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Erschienen in: Social Psychiatry and Psychiatric Epidemiology 10/2014

01.10.2014 | Original Paper

Social capital and reported discrimination among people with depression in 15 European countries

verfasst von: Silvia Zoppei, Antonio Lasalvia, Chiara Bonetto, Tine Van Bortel, Fredrica Nyqvist, Martin Webber, Esa Aromaa, Jaap Van Weeghel, Mariangela Lanfredi, Judit Harangozó, Kristian Wahlbeck, Graham Thornicroft, the ASPEN Study Group

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 10/2014

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Abstract

Purpose

Social capital is a protective factor for mental health. People with depression are vulnerable to discrimination and its damaging impact. No previous studies have explored the link between social capital and experienced or anticipated discrimination in people with depression. This study aims to test the hypothesis that levels of self-reported discrimination in people with depression are inversely associated with social capital levels.

Method

A total of 434 people with major depression recruited in outpatient settings across 15 European countries participated in the study. Multivariable regression was used to analyse relationships between discrimination and interpersonal and institutional trust, social support and social network.

Results

Significant inverse association was found between discrimination and social capital in people with major depression. Specifically, people with higher levels of social capital were less likely to have elevated or substantially elevated levels of experienced discrimination.

Conclusions

Higher level of social capital may be closely associated with lower level of experienced discrimination among patients with major depression. It is important to explore these associations more deeply and to establish possible directions of causality in order to identify interventions that may promote social capital and reduce discrimination. This may permit greater integration in society and more access to important life opportunities for people with depression.
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Literatur
1.
Zurück zum Zitat Sayce L (2000) Social inclusion and mental health. Psychiatr Bull 25:121–123CrossRef Sayce L (2000) Social inclusion and mental health. Psychiatr Bull 25:121–123CrossRef
2.
Zurück zum Zitat Morgan C, Burns T, Fitzpatrick R, Pinfold V, Priebe S (2007) Social exclusion and mental health: conceptual and methodological review. Br J Psychiatry 191:477–483PubMedCrossRef Morgan C, Burns T, Fitzpatrick R, Pinfold V, Priebe S (2007) Social exclusion and mental health: conceptual and methodological review. Br J Psychiatry 191:477–483PubMedCrossRef
3.
Zurück zum Zitat Field J (2003) Social capital. Routledge, London Field J (2003) Social capital. Routledge, London
4.
Zurück zum Zitat Putnam RD (1996) The strange disappearance of civic America. Am Prospect 7:1–18 Putnam RD (1996) The strange disappearance of civic America. Am Prospect 7:1–18
5.
Zurück zum Zitat McKenzie K, Whitley R, Weich S (2002) Social capital and mental health. Br J Psychiatry 181:280–283PubMedCrossRef McKenzie K, Whitley R, Weich S (2002) Social capital and mental health. Br J Psychiatry 181:280–283PubMedCrossRef
7.
Zurück zum Zitat Agahi N, Ahacic K, Parker MG (2006) Continuity of leisure participation from middle age to old age. J Gerontol B Psychol Sci Soc Sci 61(6):340–346CrossRef Agahi N, Ahacic K, Parker MG (2006) Continuity of leisure participation from middle age to old age. J Gerontol B Psychol Sci Soc Sci 61(6):340–346CrossRef
