Social Comparisons of Psychological Distress by Boarding House Residents: Self-Evaluations of Mental Health and Healthcare Need

Abstract

Boarding house residents (BHRs), like the wider homeless population, are multiply disadvantaged and have disproportionately high levels of mental ill-health. Social comparison processes that involve comparing one's mental health to others, may lead BHRs to minimize their mental health problems and needs. This cross-sectional study examined BHRs' evaluations of their psychological distress compared to three social reference groups and the significance of these to their felt need for help with distress. Fifty-seven, mostly male, BHRs in New South Wales participated in structured face-to-face interviews that included an objective measure of distress (K10). There was no evidence that psychological distress was underestimated due to social comparison processes. Objective distress produced the strongest prediction of participants' desire for help. Participants reported substantially higher distress than the Australian normative sample and 58% had clinically significant distress. Of these BHRs, 42% indicated that they did not want any help for their distress, which highlights the need for strategies to better engage this group.     

Racial identity, racial discrimination, perceived stress, and psychological distress among African American young adults

This study examines the direct and indirect relationships among racial identity, racial discrimination, perceived stress, and psychological distress in a sample of 555 African American young adults. A prospective study design was used to assess the influence of two dimensions of racial identity attitudes (i.e., centrality and public regard) on other study variables to investigate the relationship between racial identity attitudes and psychological distress. The results show some evidence of a direct relationship between racial centrality and psychological distress, as well as evidence of indirect relationships for both centrality and public regard through the impact of racial discrimination and perceived stress. In addition, racial centrality was both a risk factor for experiencing discrimination and a protective factor in buffering the negative impact of discrimination on psychological distress. Results are discussed within the context of identifying multiple pathways to psychological well-being for African American young adults within the context of racial discrimination.     

Why are older adults victims of fraud? Current knowledge and prospects regarding older adults’ vulnerability to fraud

Older adults are disproportionately targeted by various kinds of fraud, which result in irreversible economic losses and great psychological distress. Over the past years, researchers have conducted systematic research on the prevalence, under-reporting, and research methods of fraud victimization in older adults. Research paradigms regarding fraud victimization among older adults have mainly included cognitive, emotion regulation and motivation, and comprehensive paradigms. Factors shown to influence fraud victimization among older adults include cognitive decline, emotional regulation and motivational changes, their overly trusting nature, psychological vulnerability, social isolation, risk-taking, and a lack of knowledge and information regarding fraud prevention. Based on a review of the literature, future research can benefit from constructing a comprehensive fraud victimization theory, improving research methods, extending existing research, exploring physiological mechanisms of elderly fraud, and strengthening prevention and intervention efforts.     

The ultimate deception: childhood sexual abuse in the church

Childhood sexual abuse is a serious problem. Significant evidence exists that victims experience both short-term and long-term emotional and psychological problems related to the abuse. Childhood sexual abuse committed by clergy or other adults affiliated with the church may have additional ramifications because of deep violations of trust, honesty, and love. In addition, it can create spiritual distress in victims. Child and adolescent mental health nurses need to actively promote risk-reduction strategies to help prevent the abuse from occurring in their communities.     

The Joint Effect of Poor Physical Function and Childcare on Psychological Distress Among Elderly Latinos

Abstract

This study is based on the double jeopardy hypothesis that elderly people who have poor physical function and who provide childcare for their families are more likely to experience a greater sense of psychological distress than those with poor physical function who have no childcare responsibilities. We used a sample of 2160 elderly (age 65 or over) Latinos (including Puerto Ricans and those of Mexican, Cuban, or other Latin American origin or descent) from the National Survey of Hispanic Elderly People to test this hypothesis. Regression analysis was used, and the findings confirm that after controlling for age, gender, marital status, and education, the joint effect of physical function and childcare on psychological distress remains statistically significant. We further performed a sub-group analysis, also using regression analysis, to clarify the effect of poor physicalfunction on psychological distress in the sample of those who did provide and those who did not provide childcare. The findings clearly indicate that poor physical functioning has a greater effect on psychological distress in the group who provided childcare than in the group that did not. Implications for intergenerational practice and further research are discussed.     

