The Psychosocial Context of Financial Stress: Implications for Inflammation and Psychological Health.
The Psychosocial Context of Financial Stress: Implications for Inflammation and Psychological Health.
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DOI：
10.1097/psy.0000000000000276
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发表时间：
2016-02
影响因子：
3.3
通讯作者：
Zautra AJ
中科院分区：
文献类型：
--
作者：
Sturgeon JA;Arewasikporn A;Okun MA;Davis MC;Ong AD;Zautra AJ
心理压力可能导致急性期炎症的慢性激活。目前的研究调查了财务压力如何影响心理社会功能和炎症。本研究检验了1）财务压力和炎症之间的直接关系，2）财务压力和炎症之间的关系是否部分由负面人际事件，心理困扰和心理幸福感介导，以及3）在社区中的社会地位是否调节财务压力和心理困扰，心理幸福感，和炎症标志物（白细胞介素-6和C反应蛋白）。在680名中年人（年龄40-65岁）的社区样本中评估了过去一年的压力性财务和人际关系事件，感知社会地位，心理健康和痛苦指数以及白细胞介素-6和C-反应蛋白水平。结构方程模型分析揭示了财务压力，人际压力，心理困扰和幸福感之间的显着关系，这些变量和炎症标志物之间的复杂关系。心理健康介导了经济压力和IL-6之间的关联（[中介] ab = .012，SE = .006，p = .048）。此外，在其社区中具有较高社会地位的个体在负面财务事件与人际压力（交互作用B = 0.067，SE = 0.017，p <0.001）和C反应蛋白（交互作用B = 0.051，SE = 0.026，p = 0.050）之间表现出更强的关系。财务压力与炎症表现出复杂的关系，部分原因是心理健康和社会观念。研究结果进行了讨论，关于社会背景的压力和生理因素有关的压力适应和炎症。
Psychological distress may contribute to chronic activation of acute-phase inflammation. The current study investigated how financial stressors influence psychosocial functioning and inflammation. This study examined 1) the direct relations between financial stress and inflammation, 2) whether the relationships between financial stress and inflammation are mediated in part by negative interpersonal events, psychological distress, and psychological well-being, and 3) whether social standing in one’s community moderates the relations between financial stress and psychological distress, psychological well-being, and markers of inflammation (interleukin-6 and C-reactive protein). Stressful financial and interpersonal events over the previous year, perceived social status, indices of psychological well-being and distress, and levels of interleukin-6 and C-reactive protein were assessed in a community sample of 680 middle-aged adults (ages 40–65). Structural equation modeling analyses revealed significant relations among financial stress, interpersonal stress, and psychological distress and well-being, and complex relationships between these variables and inflammatory markers. Psychological well-being mediated the association between financial stress and IL-6 ([mediation] ab = .012, SE = .006, p = .048). Furthermore, individuals with higher perceived social standing within their communities exhibited a stronger relation between negative financial events and both interpersonal stressors (interaction B = .067, SE = .017, p < .001) and C-reactive protein (interaction B = .051, SE = .026, p = .050). Financial stress demonstrates complex relations with inflammation, due partly to psychological well-being and social perceptions. Findings are discussed with regard to the social context of stress and physiological factors pertinent to stress adaptation and inflammation.