Lower socioeconomic status is associated with an increased prevalence of comorbid anxiety & depression among patients with [IBS], 2019, Staller et al

Andy

Andy

Retired committee member
Not a recommendation. BPS researchers reveal that sick people in less secure financial situations have a worse mental state...
Background/Aims: Anxiety and depression are common comorbid psychiatric disorders in IBS patients, but the population-level determinants influencing these comorbidities in IBS patients are poorly understood. We sought to determine whether there was an association between comorbid affective disorders and socioeconomic status among irritable bowel syndrome (IBS) patients.

Methods: We assembled a retrospective cohort of 1074 IBS patients with comorbid Generalized Anxiety Disorder (GAD) and/or Major Depressive Disorder (MDD) seen at two tertiary referral centers between 2007 and 2015. IBS patients with comorbid GAD and/or MDD were matched 3:1 by age, sex, and race to controls with IBS and no history of comorbid GAD and/or MDD. Socioeconomic status was approximated by patient zip codes.

Results: IBS patients in the lowest socioeconomic group were more likely to be diagnosed with GAD and/or MDD compared to controls (OR = 1.38, p = .0004). The median average per capita income for comorbid GAD/MDD IBS patient cohort was also significantly lower than the control IBS patient cohort ($39,880.50 vs. $41,277.00, p = .02).

Conclusions: Among IBS patients, the presence of comorbid Generalized Anxiety Disorder and/or Major Depressive Disorder is associated with lower socioeconomic status and lower average per capita income. These findings speak to a biopsychosocial model of illness, which should be considered by clinicians in the care of IBS patients.
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Paywall, https://www.tandfonline.com/doi/full/10.1080/00365521.2019.1665095
Not currently available via Sci hub.
 
Conclusions: Among IBS patients, the presence of comorbid Generalized Anxiety Disorder and/or Major Depressive Disorder is associated with lower socioeconomic status and lower average per capita income.
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That is true for the general population, not just sick people.

These findings speak to a biopsychosocial model of illness, which should be considered by clinicians in the care of IBS patients.
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So psychs will also be advocating for improved financial support for those lower down the socioeconomic scale?

Because that is a clear implication of the finding.
 
Top quality research findings here. Looking forward to the followup trial that encourages people in precarious financial situations to stand on paper circles shouting "stop" until they've trained themselves to stop doing poverty.
 
Once more pointing to their own mistakes, large-scale misdiagnosis of anxiety and depression in patients with chronic health problems, as evidence that being wrong proves them right.

Until depression and anxiety, common symptoms with vague definitions, can be tested or measured in a reliable, objective way any association to those is meaningless. This is the exact same logic used to promote the psychosomatic model of peptic ulcers. Zero lessons learned.

Plus, as pointed above, poverty is well-known to be stressful and leading to a low quality of life, something that can be easily superficially confused with depression.

In the end clinical psychology is only revealing itself to be completely useless by making such foolish claims.
 
Hmm, this reminds me of the worst aspects of some versions of religion. Don't try to ensure the poor and downtrodden have decent housing and food. Teach them about being thankful for what they have and accepting their place in the world (Acceptance and Commitment Therapy), teach them about the virtues of hard work (GET), give them hymns to sing (positive thinking mantras, CBT), and priests to trust and obey, and to admonish them when they fail (therapists). Oh, and how could I forget - a fearless leader, or three, who preaches to crowds of followers and battles valiantly against the forces of evil, and receives awards for valour (Weasely, Sharpe and Fink).

Where's that vomit emoji?
 
Trish said:
Hmm, this reminds me of the worst aspects of some versions of religion. Don't try to ensure the poor and downtrodden have decent housing and food. Teach them about being thankful for what they have and accepting their place in the world (Acceptance and Commitment Therapy), teach them about the virtues of hard work (GET), give them hymns to sing (positive thinking mantras, CBT), and priests to trust and obey, and to admonish them when they fail (therapists). Oh, and how could I forget - a fearless leader, or three, who preaches to crowds of followers and battles valiantly against the forces of evil, and receives awards for valour (Weasely, Sharpe and Fink).
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Prosperity gospel. Healthy and wealthy people are good people and deserving. Everyone else probably did something wrong and it's their fault they are sick and/or poor. The evidence is that healthy and wealthy people know they earned what they got and there is no other explanation for them being successful than their merit, intelligence and hard work. It's derived from protestant work ethics, mostly a way to rationalize the harshness of life in lower economic status.

I know this touching on religion but it's mostly a cultural thing aimed specifically at preserving a social order in which those who possess deserve what they have and should keep it, especially away from lesser people who very likely deserve their fate. It's 9:0.5:0.5 politics:culture:religion so I hope it's OK because it's a well-studied phenomenon and very relevant to the "work will set you free" mentality that is responsible for this disaster.

Trish said:
Where's that vomit emoji?
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Definitely missing.
 
Sean said:
That is true for the general population, not just sick people.


So psychs will also be advocating for improved financial support for those lower down the socioeconomic scale?

Because that is a clear implication of the finding.
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In much the same way that mindfulness in workplace as currently manifest will demand better working conditions, contract hours, paid overtime, on site food........

That's not the purpose of it.

ETA added in workplace
 
I remember when people used to get all that, at least in the UK, and it wasn't that many years before that where housing was provided with some jobs as well.

There was a time when, in some respects, the basic needs of a human that worked for you were understood.

Then the last 30 years happened.

I wonder what has happened in the last 30 years that may have contributed to this now we are existing in.
 
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