The Onset of Depression During the Great Recession: Foreclosure and Older Adult Mental Health

Cagney, Kathleen A.; Browning, Christopher R.; Iveniuk, James; English, Ned

doi:10.2105/ajph.2013.301566

Cited by 90 publications

(84 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This association was especially pronounced in counties with high proportions of NHB and low-income residents, again suggesting that these groups were disproportionately impacted by the crisis [52]. In individual-level analyses, personally experiencing foreclosure or mortgage distress during the Recession – or living in a neighborhood that experienced large increases in foreclosure rates – also significantly increased risk for psychological distress, even after accounting for other individual- or area-level financial stressors [21–23, 27, 55–57]. …”

Section: Resultsmentioning

confidence: 99%

Health Impacts of the Great Recession: a Critical Review

et al. 2016

View full text Add to dashboard Cite

The severity, sudden onset, and multipronged nature of the Great Recession (2007–2009) provided a unique opportunity to examine the health impacts of macroeconomic downturn. We comprehensively review empirical literature examining the relationship between the Recession and mental and physical health outcomes in developed nations. Overall, studies reported detrimental impacts of the Recession on health, particularly mental health. Macro- and individual-level employment- and housing-related sequelae of the Recession were associated with declining fertility and self-rated health, and increasing morbidity, psychological distress, and suicide, although traffic fatalities and population-level alcohol consumption declined. Health impacts were stronger among men and racial/ethnic minorities. Importantly, strong social safety nets in some European countries appear to have buffered those populations from negative health effects. This literature, however, still faces multiple methodological challenges, and more time may be needed to observe the Recession’s full health impact. We conclude with suggestions for future work in this field.

show abstract

Section: Resultsmentioning

confidence: 99%

Health Impacts of the Great Recession: a Critical Review

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Several studies on economic downturns and health use general indicators of health such as self-rated health (Burgard, Brand, and House 2007), physical functioning (Gallo et al 2000), hospital visits (Currie and Tekin 2011), and self-reports of illness (Turner 1995). Other studies use markers of mental health, such as depressive symptoms (Brand, Levy, and Gallo 2008; Cagney et al 2014; Houle 2014). Given that the literature deems stress a critical mechanism driving the association between economic downturns and health, more research on the relationship between economic forces and biomarkers of physiological functioning is needed to improve understanding of how recessions and economic shocks “get under the skin” to affect disease and mortality risk.…”

Section: Introductionmentioning

confidence: 99%

The physiological impacts of wealth shocks in late life: Evidence from the Great Recession

Boen

Yang

2016

Social Science & Medicine

View full text Add to dashboard Cite

Given documented links between individual socioeconomic status (SES) and health, it is likely that—in addition to its impacts on individuals’ wallets and bank accounts—the Great Recession also took a toll on individuals’ disease and mortality risk. Exploiting a quasi-natural experiment design, this study utilizes nationally representative, longitudinal data from the National Social Life, Health, and Aging Project (NSHAP) (2005-2011) (N=930) and individual fixed effects models to examine how household-level wealth shocks experienced during the Great Recession relate to changes in biophysiological functioning in older adults. Results indicate that wealth shocks significantly predicted changes in physiological functioning, such that losses in net worth from the pre- to the post-Recession period were associated with increases in systolic blood pressure and C-reactive protein over the six year period. Further, while the association between wealth shocks and changes in blood pressure was unattenuated with the inclusion of other indicators of SES, psychosocial well-being, and health behaviors in analytic models, we document some evidence of mediation in the association between changes in wealth and changes in C-reactive protein, which suggests specificity in the social and biophysiological mechanisms relating wealth shocks and health at older ages. Linking macro-level conditions, meso-level household environments, and micro-level biological processes, this study provides new insights into the mechanisms through which economic inequality contributes to disease and mortality risk in late life.

show abstract

“…The number of older adults living in poverty is high, with 8.1% of U.S. adults aged 65 to 74 and 10% of those over 75 living below the official poverty line (6). Older adults living in poverty are 2.6 times more likely to suffer from depression than middle-income older adults and are more likely to be disabled as a consequence (7–10). The comorbidity of depression and disability in low-income older adults is high (11, 12) and increases the cost of healthcare in the U.S.…”

Section: Introductionmentioning

confidence: 99%

Effects of Problem-Solving Therapy and Clinical Case Management on Disability in Low-Income Older Adults

Areán

Raue

McCulloch

et al. 2015

The American Journal of Geriatric Psychiatry

View full text Add to dashboard Cite

Objective To test the hypotheses that: 1) Clinical case management integrated with Problem Solving Therapy (CM-PST) is more effective than clinical case management alone (CM) in improving functional outcomes in disabled, impoverished patients and 2) Improvement in depression, self-efficacy and problem solving skills mediates improvement of disability. Design RCT with a parallel design, allocating participants to CM or CM-PST at 1:1 ratio. Raters were blind to patients’ assignments. Setting Participants’ homes. Participants 271 individuals were screened and 171 were randomized. Participants were ≥60 years with major depression, had at least 1 disability, were eligible for home-based meals services, and had income ≤30% of their counties’ median. Interventions 12 weekly sessions of either CM or CM-PST. Main Outcome Measure WHO Disability Assessment Scale (WHODAS). Results Both interventions resulted in improved functioning by 12 weeks (t=4.28, df=554, p=0.001), which was maintained until 24 weeks. Contrary to hypothesis, CM was non-inferior to CM-PST (one-sided p=0.0003, t=−3.5, df=558). Change in disability was not affected by baseline depression severity, cognitive function or number of unmet social service needs. Improvements in self efficacy (t=−2.45, df = 672, p=0.021), problem solving skill (t=−2.44, df=546, p=0.015), depression symptoms (t=2.25, df = 672, p=.025) by week 9 predicted improvement in function across groups by week 12. Conclusions Case management is non-inferior to case management augmented with PST for late-life depression in low-income populations. The effect of these interventions occur early, with benefits in functional status being maintained as long as 24 weeks after treatment initiation.

show abstract

The Onset of Depression During the Great Recession: Foreclosure and Older Adult Mental Health

Abstract: Increases in neighborhood-level foreclosure represent an important risk factor for depression in older adults. These results accord with previous studies suggesting that the effects of economic crises are typically first experienced through deficits in emotional well-being.

Cited by 90 publications

References 26 publications

Health Impacts of the Great Recession: a Critical Review

Health Impacts of the Great Recession: a Critical Review

The physiological impacts of wealth shocks in late life: Evidence from the Great Recession

Effects of Problem-Solving Therapy and Clinical Case Management on Disability in Low-Income Older Adults

Contact Info

Product

Resources

About