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Social class and mood disorders: clinical features

Social Psychiatry and Psychiatric EpidemiologyPublished 1 January 1993
Andrea Lenzi, Fabrizio Lazzerini, Donatella Marazziti, Sergio Raffaelli, Giuseppe Rossi, Giovanni Battista Cassano
Citations27
SJR quartileQ1
SJR score1.89
SNIP1.72

TL;DR

Social class appeared to influence the psychopathological pattern of depressive symptoms: somatization and anxiety were more frequent amongst the lower social classes, while psychic and cognitive symptoms were more common amongst the upper classes.

Abstract

We examined clinical features in 877 in- and outpatients affected by depression who were enrolled in psychopharmacological trials, subdivided according to Hollingshead's method into five social classes. The results showed that social class correlated significantly with the subtypes of mood disorders, with bipolar disorder being more frequent amongst the upper than the lower social classes. Furthermore, as already reported in other countries, social class appeared to influence the psychopathological pattern of depressive symptoms: somatization and anxiety were more frequent amongst the lower social classes, while psychic and cognitive symptoms were more common amongst the upper classes.

Keywords

PsychologySocial SciencesHealth Professions