Journal of Primary Prevention

, Volume 17, Issue 1, pp 17–30

The relationship between social class and mental disorder

  • Melissa J. Perry

DOI: 10.1007/BF02262736

Cite this article as:
Perry, M.J. J Primary Prevent (1996) 17: 17. doi:10.1007/BF02262736


The inverse relationship between social class and rates of mental disorders was first documented in early mental hygiene studies at the beginning of this century and similar findings have been demonstrated in numerous contemporary studies. Interpretations of this persistent relationship include a downward drift explanation that posits that a decline in social status occurs as a result of precipitating mental illness, and a social causation model that emphasizes the importance of psychosocial stressors in the onset of mental disorders. A wealth of evidence supporting the social causation model is reviewed, drawing on mental health epidemiology, women's mental health, unemployment and physical health research. Political and economic origins of the downward drift hypothesis are also discussed.

Key words

social class mental disorder social epidemiology 

Copyright information

© Human Sciences Press, Inc. 1996

Authors and Affiliations

  • Melissa J. Perry
    • 1
  1. 1.University of VermontUSA
  2. 2.Department of Psychiatry and Behavioral Medicine, Center for AIDS Intervention ResearchMedical College of WisconsinMilwaukee

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