8.
Zurück zum Zitat Sirven N, Debrand T (2008) Social participation and healthy ageing: an international comparison using SHARE data. Soc Sci Med 67:2017–2026PubMedCrossRef Sirven N, Debrand T (2008) Social participation and healthy ageing: an international comparison using SHARE data. Soc Sci Med 67:2017–2026PubMedCrossRef
9.
Zurück zum Zitat Sundquist J, Johansson SE, Yang M, Sundquist K (2006) Low linking social capital as a predictor of coronary heart disease in Sweden: a cohort study of 2.8 million people. Soc Sci Med 62:954–963PubMedCrossRef Sundquist J, Johansson SE, Yang M, Sundquist K (2006) Low linking social capital as a predictor of coronary heart disease in Sweden: a cohort study of 2.8 million people. Soc Sci Med 62:954–963PubMedCrossRef
10.
Zurück zum Zitat De Silva MJ, McKenzie K, Harpham T, Huttly SR (2005) Social capital and mental illness: a systematic review. J Epidemiol Community Health 59:619–627PubMedCrossRefPubMedCentral De Silva MJ, McKenzie K, Harpham T, Huttly SR (2005) Social capital and mental illness: a systematic review. J Epidemiol Community Health 59:619–627PubMedCrossRefPubMedCentral
11.
Zurück zum Zitat Bourdieu P (1986) The forms of social capital. In: Richardson J (ed) Handbook of theory and research for the sociology of education. Greenwood, New York, pp 241–248 Bourdieu P (1986) The forms of social capital. In: Richardson J (ed) Handbook of theory and research for the sociology of education. Greenwood, New York, pp 241–248
12.
Zurück zum Zitat Coleman JS (1990) Foundations of social theory. Harvard University Press, Cambridge Coleman JS (1990) Foundations of social theory. Harvard University Press, Cambridge
13.
Zurück zum Zitat Pollack CE, Von Dem Knesebeck O (2004) Social capital and health among the aged: comparisons between the United States and Germany. Health Place 10(4):383–391PubMedCrossRef Pollack CE, Von Dem Knesebeck O (2004) Social capital and health among the aged: comparisons between the United States and Germany. Health Place 10(4):383–391PubMedCrossRef
14.
Zurück zum Zitat Lindstrom M, Mohseni M (2009) Social capital, political trust and self-reported psychological health: a population-based study. Soc Sci Med 68:436–443PubMedCrossRef Lindstrom M, Mohseni M (2009) Social capital, political trust and self-reported psychological health: a population-based study. Soc Sci Med 68:436–443PubMedCrossRef
15.
16.
Zurück zum Zitat Webber M, Huxley P (2007) Measuring access to social capital: the validity and reliability of the Resource Generator-UK and its association with common mental disorder. Soc Sci Med 65:481–492PubMedCrossRef Webber M, Huxley P (2007) Measuring access to social capital: the validity and reliability of the Resource Generator-UK and its association with common mental disorder. Soc Sci Med 65:481–492PubMedCrossRef
18.
Zurück zum Zitat Webber M, Huxley P, Harris T (2011) Social capital and the course of depression: six-month prospective cohort study. J Affect Disorders 129:149–157PubMedCrossRef Webber M, Huxley P, Harris T (2011) Social capital and the course of depression: six-month prospective cohort study. J Affect Disorders 129:149–157PubMedCrossRef
20.
Zurück zum Zitat Forsman A, Nordmyr J, Wahlbeck K (2011) Psychosocial interventions for the promotion of mental health and the prevention of depression among older adults. Health Promot Int 26:S85–S107CrossRef Forsman A, Nordmyr J, Wahlbeck K (2011) Psychosocial interventions for the promotion of mental health and the prevention of depression among older adults. Health Promot Int 26:S85–S107CrossRef