Psychological distress among black and white Americans: differential effects of social support, negative interaction and personal control

This study examines the relationships among social support, negative interaction, financial strain, traumatic events, personal control, personality, and psychological distress among African American and white adults. These analyses: (1) test the overall adequacy of various models (i.e., main, mediator, and artifactual effects) of these effects, (2) examine the role of social support and negative interaction within the context of financial strain and traumatic events, and (3) verify possible indirect effects of social interaction on distress by assessing their impact on personal control. Data from The National Comorbidity Survey were used to examine these relationships using structural equation modeling techniques. Findings indicated different models of these relationships for African Americans and whites. Overall, personal control mediated the relationship between negative interaction and psychological distress. For whites, negative interaction was an overall stronger predictor of distress and contributed to the impact of financial strain and traumatic events on psychological distress. Among African Americans, social support was a stronger predictor of distress. The findings suggest that the underlying models of these relationships are different for African Americans and whites.     

Psychological distress and mortality: are women more vulnerable?

Does psychological distress increase mortality risk? If it does, are women more vulnerable than men to the effect of distress on mortality? Drawing from cumulative disadvantage theory, these questions are addressed with data from a 20-year follow-up of a national sample of adults ages 25-74. Event history analyses were performed to examine mortality from general and specific causes for men and women. Findings reveal that the effect of psychological distress on all-cause mortality was nonlinear for men. Moderate amounts of distress were associated with lower mortality risk, but high levels of distress raised men's mortality risk. Moreover the curvilinear relationship between distress and mortality varied by cause of death for men and women. Men with high levels of psychological distress were more vulnerable to ischemic heart disease mortality. Women with high levels of distress were more vulnerable to cancer mortality.     

Marriage and mental health among young adults

Marriage is widely thought to confer mental health benefits, but little is known about how this apparent benefit may vary across the life course. Early marriage, which is nonnormative, could have no, or even negative, mental health consequences for young adults. Using survey data from waves 1 and 3 of the National Longitudinal Study of Adolescent Health (n = 11,695), I find that married young adults exhibit levels of psychological distress that are similar to those of young adults in any kind of romantic relationship. Married and engaged young adults also report lower frequency of drunkenness than those who are not in a romantic relationship. Married young adults, especially those who first married at ages 22 to 26, report higher life satisfaction than those in other type of romantic relationships,those in no romantic relationship, and those who married prior to age 22. Explanations for these findings are examined, and their implications are discussed.     

Chronic stressors and daily hassles: unique and interactive relationships with psychological distress

Using daily telephone interviews of a U.S. national sample of adults, aged 25-74 (N = 1,031), the present analyses draw from theories of the stress process and recent research to examine how chronic role-related stressors and daily hassles affect psychological distress. Four separate hypotheses are examined. The first explores the association between chronic stressors and daily hassles. The second tests whether daily hassles function as an intervening variable between chronic stressors and psychological distress. The third tests whether a chronic stressor moderates the relationship between daily hassles and psychological distress. The fourth hypothesis tests for cross-domain effects of chronic stressors and daily hassles. Findings indicate that chronic stressors and daily hassles are distinct types of stressors with unique contributions to psychological distress. The study provides support for chronic home stressors functioning as a moderating factor on the relationship between daily hassles and psychological distress both within and across domains.     

What predicts adjustment among college students? A longitudinal panel study

OBJECTIVE: Researchers have previously reported that law students and medical students experience significant distress during their first year. The authors suspected that freshmen undergraduates might experience similar distress in their transition to college. PARTICIPANTS: They surveyed 242 undergraduate freshmen at the beginning and end of their first year. METHODS: The authors asked participants about their physical health, alcohol use and smoking habits, stress levels, perfectionism, self-esteem, coping tactics, optimism, extroversion, and psychological adaptation to college. RESULTS: Data replicated the declines reported in law and medical students' psychological and physical health. Negative coping tactics and perfectionism predicted poorer physical health and alcohol use at the end of the year; however, optimism and self-esteem predicted better physical and psychological outcomes. CONCLUSION: Future researchers should investigate steps that college administrators can take to help to alleviate some of these problems, such as offering workshops on stress relief to incoming freshmen.     

