Evidence map›Paper›PMID 32706806›Full record

ArticlePloS one2020

Association between over-indebtedness and antidepressant use: A cross-sectional analysis.

Jacqueline Warth, Niklas Beckmann, Marie-Therese Puth, Judith Tillmann, Johannes Porz, Ulrike Zier, Klaus Weckbecker, Birgitta Weltermann, Eva Münster

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Socioeconomic status, antidepressant use, and return to work after disability due to common mental disorders.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jacqueline WarthInstitute of General Practice and Family Medicine, University of Bonn, Bonn, Germany.ORCID 0000-0001-6942-8951
Niklas BeckmannInstitute of General Practice and Family Medicine, University of Bonn, Bonn, Germany.
Marie-Therese PuthInstitute of General Practice and Family Medicine, University of Bonn, Bonn, Germany.
Judith TillmannInstitute of General Practice and Family Medicine, University of Bonn, Bonn, Germany.
Johannes PorzInstitute of General Practice and Family Medicine, University of Bonn, Bonn, Germany.
Ulrike ZierInstitute of General Practice and Family Medicine, University of Bonn, Bonn, Germany.
Klaus WeckbeckerInstitute of General Practice and Family Medicine, University of Bonn, Bonn, Germany.
Birgitta WeltermannInstitute of General Practice and Family Medicine, University of Bonn, Bonn, Germany.ORCID 0000-0002-1285-1545
Eva MünsterInstitute of General Practice and Family Medicine, University of Bonn, Bonn, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBurden of disease caused by depression and its association with socioeconomic status is well documented. However, research on over-indebtedness is scarce although millions of European citizens in all socioeconomic positions are over-indebted. Prior studies suggested that over-indebtedness is associated with poor physical and mental health.

aimsInvestigate the association between over-indebtedness and antidepressant use in Germany.

methodA cross-sectional survey among debt advice agencies' clients was conducted in North Rhine-Westphalia, Germany, in 2017 (OID). Data were merged with the first wave of the German Health Interview and Examination Survey for Adults (DEGS1). Descriptive statistics and logistic regression analysis were used to examine antidepressant use in the previous 7 days (OID: n = 699; DEGS1: n = 7115).

resultsPrevalence of antidepressant use was higher in the over-indebted (12.3%) than the general population (5.0%). The over-indebted were significantly more likely to use antidepressants than the general population even after controlling for other socioeconomic, demographic and health factors (adjusted odds ratio 1.83; 95% confidence interval 1.35-2.48).

conclusionsStakeholders in health care, debt counselling, research and social policy should consider the link between over-indebtedness and mental illness to advance the understanding of health inequalities and to help those who have mental health and debt problems.

Indexed as

Mental DisordersMental HealthSocial ClassSocioeconomic FactorsAdolescentAdultAgedAntidepressive AgentsCross-Sectional StudiesFemaleGermanyHealth SurveysHumansMaleMiddle AgedPrevalenceAntidepressive Agents

Identifiers

PMID32706806
PMCPMC7380887

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Registered trials

None linked

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.