21.
Zurück zum Zitat Dumont KA (2002) Links between three types of neighbourhood conditions and psychological distress among poor, African-American and Latino women in New York City. Department of Psychiatry, New Jersey Medical School, Newark Dumont KA (2002) Links between three types of neighbourhood conditions and psychological distress among poor, African-American and Latino women in New York City. Department of Psychiatry, New Jersey Medical School, Newark
22.
Zurück zum Zitat Desai RA, Dausey DJ, Rosenheck RA (2005) Mental health service delivery and suicide risk: the role of individual and facility factors. Am J Psychiatry 62:311–318CrossRef Desai RA, Dausey DJ, Rosenheck RA (2005) Mental health service delivery and suicide risk: the role of individual and facility factors. Am J Psychiatry 62:311–318CrossRef
23.
Zurück zum Zitat Van Der Horst RK, McLaren S (2005) Social relationships as predictors of depression and suicidal ideation in older adults. Aging Ment Health 9:517–525CrossRef Van Der Horst RK, McLaren S (2005) Social relationships as predictors of depression and suicidal ideation in older adults. Aging Ment Health 9:517–525CrossRef
24.
Zurück zum Zitat Nyqvist F, Gustavsson J, Gustafson Y (2006) Social capital and health in the oldest old: the Umea 85+ Study. Int J Ageing Later Life 1:91–114CrossRef Nyqvist F, Gustavsson J, Gustafson Y (2006) Social capital and health in the oldest old: the Umea 85+ Study. Int J Ageing Later Life 1:91–114CrossRef
25.
Zurück zum Zitat Fujiwara T, Kawachi I (2008) Social capital and health. A study of adult twins in the U.S. Am J Prev Med 35:139–144PubMedCrossRef Fujiwara T, Kawachi I (2008) Social capital and health. A study of adult twins in the U.S. Am J Prev Med 35:139–144PubMedCrossRef
26.
Zurück zum Zitat Kouvonen A, Oksanen T, Vahtera J, Stafford M, Wilkinson R, Schneider J, Väänänen A, Virtanen M, Cox SJ, Pentti J, Elovainio M, Kivimäki M (2008) Low workplace social capital as a predictor of depression: the Finnish Public Sector study. Am J Epidemiol 167(10):1143–1151PubMedCrossRef Kouvonen A, Oksanen T, Vahtera J, Stafford M, Wilkinson R, Schneider J, Väänänen A, Virtanen M, Cox SJ, Pentti J, Elovainio M, Kivimäki M (2008) Low workplace social capital as a predictor of depression: the Finnish Public Sector study. Am J Epidemiol 167(10):1143–1151PubMedCrossRef
27.
Zurück zum Zitat Fujiwara T, Kawachi I (2008) A prospective study of individual-level social capital and major depression in the United States. J Epidemiol Community Health 62:627–633PubMedCrossRef Fujiwara T, Kawachi I (2008) A prospective study of individual-level social capital and major depression in the United States. J Epidemiol Community Health 62:627–633PubMedCrossRef
28.
Zurück zum Zitat Webber M (2005) Social capital and mental health. In: Tew J (ed) Social perspectives in mental health. Developing social models to understand and work with mental. Jessica Kingsley Publishers, London, pp 90–111 Webber M (2005) Social capital and mental health. In: Tew J (ed) Social perspectives in mental health. Developing social models to understand and work with mental. Jessica Kingsley Publishers, London, pp 90–111
29.
Zurück zum Zitat Tew J, Ramon S, Slade M, Bird V, Melton J, Le Boutillier C (2012) Social factors and recovery from mental health difficulties: a review of the evidence. Br J Soc Work. doi:10.1093/bjsw/bcr076 Tew J, Ramon S, Slade M, Bird V, Melton J, Le Boutillier C (2012) Social factors and recovery from mental health difficulties: a review of the evidence. Br J Soc Work. doi:10.​1093/​bjsw/​bcr076
