Later life health optimism,pessimism and realism: Psychosocial contributors and health correlates

Prior research has established positive outcomes of health optimism (appraising one's health as good despite poor objective health (OH)) and negative outcomes of health pessimism (appraising health as poor despite good OH), yet little is known about their contributors. We examined the role of psychosocial factors (life event stress, depression, dispositional optimism, perceived social support) in health realism (appraising health in accordance with OH), optimism and pessimism among 489 older men and women. We then accounted for the psychosocial factors when examining multiple health correlates of health realism, optimism and pessimism. Controlling for age, gender and income, regression results indicate that depression and social support were associated with less health optimism, while dispositional optimism was associated with greater health optimism among those in poor OH. Dispositional optimism was associated with less health pessimism and life event stress was associated with greater pessimism among those in good OH. Beyond the effects of the psychosocial factors, structural equation model results indicate that health optimism was positively associated with healthy behaviours and perceived control over one's health; health pessimism was associated with poorer perceived health care management. Health optimism and pessimism have different psychosocial contributors and health correlates, validating the health congruence approach to later life well-being, health and survival.     

Low social inclusion in childhood: adjustment and early predictors

The principal aim of the present study was to obtain a deeper understanding than hitherto of the concurrent correlates and prospective predictors of loneliness and poor peer acceptance, both falling under the umbrella term low social inclusion. Problematic and socially competent behaviours were investigated as possible predictors of low social inclusion in grade 6, as defined by self‐rated loneliness and degree of peer non‐acceptance, respectively. In grade 6 808 children participated whereof 323 were followed longitudinally from first grade. Loneliness in grade 6 was distinctively associated with high levels of internalizing problems, concurrently as well as prospectively. Peer acceptance, on the other hand, emerged as a complex, multifaceted aspect, with concurrent, independent predictions from both externalizing and internalizing problem behaviours as well as social competence, although prospective analyses found early externalizing problems to be the strongest predictor of peer acceptance. Moderating effects of social competence were sparse, although peer nominated social competence buffered peer acceptance for children with high levels of aggression in the concurrent analyses and social competence boosted peer acceptance for children with low problem levels in the predictive analyses. Social competence did not appear to buffer the negative impact of early problem behaviours on peer relations. Copyright © 2008 John Wiley & Sons, Ltd.     

Being excluded by one means being excluded by all: Perceiving exclusion from inclusive others during one-person social exclusion

Although research has shown that social exclusion undermines well-being, past work has focused primarily on complete and unambiguous social exclusion in which all people in a situation exclude one individual. Might the presence of an inclusive other buffer individuals against the deleterious consequences of social exclusion? The present research investigates a novel situation, one-person exclusion, in which one person includes while another excludes. Participants played a virtual ball-tossing game in which they experienced two-person exclusion, one-person exclusion, or inclusion. Inclusive others did not buffer against the consequences of exclusion; experiencing one-person exclusion (vs. inclusion) led to perceived exclusion and lessened belongingness, similar to two-person exclusion. Moreover, instead of perceiving includers as a form of support, paradoxically, participants inaccurately believed that inclusive others had engaged in exclusion. These findings suggest that one-person exclusion is sufficient to elicit negative outcomes and that inclusive bystanders may be perceived as part of the exclusion.     

Eliciting human intelligence: The effects of social exclusion and inclusion on information disclosure

Eliciting information from semicooperative sources presents a major challenge in investigative and intelligence settings. This research examines the role of the human need to belong in individuals' willingness to disclose critical information. We hypothesised that social exclusion would exert a threat to individuals' need to belong and self‐esteem, which would make them strive for social reconnection through sharing information with others. In two experiments (N = 150 and N = 135), social exclusion and inclusion were manipulated before participants were given the opportunity to disclose critical information in a semicooperative game setting (Study 1) or a mock intelligence interview (Study 2). Social exclusion did not influence information disclosure in any of the experiments. Instead, however, social inclusion unexpectedly increased information disclosure in the interview setting. We conclude that prior social experiences can influence the outcome of subsequent interviews, but the precise mechanisms underlying such influence are currently unknown.     

