Assessing the economic costs of serious mental illness
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Among people occupying social and productive roles, major depressive disorder predicts substantial declines in role functioning, including poorer marital quality, lower work performance, and lower earnings.
“Among people with specific social and productive roles, MDD is found to predict significant decrements in role functioning (e.g., low marital quality, low work performance, low earnings).”
From The Costs of Depression (2012) · cites this paper as [68]
Personal earnings and household income of people with major depressive disorder are substantially lower than those without depression, but it is unclear whether depression is primarily a cause, consequence, or both because of reciprocal causation; previous studies have not controlled for reciprocal effects, making the size of adverse effects uncertain; childhood-adolescence depression predicts
“One of most striking aspects of the impairment associated with MDD is that the personal earnings and household income of people with MDD are substantially lower than those of people without depression.68–73 However, it is unclear whether depression is primariry a cause, consequence, or both in these associations due to the possibility of reciprocal causation between income-earnings and MDD.74”
From The Costs of Depression (2012) · cites this paper as [68]
Cites
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The Epidemiology of Depression Across Cultures
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- Authors
- Insel, T. R.
- Corresponding author
- Insel, Thomas R.
- ORCID
- Insel, Thomas R.
- Venue
- American Journal of Psychiatry
- Published
- 2008-06
- Volume
- 165
- Issue
- 6
- Pages
- 663-665
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2149763643
- Cited by
- 487
- References
- 4
- Citations by year
- 2026: 8 · 2025: 12 · 2024: 14 · 2023: 13 · 2022: 40 · 2021: 19 · 2020: 84 · 2019: 32 · 2018: 46 · 2017: 36 · 2016: 40 · 2015: 30 · 2014: 33 · 2013: 29 · 2012: 16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- severe mental illness, economic costs, economic burden, mental health care costs
- MeSH terms
- Absenteeism, Mental Disorders, Chronic Disease, Cost-Benefit Analysis, Cross-Sectional Studies, Health Expenditures, Ill-Housed Persons, Humans, Mental Health Services, Psychotic Disorders, Social Security, United States, Comorbidity, Health Care Costs
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