30.
Zurück zum Zitat Alonso J, Buron A, Bruffaerts R, He Y, Posada-Villa J, Lepine JP, Angermeyer MC, Levinson D, De Girolamo G, Tachimori H, Mneimneh ZN, Medina-Mora ME, Ormel J, Scott KM, Gureje O, Haro JM, Gluzman S, Lee S, Vilagut G, Kessler RC, Von Korff M, World Mental Health Consortium (2008) Association of perceived stigma and mood and anxiety disorders: results from the World Mental Health Surveys. Acta Psychiatr Scand 118:305–314PubMedCrossRefPubMedCentral Alonso J, Buron A, Bruffaerts R, He Y, Posada-Villa J, Lepine JP, Angermeyer MC, Levinson D, De Girolamo G, Tachimori H, Mneimneh ZN, Medina-Mora ME, Ormel J, Scott KM, Gureje O, Haro JM, Gluzman S, Lee S, Vilagut G, Kessler RC, Von Korff M, World Mental Health Consortium (2008) Association of perceived stigma and mood and anxiety disorders: results from the World Mental Health Surveys. Acta Psychiatr Scand 118:305–314PubMedCrossRefPubMedCentral
31.
Zurück zum Zitat Thornicroft G, Brohan E, Rose D, Sartorius N, Leese M, the INDIGO Study Group (2009) Global pattern of experienced and anticipated discrimination against people with schizophrenia. Lancet 373:408–415PubMedCrossRef Thornicroft G, Brohan E, Rose D, Sartorius N, Leese M, the INDIGO Study Group (2009) Global pattern of experienced and anticipated discrimination against people with schizophrenia. Lancet 373:408–415PubMedCrossRef
32.
Zurück zum Zitat Webber M, Corker E, Hamilton S, Weeks C, Pinfold V, Rose D, Thornicroft G, Henderson C (2013) Discrimination against people with severe mental illness and their access to social capital: findings from the Viewpoint survey. Epidemiol Psychiat Sci. doi:10.1017/S2045796013000243 Webber M, Corker E, Hamilton S, Weeks C, Pinfold V, Rose D, Thornicroft G, Henderson C (2013) Discrimination against people with severe mental illness and their access to social capital: findings from the Viewpoint survey. Epidemiol Psychiat Sci. doi:10.​1017/​S204579601300024​3
33.
Zurück zum Zitat Lasalvia A, Zoppei S, Van Bortel T, Bonetto C, Cristofalo D, Wahlbeck K, Vasseur Bacle S, Van Audenhove C, Van Weeghel J, Reneses B, Germanavicius A, Economou M, Lanfredi M, Ando S, Sartorius N, Lopez-Ibor JJ, Thornicroft G, the ASPEN/INDIGO Study Group (2013) Global pattern of experienced and anticipated discrimination reported by people with major depressive disorder: a cross-sectional survey. Lancet 381:55–62PubMedCrossRef Lasalvia A, Zoppei S, Van Bortel T, Bonetto C, Cristofalo D, Wahlbeck K, Vasseur Bacle S, Van Audenhove C, Van Weeghel J, Reneses B, Germanavicius A, Economou M, Lanfredi M, Ando S, Sartorius N, Lopez-Ibor JJ, Thornicroft G, the ASPEN/INDIGO Study Group (2013) Global pattern of experienced and anticipated discrimination reported by people with major depressive disorder: a cross-sectional survey. Lancet 381:55–62PubMedCrossRef
34.
Zurück zum Zitat Pyne JM, Kuc EJ, Schroeder PJ, Fortney JC, Edlund M, Sullivan G (2004) Relationship between perceived stigma and depression severity. J Nerv Ment Dis 192:278–283PubMedCrossRef Pyne JM, Kuc EJ, Schroeder PJ, Fortney JC, Edlund M, Sullivan G (2004) Relationship between perceived stigma and depression severity. J Nerv Ment Dis 192:278–283PubMedCrossRef
35.
Zurück zum Zitat Yen CF, Chen CC, Lee Y, Tang TC, Yen JY, Ko CH (2005) Self-stigma and its correlates among outpatients with depressive disorders. Psychiatr Serv 56:599–601PubMedCrossRef Yen CF, Chen CC, Lee Y, Tang TC, Yen JY, Ko CH (2005) Self-stigma and its correlates among outpatients with depressive disorders. Psychiatr Serv 56:599–601PubMedCrossRef
