Rutgers Robert Wood Johnson Medical School and Centerline Institute, New Brunswick, NJ, USA.
The State University of New Jersey, New Brunswick, NJ, USA.
Appl Psychophysiol Biofeedback. 2024 Dec;49(4):503-521. doi: 10.1007/s10484-024-09658-x.
It is known that economic problems can cause psychological stress, and that psychological stress causes physiological changes often linked to disease. Here we report a systematic review and meta-analysis of studies on physiological effects of psychological treatment for individuals with economic problems. Of 5071 papers in our initial PsycInfo search, we identified 16 papers on physiological effects for psychological treatment of the economically stressed. We found 11 controlled studies, among which we found a small to moderate significant effect size, Hedges' g = 0.319, p < 0.001. The largest effect sizes were found for heart rate variability and measures of inflammation, and the smallest for measures involving cortisol. The studies were all on chronically poor populations, thus restricting generalization to other financially stressed populations such as students, athletes in training, and those stressed by relative deprivation compared with neighbors or other reference groups. None of the studies examined effects of these psychophysiological changes on disease susceptibility, and none included elements of financial planning. The nascent field of financial psychophysiology calls for more research in these areas. Even so, results suggest that financially stressed people can benefit physiologically from psychological stress management methods.
已知经济问题会导致心理压力，而心理压力会引起与疾病相关的生理变化。在这里，我们报告了一项关于针对经济困难个体的心理治疗的生理效应的系统评价和荟萃分析。在我们最初的 PsycInfo 搜索中，有 5071 篇论文，我们确定了 16 篇关于经济压力人群的心理治疗的生理效应的论文。我们发现了 11 项对照研究，其中我们发现了一个小到中等显著的效应量，Hedges' g = 0.319，p < 0.001。心率变异性和炎症指标的效应量最大，而涉及皮质醇的指标的效应量最小。这些研究都是针对长期贫困人群进行的，因此将其推广到其他经济困难人群（如学生、训练中的运动员、与邻居或其他参照群体相比相对贫困的人群）受到限制。没有一项研究检查这些心理生理变化对疾病易感性的影响，也没有一项研究包含财务规划的要素。金融心理生理学这一新兴领域呼吁在这些领域开展更多的研究。即便如此，结果表明，经济困难的人可以从心理压力管理方法中受益于生理上的改善。
