题名

全球金融危機與台灣精神類藥物處方關聯性研究

并列篇名

The Association between the Global Financial Crisis and Prescriptions for Psychotherapeutic Drugs in Taiwan

作者

何雅利(Ya-Lee Ho)

关键词

金融危機 ; 憂鬱 ; 藥費支出 ; financial crisis ; depression ; drug expense

期刊名称

保險專刊

卷期/出版年月

29卷1期(2013 / 06 / 01)

页次

85 - 100

内容语文

繁體中文

中文摘要

2008年全球金融風暴對台灣金融經濟造成重大影響,民眾遭逢環境遽變心理面是否也產生變化,是醫療與保險業重視的課題。本研究利用台灣台中榮民總醫院2005-2010年期間門診抗憂鬱與安眠鎮靜藥物使用狀況分析精神類藥物處方與全球金融危機的關聯性。研究發現45-64歲群組男性和女性在2008年和2009年比2010年有顯著較高精神類藥物支出,這意謂中年工作者可能對金融衝擊更敏感。我們建議政府應該提供正式和非正式的社會服務,以減輕受經濟環境劇烈變化引起的焦慮、失眠、憂鬱等醫療需求。

英文摘要

The 2008 financial crisis hugely affected the economy of Taiwan. People in the rapidly changing environment were under enormous mental strain, and even showed symptoms of disease, which is an important issue for health care and insurance. This study investigates the relationship between the economic crisis and the mental and physical health of adults in Taiwan. It was found that both males and females aged 45-64 had significantly higher mean drug costs for psychoactive medication prescriptions during 2008 and 2009 than during 2010, indicating that middle aged workers were more sensitive to the shock. The results suggest that the government should provide formal and informal social services to mitigate the predicted increase in medical help due to anxiety, insomnia, and depression caused by the acute uncertainty in the current economic environment.

