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Mental Health and Welfare Transitions: Depression and Alcohol Abuse in AFDC Women

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American Journal of Community Psychology

Abstract

From a selection perspective, does prior dysfunction select women into welfare or serve as a barrier to leaving welfare? From a social causation perspective, does entering or exiting welfare lead to changes in well being? These questions were analyzed in panel data for over 3,600 women drawn from the National Longitudinal Survey of Youth for the period 1992–94. Welfare is associated with both depression and alcohol consumption cross-sectionally. This link appears to derive in small part from selection into welfare by depression (in interaction with marital status), but depression and alcohol abuse did not operate as barriers to leaving welfare. Entering welfare was clearly associated with increased depression and alcohol consumption, but confidence in an apparent beneficial effect on alcohol symptoms of leaving welfare for employment was limited by small sample sizes. These findings are located in the context of the 1996-welfare reform and the recent economic expansion. One implication is that community psychology should consider welfare entry as a risk factor similar to adverse employment changes such as job loss.

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REFERENCES

  • Acs, G., Coe, N., Watson, K., & Lerman, R. I. (1998). Does work pay? An analysis of the work incentives under TANF. Retrieved March 13, 2000, from http://newfederalism.urban.org/ html/occa9.html

  • American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • Aneshensel, C. S., Rutter, C. M., & Lachenbruch, P. A. (1991). Social structure, stress, and mental health: Competing conceptual and analytic models. American Sociological Review, 56, 166-178.

    Google Scholar 

  • Catalano, R., Dooley, D., Wilson, G., & Hough, R. (1993). Job loss and alcohol abuse: A test using data from the Epidemiologic Catchment Area Project. Journal of Health and Social Behavior, 34, 215-225.

    Google Scholar 

  • Center for Human Resource Research. (1997). NLS handbook, 1997. Columbus, OH: The Ohio State University.

    Google Scholar 

  • Clogg, C., Sullivan, T., & Mutchler, J. (1986). Measuring underemployment and inequality in the work force. Social Indicators Research, 18, 375-393.

    Google Scholar 

  • Dohrenwend, B. P., & Dohrenwend, B. S. (1969). Social status and psychological disorder: A causal inquiry. New York: Wiley.

    Google Scholar 

  • Dohrenwend, B. P., Levav, I., Shrout, P. E., Schwartz, S., Naveh, G., Link, B. G., et al. (1992). Socioeconomic status and psychiatric disorders: The causation-selection issue. Science, 255, 946-952.

    Google Scholar 

  • Dooley, D., Catalano, R., & Hough, R. (1992). Unemployment and alcohol disorder in 1910 and 1990: Drift versus social causation. Journal of Occupational and Organizational Psychology, 65, 277-290.

    Google Scholar 

  • Dooley, D., Catalano, R., & Wilson, G. (1994). Depression and unemployment: Panel findings from the Epidemiologic Catchment Area Study. American Journal of Community Psychology, 22, 745-765.

    Google Scholar 

  • Dooley, D., Fielding, J., & Levi, L. (1996). Health and unemployment. Annual Review of Public Health, 17, 449-465.

    Google Scholar 

  • Dooley, D., & Prause, J. (1998). Underemployment and alcohol abuse in the National Longitudinal Survey of Youth. Journal of Studies on Alcohol, 59, 669-680.

    Google Scholar 

  • Dooley, D., Prause, J., & Ham-Rowbottom, K. A. (2000). Underemployment and depression: Longitudinal relationships. Journal of Health and Social Behavior, 41, 421-436.

    Google Scholar 

  • Faris, R. E. L., & Dunham, H. W. (1939). Mental Disorders in Urban Areas. New York: Hafner. Final Report of the Seattle-Denver Income Maintenance Experiment. (1983). Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Frerichs, R. R., Aneshensel, C. C., & Clark, V. A. (1981). Prevalence of depression in Los Angeles County. American Journal of Epidemiology, 113, 691-699.

