For many older Americans, managing economic resources is a considerable challenge, often resulting in chronic financial strain. This study examines the impact of financial strain on one domain of distress: symptoms of depression. Data came from a longitudinal study of a representative community sample of an ethnically and socioeconomically diverse elderly population. In multivariate analysis, financial strain was strongly associated with concurrent depression as measured by the Center for Epidemiologic Studies-Depression Scale (CES-D) among men and women. In addition, financial strain was associated with increases in CES-D scores over a 3-year period, but only among men. Again among men only, emotional support buffered the adverse effect of financial strain, whereas poor physical health aggravated its effect on depressive symptoms. These findings provide further evidence that financial strain is related to psychological distress in the elderly, particularly in men, and that in these men, this effect is modified by social support and physical health.
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References
1.
Aging in America . (1991). Trends and projections (Department of Health and Human Services Publication No. F Co A 91-28001). Washington, DC: U.S. Government Printing Office.
2.
Aneshensel, C. S. , Frerichs, R. R., & Huba, G. J. (1984). Depression and physical illness: A multiwave, nonrecursive causal model. Journal of Health and Social Behavior, 25, 350-371.
3.
Berkman, L. F. , Berkman, C. S., Kasl, S. V., Freeman, D. H., Leo, L., Ostfeld, A. M., Cornoni-Huntley, J., & Brody, J. A. (1986). Depressive symptoms in relation to physical health and functioning in the elderly. American Journal of Epidemiology, 124, 372-388.
4.
Billings, A. G. , & Moos, R. H. (1984). Coping, stress, and social resources among adults with unipolar depression. Journal of Personality and Social Psychology, 46, 877-891.
5.
Blazer, D. , Hughes, D. C., & George, L. K. (1987). The epidemiology of depression in an elderly community population. The Gerontologist, 27, 281-287.
6.
Blazer, D. , & Williams, C. D. (1980). Epidemiology of dysphoria and depression in an elderly population. American Journal of Psychiatry, 137, 439-444.
7.
Boyd, J. H. , & Weissman, M. M. (1981). Epidemiology of affective disorders: A reexamination and future directions. Archives of General Psychiatry, 38, 1039-1046.
8.
Bruce, M. L. , & Leaf, P. J. (1989). Psychiatric disorders and 15-month mortality in a community sample of older adults. American Journal of Public Health, 79, 727-730.
9.
Bush, T. L. , Miller, S. R., Golden, A. L., & Hale, W. E. (1989). Self-report and medical record report agreement of selected medical conditions in the elderly. American Journal of Public Health, 79, 1554-1556.
10.
Caplan, G. (1981). Mastery of stress: Psychosocial aspects. American Journal of Psychiatry, 138, 413-420.
11.
Cohen, J. , & Cohen, P. (1983). Applied multiple regression/correlation analysis for the behavioral sciences. Hillsdale, NJ: Lawrence Erlbaum.
12.
Cohen, S. , & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98, 310-357.
13.
Comstock, G. W. , & Helsing, K. S. (1976). Symptoms of depression in two communities. Psychological Medicine, 6, 551-563.
14.
Cornoni-Huntley, J. , Ostfeld, A. M., Taylor, J. O., Wallace, R. B., Blazer, D., Berkman, L. F., Evans, D. A., Kohout, F. J., Lemke, J. H., Scherr, P. A., & Korper, S. P. (1993). Established populations for epidemiologic studies of the elderly: Study design and methodology. Aging Clinical and Experimental Research, 5, 27-37.
15.
Elam, J. T. , Graney, M. J., Beaver, T., El Derwi, D., Applegate, W. B., & Miller, S. T. (1991). Comparisons of subjective ratings of function with observed functional ability of frail older persons. American Journal of Public Health, 81, 1127-1130.
16.
Goldstein, M. S. , & Hurwicz, M.-L. (1989). Psychological distress and perceived health status among elderly users of a health maintenance organization. Journal of Gerontology, 44, P154-P156.
17.
Kasl, S. V. (1984). Stress and health. Annual Review of Public Health, 5, 319-341.
18.
Katz, S. , Downs, T. D., Cash, H. R., & Grotz, R. C. (1970). Progress in the development of an index of ADL. The Gerontologist, 10, 20-30.
19.
Kessler, R. C. , & McLeod, J. D. (1984). Sex differences in vulnerability to undesirable life events. American Journal of Sociology, 49, 620-631.
20.
