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Surviving social assistance: 12-month prevalence of depression in sole-support parents receiving social assistance

机译:幸存的社会救助:接受社会救助的单身parents养父母患抑郁症的时间为12个月

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摘要

BACKGROUND: Although it is generally recognized that poverty and depression can coexist among single parents receiving social assistance, there is insufficient research on this topic. The goals of this study therefore were to investigate the prevalence, correlates and health care expenditures associated with depression among sole-support parents receiving social assistance. METHODS: Sole-support parents who had applied for social assistance in 2 regions of southwestern Ontario were included in the study. Depression was diagnosed with the 1994 University of Michigan Composite International Diagnostic Interview short forms. RESULTS: The 12-month prevalence rate of depressive disorder among the parents interviewed was 45.4% (345/760). A total of 247 (32.5%) had major depressive disorder alone, 19 (2.5%) had dysthymia, and 79 (10.4%) had both major depressive disorder and dysthymia ("double depression"). Those with major depressive disorder, particularly double depression, had significantly higher rates of coexisting psychiatric disorder than those without depressive disorders. Parents with depression reported higher rates of developmental delay and behaviour problems in their children than parents without depression. Expenditures for health care services were higher for parents with depression and for their children than for parents without depressive disorder and their children. INTERPRETATION: Single parents receiving social assistance have high rates of depression. Such parents with depression also have higher rates of other psychiatric disorders and higher expenditures for health care services, and their children have higher rates of developmental delay and behaviour problems.
机译:背景:尽管人们普遍认为,贫困和抑郁症可以在接受社会援助的单身父母中共存,但对此主题的研究还不足。因此,本研究的目的是调查接受社会救助的独身父母的患病率,相关性和与抑郁症相关的医疗保健支出。方法:本研究包括在安大略省西南部两个地区申请社会救助的单身父母。抑郁症是通过1994年密歇根大学综合国际诊断面试的简短形式诊断的。结果:在接受采访的父母中,抑郁症的12个月患病率为45.4%(345/760)。总共247(32.5%)人患有严重抑郁症,其中19人(2.5%)存在心境障碍,而79人(10.4%)患有重度抑郁症和心律失常(“双重抑郁症”)。患有重度抑郁症,尤其是双重抑郁症的人,与没有抑郁症的人相比,合并精神病的比率要高得多。患有抑郁症的父母比没有抑郁症的父母报告了他们的孩子发育迟缓和行为问题的发生率更高。患有抑郁症的父母及其子女在保健服务上的支出要高于没有抑郁症的父母及其子女。解释:接受社会救助的单亲父母的抑郁症发生率很高。这些患有抑郁症的父母也有较高的其他精神疾病发病率和较高的医疗保健服务支出,其子女的发育延迟和行为问题也较高。

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