Lesson 2 of 6 · The loop between debt and the mind
What the research actually found
Three pieces, and the third is the one that lets us say loop rather than link.
What the research says
Debt is associated with depression, anxiety, problem drinking, drug dependence and suicide. The authors are explicit that most of these studies looked at people at a single moment, so this is a real association whose direction is not established.
Debt is associated with depression, anxiety, problem drinking, drug dependence and suicide. The authors are explicit that the great majority of the studies looked at people at a single point in time, so the association is well established and the direction of cause is not.
Richardson T, Elliott P, Roberts R (2013). The relationship between personal unsecured debt and mental and physical health: a systematic review and meta-analysis. Clinical Psychology Review, 33(8), 1148 to 1162 doi
The same finding again, and the reason this course does not treat all debt as one thing: short term, high cost unsecured borrowing is the kind that does the most damage to health, whatever the balance says.
Different kinds of household debt do not sit on people in the same way. Short term, high cost unsecured borrowing carried the heaviest load for mental and physical health, which is why treating all debt as one moral category is inaccurate as well as unkind.
Sweet E, Nandi A, Adam EK, McDade TW (2013). The high price of debt: household financial debt and its impact on mental and physical health. Social Science and Medicine, 91, 94 to 100 doi
Reviewing evidence that includes randomised trials, the authors argue this runs both ways: poverty contributes causally to mental illness, and mental illness deepens poverty. Neither half is a verdict on you, and either half is a place to intervene.
Reviewing evidence that includes randomised interventions, the authors argue the relationship runs in both directions: poverty contributes causally to mental illness, and mental illness deepens poverty. They note that much of the causal evidence comes from low and middle income settings, so it does not transfer automatically everywhere.
Ridley M, Rao G, Schilbach F, Patel V (2020). Poverty, depression, and anxiety: causal evidence and mechanisms. Science, 370(6522), eaay0214 doi