Cumulative impact of sustained economic hardship on physical, cognitive, psychological, and social functioning

BACKGROUND: Although the relation between low income and poor health is well established, most previous research has measured income at only one time. METHODS: We used income information collected in 1965, 1974, and 1983 from a representative sample of adults in Alameda County, California, to examine the cumulative effect of economic hardship (defined as a total household income of less than 200 percent of the federal poverty level) on participants who were alive in 1994. RESULTS: Because of missing information, analyses were based on between 1081 and 1124 participants (median age, 65 years in 1994). After adjustment for age and sex, there were significant graded associations between the number of times income was less than 200 percent of the poverty level (range, 0 to 3) and all measures of functioning examined except social isolation. As compared with subjects without economic hardship, those with economic hardship in 1965, 1974, and 1983 were much more likely to have difficulties with independent activities of daily living (such as cooking, shopping, and managing money) (odds ratio, 3.38; 95 percent confidence interval, 1.49 to 7.64), activities of daily living (such as walking, eating, dressing, and using the toilet) (odds ratio, 3.79; 95 percent confidence interval, 1.32 to 9.81), and clinical depression (odds ratio, 3.24; 95 percent confidence interval, 1.32 to 7.89) in 1994. We found little evidence of reverse causation -- that is, that episodes of illness might have caused subsequent economic hardship. CONCLUSIONS: Sustained economic hardship leads to poorer physical, psychological, and cognitive functioning.     

The ad hoc committee on social impact of psychological assessment.

"Broadly, the Committee is concerned with assessment in terms of what psychologists should do, what they do, and how they are seen. This includes keeping APA informed regarding the perceptions of various audiences, including psychologists, of psychological assessment and its impact on society. The Committee has recommended the preparation of a technical report concerning desirable standards of practice and research in the field of assessment. They also recognize the need to educate lay users of tests. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Impact of psychological and physical health, stressful events, and social support on subsequent mental health help seeking among older adults.

Factors that influence mental health help seeking among adults 55+ yrs were examined prospectively. A discriminant analysis significantly differentiated between 120 older adults needing and seeking services and a comparison group of 120 older adults not needing services. Prior to having sought help, help seekers demonstrated poorer psychological well-being, reported more physical health problems, reported a higher level of unpleasant stressful events, and perceived greater deficits in the amount of social support available to them in time of need. The vast majority of these older help seekers sought help for their mental health problems from a medical doctor rather than from a mental health center or clinic or from a minister. Significantly more help seekers than nonseekers experienced stressful events involving bereavement, social and economic loss, and new physical illness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

On the relationship of the psychological and the physical in psychophysics.

Presents a theory of the relationship of the psychological and the physical and uses it to formulate a new kind of meaningfulness principle for psychophysical application. This new principle calls into question the psychological relevance of many kinds of quantitative psychophysical relationships. As an illustration, it is used to study comparisons of sensitivity involving Weber fractions, particularly comparisons across sensory modalities. The methods of the illustration extend easily to other psychophysical situations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The psychological and social impact of physical disability (2nd ed.).

Reviews the book, The psychological and social impact of physical disability (2nd ed.) by Robert P. Marinelli and Arthur E. Dell Orto (1984). This book of readings is a substantial revision of the volume by the same title published in 1977. The editors, who are professors of rehabilitation counseling at West Virginia University and Boston University, respectively, have selected 18 new articles for inclusion in the second edition. Their criteria for selecting the new articles, as well as for retaining 11 articles from the first edition, were "practicality and utility for service providers." The topics addressed in the selected readings include legal rights, independent living, adolescence, family dynamics, psychological adjustment, attitude modification, sexual adjustment, self-help groups, women, and various helping strategies. Most of the new articles were originally published between 1979 and 1982, and only three of the retained articles were published before 1972; hence, the volume primarily represents recent writings about psychosocial aspects of disablement. All but five of the selections are reprinted from major rehabilitation journals. Because it does assemble many important articles in one place, this book is a useful reference source for courses on psychological aspects of disability. It cannot serve as the primary textbook, however, because it does not provide anything approaching an integrated, comprehensive treatment of the subject. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceptions of the impact of negatively valued physical characteristics on social interaction.

24 female undergraduates were led to believe that they were perceived as physically deviant in the eyes of an interactant when in fact they were not. Following a brief discussion, they commented on those aspects of the interactant's behavior that appeared to be linked to the deviance. Ss who thought that they possessed negatively valued physical characteristics found strong reactivity to the deviance in the behavior of their interactant, whereas those with a more neutrally valued characteristic did not. An expectancy/perceptual bias explanation is advanced to account for these results, although experimental demand is also a plausible interpretation. Study 2, with 50 male and female Ss, reaffirmed that both the expectancy and the demand explanations were plausible. Study 3 with 30 female Ss used a new set of instructions devised to test the competing explanations. Results strongly undermine a demand interpretation of the original results. In Study 4, with 32 female Ss, persons who had observed the behavior of the interactants in Study 1 via videotape also perceived greater reactivity to an imputed negative form of deviance than to a neutral one. Data support the notion that the results of Studies 1 and 3 reflect the operation of an expectancy/perceptual bias mechanism and tend to rule out a self-fulfilling prophecy dynamic. (17 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Illusion and well-being: A social psychological perspective on mental health.

