ReviewEuropean archives of psychiatry and clinical neuroscience2016
EPA guidance on mental health and economic crises in Europe.
Review in European archives of psychiatry and clinical neuroscience, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
52 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- EPA guidance on cultural competence training: a critical update and meta-review.European psychiatry : the journal of the Association of European Psychiatrists · 2026Pooled it
- Depression and Anxiety in Voluntarily Unemployed People: A Systematic Review.La Medicina del lavoro · 2024Pooled it
- Economic change and population health: lessons learnt from an umbrella review on the Great Recession.BMJ open · 2022Pooled it
- Mental Health Needs of Adolescents Assessed During the Years of Global Financial Crisis: a Systematic Review.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2020Pooled it
- Impact of economic crises on mental health care: a systematic review.Epidemiology and psychiatric sciences · 2018Pooled it
- Income, Educational Level, and Depressive Symptoms in a Time of Multiple Crises: Trends Revealed by High-Frequency Mental Health Surveillance in Germany, 2019–2024.Deutsches Arzteblatt international · 2025Observational
- The relationship between financial disruption during the COVID-19 pandemic and mental health: A systematic review and meta-analysis.Journal of public health research · 2025Review
- Economic recession and mental health distress among Japanese people in middle age.Scientific reports · 2025Article
- Analysis of characteristics among unemployed callers to the psychological support hotline in Beijing.Frontiers in psychiatry · 2025Article
- Social capital and health consciousness based on regional differences in China: a cross-sectional study.Frontiers in public health · 2025Article
- Prevalence and associated factors of depression and posttraumatic stress disorder among trauma patients: multi-centered cross-sectional study.Frontiers in psychiatry · 2025Article
- Trends and associated factors of mental health diagnoses in Catalan Primary Care (2010-2019).European psychiatry : the journal of the Association of European Psychiatrists · 2024Article
- Economic hardship resulting from the late 2000s Great Recession and long-term changes in mental health: a prospective analysis from the Moli-sani study.BMC public health · 2024Article
- Improving Psychiatry Services with Artificial Intelligence: Opportunities and Challenges.Turk psikiyatri dergisi = Turkish journal of psychiatry · 2024Review
- COVID-19: Financial Stress and Well-Being in Families.Journal of family issues · 2023Article
- Anxiety, depressive symptoms, and distress over the course of the war in Ukraine in three federal states in Germany.Frontiers in psychiatry · 2023Article
- Effects of the COVID-19 pandemic and previous pandemics, epidemics and economic crises on mental health: systematic review.BJPsych open · 2022Review
- Hospital-treated intentional self-poisoning events and in-hospital mortality in Tehran before and during the COVID-19 pandemic.Current psychology (New Brunswick, N.J.) · 2022Article
- Depressive Symptoms among US Adults during the Great Recession and Economic Recovery.The journal of mental health policy and economics · 2022Article
- The COVID-19 pandemic in Italy: Depressive symptoms immediately before and after the first lockdown.Journal of affective disorders · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This European Psychiatric Association (EPA) guidance paper is a result of the Working Group on Mental Health Consequences of Economic Crises of the EPA Council of National Psychiatric Associations. Its purpose is to identify the impact on mental health in Europe of the economic downturn and the measures that may be taken to respond to it. We performed a review of the existing literature that yields 350 articles on which our conclusions and recommendations are based. Evidence-based tables and recommendations were developed through an expert consensus process. Literature dealing with the consequences of economic turmoil on the health and health behaviours of the population is heterogeneous, and the results are not completely unequivocal. However, there is a broad consensus about the deleterious consequences of economic crises on mental health, particularly on psychological well-being, depression, anxiety disorders, insomnia, alcohol abuse, and suicidal behaviour. Unemployment, indebtedness, precarious working conditions, inequalities, lack of social connectedness, and housing instability emerge as main risk factors. Men at working age could be particularly at risk, together with previous low SES or stigmatized populations. Generalized austerity measures and poor developed welfare systems trend to increase the harmful effects of economic crises on mental health. Although many articles suggest limitations of existing research and provide suggestions for future research, there is relatively little discussion of policy approaches to address the negative impact of economic crises on mental health. The few studies that addressed policy questions suggested that the development of social protection programs such as active labour programs, social support systems, protection for housing instability, and better access to mental health care, particularly at primary care level, is strongly needed.
Indexed as
Identifiers
26874960What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.