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财务状况、掌控感与心理健康:考虑到未被观察到的时间稳定影响。

Financial circumstances, mastery, and mental health: Taking unobserved time-stable influences into account.

机构信息

University of Toronto, Canada.

University of Calgary, Canada.

出版信息

Soc Sci Med. 2018 Apr;202:108-116. doi: 10.1016/j.socscimed.2018.01.019. Epub 2018 Feb 17.

DOI:10.1016/j.socscimed.2018.01.019
PMID:29522902
Abstract

This paper examines whether low income and subjective financial strain are associated with mental health, as well as whether mastery weakens this association. We analyze three waves of a large sample of Canadians and utilize random and fixed effects regression strategies to assess bias introduced by unobserved time-stable confounders. In random effects models, both low income and subjective financial strain are associated with distress and anger. In fixed effects models that control for all time-stable confounders, the effect of low income is reduced to non-significance for both outcomes. The effect of subjective strain is also reduced in fixed effects models, but remained statistically significant. Sobel tests indicated that the effect of subjective strain on mental health is transmitted through mastery, but this indirect path is modest in magnitude. When interactions are tested, mastery weakens the association between subjective strain and distress, and this effect is robust to the influence of time-stable controls, but mastery does not buffer the subjective strain-anger relationship in either random or fixed-effects models. Finally, moving below the low income threshold increases anger for low mastery individuals, but seems to reduce anger when moving below the low income threshold is coupled with increases in mastery. Collectively, our findings demonstrate the importance of assessing the influence of unobserved time-stable confounders in stress research. Further, discrepancies in the moderating role of mastery reinforce calls for the assessment of multiple outcomes in mental health research.

摘要

本文探讨了低收入和主观经济压力是否与心理健康相关,以及掌握感是否会削弱这种关联。我们分析了加拿大大样本的三波数据,并利用随机和固定效应回归策略来评估未观察到的稳定时间混淆因素引入的偏差。在随机效应模型中,低收入和主观经济压力都与苦恼和愤怒有关。在固定效应模型中,控制了所有稳定的时间混淆因素后,低收入对这两个结果的影响都降低到不显著。在固定效应模型中,主观压力的影响也降低了,但仍具有统计学意义。Sobel 检验表明,主观压力对心理健康的影响是通过掌握感传递的,但这种间接路径的幅度不大。当测试交互作用时,掌握感削弱了主观压力与苦恼之间的关联,而且这种效应在控制了稳定时间因素的影响后仍然稳健,但在随机或固定效应模型中,掌握感都不能缓冲主观压力与愤怒之间的关系。最后,当个人的掌握感较低时,低于低收入门槛会增加愤怒,但当低于低收入门槛的同时掌握感增加时,愤怒似乎会减少。总的来说,我们的研究结果表明,在压力研究中评估未观察到的稳定时间混淆因素的影响非常重要。此外,掌握感的调节作用存在差异,这进一步呼吁在心理健康研究中评估多个结果。

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