    Google Scholar 

  • Gallagher, L. J., Gallagher, M., Perese, K., Schreiber, S., & Watson, K. (1998). One year after federal welfare reform: A description of state Temporary Assistance for Needy Families (TANF)decisions as of October 1997. Retrieved March 13, 2000, from http://newfederalism. urban.org/html/occas6.htm

  • Gill, J. (1994). Alcohol problems in employment: Epidemiology and responses. Alcohol and Alcoholism, 29, 233-248.

    Google Scholar 

  • Goldsmith, A. H., Veum, J. R., & Darity, W. (1995). Are being unemployed and being out of the labor force distinct states?: A psychological approach. Journal of Economic Psychology, 126, 275-295.

    Google Scholar 

  • Grant, B. F., & Dawson, D. A. (1996). Alcohol and drug use, abuse, and dependence among welfare recipients. American Journal of Public Health, 86, 1450-1454.

    Google Scholar 

  • Green, R. S., Fujiwara, L., Norris, J., Kappagoda, S., Driscoll, A., & Speiglman, R. (2000). Alameda County CalWORKs needs assessment: Barriers to working and summaries of baseline status. Berkeley, CA: Public Health Institute.

    Google Scholar 

  • Hamilton, V. L., Hoffman, W. S., Broman, C. L., & Rauma, D. (1993). Unemployment, distress, and coping: A panel study of autoworkers. Journal of Personality and Social Psychology, 65, 234-247.

    Google Scholar 

  • Hammarstroem, A., & Janlert, U. (1997). Nervous and depressive symptoms in a longitudinal study of youth unemployment-Selection or exposure? Journal of Adolescence, 20, 293-305.

    Google Scholar 

  • Handy, C. (1989). The age of unreason. Boston: Harvard Business School Press.

    Google Scholar 

  • Johnson, J. G., Cohen, P., Dohrenwend, B. P., Link, B. G., & Brook, J. S. (1999). A longitudinal investigation of social causation and social selection processes involved in the association between socioeconomic status and psychiatric disorders. Journal of Abnormal Psychology, 108, 490-499.

    Google Scholar 

  • Kleinbaum, D. G., Kupper, L. L., Muller, K. E., & Nizam, A. (1998). Applied regression analysis and other multivariable methods (3rd ed.). Pacific Grove, CA: Duxbury Press.

    Google Scholar 

  • Leana, C. R., & Feldman, D. C. (1995). Finding new jobs after a plant closing: Antecedents and outcomes of the occurrence and quality of reemployment. Human Relations, 48, 1381-1401.

    Google Scholar 

  • Lee, A. J., Crombie, I. K., Smith, W. C. S., & Tunstall-Pedoe, H. (1990). Alcohol consumption and unemployment among men: The Scottish Heart Health Study. British Journal of Addiction, 85, 1165-1170.

    Google Scholar 

  • Lerman, R. I., Loprest, P., & Ratcliffe, C. (1999). How well can urban labor markets absorb welfare recipients? Retrieved March 13, 2000, from http://newfederalism.urban.org/html/ anf33.html

  • Long, S. (1997). Regression models for categorical and limited dependent variables. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Loprest, P. (1999). Families who left welfare: Who are they and how are they doing? Retrieved from March 13, 2000, from http://newfederalism.urban.org/html/discussion99-02.html

  • Mastekaasa, A. (1996). Unemployment and health: Selection effects. Journal of Community and Applied Social Psychology, 6, 189-205.

    Google Scholar 

  • Miech, R. A., Caspi, A., Moffitt, T. E., Wright, B. R. E., & Silva, P. A. (1999). Low socioeconomic status and mental disorders: A longitudinal study of selection and causation during young adulthood. American Journal of Sociology, 104, 1096-1131.

    Google Scholar 

  • Moos, R. H., Cronkite, R. C., & Moos, B. S. (1998). The long-term interplay between family and extrafamily resources and depression. Journal of Family Psychology, 12, 326-343.