Kivela, S. K. (1984). Measuring disability-do self-ratings and service provider ratings compare?Journal of Chronic Disease, 37, 115-123.
21.
Krause, N. (1986). Stress and sex differences in depressive symptoms among older adults. Journal of Gerontology, 41, 727-731.
22.
Krause, N. (1987a). Stress in racial differences in self-reported health among the elderly. The Gerontologist, 27, 72-76.
23.
Krause, N. (1987b). Chronic financial strain, social support, and depressive symptoms among older adults. Psychology and Aging, 2, 185-192.
24.
Krause, N. (1987c). Chronic strain, locus of control, and distress in older adults. Psychology and Aging, 2, 375-382.
25.
Krause, N. , Jay, G., & Liang, J. (1991). Financial strain and psychological well-being among the American and Japanese elderly. Psychology and Aging, 6, 170-181.
26.
Murrell, S. A. , Himmelfarb, S., & Wright, K. (1983). Prevalence of depression and its correlates in older adults. American Journal of Epidemiology, 117, 173-185.
27.
Nagi, S. Z. (1976). An epidemiology of disability among adults in the United States. Milbank Memorial Fund Quarterly, 54, 439-468.
28.
National Center for Health Statistics . (1980). Basic data on depressive symptomatology, United States, 1974-75 (Department of Health, Education, and Welfare Publication No. PHS 80-1666). Washington, DC: U.S. Government Printing Office.
29.
National Institutes of Health Consensus Development Conference Statement . (1991). Diagnosis and treatment of depression in late life, November 4-6.
30.
O'Hara, M. W. , Kohout, F. J., & Wallace, R. B. (1985). Depression among the rural elderly. Journal of Nervous and Mental Disease, 173, 582-589.
31.
Pearlin, L. I. , Menaghan, E. G., Lieberman, M. A., & Mullan, J. T. (1981). The stress process. Journal of Health and Social Behavior, 22, 337-356.
32.
Pleck, J. (1983). Husbands' paid work and family roles: Current research issues. In H. Lopata & J. Pleck (Eds.), Research in the interweave of social roles 3: Family and jobs (pp. 251-333). Greenwich, CT: JAI.
33.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Journal of Applied Psychological Measurement, 1, 385-401.
34.
Radloff, L. S. , & Locke, B. Z. (1986). The community mental health assessment survey and the CES-D scale. In M. M. Weissman, T. K. Myers, & C. E. Ross (Eds.), Community surveys of psychiatric disorders (pp. 177-189). New Brunswick, NJ: Rutgers University Press.
35.
Roberts, R. E. , Stevenson, J. M., & Breslow, L. (1981). Symptoms of depression among Blacks and Whites in an urban community. Journal of Nervous and Mental Diseases, 169, 774-779.
36.
Romaniuk, M. , McAuley, W. J., & Arling, G. (1983). An examination of the prevalence of mental disorders among the elderly in the community. Journal of Abnormal Psychology, 92, 458-467.
37.
Rosow, I. , & Breslau, N. (1966). A Guttnen health scale for the aged. Journal of Gerontology, 21, 556-559.
38.
Ross, C. E. , & Huber, J. (1985). Hardship and depression. Journal of Health and Social Behavior, 26, 312-327.
39.
Sarason, I. G. , & Sarason, B. R. (Eds.). (1985). Social support: Theory, research, and applications. The Hague, The Netherlands: Martinus Nijhoff.
40.
Shah, B. V. , Barnwell, B. G., Hunt, P. N., & LaVange, L. M. (1991). Professional software for survey data analysis for multi-stage sample designs (SUDAAN), Release 5.50. Research Triangle Park, NC: Research Triangle Institute.
41.
Smith, L. A. , Branch, L. G., Scherr, P. A., Wede, T., Evans, D. A., Hebert, L., & Taylor, J. O. (1990). Short-term variability of measures of physical function in older people. Journal of the American Geriatrics Society, 38, 993-998.
42.
Southwood, K. (1978). Substantive theory and statistical interaction: Five models. American Journal of Sociology, 83, 1154-1203.
43.
Wells, K. B. , Stewart, A., Hays, R. D., Burnam, A., Rogers, W., Daniels, M., Berry, S., Greenfield, S., & Ware, J. (1989). The functioning and well-being of depressed patients: Results from the Medical Outcomes Study. Journal of the American Medical Association, 262, 914-919.
44.
Woodruff, R. S. (1971). A simple method for approximating the variance of a complicated estimate. Journal of the American Statistical Association, 55, 344-354.
