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首页> 外文期刊>The International journal of social psychiatry >Do welfare benefit reassessments of people with mental health conditions lead to worse mental health? A prospective cohort study
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Do welfare benefit reassessments of people with mental health conditions lead to worse mental health? A prospective cohort study

机译：福利福利在精神健康状况的重新评估，导致心理健康更糟糕吗？ 一个潜在的队列研究

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Background: There have been cases of suicide following the Work Capability Assessment (WCA), a questionnaire and interview for those claiming benefits due to ill health or disability in the United Kingdom. Aims: To examine whether experiencing problems with welfare benefits, including WCA, among people with pre-existing mental health conditions was associated with poorer mental health and wellbeing and increased health service use and costs. Methods: A prospective cohort study of an exposed group (n = 42) currently seeking help from a Benefits Advice Service in London and a control group (n = 45) who had recently received advice from the same service. Questionnaires at baseline and 3-, 6- and 12-month follow-ups. Results: The exposed group had higher mean scores for anxiety (p = .008) and depression (p = .016) at baseline and the control group higher mean scores for wellbeing at baseline (p = .034) and 12 months (p = .035). However, loss to follow-up makes overall results difficult to interpret. The control group had higher incomes throughout the study, particularly at the 12-month follow-up (p = .004), but the differences could have been accounted for by other factors. Health service costs were skewed by a few participants who used day-care services intensively or had inpatient stays. Over the study period the proportion of exposed participants engaged in benefits reassessment ranged from 50% to 88%, and 40% to 76% of controls. Conclusion: The hardship of living with financial insecurity and a mental health condition made it difficult for our participants to sustain involvement in a 12-month study and the frequency of benefit reviews meant that the experiences of our controls were similar to our exposed group. These limitations limit interpretation but confirm the relevance of our research. The control data raise the question of whether people with mental health conditions are being disproportionately reassessed.
机译：背景：在工作能力评估（WCA）之后已经自杀，提出问卷和采访，因为英国的健康状况或残疾而声称福利。旨在审查在具有预先存在的心理健康状况的人中是否经历福利福利的问题，与较贫乏的心理健康和福祉以及增加的卫生服务使用和成本有关。方法：目前正在寻求伦敦福利咨询服务的曝光群体（n = 42）的预期队列研究，并在同一服务中获得了奖励奖励服务。基线问卷和3-，6岁和12个月的随访。结果：暴露的组在基线的焦虑（P = 0.008）和抑郁症（P = .016）中的平均分比较高，对照组在基线时良好的平均分数（p = .034）和12个月（p = .035）。但是，对随访的损失使得整体结果难以解释。对照组在整个研究中收入较高，特别是在12个月的随访（P = .004），但其他因素可能会占差异。卫生服务成本偏离了一些利用日托服务的少数参与者，或者住院服务。在研究期间，所公开的参与者从事福利重新评估的比例从50％到88％，40％到76％的控制。结论：居住在金融不安全和心理健康状况的困难使我们的参与者难以在12个月的研究中维持参与，效益审查的频率意味着我们控制的经验与我们的暴露团体相似。这些限制限制了解释，但确认了我们的研究的相关性。控制数据提出了脑能健康状况的人是否不成比重新评估的问题。

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