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- Genre: Masters Thesis
Description
Low-income Mexican American women face significant risk for poor health during the postpartum period. Chronic stressors are theorized to negatively impact mental and physical health outcomes. However, physiological factors associated with increased self-regulatory capacity, such as resting heart rate variability, may buffer the impact of stress. In a sample of 322 low-income Mexican American women (mother age 18-42; 84% Spanish-speaking; modal family income $10,000-$15,000), the interactive influence of resting heart rate variability and three chronic prenatal stressors (daily hassles, negative life events, economic stress) on maternal cortisol output, depressive symptoms, and self-rated health at 12 weeks postpartum was assessed. The hypothesized interactive effects between resting heart rate variability and the chronic prenatal stressors on the health outcomes were not supported by the data. However, results showed that a higher number of prenatal daily hassles was associated with increased postpartum depressive symptoms, and a higher number of prenatal negative life events was associated with lower postpartum cortisol output. These results suggest that elevated chronic stress during the prenatal period may increase risk for poor health during the postpartum period.
ContributorsJewell, Shannon Linda (Author) / Luecken, Linda J. (Thesis advisor) / Lemery-Chalfant, Kathryn (Committee member) / Perez, Marisol (Committee member) / Arizona State University (Publisher)
Created2015
Description
Daily life stressors and negative emotional experiences predict poor physical and psychological health. The stress response of the hypothalamic-pituitary-adrenal axis is a primary biological system through which stressful experiences impact health and well-being across development. Individuals differ in their capacity for self-regulation and utilize various coping strategies in response to stress. Everyday experiences and emotions are highly variable during adolescence, a time during which self-regulatory abilities may become particularly important for adapting to shifting social contexts. Many adolescents in the U.S. enter college after high school, a context characterized by new opportunities and challenges for self-regulation. Guided by biopsychosocial and daily process approaches, the current study explored everyday stress and negative affect (NA), cortisol reactivity, and self-regulation assessed at the momentary, daily, and trait level among a racially/ethnically and socioeconomically diverse sample of first-year college students (N = 71; Mage = 18.85; 23% male; 52% non-Hispanic White) who completed a modified ecological momentary assessment. It was expected that within-person increases in momentary stress level or NA would be associated with cortisol reactivity assessed in college students' naturalistic settings. It was predicted that these within-person associations would differ based on engagement coping responses assessed via momentary diary reports, by the range of engagement coping responses assessed via diary reports at the end of the day, and by higher trait levels of self-regulation assessed via standard self-report questionnaire. Within-person increases in momentary stress level were significantly associated with momentary elevations in cortisol only during moments characterized by greater than usual engagement coping efforts (i.e., within-person
increases). At a different level of analysis, within-person increases in momentary stress level were significantly associated with increases in cortisol only for those with low trait levels of coping efficacy and engagement coping. On average, within-person increases in momentary NA were significantly associated with cortisol reactivity. Tests of moderation revealed this momentary association was only significant for those with low trait levels of support-seeking coping.
increases). At a different level of analysis, within-person increases in momentary stress level were significantly associated with increases in cortisol only for those with low trait levels of coping efficacy and engagement coping. On average, within-person increases in momentary NA were significantly associated with cortisol reactivity. Tests of moderation revealed this momentary association was only significant for those with low trait levels of support-seeking coping.
ContributorsSladek, Michael Ronald (Author) / Doane, Leah D (Thesis advisor) / Eisenberg, Nancy (Committee member) / Luecken, Linda J. (Committee member) / Arizona State University (Publisher)
Created2015
Description
Adverse childhood family environments have been found to have long-term effects on a child's well-being. Although no prior studies have examined the direct effects of childhood family adversities on nighttime blood pressure (BP) dip, parental death and divorce in childhood, have been associated with a variety of related psychological problems in adulthood. The current study examined the direct effects of parental death and divorce in childhood and quality of early family relationships on adult nighttime BP dip as well as the mediating role of three psychosocial factors (depression, hostility and social stress). One hundred and forty-three young adults were asked to complete self-reported measures of the three psychosocial factors and quality of family relationships. Study participants wore an ambulatory blood pressure (ABP) monitor over a 24-hr period in order to assess nocturnal BP dip. Although neither childhood family adversity nor quality of childhood family relationships directly predicted nighttime BP dipping, quality of early family relationships predicted all three psychosocial factors, and hostility was found to mediate the relationship between quality of childhood family relationships and nighttime systolic BP dip. Early family experiences play an important role in influencing nighttime cardiovascular functioning by influencing an individual's psychological functioning in young adulthood. Because nighttime non-dipping has been associated with increased risk for cardiovascular disease and other serious health conditions, the results of the present study have important clinical implications and provide specific psychosocial pathways that may be targeted in future programs designed to prevent and treat cardiovascular disease.
