The results of the 2009 Pfizer Health Index announced at the Royal College of Physicians Ireland reveal that the recently unemployed are four times more likely to claim to have depression than the general population. There is also evidence that the recession is leading to anxiety over money, is bad for self-esteem and is leading to relationship tension. The greatest impact of the recession is apparent among those between the ages of 25 and 50, who are parents and who live in urban areas.