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Gestor bibliográfico Crisis y Salud

How painful is a recession? An assessment of two future-oriented buffering mechanisms

Titulo How painful is a recession? An assessment of two future-oriented buffering mechanisms
Autoría Wilkinson LR, Schafer MH, Wilkinson R.
Fuente Soc Sci Med 2020 Soc Sci Med. 2020 Jun;255:112455. doi: 10.1016/j.socscimed.2019.112455. Epub 2019 Aug 2. 10.1016/j.socscimed.2019.112455
Resumen Rationale and objective: Guided by stress process theory, this study investigates the association between the economic downturn and chronic pain interference, as well as the role of two future-oriented buffering mechanisms (anticipated stressor duration and pre-recession financial optimism) in this relationship. This research integrates both an objective measure of the recession based on negative personal experiences, as well as subjective event-based appraisals of how the recession impacted people's lives. Method: Drawing on longitudinal data from the National Survey of Midlife Development in the United States, linear lagged dependent variable models are used to estimate associations between recession-era stressors and chronic pain interference among 1113 adults. The analysis further examines the moderating influences of anticipated stressor duration and pre-recession financial optimism. Results: Findings reveal that both an accumulation of adverse experiences and global appraisals of the economic recession have harmful associations with chronic pain interference; however, their magnitude varied according to future-oriented moderating factors. Specifically, people with high pre-recession financial optimism fared better when confronted with recession-related stressors than did those with low levels of financial optimism. Moreover, pain interference was greater among individuals who appraised the recession as having a negative impact on their lives, but only if they perceived the recession would extend into the future. Conclusions: This study demonstrates distinctive links between two recession-related measures and pain interference. Findings suggest that positive future orientations can be protective during an economic crisis, whereas negative orientations heighten the pain.
URL www.ncbi.nlm.nih.gov/pubmed/32416438