主题分类 社會科學 > 社會學
社會科學 > 經濟學
参考文献
  1. 台灣證券交易所,2012,「每日市場成交資訊」,http://www.twse.com.tw,搜尋日期2012年6月13日。
  2. 行政院主計處,2011,「國民所得統計常用資料」,http://www.twse.com.tw,搜尋日期2012年6月13日。
  3. AbuAlRu, R. F.(2004).Job stress, job performance, and social support among hospital nurses.Journal of Nursing Scholarship,36(1),73-78.
  4. Bashir, U.,Ramay, M. I.(2010).Impact of stress on employees job performance a study on banking sector of Pakistan.International Journal of Marketing Studies,2(1),122-126.
  5. Berlanga, C.,Flores-Ramos, M.(2006).Different gender response to serotonergic and noradrenergic antidepressants. A comparative study of the efficacy of citalopram and reboxetine.Journal of Affective Disorders,95,119-123.
  6. Butterworth, P.,Gilla, S. C.,Rodgersb, B.,Ansteya, K. J.,Villamilc, E.,Melzerd, D.(2006).Retirement and mental health: Analysis of the Australian national survey of mental health and well-being.Social Science & Medicine,62,1179-1191.
  7. Cartwright, S.,Cooper, C. L.(1997).Managing workplace stress.Thousand Oaks, CA:Sage.
  8. Chan, A. L. F.,Yang, T. C.,Chen, J. X.,Yu, L. H. H.,Leung, W. C.(2006).Cost of Depression of Adults in Taiwan.International Journal of Psychiatry in Medicine,36(1),131-135.
  9. Chang, S. Se.,Gunnell, D.,Sterne, J. A. C.,Lu, T. H.,Cheng, A. T. A.(2009).Was the economic crisis. 1997-1998 responsible for rising suicide rates in East/Southeast Asia? A time-trend analysis for Japan, Hong Kong, South Korea, Taiwan, Singapore and Thailand.Social Science and Medicine,68,1322-1331.
  10. Chen, Y.,Yip, P.SF,Lee, C.,Fan, H.F.,Fu, K. W.(2010).Economic fluctuations and suicide: A comparison of Taiwan and Hong Kong.Social Science and Medicine,71,2083-2090.
  11. Giuseffi1, D. L.,Bedrosian, R. C.,Schwartz, S. M.,Wildenhaus, K.J.,Wang, C.,Yu, A.,Wiegand, B.(2011).Women Using a Web-based Digital Health Coaching Programme for Stress Management: Stress Sources, Symptoms and Coping Strategies.Stress and Health,27(3),269-281.
  12. Ivancevich, J.M.,Matteson, M.T.(1980).Stress and Work: a managerial perspective.New York:Scott, Foresman.
  13. Jamal, M.(2007).Job stress and job performance controversy revisited: an empirical examination in two countries.International Journal of Stress Management,14(2),175-187.
  14. Jamal, M.(1984).Job stress and job performance controversy: an empirical assessment in two countries.Organizational Behavior and Human Performance,33,1-21.
  15. Karasek, R. A.(1979).Job demand, job decision latitude, and mental strain: implications for job redesign.Administrative Science Quarterly,24,285-309.
  16. Keegela, T.,Ostryb, A.,LaMontagne, A. D.(2009).Job strain exposures vs. stress-related workers' compensation claims in Victoria, Australia: Developing a public health response to job stress.Journal of Public Health Policy,30(1),17-39.
  17. Kelly, S.(2009).Don't stop thinking about tomorrow: The changing face of retirement -the past, the present and the future.Sydney:AMP. NATSEM.
  18. Kokras, N.,Dalla, C.,Papadopoulou-Daifoti, Z.(2011).Sex differences in pharmacokinetics of Antidepressants.Expert Opinion on Drug Metabolism and Toxicology,7(2),213-226.
  19. Kornstein, S. G.,Schneider, R. K.(2001).Clinical Features of Treatment-Resistant Depression.Journal of Clinical Psychiatry,62,18-25.
  20. Kring, A.M.,Gordon, A.H.(1998).Sex Differences in Emotions: Expression, Experience, and Physiology.Journal of Personality and Social Psychology,686-703.
  21. Kuo, C.C.,Chien, I.C.,Lin, C.H.,Lee, W.G.,Chou, Y.J.,Lee, C.H.,Chou, P.(2011).Prevalence, correlates, and disease patterns of antidepressant use in Taiwan.Comprehensive Psychiatry,52,662-669.
  22. Lee, C.(2001).Experiences of family caregiving among older Australian women.Journal of Health Psychology,6,393-404.
  23. Lin, K. M.,Inui, T. S.,Kleinman, A. M.,Womack, W. M.(1982).Sociocultural determinants of the help-seeking behavior of patients with mental illness.Journal of Nervous and Mental Disease,170,78-85.
  24. Matud, M. P.(2004).Gender differences in stress and coping styles.Personality and Individual Differences,37,1401-1415.
  25. Neupert, S. D.,Almeida, D. M.,Charles, S. T.(2007).Age differences in reactivity to daily stressors: The role of personal control.The Journals of Gerontology Series B: Psychological Sciences and Social Sciences,62,216-225.
  26. Nilakant, V.(1992).Total-quality management: what is it really all bout?.Management Bulletin,4,3-18.
  27. Oman, R. F.,King, A. C.(2000).The effect of life events and exercise program format on the adoption and maintenance of exercise behavior.Health Psychology,605-612.
  28. Quitkin, F. M.,Stewart, J. W.,Mcgrath, P. J.,Taylor, B. P.,Tisminetzky, M. S.,Petkova, E.,Chen, Y.,Ma, G.,Klein, D.F.(2002).Are There Differences Between Women's and Men's Antidepressant Responses?.American Journal of Psychiatry,159(11),1848-1854.
  29. Raymond, C. B.,Morgan, S. G.,Caetano, P. A.(2007).Antidepressant utilization in British Columbia from 1996 to 2004: increasing prevalence but not incidence.Psychiatr Serv,58,79-84.
  30. Sargent-Cox, K.,Butterworth, P.,Anstey, K. J.(2011).The global financial crisis and psychological health in a sample of Australian older adults: A longitudinal study.Social Science & Medicine,73,1105-1112.
  31. Schaubroeck, J.,Merritt, D. E.(1997).Divergent effect of job control on coping with work stressors: the key role of self-efficacy.The Academy of Management Journal,40(3),738-754.
  32. Staw, B. M.,Sutton, R. I.,Pelled, L. H.(1994).Employee positive emotion and favorable outcomes at the workplace.Organization Science,5(1),51-71.
  33. Stone, A. A.,Schwartz, J.E.,Broderick, J. E.,Deaton, A.(2010).A snapshot of the age distribution of psychological well-being in the United States.Proceedings of the National Academy of Sciences,107(22),9985-9990.
  34. Tsai, F. J.,Chan, C. C.(2011).The impact of the 2008 financial crisis on psychological work stress among financial workers and lawyers.Int Arch Occup Environ Health,84,445-452.
  35. Tuten, T. L.,Neidermeyer, P. E.(2004).Performance, satisfaction and turnover in call centers the effect of stress and optimism.Journal of Business Research,57,26-34.
  36. Whaley, R. E.(2000).The investor fear gauge.Journal of Portfolio Management,26(3),12-17.
  37. Wu, C. S.,Shau, W. Y.,Chan, H. Y.,Lee, Y. C.,Lai, Y. J.,Lai, M. S.(2012).Utilization of antidepressants in Taiwan: a nationwide population-based survey from 2000 to 2009.pharmacoepidemiology and drug safety,21(9)
  38. Young, A. H.,Dow, R. C.,Goodwin, G. M.(1993).The effects of adrenalectomy and ovariectomy on the behavioural and hypothermic responses of rats to 8-hydroxy-2 (di-n-propylamino) tetralin.Neuropharmacology,32,653-657.
  39. 文榮光(1985)。精神疾病與求助行為:問題與對策。中華心理衛生學刊,2,37-46。
  40. 曾文星編(1996)。華人的心理與治療。台北:桂冠圖書公司。
  41. 黃文翔、吳婉莉、文榮光(1983)。精神疾病患者求助行為的研究。心理衛生,26,25-31。