Formal publication: May 2020
Authors: Hernando Santamaría-García # 1 2, Sandra Baez # 3, Carlos Gómez # 4 5, Odir Rodríguez-Villagra # 6 7, David Huepe 8, Maria Portela 9, Pablo Reyes 4, Joel Klahr 10 11, Diana Matallana 10 12, Agustin Ibanez 13 14 15 16 17
Abstract: Social factors, such as social cognition skills (SCS) and social determinants of health (SDH), may be vital for mental health, even when compared with classical psycho-physical predictors (demographic, physical, psychiatric, and cognitive factors). Although major risk factors for psychiatric disorders have been previously assessed, the relative weight of SCS and SDH in relation to classical psycho-physical predictors in predicting symptoms of mental disorders remains largely unknown. In this study, we implemented multiple structural equation models (SEM) from a randomized sample assessed in the Colombian National Mental Health Survey of 2015 (CNMHS, n = 2947, females: 1348) to evaluate the role of SCS, SDH, and psycho-physical factors (totaling 17 variables) as predictors of mental illness symptoms (anxiety, depression, and other psychiatric symptoms). Specifically, we assessed the structural equation modeling of (a) SCS (emotion recognition and empathy skills); (b) SDH (including the experience of social adversities and social protective factors); (c) and classical psycho-physical factors, including psychiatric antecedents, physical-somatic factors (chronic diseases), and cognitive factors (executive functioning). Results revealed that the emotion recognition skills, social adverse factors, antecedents of psychiatric disorders and chronic diseases, and cognitive functioning were the best predictors of symptoms of mental illness. Moreover, SCS, particularly emotion recognition skills, and SDH (experiences of social adversities, familial, and social support networks) reached higher predictive values of symptoms than classical psycho-physical factors. Our study provides unprecedented evidence on the impact of social factors in predicting symptoms of mental illness and highlights the relevance of these factors to track early states of disease.
The Brain Health Diplomat’s Toolkit: supporting brain health diplomacy leaders in Latin America and the Caribbean
Navigating the multiple dimensions of the creativity-mental disorder link: a Convergence Mental Health perspective
Global South research is critical for understanding brain health, ageing and dementia
The Human Affectome