
Multivariate analysis showed increased risk for mood or anxiety disorders among SI subjects (n = 231), odds ratio (OR) = 1.75, 95% confidence interval (95% CI) 1.13-2.63. The estimate was slightly attenuated when marital status was added to the model (OR = 1.55, 95% CI 1.0-2.39). SI subjects showed higher GHQ-12 scores.
Conclusion:
SI, which can disrupt an individual's sense of coherence, is associated, although not causally, with increased 12 month prevalence rates for mood or anxiety disorders and with higher psychological distress.
Related Concept Videos
Diagnostic and Statistical Manual of Mental Disorders (DSM)
Self-Discrepancy and Its Effects
Self-Discrepancy Theory
Depressive Disorders: MDD and Dysthymia
Psychological and Sociocultural Causes of Schizophrenia
Introduction to Psychological Disorders
Deviant Behavior
Deviance in behavior refers to actions or thought patterns that significantly diverge from societal norms or...