Social Support, Economic Hardship and Psychological Distress in Spanish and Portuguese At-Risk Families
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Individuals with low socioeconomic status generally have worse mental health outcomes than their wealthier counterparts; a tendency that is exacerbated during financial crises. However, social support might buffer the effects of stress on mental health. In this study, we tested whether social support mitigated the effects of economic hardship on psychological distress on an at-risk sample from two of the European countries most affected by the 2008 economic downturn: Spain and Portugal. Participants were 249 caregivers enrolled in Child Welfare Services (73.0% women). Results showed that economic hardship and a negative indicator of social support (network dysfunctionality) were significant predictors of belonging to the psychological distress clinical group (OR: 2.35 and 1.80, respectively). However, no significant interaction effects were observed, thereby refuting the buffering effect hypothesis. When we conducted an in depth analysis of the clinical group, a significant moderation effect emerged. Our results suggest that, for at-risk populations, the detrimental effects of dysfunctional networks on mental health can outweigh the benefits of positive assistance and that social support is a potential stress buffer only for individuals in the clinical spectrum. These findings indicate that the protective effect of social support during circumstances of intense economic adversity is limited.
KeywordsSocial support Economic hardship Psychological distress Mental health Financial crisis
This study was supported by the Portuguese Foundation for Science and Technology (FCT; Grant SFRH/BD/86172/2012) with co-financing of the European Social Fund (POPH/ FSE), the Portuguese Ministry of Education and Science (MEC) through national funds.
L.A.N.: designed and executed the study, analyzed the data, and wrote the paper. L.J.: collaborated with the design, assisted with the data analyses and writing of the study; S.N.: collaborated in the writing and editing of the final manuscript; V.H.: collaborated with the design and writing of the study as well as the editing of the final manuscript.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no competing interests.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- Åslund, C., Larm, P., Starrin, B., & Nilsson, K. W. (2014). The buffering effect of tangible social support on financial stress: Influence on psychological well-being and psychosomatic symptoms in a large sample of the adult general population. International Journal for Equity in Health, 13, 85–94. https://doi.org/ 10.1186/s12939-014-0085-3.CrossRefPubMedPubMedCentralGoogle Scholar
- Barrera, M. (1980). A method for the assessment of social support networks in community survey research. Connections, 3, 8–13. http://www.insna.org/PDF/Connections/v3/1980_I-3.pdf.Google Scholar
- Callan, T., Leventi, C., Levy, H., Matsaganis, M., Paulus, A., & Sutherland, H. (2011). The distributional effects of austerity measures: A comparison of six EU countries. EUROMOD Working Paper No. EM6/11. https://www.iser.essex.ac.uk/research/publications/working-papers/euromod/em6-11.pdf.
- Caritas Europe (2013). The impact of the European crisis. A study of the impact of the crisis and austerity on people, with a special focus on Greece, Ireland, Italy, Portugal and Spain. http://www.caritas.eu/about-caritas-europa/publications.
