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Published in: Social Psychiatry and Psychiatric Epidemiology 6/2012

01-06-2012 | Original Paper

Poor mental health influences risk and duration of unemployment: a prospective study

Authors: Peter Butterworth, Liana S. Leach, Jane Pirkis, Margaret Kelaher

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 6/2012

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Abstract

Purpose

The current paper aims to investigate the role of mental health in determining future employment status. Much of the previous longitudinal and prospective research has focused on how unemployment adversely influences mental health, while the reverse causal direction has received much less attention.

Methods

This study uses five waves of data from 5,846 respondents in the HILDA survey, a nationally representative household panel survey conducted annually since 2001. Prospective analyses followed a group of respondents who were not unemployed at baseline across four subsequent years and investigated whether baseline mental health was associated with subsequent unemployment.

Results

Baseline mental health status was a significant predictor of overall time spent unemployed for both men and women. Decomposing this overall effect identified sex differences. For women but not men, baseline mental health was associated with risk of experiencing any subsequent unemployment whereas for men but not women mental health was associated with the duration of unemployment amongst those who experienced unemployment.

Conclusions

By following a group of respondents who were not unemployed over time, we showed that poor mental health predicted subsequent unemployment. On average, men and women who experienced symptoms of common mental disorders spent greater time over the next 4 years unemployed than those with better mental health but there were sex differences in the nature of this effect. These findings highlight the importance of mental health in the design and delivery of employment and welfare policy.
Literature
1.
2.
go back to reference Fryers T, Melzer D, Jenkins R (2003) Social inequalities and the common mental disorders. Social Psychiatry Psychiatr Epidemiol 38:229–237CrossRef Fryers T, Melzer D, Jenkins R (2003) Social inequalities and the common mental disorders. Social Psychiatry Psychiatr Epidemiol 38:229–237CrossRef
3.
go back to reference Wilhelm K, Mitchell P, Slade T et al (2003) Prevalence and correlates of DSM-IV major depression in an Australian national survey. J Affect Disord 75:155–162PubMedCrossRef Wilhelm K, Mitchell P, Slade T et al (2003) Prevalence and correlates of DSM-IV major depression in an Australian national survey. J Affect Disord 75:155–162PubMedCrossRef
4.
go back to reference Kessler RC, Zhao S, Blazer DG et al (1997) Prevalence, correlates, and course of minor depression and major depression in the National Comorbidity Survey. J Affect Disord 45:19–30PubMedCrossRef Kessler RC, Zhao S, Blazer DG et al (1997) Prevalence, correlates, and course of minor depression and major depression in the National Comorbidity Survey. J Affect Disord 45:19–30PubMedCrossRef
5.
go back to reference Jenkins R, Lewis G, Bebbington P et al (2003) The National Psychiatric Morbidity Surveys of Great Britain—initial findings from the Household Survey. Int Rev Psychiatry 15:29–42PubMedCrossRef Jenkins R, Lewis G, Bebbington P et al (2003) The National Psychiatric Morbidity Surveys of Great Britain—initial findings from the Household Survey. Int Rev Psychiatry 15:29–42PubMedCrossRef
6.
go back to reference Graetz B (1993) Health consequences of employment and unemployment: longitudinal evidence for young men and women. Soc Sci Med 36:715–724PubMedCrossRef Graetz B (1993) Health consequences of employment and unemployment: longitudinal evidence for young men and women. Soc Sci Med 36:715–724PubMedCrossRef
7.
go back to reference Heponiemi T, Elovainio M, Manderbacka K et al (2007) Relationship between unemployment and health among health care professionals: health selection or health effect? J Psychosom Res 63:425–431PubMedCrossRef Heponiemi T, Elovainio M, Manderbacka K et al (2007) Relationship between unemployment and health among health care professionals: health selection or health effect? J Psychosom Res 63:425–431PubMedCrossRef
