title: The psychosocial effects of living in an isolated community. A community health study.
abstract: Doctors working in isolated mining towns frequently remark on the number of psychosocial problems they encounter, particularly among women. A test was designed to study psychosocial well-being in three such towns. The results were compared with those from a diamond-mining town 30 km from a large city. There were 1,239 respondents. The results showed that, according to Goldberg's General Health Questionnaire, the number of people 'clinically disturbed' varied from 14.1% to 23.8%. On the Carroll Rating Scale for Depression, the number of depressed respondents varied from 21.9% to 37.6%. Of the respondents, 23.2 - 31.2% drank alcohol at least once a day, a much higher percentage than that found in the general population. Women suffered more than men from psychosocial illness. Isolation as a risk factor could not be proved, since all 4 towns were affected. Causal factors could be the personality type of the people drawn to such towns or the transient nature of life there or the effect of the towns being company owned.
authors.affiliation: De Beers Consolidated Mines, Finsch Mine, Lime Acres, CP.
authors.forename: A M
authors.initials: AM
authors.lastname: Michalowsky
authors.forename: C L
authors.initials: CL
authors.lastname: Wicht
authors.forename: A T
authors.initials: AT
authors.lastname: Möller
mesh_terms: D000428:Alcohol Drinking; D003863:Depression / Q000453:epidemiology; D004651:Employment; D005260:Female; D006801:Humans; D008297:Male; D008393:Marriage; D010549:Personal Satisfaction; D011602:Psychophysiologic Disorders / Q000453:epidemiology*; D011610:Psychosocial Deprivation; D012737:Sex Factors; D012934:Social Isolation; D013019:South Africa