36.
Zurück zum Zitat Dinos S, Stevens S, Serfaty M, Weich S, King M (2004) Stigma: the feelings and experiences of 46 people with mental illness. Qualitative study. Br J Psychiatry 184:176–181PubMedCrossRef Dinos S, Stevens S, Serfaty M, Weich S, King M (2004) Stigma: the feelings and experiences of 46 people with mental illness. Qualitative study. Br J Psychiatry 184:176–181PubMedCrossRef
37.
Zurück zum Zitat Thornicroft G (2006) Shunned: discrimination against people with mental illness. Oxford University Press, Oxford Thornicroft G (2006) Shunned: discrimination against people with mental illness. Oxford University Press, Oxford
38.
Zurück zum Zitat Lakeman R, McGowan P, MacGabhann L, Parkinson M, Redmond M, Sibitz I, Stevenson C, Walsh J (2012) A qualitative study exploring experiences of discrimination associated with mental-health problems in Ireland. Epidemiol Psychiatr Sci 21:271–279PubMedCrossRef Lakeman R, McGowan P, MacGabhann L, Parkinson M, Redmond M, Sibitz I, Stevenson C, Walsh J (2012) A qualitative study exploring experiences of discrimination associated with mental-health problems in Ireland. Epidemiol Psychiatr Sci 21:271–279PubMedCrossRef
39.
Zurück zum Zitat European Social Survey ESS (2010) Round 5 source showcards. Centre for Comparative Social Surveys, City University London, London European Social Survey ESS (2010) Round 5 source showcards. Centre for Comparative Social Surveys, City University London, London
40.
Zurück zum Zitat Poortinga W (2006) Social capital: an individual or collective resource for health? Soc Sci Med 62(2):292–302PubMedCrossRef Poortinga W (2006) Social capital: an individual or collective resource for health? Soc Sci Med 62(2):292–302PubMedCrossRef
41.
Zurück zum Zitat Von Dem Knesebeck O, Dragano N, Siegrist J (2005) Social capital and self-rated health in 21 European countries. Psychosoc Med 2:1614–2934 Von Dem Knesebeck O, Dragano N, Siegrist J (2005) Social capital and self-rated health in 21 European countries. Psychosoc Med 2:1614–2934
42.
Zurück zum Zitat Kelly BD, Davoren M, Mhaoláin AN, Breen EG, Casey P (2009) Social capital and suicide in 11 European countries: an ecological analysis. Soc Psychiatry Psychiatr Epidemiol 44(11):971–977PubMedCrossRef Kelly BD, Davoren M, Mhaoláin AN, Breen EG, Casey P (2009) Social capital and suicide in 11 European countries: an ecological analysis. Soc Psychiatry Psychiatr Epidemiol 44(11):971–977PubMedCrossRef
43.
Zurück zum Zitat Meltzer H (2003) Development of a common instrument for mental health. In: Nosikov A, Gudex C (eds) Eurohis: developing common instruments for health surveys. IOS Press, Amsterdam, pp 35–60 Meltzer H (2003) Development of a common instrument for mental health. In: Nosikov A, Gudex C (eds) Eurohis: developing common instruments for health surveys. IOS Press, Amsterdam, pp 35–60
44.
Zurück zum Zitat Brohan E, Clement S, Rose D, Sartorius N, Slade M, Thornicroft G (2013) Development and psychometric evaluation of the Discrimination and Stigma Scale (DISC). Psychiatry Res 208:33–40PubMedCrossRef Brohan E, Clement S, Rose D, Sartorius N, Slade M, Thornicroft G (2013) Development and psychometric evaluation of the Discrimination and Stigma Scale (DISC). Psychiatry Res 208:33–40PubMedCrossRef
45.
Zurück zum Zitat Almedom AM, Glandon D (2008) Social capital and mental health: an updated interdisciplinary review of primary evidence. In: Kawachi I, Subramanian SV, Kim D (eds) Social capital and health. Springer, New York, pp 191–214CrossRef Almedom AM, Glandon D (2008) Social capital and mental health: an updated interdisciplinary review of primary evidence. In: Kawachi I, Subramanian SV, Kim D (eds) Social capital and health. Springer, New York, pp 191–214CrossRef
