Honors Theses
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Date of Defense
2025
Document Type
Honors Thesis
Degree Type
Bachelors of Science
Declared Major
Neuroscience
College
College of Psychology
Faculty Advisor
Leanne Boucher, Ph.D., College of Psychology
Honors Program Director
Aileen Miyuki Farrar, Ph.D., Director, Farquhar Honors Program
Faculty Fellow for Student Research
David Kerstetter, Ph.D., Faculty Fellow for Student Research
HCAS Dean
Robin Cooper, Ph.D., Dean, Halmos College of Arts and Sciences
Home College Dean
Karen Grosby, Ed.D., Dean, College of Psychology
Abstract
Mental health disorders, particularly anxiety and depression, are a growing global concern with profound consequences on individuals' well-being and societal functioning. The burden of these disorders is not only psychological but also economic, affecting quality of life. Mental health outcomes are heavily influenced by a range of social determinants, such as financial status, education, and access to healthcare. While extensive research has focused on WEIRD (Western, Educated, Industrialized, Rich, Democratic) countries, there remains a significant gap in understanding how these determinants affect mental health in low-resource settings or non-WEIRD countries. This study aimed to address this gap by exploring the relationship between these social determinants and mental health outcomes in Bangladesh and Nepal, two non-WEIRD countries that are underrepresented in global mental health research. Specifically, this research examined how financial status, educational attainment, and healthcare access correlate with the severity of anxiety and depression symptoms, as measured by the Generalized Anxiety Disorder 7 (GAD-7) and the Patient Health Questionnaire (PHQ-9) by utilizing data from the Demographic and Health Surveys (DHS) collected by the U.S. Agency for International Development (USAID). Using DHS data from Bangladesh and Nepal, analyses showed that higher educational attainment and wealth index were associated with lower anxiety and depression, while financial instability related to employment was associated with greater anxiety and depression. Overall, these findings emphasize the importance of socioeconomic and educational factors in shaping mental health outcomes in non-WEIRD, low-resource settings, and support the need for structurally focused policy interventions.
NSUWorks Citation
Ariana Fein. 2025. Social determinants of mental health outcomes. Capstone. Nova Southeastern University. Retrieved from NSUWorks, College of Psychology. (53)
https://nsuworks.nova.edu/honors_theses/53.