Deprivation and Social Support in Mental Health of Welfare Recipients in Japan

Abstract

Although many Western studies examining the mental health of welfare recipients exist, Japanese welfare recipients have been overlooked. This study investigated mental health among welfare recipients in Japan and relations with a sense of deprivation of life's necessities and social support. Participants (n = 305) completed the General Health Questionnaire-12 (GHQ-12), Proportional Deprivation Index, and a social support scale. Participants' GHQ-12 scores exceeded those of the general public, as 54.9% scored above the cut-off, suggesting poorer mental health among welfare recipients than the general population. Proportional Deprivation Index and emotional support from relatives and friends were associated with GHQ-12 scores. These results suggest that while chronic deprivation is associated with poorer mental health among welfare recipients, receiving emotional support may help cope with distress and maintain mental health.

Keywords

welfare recipients deprivation social support mental health

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References

Cheng

(2007) How is ‘welfare-to-work’ shaped by contingencies of economy, welfare policy and human capital?. International Journal of Social Welfare 16: 212–219. doi:10.1111/j.1468-2397.2006.00458.x.

Chong

S. A.

Vaingankar

J. A.

Abdin

Subramaniam

(2013) Mental disorders: Employment and work productivity in Singapore. Social Psychiatry and Psychiatric Epidemiology 48: 117–123. doi:10.1007/s00127-012-0526-5.

Cohen

Wills

T. A.

(1985) Stress, social support, and the buffering hypothesis. Psychological Bulletin 98: 310–357. doi:10.1037/0033-2909.98.2.310.

Cutrona

C. E.

(1990) Stress and social support: In search of optimal matching. Journal of Social and Clinical Psychology 9: 3–14. doi:10.1521/jscp.1990.9.1.3.

Danziger

S. K.

Kalil

Anderson

N. J.

(2000) Human capital, physical health, and mental health of welfare recipients: Co-occurrence and correlates. Journal of Social Issues 56: 635–654. doi:10.1111/0022-4537.00189.

Eibner

Sturm

Gresenz

C. R.

(2004) Does relative deprivation predict the need for mental health services?. The Journal of Mental Health Policy and Economics 7: 167–175.

First

M. B.

Spitzer

R. L.

Gibbon

Williams

J. B. W.

(1997) Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Washington, DC: American Psychiatric Association.

Fuchino

Mizoue

Tokui

Ide

Fujino

Yoshimura

(2003) Chiikijumin no raifustairu to seishintekikenko tono kanren [Health-related lifestyle and mental health among inhabitants of a city in Japan]. Japanese Journal of Public Health 50: 303–313.

Goldberg

(1978) Manual of the general health questionnaire, Windsor, Canada: NFER-Nelson.

10.

Goldberg

D. P.

Gater

Sartorius

Ustun

T. B.

Piccinelli

Gureje

Rutter

(1997) The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine 27: 191–197. doi:10.1017/S0033291796004242.

11.

Gordon, D., Adelman, L., Ashworth, K., Bradshaw, J., Levitas, R., Middleton, S., … Williams, J. (2000). Poverty and social exclusion in Britain. York, England: Joseph Rowntree Foundation.

12.

Gotoh

Abe

Tachibanaki

Hatta

Uzuhashi

Kikuchi

Katsumata

(2004) Gendai nihon shakai ni oite nani ga hitsuyoka [Needs in contemporary Japanese society]. The Quarterly of Social Security Research 39: 389–402.

13.

Halleröd

(1995) The truly poor: Direct and indirect consensual measurement of poverty in Sweden. Journal of European Social Policy 5: 111–129. doi:10.1177/095892879500500203.

14.

Halleröd

Larsson

(2008) Poverty, welfare problems and social exclusion. International Journal of Social Welfare 17: 15–25. doi:10.1111/j.1468-2397.2007.00503.x.

15.

Heflin

C. M.

Siefert

Williams

D. R.

(2005) Food insufficiency and women's mental health: Findings from a 3-year panel of welfare recipients. Social Science & Medicine 61: 1971–1982. doi:10.1016/j.socscimed.2005.04.014.

16.

Hefner

Eisenberg

(2009) Social support and mental health among college students. American Journal of Orthopsychiatry 79: 491–499. doi:10.1037/a0016918.

17.

Honda

Shibata

Nakane

(2001) GHQ-12 komoku shitsumonshi wo mochiita seishinigakuteki shogai no sukuriningu [Screening of psychiatric disorder by GHQ-12]. Journal of Health and Welfare Statistics 48: 5–10.

18.

Iwata

Okuyama

Kawakami

Saito

(1988) The twelve-item General Health Questionnaire among Japanese workers. Environmental Science, Hokkaido University 11: 1–10. .

19.

Joseph

(2013) Is the influence of social support on mental health the same for immigrants and non-immigrants?. Journal of Immigrant and Minority Health 15: 598–605. doi:10.1007/s10903-012-9658-7.

20.

Kalil

Born

C. E.

Kunz

Caudill

P. J.

(2001) Life stressors, social support, and depressive symptoms among first-time welfare recipients. American Journal of Community Psychology 29: 355–369. doi:10.1023/A:1010351302196.

21.

Keyes

C. L. M.

Eisenberg

Perry

G. S.

Dube

S. R.

Kroenke

Dhingra

S. S.

(2012) The relationship of level of positive mental health with current mental disorders in predicting suicidal behavior and academic impairment in college students. Journal of American College Health 60: 126–133. doi:10.1080/07448481.2011.608393.