46.
Zurück zum Zitat Kawachi I, Berkman L (2000) Social cohesion, social capital, and health. In: Berkman LF, Kawachi I (eds) Social epidemiology. Oxford University Press, Oxford, pp 174–190 Kawachi I, Berkman L (2000) Social cohesion, social capital, and health. In: Berkman LF, Kawachi I (eds) Social epidemiology. Oxford University Press, Oxford, pp 174–190
47.
Zurück zum Zitat Goffman E (1963) Stigma: notes on the management of spoiled identity. Penguin Books, Harmondsworth, Middlesex Goffman E (1963) Stigma: notes on the management of spoiled identity. Penguin Books, Harmondsworth, Middlesex
48.
Zurück zum Zitat Link BG, Struening E, Cullen FT, Shrout PE, Dohrenwend BP (1989) A modified labeling theory approach to mental disorders—an empirical assessment. Am Sociol Rev 54(3):400–423CrossRef Link BG, Struening E, Cullen FT, Shrout PE, Dohrenwend BP (1989) A modified labeling theory approach to mental disorders—an empirical assessment. Am Sociol Rev 54(3):400–423CrossRef
49.
Zurück zum Zitat Link BG, Mirotznik J, Cullen FT (1991) The effectiveness of stigma coping orientations: can negative consequences of mental illness labeling be avoided? J Health Soc Behav 32:302–320PubMedCrossRef Link BG, Mirotznik J, Cullen FT (1991) The effectiveness of stigma coping orientations: can negative consequences of mental illness labeling be avoided? J Health Soc Behav 32:302–320PubMedCrossRef
50.
Zurück zum Zitat Blood GW, Blood IM, Tellis GM, Gabel RM (2003) A preliminary study of self-esteem, stigma and disclosure in adolescents who stutter. J Fluency Disord 28:143–159PubMedCrossRef Blood GW, Blood IM, Tellis GM, Gabel RM (2003) A preliminary study of self-esteem, stigma and disclosure in adolescents who stutter. J Fluency Disord 28:143–159PubMedCrossRef
51.
52.
Zurück zum Zitat Picher F, Wallace C (2007) Patterns of formal and informal social capital in Europe. Eur Sociol Rev 23:423–435CrossRef Picher F, Wallace C (2007) Patterns of formal and informal social capital in Europe. Eur Sociol Rev 23:423–435CrossRef
53.
Zurück zum Zitat Kumlin S, Rothstein B (2005) Making and breaking social capital. The impact of welfare-state institutions. Comp Polit Stud 38:339–365CrossRef Kumlin S, Rothstein B (2005) Making and breaking social capital. The impact of welfare-state institutions. Comp Polit Stud 38:339–365CrossRef
54.
Zurück zum Zitat Newton K, Norris P (2000) Confidence in public institutions: faith, culture, or performance. In: Pharr SJ, Putnam RD (eds) Disaffected democracies: what’s troubling the trilateral countries?. Princeton University Press, Princeton, pp 52–73 Newton K, Norris P (2000) Confidence in public institutions: faith, culture, or performance. In: Pharr SJ, Putnam RD (eds) Disaffected democracies: what’s troubling the trilateral countries?. Princeton University Press, Princeton, pp 52–73
Metadaten
Titel
Social capital and reported discrimination among people with depression in 15 European countries
verfasst von
Silvia Zoppei
Antonio Lasalvia
Chiara Bonetto
Tine Van Bortel
Fredrica Nyqvist
Martin Webber
Esa Aromaa
Jaap Van Weeghel
Mariangela Lanfredi
Judit Harangozó
Kristian Wahlbeck
Graham Thornicroft
the ASPEN Study Group
Publikationsdatum
01.10.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 10/2014
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-014-0856-6

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