8.
go back to reference Dooley D, Prause J, Ham-Rowbottom KA (2000) Underemployment and depression: longitudinal relationships. J Health Soc Behav 41:421–436PubMedCrossRef Dooley D, Prause J, Ham-Rowbottom KA (2000) Underemployment and depression: longitudinal relationships. J Health Soc Behav 41:421–436PubMedCrossRef
9.
go back to reference Arrighi HM, Hertz-Picciotto I (1994) The evolving concept of the healthy worker survivor effect. Epidemiology 5:189–196PubMedCrossRef Arrighi HM, Hertz-Picciotto I (1994) The evolving concept of the healthy worker survivor effect. Epidemiology 5:189–196PubMedCrossRef
10.
go back to reference Mossakowski KN (2009) The influence of past unemployment duration on symptoms of depression among young women and men in the United States. Am J Public Health 99:1826–1832PubMedCrossRef Mossakowski KN (2009) The influence of past unemployment duration on symptoms of depression among young women and men in the United States. Am J Public Health 99:1826–1832PubMedCrossRef
11.
go back to reference Stankunas M, Kalediene R, Starkuviene S et al (2006) Duration of unemployment and depression: a cross-sectional survey in Lithuania. BMC Public Health 6:174PubMedCrossRef Stankunas M, Kalediene R, Starkuviene S et al (2006) Duration of unemployment and depression: a cross-sectional survey in Lithuania. BMC Public Health 6:174PubMedCrossRef
12.
go back to reference Wooden M, Watson N (eds) (2002) The household, income and labour dynamics in Australia (HILDA) survey: an introduction. University of Melbourne, Melbourne Wooden M, Watson N (eds) (2002) The household, income and labour dynamics in Australia (HILDA) survey: an introduction. University of Melbourne, Melbourne
13.
go back to reference Butterworth P, Crosier T (2004) The validity of the SF-36 in an Australian National Household Survey: demonstrating the applicability of the Household Income and Labour Dynamics in Australia (HILDA) Survey to examination of health inequalities. BMC Public Health 4:44PubMedCrossRef Butterworth P, Crosier T (2004) The validity of the SF-36 in an Australian National Household Survey: demonstrating the applicability of the Household Income and Labour Dynamics in Australia (HILDA) Survey to examination of health inequalities. BMC Public Health 4:44PubMedCrossRef
14.
go back to reference Rumpf HJ, Meyer C, Hapke U et al (2001) Screening for mental health: validity of the MHI-5 using DSM-IV Axis I psychiatric disorders as gold standard. Psychiatry Res 105:243–253PubMedCrossRef Rumpf HJ, Meyer C, Hapke U et al (2001) Screening for mental health: validity of the MHI-5 using DSM-IV Axis I psychiatric disorders as gold standard. Psychiatry Res 105:243–253PubMedCrossRef
15.
go back to reference Ware JE Jr, Gandek B (1998) Overview of the SF-36 Health Survey and the International Quality of Life Assessment (IQOLA) Project. J Clin Epidemiol 51:903–912PubMedCrossRef Ware JE Jr, Gandek B (1998) Overview of the SF-36 Health Survey and the International Quality of Life Assessment (IQOLA) Project. J Clin Epidemiol 51:903–912PubMedCrossRef
16.
go back to reference Mineka S, Watson D, Clark LA (1998) Comorbidity of anxiety and unipolar mood disorders. Annu Rev Psychol 49:377–412PubMedCrossRef Mineka S, Watson D, Clark LA (1998) Comorbidity of anxiety and unipolar mood disorders. Annu Rev Psychol 49:377–412PubMedCrossRef
17.
go back to reference Krueger RF, Caspi A, Moffitt TE et al (1998) The structure and stability of common mental disorders (DSM-III-R): a longitudinal-epidemiological study. J Abnorm Psychol 107:216–227PubMedCrossRef Krueger RF, Caspi A, Moffitt TE et al (1998) The structure and stability of common mental disorders (DSM-III-R): a longitudinal-epidemiological study. J Abnorm Psychol 107:216–227PubMedCrossRef
18.
go back to reference Bartley M, Owen C (1996) Relation between socioeconomic status, employment, and health during economic change, 1973–93. Br Med J 313:445–449CrossRef Bartley M, Owen C (1996) Relation between socioeconomic status, employment, and health during economic change, 1973–93. Br Med J 313:445–449CrossRef
19.
