2023-09-28 14:46:10 +00:00
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abstract: 'This European Psychiatric Association (EPA) guidance paper is a result
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of the Working Group on Mental Health Consequences of Economic Crises of
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the EPA Council of National Psychiatric Associations. Its purpose is to
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identify the impact on mental health in Europe of the economic downturn
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and the measures that may be taken to respond to it. We performed a
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review of the existing literature that yields 350 articles on which our
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conclusions and recommendations are based. Evidence-based tables and
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recommendations were developed through an expert consensus process.
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Literature dealing with the consequences of economic turmoil on the
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health and health behaviours of the population is heterogeneous, and the
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results are not completely unequivocal. However, there is a broad
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consensus about the deleterious consequences of economic crises on
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mental health, particularly on psychological well-being, depression,
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anxiety disorders, insomnia, alcohol abuse, and suicidal behaviour.
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Unemployment, indebtedness, precarious working conditions, inequalities,
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lack of social connectedness, and housing instability emerge as main
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risk factors. Men at working age could be particularly at risk, together
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with previous low SES or stigmatized populations. Generalized austerity
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measures and poor developed welfare systems trend to increase the
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harmful effects of economic crises on mental health. Although many
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articles suggest limitations of existing research and provide
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suggestions for future research, there is relatively little discussion
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of policy approaches to address the negative impact of economic crises
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on mental health. The few studies that addressed policy questions
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suggested that the development of social protection programs such as
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active labour programs, social support systems, protection for housing
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instability, and better access to mental health care, particularly at
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primary care level, is strongly needed.'
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affiliation: 'Martin-Carrasco, M (Corresponding Author), Ma Josefa Recio Fdn Hospitaller
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Sisters, Inst Psychiat Res, Bilbao, Spain.
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Martin-Carrasco, M (Corresponding Author), Ctr Invest Red Salud Mental CIBERSAM,
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Madrid, Spain.
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Martin-Carrasco, M (Corresponding Author), Dept Psychiat, Clin Padre Menni, Joaquin
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Beunza 45, Pamplona 31014, Spain.
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Martin-Carrasco, M.; Gonzalez-Fraile, E., Ma Josefa Recio Fdn Hospitaller Sisters,
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Inst Psychiat Res, Bilbao, Spain.
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Martin-Carrasco, M.; Gomez-Beneyto, M., Ctr Invest Red Salud Mental CIBERSAM, Madrid,
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Spain.
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Christodoulou, N. G., Univ Nottingham, Nottingham NG7 2RD, England.
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Evans-Lacko, S., Kings Coll London, Inst Psychiat, Hlth Serv \& Populat Res Dept,
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De Crespigny Pk, London WC2R 2LS, England.
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Evans-Lacko, S., Univ London London Sch Econ \& Polit Sci, PSSRU, Houghton St, London
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WC2A 2AE, England.
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Dom, G., Univ Antwerp, Collaborat Antwerp Psychiat Res Inst, B-2610 Antwerp, Belgium.
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Samochowiec, J., Pomeranian Med Univ, Dept Psychiat, Szczecin, Poland.
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Bienkowski, P., Inst Psychiat \& Neurol, Dept Pharmacol, Warsaw, Poland.
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Gomez-Beneyto, M., Univ Valencia, Valencia, Spain.
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Dos Santos, M. J. H., Beatriz Angelo Hosp, Portuguese Soc Psychiat \& Mental Hlth,
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Lisbon, Portugal.
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Wasserman, D., Karolinska Inst, Natl Ctr Suicide Res \& Prevent Mental Hlth, Stockholm,
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Sweden.
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Martin-Carrasco, M., Dept Psychiat, Clin Padre Menni, Joaquin Beunza 45, Pamplona
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31014, Spain.'
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author: Martin-Carrasco, M. and Evans-Lacko, S. and Dom, G. and Christodoulou, N.
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G. and Samochowiec, J. and Gonzalez-Fraile, E. and Bienkowski, P. and Gomez-Beneyto,
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M. and Dos Santos, M. J. H. and Wasserman, D.
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author-email: martincarrasco.manuel@gmail.com
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author_list:
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- family: Martin-Carrasco
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given: M.
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- family: Evans-Lacko
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given: S.
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- family: Dom
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given: G.
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- family: Christodoulou
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given: N. G.
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- family: Samochowiec
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given: J.
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- family: Gonzalez-Fraile
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given: E.
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- family: Bienkowski
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given: P.
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- family: Gomez-Beneyto
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given: M.
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- family: Dos Santos
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given: M. J. H.
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- family: Wasserman
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given: D.
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da: '2023-09-28'
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doi: 10.1007/s00406-016-0681-x
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eissn: 1433-8491
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files: []
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issn: 0940-1334
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journal: EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE
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keywords: 'Economic crisis; Mental health; Psychiatric care; Depression;
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Unemployment; Suicide; Welfare system; Europe'
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keywords-plus: 'INCOME-RELATED INEQUALITIES; PERCEIVED JOB INSECURITY; GLOBAL FINANCIAL
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CRISIS; REPEATED CROSS-SECTIONS; GREAT RECESSION; SUICIDE RATES;
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PRIMARY-CARE; TIME-SERIES; RISK-FACTORS; PSYCHOLOGICAL DISTRESS'
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language: English
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month: MAR
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number: '2'
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number-of-cited-references: '350'
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orcid-numbers: 'Samochowiec, Jerzy/0000-0003-1438-583X
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Evans-Lacko, Sara/0000-0003-4691-2630
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Dom, Geert/0000-0001-6492-0429
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González-Fraile, Eduardo/0000-0001-9381-3358
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González-Fraile, Eduardo/0000-0001-9381-3358
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Samochowiec, Jerzy/0000-0003-1438-583X
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Heitor dos Santos, Maria/0000-0003-3481-091X
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Christodoulou, Nikos/0000-0002-6401-0828'
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pages: 89-124
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papis_id: 3579825ff9c1918cd22d60ad8529e791
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ref: Martincarrasco2016epaguidance
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researcherid-numbers: 'Samochowiec, Jerzy/GMX-0900-2022
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Evans-Lacko, Sara/F-8489-2014
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Christodoulou, Nikos/HJP-5458-2023
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Dom, Geert/C-7215-2017
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González-Fraile, Eduardo/AAD-9355-2020
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González-Fraile, Eduardo/F-5693-2019
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Gonzalez-Fraile, Eduardo/AAG-7980-2019
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Samochowiec, Jerzy/G-8175-2014
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'
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tags:
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- review
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times-cited: '80'
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title: EPA guidance on mental health and economic crises in Europe
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000373306300002
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usage-count-last-180-days: '0'
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usage-count-since-2013: '51'
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volume: '266'
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web-of-science-categories: Clinical Neurology; Psychiatry
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year: '2016'
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