Many prominent theorists have argued that accurate perceptions of the self, the world, and the future are essential for mental health. Yet considerable research evidence suggests that overly positive self-evaluations, exaggerated perceptions of control or mastery, and unrealistic optimism are characteristic of normal human thought. Moreover, these illusions appear to promote other criteria of mental health, including the ability to care about others, the ability to be happy or contented, and the ability to engage in productive and creative work. These strategies may succeed, in large part, because both the social world and cognitive-processing mechanisms impose filters on incoming information that distort it in a positive direction; negative information may be isolated and represented in as unthreatening a manner as possible. These positive illusions may be especially useful when an individual receives negative feedback or is otherwise threatened and may be especially adaptive under these circumstances. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differences between caregivers and noncaregivers in psychological health and physical health: A meta-analysis.

Providing care for a frail older adult has been described as a stressful experience that may erode psychological well-being and physical health of caregivers. In this meta-analysis, the authors integrated findings from 84 articles on differences between caregivers and noncaregivers in perceived stress, depression, general subjective well-being, physical health, and self-efficacy. The largest differences were found with regard to depression (g = .58), stress (g = .55), self-efficacy (g = .54), and general subjective well-being (g = -.40). Differences in the levels of physical health in favor of noncaregivers were statistically significant, but small (g = .18). However, larger differences were found between dementia caregivers and noncaregivers than between heterogeneous samples of caregivers, and noncaregivers. Differences were also influenced by the quality of the study, relationship of caregiver to the care recipient, gender, and mean age of caregivers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Population and political participation: A social impact analysis of voter responsibility.

As predicted by B. Latané's (1981) theory of social impact, the authors found that participation in local politics, including attendance at both open and representative town meetings and voting in town elections, declined with increasing size of town. Participation in national and especially state elections, however, increased with size of town. The results are consistent with the view that political participation is motivated by feelings of civic responsibility, which are made salient by exposure to media, but which can be diffused if shared too widely. In addition, as predicted by social impact theory, these increases and declines in participation were well described by power functions with exponents less than 1, reflecting the marginal impact of changes in number. The results suggest that declines in the proportion of Americans who vote may result in part simply from increasing population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

湖北省大学生身心健康状况调查分析

随着中国经济发展和社会转型,大学生的身心状况出现一系列新的变化,及时掌握这些变化并加以正确引导对国家发展至关重要.本课题组受共青团湖北省委员会委托,于2009年lO月11日对省内7所高校383名大学生开展身心健康状况抽样调查,旨在了解当前大学生的身心状况和目前存在的主要问题,促进大学生的健康发展.     

Cognitive mediation of rape's mental, physical and social health impact: Tests of four models in cross-sectional data.

Four nested, theoretically specified, increasingly complex models were tested representing cognitive mediation of rape's effects on mental, physical, and social health. Data were cross-sectional (N = 253 rape survivors). Outcomes were standardized assessments of social maladjustment, physical, and psychological symptoms, including posttraumatic stress disorder (PTSD). The best-fitting model was not fully cognitively mediated. Personological and rape characteristics influenced the level of self-blame experienced and the intensity of maladaptive beliefs about self and others. Self-blame and maladaptive beliefs predicted psychological distress, which strongly influenced all health outcomes. Self-ratings of rape memory characteristics contributed little to predicting postrape distress. The model accounted for 56% of the variance in general distress, including 91% of psychological symptom severity; 54% of PTSD symptoms; 65% of social maladjustment; and 17% of physical symptoms. Longitudinal replication is planned. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Residential density and psychological health: The mediating effects of social support.

People report excessive, unwanted social interactions, insufficient privacy, and are observed to be more socially withdrawn under crowded living conditions. If people socially withdraw from one another as a way to cope with crowding, this could lead to an unintended side effect of breakdowns in socially supportive relationships. A breakdown in socially supportive relationships could, in turn, account for some of the pathological consequences of chronic, high density living conditions. An empirical study of 175 male heads of household among inner city residents in India suggests that the adverse effects of residential crowding on psychological health are mediated by a breakdown of social support systems. The study also points to the value of examining social support as an endogenous variable in the stress and health process. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Understanding the positive social psychological benefits of sport team identification: The team identification-social psychological health model.

