Subjective social status, objective social status, and substance use among individuals with serious mental illnesses.
Addiction
Serious mental illnesses
Social status
Socioeconomic status
Substance use
Substance use disorders
Journal
Psychiatry research
ISSN: 1872-7123
Titre abrégé: Psychiatry Res
Pays: Ireland
ID NLM: 7911385
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
02
04
2020
revised:
28
07
2020
accepted:
01
08
2020
pubmed:
17
8
2020
medline:
23
2
2021
entrez:
16
8
2020
Statut:
ppublish
Résumé
Subjective social status (SSS) and objective socioeconomic status (OSS) may appear to be similar social determinants of mental health, but are actually independently associated with diverse health outcomes including substance use and substance use disorders (SUDs). Such associations have not been examined among individuals with serious mental illnesses (SMI) despite their high prevalence of comorbid substance use; frequent treatment and recovery complications associated with such use; and high levels of economic disadvantage, discrimination, and inequities in this marginalized population. These psychosocial adversities manifest as poor mental illness outcomes, poor physical health, and early mortality in populations with SMI. We hypothesized that both SSS and OSS would predict substance use severity and SUD diagnoses in 240 patients with SMI. SSS, measured by the MacArthur Scale of Subjective Social Status, was unassociated with a composite measure of income and education used to operationalize OSS. Additionally, SSS and OSS were differentially associated with various types of substance use disorders. Only OSS was associated with whether individuals smoked cigarettes, or the level of nicotine dependence. Conversely, only SSS was associated with drug use severity. Our results shed light on the potential for differential impacts of SSS and OSS among persons with SMI.
Identifiants
pubmed: 32795772
pii: S0165-1781(20)30770-8
doi: 10.1016/j.psychres.2020.113352
pmc: PMC7669552
mid: NIHMS1621336
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
113352Subventions
Organisme : NIMH NIH HHS
ID : R01 MH101307
Pays : United States
Informations de copyright
Copyright © 2020 Elsevier B.V. All rights reserved.
Références
J Clin Psychol. 1982 Apr;38(2):425-39
pubmed: 7068887
Psychol Addict Behav. 2013 Sep;27(3):901-8
pubmed: 23915371
Br J Addict. 1991 Sep;86(9):1119-27
pubmed: 1932883
Front Psychol. 2016 Jul 19;7:1091
pubmed: 27486426
Psychosom Med. 2005 Nov-Dec;67(6):855-61
pubmed: 16314589
Addiction. 2010 May;105(5):928-36
pubmed: 20219054
BMJ. 2000 Apr 22;320(7242):1102-7
pubmed: 10775217
Am J Med Sci. 2003 Oct;326(4):223-30
pubmed: 14557739
Drug Alcohol Depend. 2012 Mar 1;121(3):231-9
pubmed: 21955362
Psychiatr Serv. 2016 Feb;67(2):169-75
pubmed: 26467907
Am J Public Health. 2007 Aug;97(8):1476-82
pubmed: 17600249
Health Psychol. 2008 Mar;27(2):268-74
pubmed: 18377146
Soc Sci Med. 1997 Mar;44(6):809-19
pubmed: 9080564
Am J Health Behav. 2013 Jan;37(1):104-11
pubmed: 22943107
Alcohol Alcohol. 1994 Sep;29(5):493-502
pubmed: 7811333
World Psychiatry. 2007 Oct;6(3):131-6
pubmed: 18188429
Soc Sci Med. 2008 Aug;67(3):420-30
pubmed: 18486291
Am J Med Sci. 2016 Jul;352(1):36-44
pubmed: 27432033
Addict Behav. 1994 Jan-Feb;19(1):33-9
pubmed: 8197891
Eur J Epidemiol. 2018 Aug;33(8):729-739
pubmed: 29779203
BMC Public Health. 2012 Dec 20;12:1096
pubmed: 23253581
Soc Sci Med. 2008 Jul;67(2):330-40
pubmed: 18440111
JAMA Psychiatry. 2014 Dec 1;71(12):1400-8
pubmed: 25354080
Arch Pediatr Adolesc Med. 2008 Jan;162(1):23-8
pubmed: 18180408
Int J Behav Med. 2013 Mar;20(1):148-58
pubmed: 22200973
Behav Modif. 2016 Jan;40(1-2):303-24
pubmed: 26530474
J Subst Abuse Treat. 2007 Mar;32(2):189-98
pubmed: 17306727
Am J Psychiatry. 1971 Jun;127(12):1653-8
pubmed: 5565851
Am J Orthopsychiatry. 2018;88(2):169-179
pubmed: 28277687
Health Psychol. 2000 Nov;19(6):586-92
pubmed: 11129362
Behav Res Ther. 2019 Apr;115:103-110
pubmed: 30558744
Am J Public Health. 2007 Oct;97(10):1756-7
pubmed: 17895405
J Anxiety Disord. 2015 May;32:38-45
pubmed: 25847548
Br J Addict. 1989 Mar;84(3):301-7
pubmed: 2650770
Drug Alcohol Depend. 1983 Nov;12(3):279-85
pubmed: 6653397
Health Psychol. 2000 Nov;19(6):613-8
pubmed: 11129365
Ann N Y Acad Sci. 2012 Feb;1248:107-23
pubmed: 22092035
Health Psychol. 2017 Dec;36(12):1109-1125
pubmed: 28726474
J Adolesc Health. 2007 Nov;41(5):479-87
pubmed: 17950168
J Stud Alcohol Drugs. 2012 Sep;73(5):772-82
pubmed: 22846241
Soc Sci Med. 2008 Mar;66(5):1034-45
pubmed: 18180089
Psychoneuroendocrinology. 2013 Nov;38(11):2676-85
pubmed: 23849596
Psychiatr Serv. 2011 Nov;62(11):1270-2
pubmed: 22211204
Soc Sci Med. 2009 May;68(10):1843-51
pubmed: 19342140
MMWR Morb Mortal Wkly Rep. 2016 Aug 05;65(30):753-8
pubmed: 27491017
Addict Behav. 1982;7(4):363-71
pubmed: 7183189
Addict Behav. 1994 May-Jun;19(3):307-17
pubmed: 7942248
Soc Sci Med. 2009 Mar;68(5):876-84
pubmed: 19136183
Soc Sci Med. 2008 Mar;66(5):1152-64
pubmed: 18191317
Eur J Public Health. 2012 Aug;22(4):593-7
pubmed: 21646364
Schizophr Res. 2012 May;137(1-3):190-5
pubmed: 22386735
Eur J Public Health. 2010 Dec;20(6):653-8
pubmed: 20123684
Health Psychol. 2007 Nov;26(6):668-74
pubmed: 18020837