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Effects of the Financial Crisis on Psychotropic Drug Consumption in a Cohort from a Semi-Urban Region in Catalonia, Spain

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  • Maria A Barceló
  • Montserrat Coll-Negre
  • Gabriel Coll-de-Tuero
  • Marc Saez

Abstract

Purpose: Evidence of whether the recent economic crisis has or has not had an effect on psychotropic drug consumption is very scarce. Our objective was to determine if there had in fact been an increase in psychotropic drug use as a result of the financial crisis. Methods: In our study a retrospective cohort (between January 1, 2005, and December 31, 2012) was made up of individuals from the general population in a region in the northeast of Catalonia, Spain. We specified a generalized linear mixed model along with combined ‘selection on observables’ as (propensity scoring) matching and ‘selection on unobservables’ as (random coefficient) the panel data model methods, and performed inferences using a Bayesian framework. Results: In the period following the economic crisis (post 2009), there was an increase in the consumption of psychotropic drugs which was significantly higher among those who had already been consuming psychotropic drugs prior to 2009 and those most likely to be unemployed. The increase was of greater significance when consumption was measured by the number of drugs being taken, rather than by the defined daily dose (DDD), with the greatest increase occurring in 2011; the very year in which Spain was most affected by the crisis. Conclusions: Once the financial crisis had ended, there was an increase in the severity, rather than the intensity, of mental health disorders in individuals who had already had disorders before the crisis. This increase occurred in those most likely to be unemployed, and the severity was accentuated in the toughest year of the economic crisis.

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  • Maria A Barceló & Montserrat Coll-Negre & Gabriel Coll-de-Tuero & Marc Saez, 2016. "Effects of the Financial Crisis on Psychotropic Drug Consumption in a Cohort from a Semi-Urban Region in Catalonia, Spain," PLOS ONE, Public Library of Science, vol. 11(2), pages 1-25, February.
  • Handle: RePEc:plo:pone00:0148594
    DOI: 10.1371/journal.pone.0148594
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    References listed on IDEAS

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    1. Panagiotis Volkos & Emmanouil K Symvoulakis, 2021. "Impact of financial crisis on mental health: A literature review ‘puzzling’ findings from several countries," International Journal of Social Psychiatry, , vol. 67(7), pages 907-919, November.
    2. Amanda Ritchie & Marianne Hrabok & Ogechi Igwe & Joy Omeje & Olurotimi Ogunsina & Lorella Ambrosano & Sandra Corbett & Michal Juhás & Vincent IO Agyapong, 2018. "Impact of oil recession on community mental health service utilization in an oil sands mining region in Canada," International Journal of Social Psychiatry, , vol. 64(6), pages 563-569, September.
    3. Mario Martínez-Jiménez & Judit Vall Castelló, 2020. "Effects of macroeconomic fluctuations on mental health and psychotropic medicine consumption," International Journal of Health Economics and Management, Springer, vol. 20(3), pages 277-297, September.

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