The stress process and the social distribution of depression

Mental health generally and depression in particular have been repeatedly shown to vary in relation to gender, socioeconomic status, marital status, and age. These status differences may be linked to mental health because they tend to define important differences in stress exposure and in the availability of coping resources. This paper examines the capacity of the stress-process model to account for the social distribution of depression. We employ mediation analyses using data from a 1990-1991 survey of Toronto community residents. In general, we found hypothesized risk factors to vary across these statuses with depressive symptoms and disorder and the distribution of protective factors to vary inversely. Results indicate that the model as expressed in our analyses accounts for a substantial minority of observed depression differences across individuals and for a considerable portion of reliably observed variation across social statuses. Our findings with respect to major depressive disorder parallel those for depressive symptomatology. Most compelling is the nearly total explanation of the socioeconomic status association with depressive symptoms and the substantial contribution toward explaining the socioeconomic status-disorder relationship when stress process mediators are accounted for.     

Racial differences in depression trajectories among older women: socioeconomic, family, and health influences

Despite recent increases in life course research on mental illness, important questions remain about the social patterning of, and explanations for, depression trajectories among women in later life. The authors investigate competing theoretical frameworks for the age patterning of depressive symptoms and the physical health, socioeconomic, and family mechanisms differentiating black and white women. Using data from the National Longitudinal Survey of Mature Women, the authors use linear mixed (growth curve) models to estimate trajectories of distress for women aged 52 to 81 years (N = 3,182). The results demonstrate that: (1) there are persistently higher levels of depressive symptoms among black women relative to white women throughout later life; (2) physical health and socioeconomic status account for much of the racial gap in depressive symptoms; and (3) marital status moderates race differences in distress. The findings highlight the importance of physical health, family, and socioeconomic status in racial disparities in mental health.     

Cross-cultural perspectives on illness and wellness: Implications for depression

The purpose of this research is to determine the relationships among race, socioeconomic status (SES) and depressive symptomatology. Contrary to the findings of over 20 years of psychiatric epidemiology, two research teams have recently reported that Blacks, primarily those of low SES, are significantly more depressed than Whites occupying the same status. Using the same epidemiologic field survey data as one of these research groups (Whites=1,648; Blacks=450), the issues of race, SES, and depression are reopened for examination. Depressive symptomatology was measured by the Florida Health Study Depression Scale. The findings indicated that, in general, Blacks had significantly higher levels of depressive symptomatology than Whites. However, these differences were eliminated once SES, a composite of occupational status, education, and household income, was statistically controlled. Race, in other words, was not found to be an independent predictor of depression. The author concludes that poverty is hazardous to one's psychological well-being and that race, by itself, is merely a proxy for socioeconomic status. In addition, methodological issues associated with the conceptualization and operationalization of socioeconomic status and mental health constructs such as depression are explored.Paper presented at the Conference on Multicultural Perspectives on Mental Illness, May 1994, St. John's University.     

Cross-Cultural Perspectives on Illness and Wellness: Implications for Depression1

The purpose of this research is to determine the relationships among race, socioeconomic status (SES) and depressive symptomatology. Contrary to the findings of over 20 years ofpsychiatric epidemiology, two research teams have recently reported that Blacks, primarily those oflow SES, are significantly more depressed than Whites occupying the same status. Using the same epidemiologic field survey data as one of these research groups (Whites = 1,648; Blacks = 450), the issues of race, SES, and depression are reopened for examination. Depressive symptomatology was measured by the Florida Health Study Depression Scale. The findings indicated that, in general, Blacks had significantly higher levels of depressive symptomatology than Whites. However, these differences were eliminated once SES, a composite of occupational status, education, and household income, was statistically controlled. Race, in other words, was not found to be an independent predictor of depression. The author concludes that poverty is hazardous to one's psychological well-being and that race, by itself, is merely a proxy for socioeconomic status. In addition, methodological issues associated with the conceptualization and opera~ tionalization of socioeconomic status and mental health constructs such as depression are explored.     

Socioeconomic,sociodemographic and attitudinal correlates of the tempo of divorce

