scholarly journals Quasi-experimental evidence on the causal effects of physical health on mental health

2009 ◽  
Vol 39 (2) ◽  
pp. 487-493 ◽  
Author(s):  
M. Mohanan ◽  
J. Maselko
2019 ◽  
Vol 47 (1) ◽  
pp. 57-66
Author(s):  
Lourdes R. Guerrero ◽  
Josephine A. Menkin ◽  
Carmen A. Carrillo ◽  
Carmen E. Reyes ◽  
Laura Trejo ◽  
...  

Background. The National Council on Aging’s Aging Mastery Program (AMP) aims to help older adults implement health behavior and lifestyle changes to promote healthy aging and social engagement. The purpose of the present community-partnered evaluation was to test the effectiveness of AMP implementation in Los Angeles County to improve participants’ quality of life, global physical and mental health, and patient activation. Method. A modified randomized wait-list controlled trial design was used to examine experimental, quasi-experimental, and dose-response evidence in five senior centers. Participants completed questionnaires at baseline and after the 10-week intervention, self-reporting their overall quality of life, physical health, mental health, and patient activation. Results. Experimental, intention-to-treat analyses found AMP assignment did not affect any measured outcomes ( n = 71). Quasi-experimental, “as treated” analyses ( n = 106) controlling for study site and sociodemographic characteristics indicated that participants who attended AMP reported more positive changes in global mental health than the control group. Attending AMP was not associated with changes in quality of life, physical health, or patient activation. Dose-response analyses among AMP participants who attended at least one class ( n = 75) found that attending more classes was not significantly associated with greater improvements in mental health. Conclusions. Experimental, intention-to-treat analyses did not support effectiveness of AMP on quality of life, physical or mental health, or patient activation; quasi-experimental analyses found attending AMP was associated with improvements in mental health. Recruitment challenges and participants’ nonadherence with condition assignment decreased our ability to detect effects. https://clinicaltrials.gov/ct2/show/NCT03342729?term=Aging+Mastery+Program&rank=1 .


2019 ◽  
Vol 36 (2) ◽  
pp. 303-316
Author(s):  
Ingmar Rapp ◽  
Johannes Stauder

Abstract This study focuses on two main questions. First, do non-cohabiting relationships have an effect on mental and physical health? And second, do non-cohabiting relationships affect health in a similar way as cohabitation and marriage? To differentiate between the selection effects of healthier individuals into a couple relationship and the causal effects of couple relationships on health, we test hypotheses about the accumulation of health effects over time. We apply fixed-effects estimation techniques to data from the German Socio-economic Panel. For women, mental health improves after establishing a non-cohabiting relationship and remains similar after starting cohabitation and after getting married. For men, only marriage improves mental health status. The impacts of couple relationships on physical health primarily depend on the duration of the relationship and slowly accumulate over time. In addition, effects are stronger for younger adults.


2017 ◽  
Vol 14 (02) ◽  
pp. 103-110
Author(s):  
S. Tomassi ◽  
M. Ruggeri

Summary Background: The global crisis that began in 2007 has been the most prolonged economic recession since 1929. It has caused worldwide tangible costs in terms of cuts in employment and income, which have been widely recognised also as major social determinants of mental health (1, 2). The so-called “Great Recession” has disproportionately affected the most vulnerable part of society of the whole Eurozone (3). Across Europe, an increase in suicides and deaths rates due to mental and behavioural disorders was reported among those who lost their jobs, houses and economic activities as a consequence of the crisis.


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