How do neighborhoods affect depression outcomes? A realist review and a call for the examination of causal pathways.

TitleHow do neighborhoods affect depression outcomes? A realist review and a call for the examination of causal pathways.
Publication TypeJournal Article
Year of Publication2014
AuthorsBlair A, Ross NA, Gariépy G, Schmitz N
JournalSoc Psychiatry Psychiatr Epidemiol
Volume49
Issue6
Pagination873-87
Date Published2014 Jun
ISSN1433-9285
KeywordsDepression, Humans, Residence Characteristics, Social Environment
Abstract

PURPOSE: This realist review seeks to elucidate the modifiable causal pathways through which neighborhoods affect depressive symptoms in adult populations.METHODS: Studies were identified using Medline, PubMed, PsycInfo, Geobase, and Web of Science databases, and chosen using reproducible selection criteria and systematic critical appraisal.RESULTS: A total of 14 longitudinal studies, published between 2003 and 2011, were included. Eleven of the articles observed a significant relationship between depression and at least one of the following neighborhood-level variables: neighborhood deprivation, disorder, instability, and social ties. Proposed modifiable pathways linking neighborhood characteristics and depression include: (1) the level of neighborhood-based stress that is placed on individuals, (2) the formation and strength of protective and supportive social networks, (3) the level of resiliency to negative affectivity and stress, (4) the perceptions of the esthetic and form of residential space, and (5) the sense of control and agency in place of residence. These pathways represent potential areas for future research and intervention.CONCLUSIONS: Further research requires a more systematic use of longitudinal design and a diversity of physical and social environmental measures. Interventions aimed at improving affective resiliency need to be tested.

DOI10.1007/s00127-013-0810-z
Alternate JournalSoc Psychiatry Psychiatr Epidemiol
PubMed ID24414031
Grant List106514 / / Medical Research Council / United Kingdom

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