The association between sociodemographic, demographic, and attitudinal measures and the timing or tempo of marital dissolution over a 14-year time span is examined. Separation is considered equivalent to divorce. Early and late divorce are differentiated by whether the event occurred before or after the average number of years married prior to divorce. Data were obtained on husbands and wives within childbearing years (up to 39 years) in the 1st years of the 1st marriage. A random stratified sample of 610 couples was drawn from records of marriages in a midwestern county between 1972-77. Reinterviews were conducted on 544 couples in April 1985. socioeconomic variables included educational attainment, occupational prestige, wife's employment status, wife's future work plans, husband's attitude to wife's future work plans, total family income, and level of satisfaction with current financial status. Demographic variables are age at marriage, number of children in 1985, marital duration, and desired family size. Attitudinal items were religiosity and gender role orientations (traditionalism, modernism, egalitarianism). Exposure to divorce was not equitably distributed for the 108 who divorced, but this was not statistically significant. The results indicate that those divorced earlier were wives who worked outside the home, worked at more prestigious jobs, planned to be employed throughout married life, and whose father had a higher level of educational attainment. This finding is not consistent with prior research which has shown that favorable socioeconomic conditions lower the probability of divorce. The timing of divorce was affected by the presence of children. Those married at younger ages divorced earlier and couples with children delayed divorcing longer than couples without children. These findings were consistent with earlier research. Catholic wives delayed divorce longer than non-Catholic wives. Males lower in sexual satisfaction divorced earlier. Divorce was postponed longer for husbands with traditional values and wives who had higher scores on egalitarianism. Wives with scores on modernism had earlier divorces than wives scoring lower on modernism. The tempo of divorce was in multiple classification analysis predicted best by wife's employment status and number of children. Cross-classification was not possible.     

Violence in the Transition to Adulthood: Adolescent Victimization,Education, and Socioeconomic Attainment in Later Life

There is increasing speculation about links between violent victimization in childhood and adolescence and socioeconomic disadvantage in later adulthood, yet little work, either theoretical or empirical, has examined this issue. This paper integrates research on social and psychological consequences of victimization with theory and research on socioeconomic attainment to propose a theoretical model that situates adolescent victimization in the socioeconomic life course. Examination of data from a national sample of American adolescents (ages 11–17 in 1976) indicates a chain‐like sequence in which victimization diminishes educational self‐efficacy, which subsequently undermines educational performance and attainment. Through diminished educational attainment, adolescent victimization has substantial and wide‐ranging effects on socioeconomic attainment in early adulthood. Theoretical and policy implications of these findings are discussed.     

Depression during menopausal transition: a review of treatment strategies and pathophysiological correlates

It has long been recognized that women are at a higher risk than men to develop depression and that such risk is particularly associated with reproductive cycle events. Recent long-term, prospective studies have demonstrated that the transition to menopause is associated with higher risk for new onset and recurrent depression. A number of biological and environmental factors are independent predictors for depression in this population, including the presence of hot flushes, sleep disturbance, history of severe premenstrual syndrome or postpartum blues, ethnicity, history of stressful life events, past history of depression, body mass index, socioeconomic status and the use of hormones and antidepressants. Accumulated evidence suggests that ovarian hormones modulate serotonin and noradrenaline neurotransmission, a process that may be associated with underlying pathophysiological processes involved in the emergence of depressive symptoms during periods of hormonal fluctuation in biologically predisposed subpopulations. Transdermal estradiol and serotonergic and noradrenergic antidepressants are efficacious in the treatment of depression and vasomotor symptoms in symptomatic, midlife women. The identification of individuals whom might be at a higher risk for depression during menopausal transition could guide preventive strategies for this population.     

Childhood parental loss and adult depression

Previous research demonstrates convincingly that childhood parental deaths and parental divorces have implications for adult well-being as defined by levels of depression, educational attainment, early age at marriage, and risk of divorce. What this research has failed to examine are the interconnections among these outcomes. Specifically, are the socioeconomic and marital outcomes of parental loss implicated in the observed higher levels of depression? This analysis takes a first step in answering this question. Using data from a sample of 1,755 married men and women, I estimated regression models which examine the extent to which adult socioeconomic status and current marital quality mediate and/or modify the loss-depression relationship. Parental divorce was strongly related to socioeconomic and marital outcomes. Furthermore, current marital quality contributed importantly to understanding the higher levels of depressed mood observed among persons from divorced homes. Parental death was much more weakly related to socioeconomic and marital outcomes, and these outcomes played little role in explaining its relationship to depression. Finally, all of these relationships were stronger among women than men. These findings support the utility of life-course approaches to understanding adult mental health.     

Family of Origin,Race/Ethnicity,and Socioeconomic Attainment: Genotype and Intraindividual Processes

Previous research has mainly focused on the persistent direct influence of early life contexts on young adult socioeconomic attainment, and less is known about intraindividual processes that are responsible for this persistent influence. The present study, using genetically informed longitudinal, prospective data from a nationally representative sample (Add Health), attempted to fill this gap by adding three important findings to the literature: (a) Adolescents experiencing adverse family contexts during childhood and early adolescence showed lower socioeconomic attainment in early adulthood than adolescents from less adverse family contexts, (b) adolescent academic and cognitive competencies and psychological vulnerabilities partially mediated these persistent influences, and (c) individual cumulative genetic characteristics additively and interactively influenced adolescent competencies and vulnerabilities as well as young adult socioeconomic attainment. The results demonstrate that although substantial continuity exists in early adversities, individual genetic variability is a factor that influences individuals' response to early socioeconomic conditions.     

