Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-10T16:09:53.320Z Has data issue: false hasContentIssue false

Depression and common mental disorders in lone parents: results of the 2000 National Psychiatric Morbidity Survey

Published online by Cambridge University Press:  25 September 2007

C. Cooper
Affiliation:
UCL – Department of Mental Health Sciences, Charles Bell House, 67-73 Riding House Street, London, UK
P. E. Bebbington*
Affiliation:
UCL – Department of Mental Health Sciences, Charles Bell House, 67-73 Riding House Street, London, UK
H. Meltzer
Affiliation:
UCL – Department of Mental Health Sciences, Charles Bell House, 67-73 Riding House Street, London, UK
D. Bhugra
Affiliation:
UCL – Department of Mental Health Sciences, Charles Bell House, 67-73 Riding House Street, London, UK
T. Brugha
Affiliation:
UCL – Department of Mental Health Sciences, Charles Bell House, 67-73 Riding House Street, London, UK
R. Jenkins
Affiliation:
UCL – Department of Mental Health Sciences, Charles Bell House, 67-73 Riding House Street, London, UK
M. Farrell
Affiliation:
UCL – Department of Mental Health Sciences, Charles Bell House, 67-73 Riding House Street, London, UK
M. King
Affiliation:
UCL – Department of Mental Health Sciences, Charles Bell House, 67-73 Riding House Street, London, UK
*
*Address for correspondence: Professor P. Bebbington, Head of Department of Mental Health Sciences, Professor of Social and Community Psychiatry, UCL – Department of Mental Health Sciences, 2nd Floor, Charles Bell House, 67-73 Riding House Street, London W1W 7EY, UK. (Email: p.bebbington@ucl.ac.uk)

Abstract

Background

Lone mothers experience higher rates of psychiatric morbidity, while rates in lone fathers have never been studied. We aimed to determine the relative contributions of financial strain and decreased social support to the excess of depression and common mental disorders (CMD) in lone parents.

Method

We investigated whether parent status (lone parent, partnered parent, others) was associated with psychiatric morbidity measured using the revised Clinical Interview Schedule, after controlling for self-reported financial strain (income and debt) and social support.

Results

Lone mothers were twice as likely to have a CMD (OR 1.8, 95% CI 1.4–2.3) as other women. This was not significant after controlling for financial strain or social support. Lone fathers were nearly four times more likely to have a CMD than other men (OR 3.9, 95% CI 2.3–6.8), and this risk remained undiminished by controlling for age, income, debt and levels of social support.

Conclusion

Debt management would be a rational strategy to reduce psychiatric morbidity in lone mothers. More studies are needed to inform prevention strategies in lone fathers.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

APA (1992). Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). American Psychiatric Association: Washington, DC.Google Scholar
Bank of England (2006). Lending to individuals Statistical release: 2006 (www.bankofengland.co.uk/statistics/li/2006/mar/endind.pdf). Accessed 8 January 2007.Google Scholar
Benzeval, M (1998). The self-reported health status of lone parents. Social Science & Medicine 46, 13371353.CrossRefGoogle ScholarPubMed
Brugha, T, Morgan, Z, Bebbington, P, Jenkins, R, Lewis, G, Farrell, M, Meltzer, H (2003). Social support networks and type of neurotic symptom among adults in British households. Psychological Medicine 33, 307318.CrossRefGoogle ScholarPubMed
Brugha, TS, Weich, S, Singleton, N, Lewis, G, Bebbington, PE, Jenkins, R, Meltzer, H (2005). Primary group size, social support, gender and future mental health status in a prospective study of people living in private households throughout Great Britain. Psychological Medicine 35, 705714.CrossRefGoogle Scholar
Cox, BD, Blaxter, M, Buckle, ALJ, Fenner, NP, Golding, JF, Gore, M, Huppert, FA, Nickson, J, Roth, M, Start, J, Wadsworth, MEJ, Whichelow, MJ (1987). The Health and Lifestyle Survey. Health Promotion Research Trust: London.Google Scholar
Crosier, T, Butterworth, P, Rodgers, B (2007). Mental health problems among single and partnered mothers: the role of financial hardship and social support. Social Psychiatry and Psychiatric Epidemiology 42, 613.CrossRefGoogle ScholarPubMed
Department for Constitutional Affairs (2006). Company winding up and bankruptcy petition court statistics for Second Quarter. Press release, 11 August 2006 (http://www.gnn.gov.uk/environment/detail.asp?ReleaseID=220256&NewsAreaID=2&NavigatedFromDepartment=True). Accessed September 2006.Google Scholar
Honkalampi, K, Hintikka, J, Haatainem, K, Koivumaa-Honkanen, H, Tanskanen, A, Viinamäki, H (2005). Adverse childhood experiences, stressful life events or demographic factors: which are important in women's depression? A 2-year follow-up population study. Australian and New Zealand Journal of Psychiatry 39, 627632.Google Scholar
Jordanova, V, Wickramesinghe, C, Gerada, C, Prince, M (2004). Validation of two survey diagnostic interviews among primary care attendees: a comparison of CIS-R and CIDI with SCAN ICD-10 diagnostic categories. Psychological Medicine 34, 10131024.Google Scholar
Kish, L (1965). Survey Sampling. Wiley and Sons: London.Google Scholar
Lewis, G, Pelosi, AJ, Araya, R, Dunn, G (1992). Measuring psychiatric disorder in the community: a standard assessment for use by lay interviewers. Psychological Medicine 22, 465486.Google Scholar
Neises, G, Gruneberg, C (2005). Socioeconomic situation and health outcomes of single parents. Journal of Public Health 13, 270278.Google Scholar
Office of National Statistics (2002). Living in Britain 2002, Chapter 3: Households, families and people (http://www.statistics.gov.uk/lib2002/downloads/households.pdf). Accessed October 2006.Google Scholar
Ringback Weitoft, WG, Burstrom, B, Rosen, M (2004). Premature mortality among lone fathers and childless men. Social Science & Medicine 59, 14491459.CrossRefGoogle ScholarPubMed
Singleton, N, Bumpstead, R, O'Brien, M, Lee, A, Meltze, H (2001). Psychiatric Morbidity among Adults Living in Private Households. TSO: London.Google Scholar
StataCorp (2003). Stata Statistical Software: Release 8.0. Stata Corporation: College Station, TX.Google Scholar
Targosz, S, Bebbington, P, Lewis, G, Brugha, T, Jenkins, R, Farrell, M, Meltzer, H (2003). Lone mothers, social exclusion and depression. Psychological Medicine 33, 715722.Google Scholar