The Mental Health of the Childless Elderly

The substantial number of childless elderly in Canada and the United States raises important concerns about the nature of their family support, as well as their psychological well-being. Although the (mixed) effects of childlessness on the mental health of the elderly are well documented in the literature, little is known about the social distribution of psychological distress and depression within this population: how well the childless elderly live, the status of their mental health, and what factors affect their psychological well-being are all crucial questions that remain unanswered. This paper utilizes Pearlin et al.'s (1981) stress process model to examine psychological distress and depression among the childless elderly. Our empirical analysis uses a nationally representative sample of childless individuals aged 55 and over ( N = 2,311) from the 1996-1997 National Population Health Survey (NPHS), and generalized linear model (GLM) techniques. Generally, our results support the stress process model. We find that individual-level stressors exert a strong and consistently negative impact on psychological distress and depression. We also find significant buffering effects of (perceived) social support.     

College Student Psychological Distress: Relationship to Self‐Esteem and Career Decision Self‐Efficacy Beliefs

College students experience a number of stressors, such as adjustment to a new environment, postgraduation planning, and the balancing of changing roles and responsibilities. These stressors may contribute to increased rates of psychological distress that have implications for their educational and career development. The purpose of this study was to extend understanding of the nature of the relationships among psychological distress, self‐esteem, and career decision self‐efficacy (CDSE) beliefs. Results from 292 undergraduate students demonstrated support for the proposed hypotheses. Psychological distress negatively related to self‐esteem and to CDSE. Self‐esteem was positively related to, yet distinct from, CDSE, and both self‐esteem and psychological distress contributed unique variance to the prediction of CDSE. Results highlight the importance of attending to student psychological distress in the provision of career counseling services. Future research that centralizes mental health is needed to better understand relationships among career development processes over time and within diverse student populations.     

Trauma screening in students attending a medical university

Clinicians seldom assess trauma history in patients who seek treatment for psychological problems, yet trauma exposure is often related to psychological distress. Assessing trauma history can provide valuable information for treatment conceptualization and provision, although patients may not spontaneously share their histories because of embarrassment, avoidance, or other concerns. The authors compared 73 students at a southeastern US medical university who sought counseling and psychological services and completed intake paperwork without a trauma screen with 130 students whose intake procedures included trauma screening. They found that (a) patients who were specifically asked about trauma history were more likely to report such events, (b) previous physical assaults with a weapon were related to current psychological distress, and (c) physical assaults with or without a weapon were related to clinically significant psychological distress. These findings suggest that screening for lifetime trauma history should be a standard part of mental health screenings in similar medical university counseling centers.     

Victimization, Psychological Distress and Subsequent Offending Among Youth

The current study examined the relationship between the victimization of youth, psychological distress and subsequent offending. It examined whether direct and vicarious victimization by exposure to violence in the family, among peers, and in the neighborhood, significantly predicted psychological distress among study participants and whether psychological distress significantly predicted subsequent offending over time. In addition, it examined the extent (if any) to which psychological distress mediated the relationship between victimization and subsequent offending. Method: study data are from wave 1 and wave 2 of the Buffalo Longitudinal Study of Young Men (BLSYM), a population based sample (n = 625) of young men, ages 16-19 years old in a metropolitan area of Buffalo, New York. A path analytic approach was used for the main analyses. Findings: personal, vicarious victimization by exposure to violence among peers, and perception of neighborhood safety were significant predictors of offending at wave 1. Personal and property victimization was significant predictors of psychological distress. Psychological distress did not have a significant relationship with offending at wave 1 yet, it did at wave 2. Vicarious victimization by exposure to violence among peers and offending at wave 1 were all significant predictors of offending at wave 2. The results highlight the need to respond to both direct and vicarious victimization among young males to reduce psychological distress and subsequent offending.     

