Abstract
Although socioeconomic status (SES) has been associated with a myriad of physical and psychological health indicators, it is arguably one of the most elusive constructs in the psychological literature. Most researchers agree that SES is complex and multidimensional; however, the majority of empirical studies that focus on SES do not measure (or attempt to measure) multiple components of the construct, instead focusing on one or two indicators of SES, most commonly household income and/or levels of education. This paper explores relationships among indicators of SES, disadvantage, and psychological well-being in two independent samples of families with children with severe emotional disturbances. In addition to utilizing two common SES indicators (parental education and income), we incorporated measures reflecting resource-related challenges of living, such as adequate food and housing. Based on analyses, we argue that such variables may better capture the challenges experienced by many families than traditional SES indicators. Findings also suggest that income and education relate to different aspects of family well-being, and solely using one or both of these variables may mask relevant relationships. Moreover, assessing practical, day-to-day challenges may permit a more nuanced picture of the relationships between factors associated with SES and indicators of well-being and adjustment.
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References
Adams, J., & Weakliem, D. L. (2011). August B. Hollingshead’s “four factor index of social status”: From unpublished paper to citation classic. Yale Journal of Sociology, 8, 11–19.
American Psychological Association Task Force on SES. (2007). Report of the Task Force on Socioeconomic Status. Washington, DC: Author. Retrieved April 12, 2008, from http://www.apa.org/pi/ses/resources/publications/task-force-2006.pdf
Brannan, A. M., Heflinger, C. A., & Bickman, L. (1997). The caregiver strain questionnaire: Measuring the impact of the family of living with a child with serious emotional disorders. Journal of Emotional and Behavioral Disorders, 5, 212–222. doi:10.1177/106342669700500404.
Braveman, P. A., Cubbin, C., Egerter, S., Chideya, S., Marchi, K. S., Metzler, M., et al. (2005). Socioeconomic status in health research: One size does not fit all. Journal of the American Medical Association, 294, 2879–2888. doi:10.1001/jama.294.22.2879.
Braveman, P. A., Cubbin, C., Marchi, K., Egerter, S., & Chavez, G. (2001). Measuring socioeconomic status/position in studies of racial/ethnic disparities: maternal and infant health. Public Health Reports, 16, 449–463.
Carstairs, V., & Morris, R. (1989). Deprivation: Explaining differences in mortality between Scotland and England and Wales. British Medical Journal, 299, 886–889. doi:10.1136/bmj.299.6704.886.
Center for Mental Health Services. (2007). Data manual: phase V of the CMHS national evaluation. Atlanta: ORC Macro.
Cook, J. R., & Kilmer, R. P. (2004). Evaluating systems of care: Missing links in children’s mental health research. Journal of Community Psychology, 32, 655–674. doi:10.1002/jcop.20024.
Cook, J. R., & Kilmer, R. P. (2010). Defining the scope of systems of care: An ecological perspective. Evaluation and Program Planning, 33, 18–20. doi:10.1016/j.evalprogplan.2009.05.006.
Cook, J. R., & Kilmer, R. P. (2012). Systems of care: New partnerships for community psychology. American Journal of Community Psychology, 49, 393–403. doi:10.1007/s10464-012-9516-8.
Crosnoe, R., & Huston, A. C. (2007). Socioeconomic status, schooling, and the developmental trajectories of adolescents. Developmental Psychology, 43, 1097–1110. doi:10.1037/0012-1649.43.5.1097.
Derogatis, L. R. (2000). The brief symptom inventory-18 (BSI-18): Administration, scoring and procedures manual. Minneapolis: National Computer Systems.
Diemer, M. A., Mistry, R. S., Wadsworth, M. E., Lopez, I., & Reimers, F. (2013). Best practices in conceptualizing and measuring social class in psychological research. Analyses of Social Issues and Public Policy, 13, 77–113.
Dunst, C. L., & Leet, H. E. (1987). Measuring the adequacy of resources in households with young children. Child: Care Health and Development, 13, 111–125.
Epstein, M. H. (2004). Behavioral and emotional rating scale-second edition. Austin: PRO-ED.
Fujishiro, K., Xu, J., & Gong, F. (2010). What does “occupation” represent as an indicator of socioeconomic status?: Exploring occupational prestige and health. Social Science and Medicine, 71, 2100–2107. doi:10.1016/j.socscimed.2010.09.026.