go back to reference Hammarstrom A, Janlert U (2003) Unemployment–an important predictor for future smoking: a 14-year follow-up study of school leavers. Scand J Public Health 31:229–232PubMedCrossRef Hammarstrom A, Janlert U (2003) Unemployment–an important predictor for future smoking: a 14-year follow-up study of school leavers. Scand J Public Health 31:229–232PubMedCrossRef
20.
go back to reference Artazcoz L, Benach J, Borrell C et al (2004) Unemployment and mental health: understanding the interactions among gender, family roles, and social class. Am J Public Health 94:82–88PubMedCrossRef Artazcoz L, Benach J, Borrell C et al (2004) Unemployment and mental health: understanding the interactions among gender, family roles, and social class. Am J Public Health 94:82–88PubMedCrossRef
21.
go back to reference Dalgard O, Dowrick C, Lehtinen V et al (2006) Negative life events, social support and gender difference in depression. Soc Psychiatry Psychiatr Epidemiol 41:444–451PubMedCrossRef Dalgard O, Dowrick C, Lehtinen V et al (2006) Negative life events, social support and gender difference in depression. Soc Psychiatry Psychiatr Epidemiol 41:444–451PubMedCrossRef
22.
go back to reference Leach LS, Christensen H, Mackinnon AJ et al (2008) Gender differences in depression and anxiety across the adult lifespan: the role of psychosocial mediators. Soc Psychiatry Psychiatr Epidemiol 43:983–998PubMedCrossRef Leach LS, Christensen H, Mackinnon AJ et al (2008) Gender differences in depression and anxiety across the adult lifespan: the role of psychosocial mediators. Soc Psychiatry Psychiatr Epidemiol 43:983–998PubMedCrossRef
23.
go back to reference Hayes A, Gray M, Edwards B (2008) Social inclusion: origins concepts and key themes. Australian Institute of Family Studies, prepared for the Social Inclusion Unit, Department of the Prime Minister and Cabinet, Canberra Hayes A, Gray M, Edwards B (2008) Social inclusion: origins concepts and key themes. Australian Institute of Family Studies, prepared for the Social Inclusion Unit, Department of the Prime Minister and Cabinet, Canberra
26.
go back to reference Department of Education, Employment and Workplace Relations (2008) The future of disability employment services in Australia. Discussion paper. Commonwealth of Australia, Canberra Department of Education, Employment and Workplace Relations (2008) The future of disability employment services in Australia. Discussion paper. Commonwealth of Australia, Canberra
29.
go back to reference Bartley M (1994) Unemployment and ill health: understanding the relationship. J Epidemiol Community Health 48:333–337PubMedCrossRef Bartley M (1994) Unemployment and ill health: understanding the relationship. J Epidemiol Community Health 48:333–337PubMedCrossRef
30.
go back to reference Leach LS, Butterworth P, Strazdins L et al (2010) The limitations of employment as a tool for social inclusion. BMC Public Health 10:621PubMedCrossRef Leach LS, Butterworth P, Strazdins L et al (2010) The limitations of employment as a tool for social inclusion. BMC Public Health 10:621PubMedCrossRef
31.
go back to reference Butterworth P, Gill S, Rodgers B, Anstey KJ, Villamil E, Melzer D (2006) Retirement and the mental health of older Australians: analysis of the National Survey of Mental Health and Wellbeing. Soc Sci Med 62:1179–1191PubMedCrossRef Butterworth P, Gill S, Rodgers B, Anstey KJ, Villamil E, Melzer D (2006) Retirement and the mental health of older Australians: analysis of the National Survey of Mental Health and Wellbeing. Soc Sci Med 62:1179–1191PubMedCrossRef
32.
go back to reference Olesen SC, Butterworth P, Rodgers B (2011) Is poor mental health a risk factor for retirement? Findings from a longitudinal population survey. Soc Psychiatry Psychiatr Epidemiol (in press) Olesen SC, Butterworth P, Rodgers B (2011) Is poor mental health a risk factor for retirement? Findings from a longitudinal population survey. Soc Psychiatry Psychiatr Epidemiol (in press)
Metadata
Title
Poor mental health influences risk and duration of unemployment: a prospective study
Authors
Peter Butterworth
Liana S. Leach
Jane Pirkis
Margaret Kelaher
Publication date
01-06-2012
Publisher
Springer-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 6/2012
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-011-0409-1

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