Keys That Jingle and Fold: Federal Student Aid and the Expansion of Educational Opportunity for Black Women

Since the mid-20th century, the United States has seen a dramatic increase in Black women’s educational attainment. Given Black women’s status as “double minorities” and their disproportionate representation among low-income Americans, this trend has important implications for equal opportunity in the United States. While scholars recognize higher education as a central determinant of socioeconomic well-being and political engagement, we have yet to consider the role that federal higher education policies have played in expanding Black women’s access to college degrees. This article examines the extent to which student aid programs have supported Black women’s educational pursuits and influenced their educational attainment. I find that financial aid usage is associated with greater educational attainment and is perceived by Black women as significantly expanding educational opportunity.     

Does childhood family structure help create stratification in adult education and labor market attainment?: An argument for the selectivity perspective

Stratification in opportunities for and attainment of educational credentials, stable and well‐paying jobs, wealth, and socioeconomic status causes problems for both individuals and the societies they live in. It is unclear, however, the extent to which important childhood experiences, such as family structure and transitions, shapes opportunity paths and eventual attainment later in adulthood. The intergenerational transmission literature suggests little if any role of family structure in later attainment, while family scholars and demographers find more compelling evidence that childhood family structures and transitions are influential in adulthood. We argue that both perspectives may be identifying selectivity processes that help explain potential links between families of origin and differences in opportunities to attain education, careers, and status. We then provide suggestions for future work in each of these scholarly traditions to help untangle both the degree to which family structure does or does not affect adult attainment and whether selectivity is the key explanation for any such relationships.     

The Role of Father’s Occupation on Intergenerational Educational and Occupational Mobility: The Case of Second‐Generation Chinese Americans in New York1

A considerable body of research has found a positive relationship between parents’ socioeconomic status and children’s educational achievement and attainment. The predictive role of parents’ socioeconomic status generally applies for most racial and ethnic groups, but that association does not always hold for groups that exhibit high levels of education, such as Asian Americans. This article considers the role of parents’ education and occupation on children’s educational and occupational attainment for Chinese Americans aged 18–32. The results corroborate the positive link between parents’ socioeconomic status and children’s educational and occupational attainments. Children of professionals command an educational and occupational advantage over children of entrepreneurs and children of manual workers. Yet, the children of entrepreneurs attend selective colleges and obtain professional occupations in proportions closely following those of the children of professionals. Although the educational attainments between the fathers who worked as entrepreneurs and those fathers engaged in manual work were comparable, it was the children of entrepreneurs who surpassed the children of manual workers with respect to educational and occupational achievement and attainment. This suggests that immigrant entrepreneurship contributes in the upward educational and occupational mobility of the children of entrepreneurs.     

Life's predictable unpredictables and the career plans of youth

A review of the status attainment research failed to discover a model that takes into account possible effects of unforeseen, consequential life events on the career plans of youth. The present longitudinal study found that 30.4% of 536 respondents indicated that something major had happened to change their occupational or educational plans in an important way. Race and sex differences were discovered with respect to whether a major happening was perceived to have occurred and with respect to the nature of the event. White women were found to be peculiarly vulnerable to the impact of unforeseen events. About half of all respondents who indicated that a consequential event had occurred cited marriage or having a child as the event. Relatively few in the low‐income sample cited financial problems as unpredictable events. Respondents who reported any consequential event were found to be less satisfied with their jobs and less happy with their marriages. It would be desirable to include measures of unforeseen consequential events in future status attainment research.     

The transmission of socioeconomic status and prestige in Great Britain and the United States

We analyze male occupational attainment using separate models in which occupational level is measured by indigenous socioeconomic index (SEI) scales, indigenous prestige scales, and a common prestige scale. Other than some consistent societal differences, the SEI scales produce highly similar results in both societies. In sharp contrast, both indigenous and common prestige scales indicate a stronger relative effect of origin (compared with education) on occupation in Great Britain. The dimensions of prestige and socioeconomic status thus seem to tap different aspects of the social mobility process, and the societies differ in the transmission of prestige but not socioeconomic status.     

Infants’ abilities to respond to cues for joint attention vary by family socioeconomic status

The influence of socioeconomic variability on language and cognitive development is present from toddlerhood to adolescence and calls for investigating its earliest manifestation. Response to joint attention (RJA) abilities constitute a foundational developmental milestone that are associated with future language, cognitive, and social skills. How aspects of the family home environment shape RJA skills is relatively unknown. We investigated associations between family socioeconomic status (SES) —both parent education and family percentage of the federal poverty level (FPL)— parent depressive and anxiety symptoms and infant RJA performance in a cross-sectional sample of 173 infants aged 8–18 months and their parents from a variety of socioeconomic backgrounds. Results suggest that, correcting for age and receptive language, infants in families with greater economic resources respond to relatively less redundant, more sophisticated cues for joint attention. Although parent depressive and anxiety symptoms are negatively correlated with SES, parent depressive and anxiety symptoms were not associated with infant RJA. These findings provide evidence of SES-related differences in social cognitive development as early as infancy, calling on policymakers to address the inequities in the current socioeconomic landscape of the United States.     