Grusky, D. (Ed.). (2001). Social stratification: Class, race, and gender in sociological perspective. Boulder: Westview Press.
Hollingshead, A.B. (1975). Four factor index of social status. Unpublished working paper, Department of Sociology, Yale University.
Hollingshead, A. B., & Redlich, F. C. (1958). Social class and mental illness. New York: Wiley.
Kilmer, R. P., Cook, J. R., & Palamaro Munsell, E. (2010a). Moving from principles to practice: Recommended policy changes to promote family-centered care. American Journal of Community Psychology, 46, 332–341. doi:10.1007/s10464-010-9350-9.
Kilmer, R. P., Cook, J. R., Palamaro Munsell, E., & Kane Salvador, S. (2010b). Factors associated with positive adjustment in siblings of children with severe emotional disturbance: The role of family resources and community life. American Journal of Orthopsychiatry, 80, 473–481. doi:10.1111/j.1939-0025.2010.01050.x.
Kilmer, R. P., Cook, J. R., Taylor, C., Kane, S. F., & Clark, L. Y. (2008). Siblings of children with severe emotional disturbances: Risks, resources, and adaptation. American Journal of Orthopsychiatry, 78, 1–10. doi:10.1037/0002-9432.78.1.1.
Kilmer, R. P., Cowen, E. L., Wyman, P. A., Work, W. C., & Magnus, K. M. (1998). Differences in stressors experienced by urban African American, White, and Hispanic children. Journal of Community Psychology, 26, 415–428. doi:10.1002/(SICI)1520-6629(199809)26:5<415:AID-JCOP2>3.0.CO;2-Q.
Krieger, N., Chen, J. T., Waterman, P. D., Rehkopf, D. H., & Subramanian, S. V. (2005). Painting a truer picture of US socioeconomic and racial/ethnic health inequalities: The public health disparities geocoding project. American Journal of Public Health, 95, 312–323. doi:10.2105/AJPH.2003.032482.
Luescher, J. L., Dede, D. E., Gitten, J. C., Fennell, E., & Maria, B. L. (1999). Parental burden, coping, and family functioning in primary caregivers of children with Joubert syndrome. Journal of Child Neurology, 14, 642–648. doi:10.1177/088307389901401004.
Moos, R., & Moos, B. (1994). Family Environment Scale manual: Development, applications, research. Palo Alto: Consulting Psychologist Press.
Oakes, J. M., & Rossi, P. H. (2003). The measurement of SES in health research: Current practice and steps toward a new approach. Social Science and Medicine, 56, 769–784. doi:10.1016/S0277-9536(02)00073-4.
Shavers, V. L. (2007). Measurement of socioeconomic status in health disparities research. Journal of the National Medical Association, 99, 1013–1023.
Strater, K. P., Strompolis, M., Kilmer, R. P., & Cook, J. R. (2012). Self-reported needs of youth and families: Informing system change and advocacy efforts. Global Journal of Community Psychology Practice, 2(3), 1–8.
Vishnevsky, T., Strompolis, M., Reeve, C. L., Kilmer, R. P., & Cook, J. R. (2012). Using latent growth curve modeling to examine changes in mental health outcomes for children enrolled in a system of care. American Journal of Orthopsychiatry, 82, 121–128. doi:10.1111/j.1939-0025.2011.01131.x.
Wardle, J., Robb, K., & Johnson, F. (2002). Assessing socioeconomic status in adolescents: The validity of a home affluence scale. Journal of Epidemiological and Community Health, 56, 595–599. doi:10.1136/jech.56.8.595.
Yang, Y., & Gustafsson, J. (2004). Measuring socioeconomic status as individual and collective levels. Educational Research and Evaluation, 10, 259–288. doi:10.1076/edre.10.3.259.30268.
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Munsell, E.P., Kilmer, R.P., Vishnevsky, T. et al. Practical Disadvantage, Socioeconomic Status, and Psychological Well-Being Within Families of Children with Severe Emotional Disturbance. J Child Fam Stud 25, 2832–2842 (2016). https://doi.org/10.1007/s10826-016-0449-y
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DOI: https://doi.org/10.1007/s10826-016-0449-y