社会网络视角下的同伴关系与心理健康

近年来, 从社会网络视角考察同伴关系与心理健康的相互作用正成为发展心理学和健康心理学研究的热点。研究者多借助整体网和纵向数据, 通过两种作用机制, 即选择过程(selection process) (强调心理和行为变量对社会网络和同伴关系的影响, 如关系的形成、维持和解除)和影响过程(influence process) (强调社会网络和同伴关系对心理和行为变量的影响), 来分析同伴关系与心理健康协同演进的动态过程。实证研究关注的领域集中在青少年健康风险行为(如吸烟、喝酒、药物滥用)和情绪问题(如抑郁、焦虑、孤独感)。未来研究应该注重拓展社会网络的类型和样本、加强理论建构、增加对积极心理和消极关系的研究, 并有望在互联网领域及社会网络的生物学基础等方面取得进展。     

Benefits of belonging: Experimental manipulation of social inclusion to enhance psychological and physiological health parameters

Objective: Acute changes in social belonging are important triggers for alterations in health and well-being, yet research has emphasised the negative effects of ‘exclusion’ at the expense of evaluating the potentially positive effects of ‘inclusion’. This study examined the impact of acute belonging on physiological and psychological outcomes.

Design and main outcome measures: A healthy population (N?=?138) were randomly allocated to ‘included’ or ‘excluded’ conditions. Condition-dependent differences in pre/during-task heart rate and pre/post-task self-reports of negative/positive mood, and social self-esteem, were assessed.

Results: Included participants showed decreased heart rate and negative mood, and increased social self-esteem. No inclusion-related change in positive mood was shown. An increase in heart rate was observed in excluded participants though no changes in negative/positive mood or social self-esteem were shown. Shifts in social self-esteem acted as a mechanism through which inclusion/exclusion impacted upon negative and positive mood alterations. Results remained significant in presence of covariates (sex, global self-esteem, rumination and social anxiety).

Conclusion: Findings suggest that acting to enhance belonging through ‘inclusion’ resulted in adaptive physiological and psychological outcomes. Neutral and potentially protective responses were observed in the immediate aftermath of ‘exclusion’. Self-esteem served as one route through which these effects were transmitted.     

Change in subjective social status following HIV diagnosis and associated effects on mental and physical health among HIV-positive gay men in Australia

Objective: This study investigates the impact of HIV diagnosis on subjective social status and if changes are linked to health outcomes.

Design: Two measures of subjective social status, socio-economic and standing in the community were examined in 342 Australian HIV-positive gay men in 2014. Participants recalled ratings at diagnosis were compared with current ratings.

Main outcome measures: Self-reported mental (psychological distress, self-esteem, positive mental health and satisfaction with life) and physical health (self-rated health, CD4 count, viral load).

Results: Half of the participants reported improvements in subjective socio-economic status (59%) or standing in the community (52%) since diagnosis, yet one quarter reported socio-economic status (25%) or standing in the community had decreased (23%). Increases in either measure of subjective social status were linked to higher self-esteem, positive mental health, satisfaction with life and better self-rated health. Decreases in subjective social status, however, were strongly linked to poorer outcomes on all mental health measures. Decreases in standing in the community were also associated with poorer physical self-rated health.

Conclusion: Most participants reported their subjective social status were the same or better since diagnosis. Changes in subjective social status following diagnosis were strongly linked to mental health outcomes. Those who reported a decrease in subjective social status were particularly vulnerable to mental health problems.     

Community as practice: social representations of community and their implications for health promotion

Health promotion researchers and practitioners have increasingly turned to community-based approaches. Although there has been much work around the diverse understandings of the term in areas such as community psychology and sociology, I am concerned with how such understandings relate directly to community health research and practice. From a discursive perspective ‘community’ is seen as a socially constructed representation that is used variously and pragmatically. However, from a wider view, community can be seen as a matter of embodied practice. This paper draws on social representations theory to examine the shifting constructions of ‘community’, the functional use of those understandings in social life, and the practices that suggest that it is important to attend to their use in particular contexts. Accordingly, the paper argues that meanings of community in the health promotion or public health context must be seen as representations used for specific purposes in particular situations. Furthermore, the broader notion of embodied practice in social life has implications for community participation in health promotion. Copyright © 2007 John Wiley & Sons, Ltd.     

