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Int J Soc Psychiatry. 2016 May;62(3):252-61. doi: 10.1177/0020764016629694. Epub 2016 Feb 19.

Perceived insecurity, mental health and urbanization: Results from a multicentric study.

Author information

1
Department of Psychiatry, University of Naples SUN, Naples, Italy mario-luciano@hotmail.it.
2
Department of Psychiatry, University of Naples SUN, Naples, Italy.
3
Department of Biomedical and Neuromotor Sciences, Institute of Psychiatry, University of Bologna, Bologna, Italy.
4
Department of Mental Health, Grosseto, Italy.
5
Mental Health Centre of Maddalena, ASS1 'Triestina', Trieste, Italy.
6
'Vito Fazzi' Hospital, Lecce, Italy.
7
Mental Health Centre of Rende, Rende, Italy.
8
Mental Health Centre of Reggio Calabria, Reggio Calabria, Italy.
9
Psychiatric Unit, Department of Health Sciences, University of Magna Graecia of Catanzaro, Catanzaro, Italy.
10
Department of Mental Health, 'G. Mazzini' Hospital, Teramo, Italy.
11
Mental Health Centre of Camerino, Camerino, Italy.
12
Department of Diagnostic-Clinical Medicine and Public Health, University of Modena and Reggio Emilia, Modena, Italy.
13
Department of Psychiatry, University of Sassari, Sassari, Italy.
14
DSMeD, ASL3 Genovese, IDEA Onlus, Genova, Italy.
15
Department of Mental Health, Mons. Dimiccoli Hospital, Barletta, Italy.
16
Psychiatric Unit, University Hospital 'P. Giaccone', Palermo, Italy.
17
Department of Medical, Surgical and Health Sciences, University of Trieste, Trieste, Italy.
18
Human Resource Department, Local Health Agency of Reggio Emilia, Reggio Emilia, Italy.
19
Department of Public Health, Clinical and Molecular Medicine, University of Cagliari, Cagliari, Italy.
20
Perugia University and SPDC 'S. Giovanni Battista', Foligno, Italy.
21
Department of Clinical and Experimental Medicine, Institute of Psychiatry, University of Catania, Catania, Italy.
22
Bologna Transcultural Psychosomatic Team (BoTPT), Department of Medical and Surgical Sciences, Bologna University Hospital Authority St. Orsola-Malpighi Polyclinic, Bologna, Italy.
23
Department of Neurology and Psychiatry, Policlinico Umberto I, Sapienza - University of Rome, Rome, Italy.
24
Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
25
University College London, London, UK.

Abstract

AIMS:

This article aims to (1) explore the levels of perceived insecurity in a sample of patients with mood or anxiety disorders and (2) assess whether living in 'big cities' can influence the levels of patients' perceived insecurity and social contacts compared to living in a non-urbanized context.

METHODS:

A total of 24 Italian mental health centers (MHCs) have been invited to participate. Twenty patients consecutively accessing the MHC have been recruited. All patients have been assessed using validated assessment tools.

RESULTS:

The sample consisted of 426 patients, mostly female, with a mean age of 45 years. Globally, 52.2% of patients had a diagnosis of mood disorders, and 37.8% had anxiety disorders. Half of the sample declared that the main feeling toward life is uncertainty; higher levels of pessimistic views toward life have been detected in patients living in urban areas. A positive association between negative attitudes toward life and higher levels of depressive and anxiety symptoms, poor social functioning and higher levels of perceived psychological distress has been found.

CONCLUSION:

Our findings confirm the presence of a common sense of perceived uncertainty among our sample. Such attitude toward life can have a detrimental impact on patients' psychological and physical well-being, contributing to high levels of distress.

KEYWORDS:

Perceived insecurity; social cohesion; uncertainty; urban mental health; urbanization

PMID:
26896027
DOI:
10.1177/0020764016629694
[Indexed for MEDLINE]

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