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Published in: Social Psychiatry and Psychiatric Epidemiology 5/2013

01-05-2013 | Original Paper

Socioeconomic status and beliefs about depression, schizophrenia and eating disorders

Authors: Olaf von dem Knesebeck, Eva Mnich, Anne Daubmann, Karl Wegscheider, Matthias C. Angermeyer, Martin Lambert, Anne Karow, Martin Härter, Christopher Kofahl

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 5/2013

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Abstract

Purpose

The association between socioeconomic status (SES) and knowledge/belief about depression, schizophrenia and eating disorders will be analysed.

Methods

Data stem from a telephone survey in two large German cities (Hamburg and Munich, n = 2,014, response rate 51 %). Written vignettes with typical signs and symptoms suggestive of a depression, schizophrenia and eating disorders were presented to the respondents. Respondents were then asked about knowledge/belief about causes, symptoms, prevalence and treatment using a standardised questionnaire. Education, occupational position and income were used as SES indicators.

Results

Results of mixed hierarchal logistic regression analyses show that individuals with a low SES know less about symptoms and prevalences of depression, schizophrenia and eating disorders. Moreover, people with a high SES are more likely to consider medication as effective in case of depression and schizophrenia, but are less likely to believe that activities such as sports or relaxation are an effective measure to treat the three mental disorders under study. Respondents with a high SES are less likely to believe that a weak will is a possible cause of depression, schizophrenia and eating disorders. We found large similarities in the associations between SES and beliefs across the three mental disorders. Finally, associations of beliefs about mental disorders with education are stronger and more consistent than with income and occupational position.

Conclusions

Results indicate an inequality in mental health literacy and underline that information campaigns on causes, symptoms, prevalence and treatment of mental disorders should consider information needs of people with a low SES.
Appendix
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Footnotes
1
Gender of the “patient” in the depression and schizophrenia vignettes was systematically varied.
 
2
For the present analyses answers concerning the two vignettes presenting eating disorders were pooled.
 
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Metadata
Title
Socioeconomic status and beliefs about depression, schizophrenia and eating disorders
Authors
Olaf von dem Knesebeck
Eva Mnich
Anne Daubmann
Karl Wegscheider
Matthias C. Angermeyer
Martin Lambert
Anne Karow
Martin Härter
Christopher Kofahl
Publication date
01-05-2013
Publisher
Springer-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 5/2013
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-012-0599-1

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