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Cognitive Therapy and Research

, Volume 28, Issue 5, pp 695–713 | Cite as

Financial Stress Predictors and the Emotional and Physical Health of Chronic Pain Patients

  • Michelle A. Skinner
  • Alex J. Zautra
  • John W. Reich
Article

Abstract

This study sought to examine the effects of weekly changes in financial stressors on physical and mental health of arthritis patients. Weekly telephone interviews provided data on health symptoms, financial stressors, interpersonal stress, negative affect, and average pain for arthritis patients and healthy individuals. Multilevel analyses revealed that fluctuations in financial stress were associated with greater health complaints and negative affect, but not more pain for arthritis patients. An interaction between interpersonal stress and financial stress was observed suchthat weeks of increased interpersonal stress, with increased financial stress, were associated with more health symptoms especially during weeks of increased pain. These findings suggest that financial stress contributes to both physical and mental health and appears important for arthritis patients.

financial stress chronic pain emotional and physical health 

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REFERENCES

  1. Badley, E., & Ibanez, D. (1994). Socioeconomic risk factors and musculoskeletal disability. Journal of Rheumatology, 21, 315–322.Google Scholar
  2. Baum, A., Garofalo, J. P., & Yali, A. M. (1999). Socioeconomic status and chronic stress: Does stress account for SES effects on health? In N. E. Adler, M. Marmot, B. McEwen, & J. Stewart (Eds.), Annals of the New York Academy of Sciences: Vol.896. Socioeconomic status and health in industrial nations: Social, psychological, and biological pathways (pp. 130–143). New York: New York Academy of Sciences.Google Scholar
  3. Bryk, A. S., & Raudenbush, S. W. (1992). Hierarchical linear models: Applications and data analysis methods. Newbury Park, CA: Sage.Google Scholar
  4. Catalano, R., & Dooley, C. D. (1983). Economic predictors of depressed mood and stressful life events in a metropolitan community. Journal of Health and Social Behavior, 18, 292–307.Google Scholar
  5. Creed, P. A., Muller, J., & Machin, M. A. (2001). The role of satisfaction with occupational status, neuroticism, financial strain and categories of experience in predicting mental health in the unemployed. Personality and Individual Differences, 30(3), 435–447.Google Scholar
  6. Cunningham, L. S., & Kelsey, J. L. (1984). Epidemiology of musculoskeletal impairments and associated disability. Journal of Public Health, 74, 574–579.Google Scholar
  7. Dohrenwend, B. S., Dohrenwend, B. P., Dodson, M., & Shrout, P. E. (1984). Symptoms, hassles, social supports, and life events: Problem of confounded measures. Journal of Abnormal Psychology, 93(2), 222–230.Google Scholar
  8. Dohrenwend, B. S., Krasnoff, L., Askenasy, A. R., & Dohrenwend, B. P. (1978). Exemplification of a method for scaling life events: The PERI life events scale. Journal of Health and Social Behavior, 19, 205–468.Google Scholar
  9. Eachus, J., Chan, P., Pearson, N., Propper, C., & Davey-Smith, G. (1999). Anadditional dimension to health inequalities: Disease severity and socioeconomic position. Journal of Epidemiology and Community Health, 53(10), 603–611.Google Scholar
  10. Fox, G. L., & Chancey, D. (1998). Sources of economic distress: Individual and family outcomes. Journal of family issues, 19(6), 725–749.Google Scholar
  11. Fries, J., Spitz, P. W., & Young, D. Y. (1982). The dimensions of health outcomes: The health assessment questionnaire, disability and pain scales. The Journal of Rheumatology, 9, 789–793.Google Scholar
  12. Gallo, L. C., & Matthews, K. A. (1999). Do negative emotions mediate the association between socioeconomic status and health? In N. E. Adler, M. Marmot, B. McEwen, & J. Stewart (Eds.), Annals of the New York Academy of Sciences: Vol. 896. Socioeconomic status and health in industrial nations: Social, psychological, and biological pathways (pp. 226–245). New York: New York Academy of Sciences.Google Scholar
  13. Goldblatt, P. (1990). Mortality and alternative social classifications. In P. Goldblatt (Ed.), Longitudinal study. Mortality and social organization (OPCS, Series LS, no. 6). London: HMSO.Google Scholar
  14. Jackson, T., Iezzi, A, Lafreniere, K., & Narduzzi, K. (1998). Relations of employment status to emotional distress among chronic pain patients: A path analysis. Clinical Journal of Pain, 14(1), 55–60.Google Scholar
  15. Jensen, M. P., Karoly, P., & Braver, S. (1988). The measurement of clinical pain intensity: A comparison of six methods. Pain, 27(1), 117–126.Google Scholar
  16. Kaplan, G. A., & Keil, J. E. (1993). Socioeconomic factors and cardiovascular disease: Review of the literature. Circulation, 88, 1973–1998.Google Scholar
  17. Kaplan, G. A., Pamuk, E. R., Lynch, J. W., Cohen, R. D., & Balfour, J. L. (1996). Inequality in income and mortality in the United States: Analysis of mortality and potential pathways. British Journal of Medicine, 312, 999–1003.Google Scholar
  18. Kawachi, I., Kennedy, B. P., & Wilkinson, R. G. (1999). The society and population health reader: Income inequality and health. New York: The New Press.Google Scholar
