Department of Psychology.
Am Psychol. 2019 Sep;74(6):641-652. doi: 10.1037/amp0000520.
Economic hardship during childhood is associated with worse mental and physical health across the life span. Over the past decade, interdisciplinary research has started to elucidate the behavioral and biological pathways that underlie these disparities and identify protective factors that mitigate against their occurrence. In this integrative review we describe these advances, highlight remaining gaps in knowledge, and outline a research agenda for psychologists. This article has 3 aims. First, we consider the evolving psychobiological literature on protective factors and conclude that supportive relationships can mitigate against the physical health problems often associated with economic hardship. Second, we discuss recent empirical developments in health psychology, public health, and the biological sciences, which reveal trade-offs associated with adaptation and challenge the conception of what it means to be resilient. Finally, we outline a research agenda that attempts to integrate existing knowledge on health disparities with these newer challenges to inform both policy and practice for youth experiencing economic hardship. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
儿童时期的经济困难与整个生命周期的身心健康状况较差有关。在过去的十年中,跨学科研究开始阐明造成这些差异的行为和生物途径,并确定减轻其发生的保护因素。在这篇综合评论中,我们描述了这些进展,强调了知识上仍然存在的差距,并为心理学家制定了研究议程。本文有三个目标。首先,我们考虑关于保护因素的不断发展的心理生物学文献,并得出结论,支持性的关系可以减轻与经济困难相关的身体健康问题。其次,我们讨论了健康心理学、公共卫生和生物科学方面的最新实证发展,这些发展揭示了与适应相关的权衡,挑战了对韧性的概念。最后,我们概述了一个研究议程,试图将有关健康差距的现有知识与这些对经历经济困难的年轻人的政策和实践具有重要意义的新挑战结合起来。(PsycINFO 数据库记录(c)2019 APA,保留所有权利)。