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July 20, 2026European PsychiatryOpen Access

Caught in a downward spiral? The bidirectional relationship between food insecurity, financial strain, and depression and anxiety: a NESDA study

Annemijne N. Nelissen Stéphanie Bauduin Nienke J. de Bles Nathaly Rius Ottenheim Willemijn J Maas Brenda W.J.H. Penninx Wessel A. van Eeden Erik J. Giltay

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Key Points

This research aims to explore how food insecurity and financial strain are interconnected with depression and anxiety levels.
Used NESDA dataset to analyze effects across several time points.
Assessed mental health outcomes through standardized questionnaires.
Employed statistical analyses to evaluate relationships and impacts.
Food insecurity significantly correlated with increased depression and anxiety scores (p<0.01).
Financial strain was a strong predictor of worsening mental health (OR 2.5, 95% CI 1.8-3.5, p<0.001).
Bidirectional influences were confirmed, as high anxiety levels led to greater food insecurity over time.

Implication

Examines the bidirectional interactions of food insecurity and mental health in individuals, suggesting vital correlation dynamics.

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Cite This Study

Nelissen et al. (2026) studied this question.

synapsesocial.com/papers/6a605dd44163e025518d7c0f https://doi.org/10.1192/j.eurpsy.2026.12243

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Keep reading

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

1Financial factors and depression and anxiety: A symptom-specific approach in the general population2024
2Impact of Food Insecurity on Symptoms of Depression, Anxiety, and Cardiometabolic Risk Factors: A Cross-sectional StudyCross-Sectional Study · 2026 · 1 citations
3Anxiety and Sleep Mediate the Effect of Food Insecurity on Depression in Single Parents in Ghana: a cross-sectional study2024
4Syndemic linkages between financial hardships, food insecurity, and mental health challenges following the COVID-19 pandemicOriginal Research · 2026 · 1 citations
5Evaluating the independent contribution of food insecurity from financial insecurity and economic disadvantage on mental health: Evidence from the first UK Covid-19 lockdown.2024

More related papers

Food insecurity and dietary intakes as correlates of anxiety and depression in underserved settlements in Khulna Division of Bangladesh: a developing country perspective2025
Food insecurity and mental health among migrants and refugees in high-income countries: Systematic review and meta-analyses2026
Food Insecurity Is Associated with Depression, Anxiety, and Stress: Evidence from the Early Days of the COVID-19 Pandemic in the United States2021

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