Trajectories of Limitations with Activities of Daily Living Among Older Adults of Mexican Descent: The Role of Widowhood

Using seven waves of data from the Hispanic Established Population for the Epidemiologic Study of the Elderly (1993–2011), this study applies multiphase growth models to examine changes in limitations with activities of daily living (ADL) across widowhood experience among 385 older adults of Mexican descent. This study also investigates the implications of demographic characteristics, health, socioeconomic status, living arrangements, and social involvement. ADL limitations increased pre-widowhood, were at higher levels immediately before and especially during the transition to widowhood, and increased at a steeper rate post-widowhood. Age and partially depressive symptoms accounted for these trends in ADL limitations pre-widowhood and to a lesser extent during the transition to widowhood and post-widowhood. Older age, being female, chronic conditions, financial strain, lower educational attainment, coresidence with children and others, and less frequent church attendance were risk factors for higher levels of and greater increases in these functional limitations throughout widowhood experience.     

Social Integration,Psychological Well-Being,and Their Socioeconomic Correlates*

Unidimensional conceptions of socioeconomic status require that alternative indicators of one's position in the stratification system have similar effects upon the consequences of socioeconomic level. We show herein that different indicators of social participation and psychological well-being are in fact associated with different indicators of socioeconomic status. Thus, any attempt to combine these indicators—educational attainment, occupational pursuit, family income, or occupational origins—into a single index of socioeconomic status will prove unsatisfactory because its component parts have different consequences for the same variable. We also show in this paper precisely how certain formulations of the effects of inconsistency and mobility are wholly redundant and only represent a logically possible way of interpreting the linearly additive effects of the variables used to define inconsistency and mobility.     

Health selection and the process of social stratification: the effect of childhood health on socioeconomic attainment

This study investigates whether childhood health acts as a mechanism through which socioeconomic status is transferred across generations. The study uses data from the Panel Study of Income Dynamics to track siblings and to estimate fixed-effects models that account for unobserved heterogeneity at the family level. The results demonstrate that disadvantaged social background is associated with poor childhood health. Subsequently, poor health in childhood has significant, direct, and large adverse effects on educational attainment and wealth accumulation. In addition, childhood health appears to have indirect effects on occupational standing, earnings, and wealth via educational attainment and adult health status. The results further show that socioeconomic health gradients are best understood as being embedded within larger processes of social stratification.     

Status variations in stress exposure: implications for the interpretation of research on race, socioeconomic status, and gender

Life events checklists have been the predominant method for estimating variations in stress exposure. It is unknown, however, whether such inventories are equally meaningful for estimating differences in exposure between men and women, African Americans and whites, and those in lower and higher socioeconomic categories. In this paper, we employ a wider range of measures of stress--recent life events, chronic stressors, lifetime major events, and discrimination stress--to examine the extent to which these dimensions collectively yield conclusions about status variations in stress exposure that are similar to or different from estimates based only on a life events checklist. Our analyses of data collected from 899 young men and women of African American and non-Hispanic white ancestry suggest that status differences in exposure to stress vary considerably by the measure of stress that is employed. Although women are more exposed to recent life events than men, males report more major events and discrimination stress than females. Our results also reveal that life event measures tend to substantially under-estimate differences between African Americans and non-Hispanic whites in exposure to stress. A similar pattern also holds for socioeconomic status. When stress is more comprehensively estimated, level of exposure profoundly affects ethnic differences in depressive symptomatology, accounting for almost half of the difference by socioeconomic status but contributing little to the explanation of the gender difference in distress. The implications of these findings for the debate over the relative mental health significance of exposure and vulnerability to stress are discussed.     

Self-esteem,financial knowledge and financial behavior

Financial knowledge is an important but insufficient driver of responsible financial behavior. Having a positive evaluation of oneself may also be essential for individuals to initiate and persist with the daunting process of financial management. In this study, we distinguish subjective financial knowledge from objective financial knowledge, and we propose that self-esteem relates to financial behavior both directly as well as indirectly through subjective financial knowledge. Results based on a nationally representative dataset of U.S. adults suggest that self-esteem significantly relates to individual financial behavior after controlling for financial knowledge and other socioeconomic factors. The association between self-esteem and financial behavior could be both direct and indirect through subjective financial knowledge. These findings highlight the importance of psychological traits such as self-esteem in explaining financial behavior difference. Its implications are discussed.