PDF(Pubmed)
Abstract：
Depression is a major cause of disability and, if left untreated, can increase the risk of suicide. Evidence on the determinants of depression is incomplete, making it challenging to interpret results across studies. This study aims to identify the social, economic, environmental, political, and technological factors influencing the great recession in Iran. The study was conducted in two parts. The first step involved a literature review to identify the factors, using PubMed, Scopus, and Web of Science for the search. The reference lists of all identified articles were reviewed to find relevant studies, and the extracted information was summarized and reported descriptively. The second steps involved compiling and consulting 14 experts from different fields, using a framework analysis method. Twenty-four articles were used as primary sources of information, and a total of 28 factors were found to exist. After removing duplicates and related factors, 19 of these were subsequently declared as factors, resulting in a total of 36 determinants being identified. Most of these factors belong to the social category. The health policies implemented have a significant impact on disease risk factors and ultimately their occurrence. Political decisions and policy-making processes play a crucial role in all areas, particularly in addressing disease risk factors. Severe depression can disrupt all aspects of the healthcare system, underscoring the importance of access to care. Policies concerning physical education, transportation, nutrition, employment, green spaces, recreational facilities, and tobacco are vital in this context. The influence of health policies on disease risk factors and disease occurrence is profound. Severe depression can have far-reaching effects on the healthcare system, emphasizing the critical need for access to care. The formulation of policies to combat depression must be thoroughly evaluated in terms of economic, political, social, technological, and environmental factors. The findings suggest that addressing social inequalities and emphasizing the role of political action, as highlighted by the social determinants of health, should be top priorities in addressing depression. Efforts to prevent depression should incorporate ecological approaches that consider the impact of the socioeconomic environment on depressive symptoms.
摘要：
抑郁症是残疾的主要原因，如果不及时治疗，会增加自杀的风险。关于抑郁症决定因素的证据不完整，使得解释研究结果具有挑战性。本研究旨在识别社会,经济,环境,政治,以及影响伊朗大衰退的技术因素。该研究分两个部分进行。第一步涉及文献综述，以确定因素，使用PubMed,Scopus,和WebofScience进行搜索。审查了所有已确定文章的参考列表，以找到相关研究，并对提取的信息进行描述性总结和报告。第二步涉及收集和咨询来自不同领域的14名专家，使用框架分析方法。二十四篇文章被用作主要信息来源，共发现28个因素。删除重复项和相关因素后，其中19项随后被宣布为因素，总共确定了36个决定因素。这些因素大多属于社会范畴。实施的卫生政策对疾病危险因素及其最终发生具有重大影响。政治决策和决策过程在所有领域都发挥着至关重要的作用,特别是在解决疾病风险因素方面。严重的抑郁症会破坏医疗保健系统的各个方面，强调获得护理的重要性。有关体育教育的政策，交通运输,营养,employment,绿色空间,娱乐设施,烟草在这方面至关重要。卫生政策对疾病危险因素和疾病发生的影响是深远的。严重的抑郁症会对医疗保健系统产生深远的影响，强调获得护理的迫切需要。制定抗击抑郁症的政策必须从经济角度进行全面评估，政治,社会,技术,和环境因素。研究结果表明，解决社会不平等和强调政治行动的作用，正如健康的社会决定因素所强调的那样，应该是解决抑郁症的首要任务。预防抑郁症的努力应纳入考虑社会经济环境对抑郁症状影响的生态方法。
