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Causal and mediating factors for anxiety, depression and well-being

Kinderman, P, Tai, S, Pontin, E, Schwannauer, M, Jarman, I and Lisboa, P (2015) Causal and mediating factors for anxiety, depression and well-being. BRITISH JOURNAL OF PSYCHIATRY, 206 (6). pp. 456-460. ISSN 0007-1250

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Background The relationship between well-being and mental ill health is complex; people may experience very low levels of well-being even in the absence of overt mental health problems. Aims This study tested the hypothesis that anxiety, depression and well-being have different causal determinants and psychological mediating mechanisms. Method The influence of causal and mediating factors on anxiety, depression and well-being were investigated in a cross-sectional online questionnaire survey hosted on a UK national broadcasting website. Results Multivariate conditional independence analysis of data from 27 397 participants revealed different association pathways for the two constructs. Anxiety and depression were associated with negative life events mediated by rumination; low levels of subjective well-being were associated with material deprivation and social isolation, mediated by adaptive coping style. Conclusions Our findings support the 'two continua' model of the relationship between psychological well-being and mental health problems, with implications for both treatment and prevention.

Item Type: Article
Additional Information: This is an author-produced electronic version of an article accepted for publication in the British Journal of Psychiatry. The definitive publisher-authenticated version is available online at http://bjp.rcpsych.org
Uncontrolled Keywords: 11 Medical And Health Sciences, 17 Psychology And Cognitive Sciences
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Divisions: Applied Mathematics (merged with Comp Sci 10 Aug 20)
Publisher: Royal College of Psychiatrists
Related URLs:
Date Deposited: 30 Oct 2015 12:40
Last Modified: 04 Sep 2021 13:51
DOI or ID number: 10.1192/bjp.bp.114.147553
URI: https://researchonline.ljmu.ac.uk/id/eprint/2265
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