Turner J B, Kessler R C, House J S
Florida State University.
Am J Community Psychol. 1991 Aug;19(4):521-42. doi: 10.1007/BF00937990.
Conducted a community survey in the Fall of 1984 in a sample of high unemployment blue-collar census tracts in southeastern Michigan. Results of earlier analyses using these data showed that involuntarily unemployed workers had significantly elevated levels of depression, anxiety, somatization, and self-reported physical illness relative to a stably employed comparison group (Kessler, House, & Turner, 1987). Results presented in this paper document that this relationship is modified by social support (as measured by social integration and the availability of a confidant), self-concept, and various coping processes. Further analyses allowed us to determine the way in which these modifiers operate. The modifying effects of social support and coping operate primarily by buffering the impact of unemployment-related financial strain on the health outcomes. Self-concept operates primarily by attenuating vulnerability to other stressful life events. The implications of these results for the design and implementation of preventive interventions are discussed.
1984年秋季,在密歇根州东南部高失业率的蓝领人口普查区样本中进行了一项社区调查。早期使用这些数据进行的分析结果表明,与稳定就业的对照组相比,非自愿失业工人的抑郁、焦虑、躯体化症状和自我报告的身体疾病水平显著升高(凯斯勒、豪斯和特纳,1987年)。本文呈现的结果表明,这种关系会受到社会支持(通过社会融合和知己的可得性来衡量)、自我概念和各种应对过程的影响。进一步的分析使我们能够确定这些调节因素的作用方式。社会支持和应对的调节作用主要通过缓冲与失业相关的经济压力对健康结果的影响来实现。自我概念主要通过减轻对其他压力性生活事件的易感性来发挥作用。本文讨论了这些结果对预防性干预措施设计和实施的启示。