The enemy between us: The psychological and social costs of inequality

There is now substantial evidence that larger income differences in a society increase the prevalence of most of the health and social problems that tend to occur more frequently lower down the social ladder. The pathways through which human beings are sensitive to inequality are however less clear. This paper outlines the explanatory theory that we think best fits the growing but incomplete body of evidence available. Inequality appears to have its most fundamental effects on the quality of social relations—with implications affecting the prevalence of a number of psychopathologies. We suggest that human beings have two contrasting evolved social strategies: one that is adaptive to living in a dominance hierarchy and the other appropriate to more egalitarian societies based on reciprocity and cooperation. Although both strategies are used in all societies, we hypothesise that the balance between them changes with the extent of material inequality.     

An integrative framework on the impact of allies: How identity-based needs influence intergroup solidarity and social movements

What impact do advantaged group allies have within social movements? Although solidarity between advantaged and disadvantaged group members is often encouraged to achieve long-term social change, allies run the risk of being ineffective or counterproductive, therefore making it important to shift our focus towards understanding the impact of allies. We propose an integrative theoretical framework describing the positive and negative impact of allies based on their distinct identity-based needs: advantaged group members’ need for moral acceptance and disadvantaged group members’ need for empowerment and respect. By consolidating extant literature and identifying gaps in prior research, we propose a set of hypotheses concerning (a) tensions that arise within intergroup solidarity efforts for social change between advantaged group allies and disadvantaged group members, and (b) the role of allies in influencing broader public opinion to advance the psychology of social change.     

Longitudinal relations among perceived parental warmth,self-esteem and social behaviours from middle childhood to early adolescence in China: Disentangling between- and within-person associations

Although several studies have addressed the relations between perceived parental warmth and social behaviours, few have distinguished their between- and within-person effects or explored their within-person mediating mechanisms. This study examined the transactional relations among perceived parental warmth (i.e. maternal warmth and paternal warmth), children's self-esteem and children's positive/negative social behaviours (i.e. prosocial behaviour and delinquent behaviour) along with the mediating role of self-esteem after disentangling between- and within-person effects. A total of 4315 Chinese elementary children (44.9% girls; M_age = 9.93 years, SD = 0.73) completed relevant measures on four occasions employing 6-month intervals. Results of random-intercept cross-lagged panel models showed that (a) perceived parental warmth reciprocally and positively predicted prosocial behaviour and self-esteem; (b) perceived paternal warmth reciprocally and negatively predicted delinquent behaviour; (c) self-esteem reciprocally predicted prosocial and delinquent behaviour; (d) perceived maternal warmth reciprocally and positively predicted prosocial behaviour through self-esteem; (e) perceived parental warmth reciprocally and negatively predicted delinquent behaviour through self-esteem; and (f) perceived maternal and paternal warmth differed in their relations with prosocial and delinquent behaviours through self-esteem. These findings illuminated the complicated longitudinal within-person interactions among perceived parental warmth, self-esteem, and social behaviours, the specific mediating mechanism of self-esteem, and the differing results associated with perceived maternal and paternal warmth, all of which yield significant implications for assessments and early interventions aimed to promote positive social behaviour.     

Socio-economic health inequalities: Their origins and implications

Abstract

Evidence attests to substantial variations in health contingent on socioeconomic position. It is argued that these effects cannot be dismissed as artefact nor can they be explained, in the main, by either social selection or an unequal distribution of accepted behavioural risk factors among different social groups. The most likely explanation would seem to be social causation. However, it is continuing social and material inequality that appears most implicated; accounts which locate the effects in childhood social and material causes are far less compelling. The persistence of socioeconomic health differentials into the materially better-off social strata and the possible determining role of relative as well as absolute living standards suggest that psychological, in addition to material, variables are likely to be involved. Isolating the key psychological variables and identifying the nature of their influences will not be easy tasks, although social relations, psychological stress, uplifts, and control have emerged as possible candidates. However, psychological mediators of this sort most probably constitute surface rather than basic causes. Socio-economic inequality, it is contended, remains the basic cause, and, as such, the proper target for intervention. Psychological interventions are unlikely to yield much in the way of dividends in this context and indeed could inadvertently contribute to victim blaming.     