22.

Kiely

K. M.

Butterworth

(2013) Social disadvantage and individual vulnerability: A longitudinal investigation of welfare receipt and mental health in Australia. Australian and New Zealand Journal of Psychiatry 47: 654–666. doi:10.1177/0004867413484094.

23.

Leary

M. R.

(1990) Responses to social exclusion: Social anxiety, jealousy, loneliness, depression, and low self-esteem. Journal of Social and Clinical Psychology 9: 221–229. doi:10.1521/jscp.1990.9.2.221.

24.

Mack

Lansley

(1985) Poor Britain, London, England: George Allen & Unwin Ltd.

25.

McConnell

Birkett

Mustanski

(2015) Typologies of social support and associations with mental health outcomes among LGBT youth. LGBT Health 2: 55–61. doi:10.1089/lgbt.2014.0051.

26.

Ministry of Health, Labour and Welfare. (2010) (2010) Seikatsuhogo-jukyusya no zisatsusyasu ni tsuite [The number of suicides in welfare recipients]. Chingin to Shakai hosho 1514: 28–40.

27.

Ministry of Health, Labour and Welfare (2011) Heisei-22nen Kokumin-seikatsu Kisochosa no Gaikyo. National livelihood survey in 2010. Retrieved from http://www.mhlw.go.jp/toukei/saikin/hw/k-tyosa/k-tyosa10/dl/gaikyou.pdf.

28.

Ministry of Health, Labour and Welfare (2014) Heisei-24nen Hihogosya Zenkoku Issei Chosa. Public assistance recipients survey in 2012. Retrieved from http://www.mhlw.go.jp/toukei/saikin/hw/hihogosya/m2012/dl/09-01.pdf.

29.

Morikawa

(2013) Seikatsu-konkyusya jiritsushienho ha seikatsu-konkyusya wo shiensurunoka? [Is the support for the poor and needy act useful for poor and needy persons?]. Chingin to Shakai hosho 1590: 4–16.

30.

Nakagawa

Daibou

(1996) Nihonban seishin-kenko-chosahyo tebiki, Tokyo, Japan: Nihon Bunka Kagaku-sha[Japanese version of the General Health Questionnaire].

31.

Nakane

Tazaki

Miyaoka

(1999) Ippan jinko ni okeru QOL sukoa no bunpu [WHOQOL-BREF survey of general population]. Journal of health care and society 9: 123–131.

32.

Nakao

Honda

Moji

Abe

Aoyagi

(2011) Relationship between lifestyle and mental health: A population-based survey in Nagasaki prefecture, Japan. Acta Medica Nagasakiensia 55: 55–60.

33.

Niiro

Mori

(2001) Kigyorodosha heno chosa ni motozuita nihonban GHQ seishinchosahyo 12 komokuban (GHQ-12) no shinraisei to datosei no kento [Examination of the reliability and validity of the Japanese version of the 12-item GHQ 12 (GHQ-12) based on a survey of corporate employees]. Clinical Psychiatry 43: 431–436.

34.

Ohara

(1996) Seishin-shogaisya no seikatsutekio to sosharu sapoto [Social support of the mentally handicapped and their adaptation to life: In case of persons living alone]. Shakai Fukushi-gaku 37: 88–99.

35.

Okabayashi

Liang

Krause

Akiyama

Sugisawa

(2004) Mental health among older adults in Japan: Do sources of social support and negative interaction make a difference?. Social Science & Medicine 59: 2259–2270. doi:10.1016/j.socscimed.2004.02.024.

36.

Organization for Economic Cooperation and Development. (2006). Income inequality, poverty and social spending. OECD Economic Surveys: Japan 2006 (pp. 97–126). OECD Publishing. doi : 10.1787/eco_surveys-jpn-2006-en.

37.

Sansone

F. A.

(1998) Social support's contribution to reduced welfare dependency: Program outcomes of long term welfare recipients. Journal of Sociology and Social Welfare 25: 105–126.

38.

Takizawa

Kondo

Sakihara

Ariizumi

Watanabe

Oyama

(2006) Stress buffering effects of social support on depressive symptoms in middle age: Reciprocity and community mental health. Psychiatry and Clinical Neurosciences 60: 652–661. doi:10.1111/j.1440-1819.2006.01579.x.

39.

Tomita

Mitoku

(2012) Kyotaku no sonen-seikatsuhogo-zyukyusya no kenko-kanren -QOL to sono-kanren-yoin [The health-related QOL of late middle-aged public assistance recipients and related factors]. Nihon Chiiki Kango Gakkaishi 15: 7–17.

40.

Vinokur

Schul

Caplan

R. D.

(1987) Determinants of perceived social support: Interpersonal transactions, personal outlook, and transient affective states. Journal of Personality and Social Psychology 53: 1137–1145. doi:10.1037/0022-3514.53.6.1137.

41.

Wilkinson

Marmot

(2003) Social determinants of health: The solid facts, 2nd. Geneva, Switzerland: World Health Organization.

42.

Yoshizumi

(2013) Homuresu no seishinteki-kenko to sosharu sapoto [The mental health of homeless people in Japan and their perceived social support]. Journal of the College of Humanities 30: 37–48.

43.

Zabkiewicz

Schmidt

L. A.

(2007) Behavioral health problems as barriers to work: Results from a 6-year panel study of welfare recipients. The Journal of Behavioral Health Services & Research 34: 168–185. doi:10.1007/s11414-007-9060-8.