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The Ecological Model of Health: Depression
Transcript of The Ecological Model of Health: Depression
Living and working conditions
Policies at the global, national, state and local levels
Presentation Overview Use the EMH to examine mental health issue at multiple levels
Discuss determinants and interventions relating to depression Social, family and community networks Centrality, social periphery
Induction... depression spreads!
One depressed friend = 93% increase in probability value
Determinants Training in positive social network skills
Counselling to improve quality of family relationships
Extra curricuclar activity Interventions Socioeconomic
Status financial stress inadequate health care societal stigmatism/
marginalisation poor education limited
Rurality as a key determinant Greater burden of disease 91% Australian psychiatrists have main pratice in metropolitain area Suicide rates 1.2 to 2.4 times higher in remote areas (Newnham et al., 2008) 85% increase in government spending over 12 years. Government pays for treatment, but fails to finish its job. Depression more common in rich countries. Individual Behaviour Emotional
Lack of Self-worth
Previous Depression Episodes
Excercise and Participating in Activities
Communication with Others Possible Intervention Prevalence of depression
by levels of education and income (Everson et al., 2002) Concept of induction (Rosenquist, Fowler & Chritakis, 2011)
genetic vulnerability and pressure strains
60% environmental, 40% genetic
short arm of seratonin gene linked to anxiety
Innate Individual Traits
women typically overrepresented
SEX hormonal changes, young children
more likely to admit to depressive behaviours than men? Eg. crying, weight loss AGE elderly more susceptible
in frontal regions of brain
disturbed with age - cause
of anxiety Possible Interventions Determinants Excersice