  19. Keith, V. M. (1993). Gender, financial strain, and psychological distress among older adults. Research on Aging, 15(2), 123–147.Google Scholar
  20. Kennedy, B. P., Kawachi, I., & Prothrow-Stith, D. (1996). Income distribution and mortality: Cross-sectional ecological study of the robin-hood index in the United States. British Journal of Medicine, 312, 1004–1007.Google Scholar
  21. Kessler, R. C. (1979). Stress, social status, and psychological distress. Journal of Health and Social Behavior, 20, 259–272.Google Scholar
  22. Krause, N., Jay, G., & Liang, J. (1991). Financial strain and psychological well-being among the American and Japanese elderly. Psychology and Aging, 6(2), 170–181.Google Scholar
  23. Marmot, M., & Wilkenson, R. G. (1999). Social determinants of health. New York: Oxford University Press.Google Scholar
  24. McEwen, B. S., Conrad, C. D., Kuroda, Y., Frankfurt, M., Magarinos, A., & McKittrick, C. (1997). Prevention of stress-induced morphological and cognitive consequences. European Neuropsychophar-macology, 7, 323–328.Google Scholar
  25. Sapolsky, R. M. (1998). Why zebras don't get ulcers: An updated guide to stress, stress-related diseases, and coping. New York: W. H. Freeman.Google Scholar
  26. Saunders, P. (1998). Poverty and health: Exploring the links between financial stress and emotional stress in Australia. Australian and New Zealand Journal of Public Health, 22(1), 11–16.Google Scholar
  27. Singer, J. D. (1998). Using SAS PROCMIXED to fit multilevel models, hierarchical models, and individual growth models. The Journal of Educational and Behavioral Statistics, 24, 323–355.Google Scholar
  28. Takeuchi, D. T., Chun, C., Gong, F., Shen, H. (2002). Cultural expressions of distress. Health: An Interdisciplinary Journal for the Social Study of Health, Illness & Medicine, 6(2), 221–235.Google Scholar
  29. Ullah, P. (1990). The association between income, financial strain and psychological well-being among unemployed youths. Journal of Occupational Psychology, 63, 317–330.Google Scholar
  30. Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070.Google Scholar
  31. Wheaton, B. (1994). Sampling the stress universe. In W. R. William & I. H. Gotlib (Eds.), Stress and mental health: Contemporary issues and prospects for the future (pp. 77–114). New York: Plenum Press.Google Scholar
  32. Whelan, C. T. (1993). The role of social support in mediating the psychological consequences of economic stress. Sociology of Health and Illness, 15, 86–101.Google Scholar
  33. Wilkinson, R. G. (1996). Unhealthy societies: The afflictions of inequality. New York: Routledge.Google Scholar
  34. Zautra, A. J. (1996). Investigations of the ongoing stressful situations among those with chronic illness. American Journal of Community Psychology, 24(6), 697–717.Google Scholar
  35. Zautra, A. J., Burleson, M. H., Matt, K. S., Roth, S., & Burrows, L. (1994). Interpersonal stress, depression, and disease activity in rheumatoid arthritis and osteoarthritis patients. Health Psychology, 13(2), 139–148.Google Scholar
  36. Zautra, A. J., Guarnaccia, C. A., & Dohrenwend, B. P. (1986). Measuring small life events. American Journal of Community Psychology, 14, 629–655.Google Scholar
  37. Zautra, A. J., Guarnaccia, C. A., & Reich, J. W. (1989). The effects of daily life events on negative affective states. In P. C. Kendall & D. Watson (Eds.), Anxiety and depression (pp. 225–251). New York: Academic Press.Google Scholar
  38. Zautra, A. J., Hamilton, N. A., & Burke, H. M. (1999). Comparison of stress responses in women with two types of chronic pain: Fibromyalgia and osteoarthritis. Cognitive Therapy and Research, 23(2), Special Issue: Cognitive Factors in Chronic Illness: Empirial Approache, 209–230.Google Scholar
  39. Zautra, A. J., Hamilton, N. A., Potter, P., & Smith, B. (1999). Field research on the relationship between stress and disease activity in rheumatoid arthritis. In M. Cutolo & A. T. Masi (Eds.), Annals of the New York Academy of Sciences: Vol. 876. Neuroendocrine immune basis of the rheumatic diseases (pp. 397–412). New York: New York Academy of Sciences.Google Scholar
  40. Zautra, A. J., Hoffman, J., Potter, P., Matt, K. S., Yocum, D., & Castro, L. (1997). Examination of changes in interpersonal stress as a factor in disease exacerbations among women with rheumatoid arthritis. Annals of Behavioral Medicine, 19(3), 279–286.Google Scholar
  41. Zautra, A. J., Reich, J. W., & Guarnaccia, C. A. (1990). Some everyday life consequences of disability and bereavement. Journal of Personality and Social Psychology, 59, 550–561.Google Scholar
  42. Zautra, A. J., & Smith, B. W. (2001). Depression and reactivity to stress in older women with rheumatoid arthritis and osteoarthritis. Psychosomatic Medicine, 63, 687–696.Google Scholar

Copyright information

© Springer Science+Business Media, Inc. 2004

Authors and Affiliations

  • Michelle A. Skinner
    • 1
  • Alex J. Zautra
    • 2
  • John W. Reich
    • 2
  1. 1.Department of PsychologyUniversity of UtahSalt Lake City
  2. 2.Department of PsychologyArizona State UniversityTempe

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