- Cochran, M., & Niego, S. (2002). Parenting and social networks. In M. H. Bornstein (Ed.), Handbook of parenting (2nd ed., Vol 4, pp. 123–148). Mahwah, NJ: Erlbaum.Google Scholar
- Eurostat (2015). At risk of poverty rate by detailed age group, tessi120. http://epp.eurostat.ec.europa.eu/tgm/table.do?tab=table&init=1&language=en&pcode=tessi120&plugin=1.Google Scholar
- Eurostat (2017). Unemployment rate by NUTS 2 regions, tgs00010. http://ec.europa.eu/eurostat/tgm/table.do?tab=table&init=1&language=en&pcode=tgs00010&plugin=1.Google Scholar
- Field, A. P. (2013). Discovering statistics using IBM SPSS Statistics (4th ed.). London: Sage.Google Scholar
- Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York, NY: The Guilford Press.Google Scholar
- Hidalgo, M. V., Menéndez, S., Sánchez, J., López, I., Jiménez, L., & Lorence, B. (2005). Inventario de Situaciones Estresantes y de Riesgo (ISER). Seville, Spain: University of Seville. Stressful and Risky Events Inventory]. Unpublished manuscript.Google Scholar
- Leinonen, J., Solantaus, T. S., & Punamäki, R. L. (2003). Social support and the quality of parenting under economic pressure and workload in Finland: The role of family structure and parental gender. Journal of Family Psychology, 17, 409–418. https://doi.org/ 10.1037/0893-3184.108.40.2069.CrossRefPubMedGoogle Scholar
- Manuel, J. I., Martinson, M. L., Bledsoe-Mansori, S. E., & Bellamy, J. L. (2012). The influence of stress and social support on depressive symptoms in mothers with young children. Social Science and Medicine, 75, 2013–2020. https://doi.org/ 10.1016/j.socscimed.2012.07.034.CrossRefPubMedGoogle Scholar
- Revilla, L., Ríos, A. M., & Luna, J. D. (2004). Utilización del Cuestionario General de Salud de Goldberg (GHQ-28) en la detección de los problemas psicosociales en la consulta del médico de familia [Use of the Goldberg General Health Questionnaire (GHQ-28) to detect psychosocial problems in the family physician’s office]. Atención Primaria, 33, 417–423. http://www.elsevier.es/es-revista-atencion-primaria-27-articulo-utilizacion-del-cuestionario-general-salud-13061585.
- Smyth, N., Siriwardhana, C., Hotopf, M., & Hatch, S. L. (2014). Social networks, social support and psychiatric symptoms: Social determinants and associations within a multicultural community population. Social Psychiatry and Psychiatric Epidemiology, 50, 1111–1120. https://doi.org/ 10.1007/s00127-014-0943-8.CrossRefPubMedPubMedCentralGoogle Scholar
- Tabachnick, B. G., & Fidell, L. S. (2007). Using Multivariate Statistics. 5th edn. Boston, MA: Pearson Education.Google Scholar
- Taylor, R. D., Budescu, M., Gebre, A., & Hodzic, I. (2014). Family financial pressure and maternal and adolescent socioemotional adjustment: Moderating effects of kin social support in low income African American families. Journal of Child and Family Studies, 23, 242–254. https://doi.org/ 10.1007/s10826-012-9688-8.CrossRefGoogle Scholar
- Uchino, B. N., Bowen, K., Carlisle, M., & Birmingham, W. (2012). Psychological pathways linking social support to health outcomes: A visit with the “ghosts” of research past, present, and future. Social Science and Medicine, 74, 949–957. https://doi.org/ 10.1016/j.socscimed.2011.11.023.CrossRefPubMedPubMedCentralGoogle Scholar
- Wadsworth, M. E., & Achenbach, T. M. (2005). Explaining the link between low socioeconomic status and psychopathology: Testing two mechanisms of the social causation hypothesis. Journal of Consulting and Clinical Psychology, 73, 1146–1153. https://doi.org/ 10.1037/0022-006X.73.6.1146.CrossRefPubMedGoogle Scholar
- Wadsworth, M. E., Rindlaub, L., Hurwich-Reiss, E., Rienks, S., Bianco, H., & Markman, H. J. (2013). A longitudinal examination of the adaptation to poverty-related stress model: Predicting child and adolescent adjustment over time. Journal of Clinical Child and Adolescent Psychology, 42, 713–725. https://doi.org/ 10.1080/15374416.2012.755926.CrossRefPubMedGoogle Scholar
- Wichers, M., Maes, H. H., Jacobs, N., Derom, C., Thiery, E., & Kendler, K. S. (2012). Disentangling the causal inter-relationship between negative life events and depressive symptoms in women: A longitudinal twin study. Psychological Medicine, 42, 1801–1814. https://doi.org/ 10.1017/S003329171100300X.CrossRefPubMedGoogle Scholar
- World Health Organization. (2011). Impact of economic crises on mental health. World Health. http://www.euro.who.int/__data/assets/pdf_file/0008/134999/e94837.pdf