Parental role strains, salience of parental identity and gender differences in psychological distress.

Although past research indicates that women's higher levels of psychological distress can be accounted for by their greater exposure and vulnerability to role-related stress, the social psychological factors contributing to female vulnerability have not been fully identified. This paper applies identity theory to the phenomenon of gender differences in distress among parents. From an identity perspective, I propose that salience of the parental identity in women's self-conceptions contributes to their vulnerability to parental role strains. Using 1988 survey data from a stratified random sample of married and divorced Indianapolis residents (N = 448), I find that gender differences in distress are explained by differences in exposure to parental role strains. Further analyses reveal, however, that salience of the parental identity contributes to both men's and women's vulnerability to parental role strains. These findings underscore the utility of identity theory for explaining psychological distress among women and men.     

Impact of Adult Sons’ Incarceration on African American Mothers’ Psychological Distress

This longitudinal study examines the effect of sons’ incarceration on their mothers’ psychological distress. Interviews were conducted over the life course with a community cohort of African American mothers who had children in first grade in 1966 – 1967 when the study began (N =615). Thirty years later, their sons had significant rates of incarceration (22.4%). Structural equation modeling showed that the more recent the incarceration, the greater the mothers’ psychological distress, even controlling for earlier socioeconomic status and psychological well‐being. Financial difficulties and greater burden of grandparenting are associated with having a son incarcerated and they mediate the relationship between the incarceration and a mother’s psychological distress. Results suggest that incarceration has important effects on family members’ well‐being.     

Trauma Screening in Students Attending a Medical University

Abstract

Clinicians seldom assess trauma history in patients who seek treatment for psychological problems, yet trauma exposure is often related to psychological distress. Assessing trauma history can provide valuable information for treatment conceptualization and provision, although patients may not spontaneously share their histories because of embarrassment, avoidance, or other concerns. The authors compared 73 students at a southeastern US medical university who sought counseling and psychological services and completed intake paperwork without a trauma screen with 130 students whose intake procedures included trauma screening. They found that (a) patients who were specifically asked about trauma history were more likely to report such events, (b) previous physical assaults with a weapon were related to current psychological distress, and (c) physical assaults with or without a weapon were related to clinically significant psychological distress. These findings suggest that screening for lifetime trauma history should be a standard part of mental health screenings in similar medical university counseling centers.     

Poverty and psychological distress in Latin America

The objective of this paper is three-fold: first, to study the psychological distress of the Latin American poor. Second, to study differences in psychological distress between the poor and the relatively wealthy in Latin America. Third, to study how economic growth impacts the psychological well-being of the poor.This paper uses micro-level information from the Gallup 2007 Survey for 16 Latin American countries to study psychological distress of the poor in Latin America; the survey is representative at the country level. The investigation works with approximately 12,500 observations. Psychological distress is measured on the basis of a set of questions regarding a person’s emotional situation the day before he/she answered the questionnaire.The investigation finds out that the poor show greater psychological distress than the wealthy and that the gap is statistically significant. However, it would be inappropriate to attempt predicting a person’s psychological well-being on the basis of his/her poverty condition alone, since many factors affect people’s psychological well-being. The paper also shows that rapid economic growth seems to be detrimental to the psychological well-being of the poor, and that the impact of economic growth on psychological well-being differs between the poor and the relatively wealthy.     

Work-related factors associated with psychological distress among social workers

The current study assesses the association between several work-related factors and psychological distress among social workers (SWs) in Israel. The data were collected through structured questionnaires, administered to a sample of 494 SWs. The findings suggest that most of the examined work-related factors (namely, years of professional experience, personal work-related subjection to violence, burnout, compassion fatigue, and sense of coherence), with the exception of compassion satisfaction, significantly predicted psychological distress among SWs. The conclusion is that it is important to embed within the social work practice strategies for reducing sources of psychological distress (job demands) and increasing material, professional, and personal resources. Reducing the levels of psychological distress experienced by SWs will benefit not only themselves, but also their families and colleagues, as well as their clients. Moreover, this has potential benefits for the social work profession and for the general community.