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Recession hardships, personal control, and the amplification of psychological distress: Differential responses to cumulative stress exposure during the U.S. Great Recession

Recessions pose risks to mental health, yet the psychosocial mechanisms involved are less clear. One critical factor may be people's perceived control when faced with multiple recession hardships. Here we test a structural amplification hypothesis by assessing the role of perceived control as a...

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Detalles Bibliográficos
Autores principales: Koltai, Jonathan, Stuckler, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6909165/
https://www.ncbi.nlm.nih.gov/pubmed/31872038
http://dx.doi.org/10.1016/j.ssmph.2019.100521
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author Koltai, Jonathan
Stuckler, David
author_facet Koltai, Jonathan
Stuckler, David
author_sort Koltai, Jonathan
collection PubMed
description Recessions pose risks to mental health, yet the psychosocial mechanisms involved are less clear. One critical factor may be people's perceived control when faced with multiple recession hardships. Here we test a structural amplification hypothesis by assessing the role of perceived control as a mediator and moderator of the relation between recession shocks and psychological distress. We draw on waves 2 (2004–2006) and 3 (2013–2014) of the Midlife in the United States study (MIDUS), covering 1,739 US adults under age 75 from before and after the Great Recession. Our statistical models reveal that perceived control declines while distress rises in association with a greater accumulation of recession-related hardships. Perceived control partially mediated the recession hardships-distress association,attenuating it by about one-fifth. Further, perceived control modified the association between recession hardships and distress; individuals who reported larger declines in personal control had greater increases in distress, whereas those who experienced hardships but increased their perceived control did not exhibit significant changes in distress levels. Taken together, our findings support the structural amplification hypothesis, whereby an accumulation of recession hardships erode coping resources that would otherwise protect individuals from the mental health effects of stress exposure. Future research is needed to better understand sources of resilience at individual, community, and societal levels to help ameliorate sentiments of powerlessness and lack of perceived control during economic recessions.
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spelling pubmed-69091652019-12-23 Recession hardships, personal control, and the amplification of psychological distress: Differential responses to cumulative stress exposure during the U.S. Great Recession Koltai, Jonathan Stuckler, David SSM Popul Health Article Recessions pose risks to mental health, yet the psychosocial mechanisms involved are less clear. One critical factor may be people's perceived control when faced with multiple recession hardships. Here we test a structural amplification hypothesis by assessing the role of perceived control as a mediator and moderator of the relation between recession shocks and psychological distress. We draw on waves 2 (2004–2006) and 3 (2013–2014) of the Midlife in the United States study (MIDUS), covering 1,739 US adults under age 75 from before and after the Great Recession. Our statistical models reveal that perceived control declines while distress rises in association with a greater accumulation of recession-related hardships. Perceived control partially mediated the recession hardships-distress association,attenuating it by about one-fifth. Further, perceived control modified the association between recession hardships and distress; individuals who reported larger declines in personal control had greater increases in distress, whereas those who experienced hardships but increased their perceived control did not exhibit significant changes in distress levels. Taken together, our findings support the structural amplification hypothesis, whereby an accumulation of recession hardships erode coping resources that would otherwise protect individuals from the mental health effects of stress exposure. Future research is needed to better understand sources of resilience at individual, community, and societal levels to help ameliorate sentiments of powerlessness and lack of perceived control during economic recessions. Elsevier 2019-11-25 /pmc/articles/PMC6909165/ /pubmed/31872038 http://dx.doi.org/10.1016/j.ssmph.2019.100521 Text en © 2019 The Authors. Published by Elsevier Ltd. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Koltai, Jonathan
Stuckler, David
Recession hardships, personal control, and the amplification of psychological distress: Differential responses to cumulative stress exposure during the U.S. Great Recession
title Recession hardships, personal control, and the amplification of psychological distress: Differential responses to cumulative stress exposure during the U.S. Great Recession
title_full Recession hardships, personal control, and the amplification of psychological distress: Differential responses to cumulative stress exposure during the U.S. Great Recession
title_fullStr Recession hardships, personal control, and the amplification of psychological distress: Differential responses to cumulative stress exposure during the U.S. Great Recession
title_full_unstemmed Recession hardships, personal control, and the amplification of psychological distress: Differential responses to cumulative stress exposure during the U.S. Great Recession
title_short Recession hardships, personal control, and the amplification of psychological distress: Differential responses to cumulative stress exposure during the U.S. Great Recession
title_sort recession hardships, personal control, and the amplification of psychological distress: differential responses to cumulative stress exposure during the u.s. great recession
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6909165/
https://www.ncbi.nlm.nih.gov/pubmed/31872038
http://dx.doi.org/10.1016/j.ssmph.2019.100521
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