This article presents a theoretical model designed to account for the positive relationship between identification with a local sport team and social psychological health. This model, labeled the Team Identification-Social Psychological Health Model, predicts that team identification facilitates well-being by increasing social connections for the fan. Two forms of social connections are developed through team identification: enduring and temporary. Although the enduring and temporary social connections are expected to result in improved well-being, it is predicted that this relationship will be moderated by threats to social identity and efforts to cope with the threats. The social connections resulting from team identification are expected to impact both state (via increases in temporary social connections) and trait well-being (via enduring connections). Finally, because research indicates that group and team identification are more closely related to social well-being than personal well-being, temporary and enduring social connections are predicted to have their greatest impact on social psychological health. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Generality and specificity in health behavior: Application to warning-label and social influence expectancies.

Outlined a meta-theoretical and an analytic framework for construing the predictive effects of health-behavior expectancies, or beliefs, in terms of both general and specific processes. This framework was applied empirically to the investigation of the predictive effects of outcome expectancies related to the recently mandated alcohol-warning label as well as to expectancies reflecting social influence processes. Results show that general and specific predictive effects of expectancies on alcohol-use behaviors operated simultaneously, demonstrating the potential value of the framework. The authors summarized implications for continued theoretical development as well as applications in prevention of alcohol abuse through warning-label and social influence interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Increasing emotional competence improves psychological and physical well-being, social relationships, and employability.

This study builds on earlier work showing that adult emotional competencies (EC) could be improved through a relatively brief training. In a set of 2 controlled experimental studies, the authors investigated whether developing EC could lead to improved emotional functioning; long-term personality changes; and important positive implications for physical, psychological, social, and work adjustment. Results of Study 1 showed that 18 hr of training with e-mail follow-up was sufficient to significantly improve emotion regulation, emotion understanding, and overall EC. These changes led in turn to long-term significant increases in extraversion and agreeableness as well as a decrease in neuroticism. Results of Study 2 showed that the development of EC brought about positive changes in psychological well-being, subjective health, quality of social relationships, and employability. The effect sizes were sufficiently large for the changes to be considered as meaningful in people's lives. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Perceived social support, psychological adjustment, and functional ability in youths with physical disabilities.

Objective: To examine the relationship between perceived social support and psychological adjustment and functional ability in youths with physical disabilities. Participants: Thirty-seven youths with neuromuscular disease and 33 with spina bifida. Measures: Demographic and disability-related questions, Child Health Questionnaire, Functional Disability Inventory, and Multidimensional Scale of Perceived Social Support. Results: Social support from family, but not from friends, was significantly associated with better psychological adjustment. Significant interactions emerged between family support and age, as well as between friend support and gross motor functioning, in the prediction of functional ability. Conclusions: Social support appears to play an important role in psychological adjustment and functional ability in this population, and the nature of this role may be moderated, to some extent, by age and gross motor functioning. Future research and clinical implications are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Risky families: Family social environments and the mental and physical health of offspring.

Risky families are characterized by conflict and aggression and by relationships that are cold, unsupportive, and neglectful. These family characteristics create vulnerabilities and/or interact with genetically based vulnerabilities in offspring that produce disruptions in psychosocial functioning (specifically emotion processing and social competence), disruptions in stress-responsive biological regulatory systems, including sympathetic-adrenomedullary and hypothalamic-pituitary-adrenocortical functioning, and poor health behaviors, especially substance abuse. This integrated biobehavioral profile leads to consequent accumulating risk for mental health disorders, major chronic diseases, and early mortality. In conclusion, the authors state that childhood family environments represent vital links for understanding mental and physical health across the life span. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Collective identification and social movement participation.

Determinants of collective behavior, as suggested by the social identity or self-categorization approach and social movement research, were examined in 2 field studies. Study 1 was conducted in the context of the older people's movement in Germany and Study 2 in the context of the gay movement in the United States. Both studies yielded similar results pointing to 2 independent pathways to willingness to participate in collective action; one is based on cost-benefit calculations (including normative considerations), and the other is based on collective identification as an activist. Study 2 included an experimental manipulation and provided evidence for the causal role of collective identification as an activist. Directions for future research on the proposed dual-pathway model are suggested. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Marital distress and the metabolic syndrome: Linking social functioning with physical health.

Mechanisms by which poor relationship functioning contributes to poor health are not fully understood. We conducted a study to evaluate the association between marital distress and the metabolic syndrome (MetS), which refers to a clustering of characteristics that have individually been shown to be associated with elevated risk of cardiovascular disease and diabetes and which collectively have been shown to increase risk for cardiovascular disease, diabetes, stroke, and mortality. A population-based English sample of couples (N = 671 couples) in which both partners were between the ages of 52 and 79 years old completed a self-report measure of marital distress and a nurse visit that included collection of blood pressure, blood samples, and anthropometric measures. Results indicated that for women, after controlling for demographic variables, greater marital distress was significantly associated with increasing likelihood of meeting criteria for the MetS and with the individual MetS criteria of elevated blood pressure and elevated fasting glucose. The association between marital distress and the MetS remained significant for women when additionally controlling for depressive symptoms and health habits (smoking status, physical activity). Marital distress was not significantly associated with the MetS or any of the individual MetS criteria for men. (PsycINFO Database Record (c) 2010 APA, all rights reserved)