ContributorsTanaka, Rika (Author) / Luecken, Linda J. (Thesis advisor) / Wolchik, Sharlene (Committee member) / Davis, Mary (Committee member) / Arizona State University (Publisher)
Created2012
Description
Latino children are more than twice as likely to live in poverty than their non-Latino, White peers (Kids Count Data Center, 2017), yet limited work has aimed to understand neighborhood influences on pathways of mental health among Latino children. Substantial work documents the deleterious effects of living in a disadvantaged neighborhood on mental health outcomes throughout the lifespan (Leventhal & Brooks-Gunn, 2000). Parental and familial variables may explain neighborhood influences on children’s mental health during the first few years of life (May, Azar, & Matthews, 2018). The current study evaluated the influence of three neighborhood indicators (concentrated disadvantage, residential instability, and the percentage of residents identifying as Hispanic/Latino) on maternal postpartum depressive symptoms and child behavior problems at 3 and 4.5 years via mediation and moderated mediation models among a sample of 322 low-income, Mexican American mother-child dyads. Contrary to hypotheses and existing literature, concentrated disadvantage and residential instability were not predictive of maternal or child mental health outcomes. The percentage of residents identifying as Hispanic/Latino emerged as a protective neighborhood factor for both mothers and children. The neighborhood ethnocultural context may be especially relevant to understanding pathways of mental health specific to Mexican American families. More research is needed to understand specific parental and familial mechanisms underlying this protective effect.
ContributorsCurci, Sarah (Author) / Luecken, Linda J. (Thesis advisor) / Perez, Marisol (Committee member) / White, Rebecca MB (Committee member) / Arizona State University (Publisher)
Created2019
Description
Socioeconomic status (SES) is linked with poorer health outcomes across the range of SES. The Reserve Capacity Model (RCM) proposes that low SES fuels repeated and/or chronic exposure to elevated levels of stress, producing deleterious emotional, psychological, social, and physiological changes that result in development of disease over time. The RCM further asserts that a relative lack of social and psychological resources, including efficacy and social support, among low SES individuals accounts for their greater vulnerability to the effects of stress. Although the links between stress, reserve capacity, and health outcomes are framed in the RCM as an ongoing process that produces disease, the majority of investigations testing the model have not examined its utility in explaining 1) coping with daily stressors or 2) symptom flares among individuals managing a chronic illness. This study investigated the effects of SES, reflected in income level, on the: 1) levels of daily financial events and financial worry; 2) relations between daily financial worry and symptoms of pain and fatigue; and 3) extent to which daily coping efficacy and social support mediated the daily financial worry-symptom relation across 21 daily diary reports collected from 220 individuals with fibromyalgia (FM). Simple correlations showed that income was inversely related to frequency of financial events and level of financial worry across 21 days. Results from multilevel models indicated that daily increases in financial worry were unrelated to pain regardless of income level, but were related to increased fatigue among individuals with lower relative to higher income. Daily efficacy and support mediated the relations between financial worry and pain and fatigue, but the extent of mediation did not differ based on high versus low income level. Taken together, the findings suggest that individuals of low versus high income encounter more frequent financial stress and experience greater daily fatigue exacerbation related to that stress, in line with the RCM. Over time, the greater exposure and reactivity to financial strain may account for the inverse relation between income and disability among those with chronic pain.
ContributorsMoore, Shannon Victoria (Author) / Davis, Mary C. (Thesis advisor) / Luecken, Linda J. (Committee member) / Suk, Hye Won (Committee member) / Arizona State University (Publisher)
Created2017