    Google Scholar 

  • Myers, J. K., & Weissman, M. M. (1980). Use of a self-report symptom scale to detect depression in a community sample. American Journal of Psychiatry, 137, 1081-1084.

    Google Scholar 

  • National Center on Addiction and Substance Abuse. (1994). Substance abuse and women on welfare. Retrieved February 15, 2000, from http://www.casacolumbia.org/publications1456/ publications_show.htm?doc_id=5940

  • Neenan, P. A., & Orthner, D. K. (1996). Predictors of employment and earnings among JOBS participants. Social Work Research, 20, 228-237.

    Google Scholar 

  • Nichols-Casebolt, A. (1986). The psychological effects of income testing income-support benefits. Social Service Review, 60, 287-302.

    Google Scholar 

  • Olson, K., & Pavetti, L. (1996). Personal and family challenges to the successful transition from welfare to work: How prevalent are these potential barriers to employment? Washington, DC: Urban Institute.

    Google Scholar 

  • Radloff, L. S. (1977). The CES-D: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401.

    Google Scholar 

  • Robert, R. E., & Vernon, S. W. (1983). The center for epidemiologic studies depression scale: Its use in a community sample. American Journal of Psychiatry, 140, 41-46.

    Google Scholar 

  • Sherman, A., Amey, C., Duffield, B., Ebb, N., & Weinstein, D. (1998). Welfare to what: Early findings on family hardship and well-being. Retrieved March 13, 2000, from http://www.childrensdefense.org/fairstart_welfare_what.html

  • Sisco, C. B., & Pearson, C. L. (1994). Prevalence of alcoholism and drug abuse among female AFDC recipients. Health and Social Work, 19, 75-77.

    Google Scholar 

  • Solow, R. (1998). Work and welfare. Princeton, NJ: Princeton University Press.

    Google Scholar 

  • Stueve, A., Dohrenwend, B. P., & Skodol, A. E. (1998). Relationships between stressful life events and episodes of major depression and nonaffective psychotic disorders: Selected results from a New York risk factor study. In B. P. Dohrenwend, (Ed.). Adversity, stress, and psychopathology (pp. 341-357). New York: Oxford University Press.

    Google Scholar 

  • Timms, D. W. G. (1996). Social mobility and mental health in a Swedish cohort. Social Psychiatry and Psychiatric Epidemiology, 31, 38-48.

    Google Scholar 

  • U.S. Census Bureau. (1997). The official statistics. Retrieved August 17, 2000, from http://www. census.gov/pub/income/histpov/hstpov01.txt

  • U.S. Department of Labor. (2000). Employment status of the civilian noninstitutional population, 1935 to date. Retrieved March 13, 2000, from ftp://ftp.bls.gov/pub/special.requests/ lf/aat1.txt

  • Warr, P. (1987). Work, unemployment, and mental health. Oxford: Clarendon Press.

    Google Scholar 

  • Weich, S., & Lewis, G. (1998). Poverty, unemployment, and common mental disorders: Population based cohort study. BMJ, 317, 115-119.

    Google Scholar 

  • Weisner, C., & Schmidt, L. (1993). Alcohol and drug problems among diverse health and social service populations. American Journal of Public Health, 83, 824-829.

    Google Scholar 

  • Weissman, M. M., Sholomskas, D., Pottenger, M., Prusoff, B. A., & Lock, B. Z. (1977). Assessing depressive symptoms in five psychiatric populations:Avalidation study. American Journal of Epidemiology, 106, 203-214.

    Google Scholar 

  • Winefield, A. H., Tiggemann, M., Winefield, H., & Goldney, R. (1993). Growing up with unemployment: A longitudinal study of its psychological impact. London: Routledge.

    Google Scholar 

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  1. University of California, USA

    David Dooley & JoAnn Prause

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  1. David Dooley
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Dooley, D., Prause, J. Mental Health and Welfare Transitions: Depression and Alcohol Abuse in AFDC Women. Am J Community Psychol 30, 787–813 (2002). https://doi.org/10.1023/A:1020253002468

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