Interaction between varying social ties on health: Perceived partner responsiveness and institutional trust

The interplay between different forms of social relationships, that is, perceived partner responsiveness and institutional trust, on subjective health evaluations was examined for the first time. There were 1241 respondents who had a romantic relationship. After adjusting for the covariates, findings suggested that greater perceived partner responsiveness and institutional trust led respondents to report better subjective health. The positive link between perceived partner responsiveness and subjective health was more pronounced among the respondents reporting a lower level of institutional trust. Such an interaction could be an indicator pointing out the compensatory role of close relationship dynamics. Given that finding, public health authorities and practitioners could be encouraged to be aware of the adaptive function of social ties on health and focus on maintaining the strength of intimate social ties and building trust between authority gradients. This suggestion could especially be adaptive not only during “normal” times but also during post-disaster circumstances (e.g., COVID-19).     

Perfectionism and health: A mediational analysis of the roles of stress,social support and health-related behaviours

This study tested a model derived from personality theory in which perceived stress, perceived social support, health-risk and health-promotion behaviours mediate the relationship between perfectionism and perceived physical health. A sample of 538 undergraduate students completed a web-based survey assessing multi-dimensional perfectionism, perceived stress, perceived social support, health behaviours, physical health and a scale tapping elements of the five-factor model of personality. Analyses that account for the effects of traits from the five-factor model (e.g., neuroticism, conscientiousness and extraversion) indicated that socially prescribed perfectionism was associated with poorer physical health and this association was fully mediated by higher levels of perceived stress and lower levels of perceived social support. Self-oriented perfectionism was related complexly to health such that it was related to poorer health via higher levels of perceived stress, but was also related to better health via higher levels of perceived social support. Our findings illustrate the need for considering key mediators of the link between perfectionism and poor health outcomes.     

Religiousness on mental health in older adults: the mediating role of social support and healthy behaviours

The positive association between religiousness and mental health among the faithful is well-established; here, social support (SS) and healthy behaviours (HB) are investigated as mechanisms underlying the benefits of faith on depression and anxiety in a survey sample of 97 religious older adults aged 62–96 (M_age?=?79). Initial regression models revealed a significant direct effect (higher religiousness?=?less depression and less anxiety). For depressive symptoms, both individual mediators rendered the effect of religiousness non-significant, with HB explaining more variance (36% vs. 27%); in the combined model, both demonstrated independent, additive effects (SS?=??.18, p?=?.006; HB?=??.34, p?p?=?.005). The results help inform those working with religious older adults facing depression and anxiety by highlighting key aspect(s) of the person’s faith experience that will be most effective in helping to improve his or her mental health.     

Unemployment,social support and health complaints: A longitudinal study of stress in East German refugees

Migrants have to deal with a number of stressors, among them tenacious job search and the constitution of a new social network. Prolonged unemployment and lack of social support can result in impaired health. A sample of 235 East Germans was investigated at three times during two years following their transition to West Berlin in 1989, after the breakdown of the communist system. The majority found a job during this time and succeeded to adapt psychosocially. Those, however, who remained unemployed were worse off in terms of self-reported health. This stress—health relationship was moderated, however, by social support. Within the group of migrants who suffered from long-term joblessness, social support exerted a longitudinal buffer effect. At Wave 3, frequent physical symptoms were reported only by migrants who neither held a job nor received support. In a longitudinal causal model, the employment status affected mainly health complaints, but also social support. The relationship between health and support was found to be reciprocal over time.     

Financial strain,social capital,and perceived health during economic recession: a longitudinal survey in rural Canada

Although the health consequences of financial strain are well documented, less is understood about the health-protective role of social capital. Social capital refers to a sense of community embeddedness, which is in part reflected by group membership, civic participation, and perceptions of trust, cohesion, and engagement. We investigated whether perceptions of social capital moderate the relation between financial strain and health, both mental and physical. This longitudinal study surveyed adults in two communities in rural Ontario where significant job losses recently occurred. Data were collected on financial strain, social capital, perceived stress, symptoms of anxiety and depression, and physical health on three occasions over 18 months (N's = 355, 317, and 300). As expected, financial strain positively related to perceived stress, poor physical health and symptoms of anxiety and depression, whereas social capital related to less stress, better physical health, and fewer symptoms of anxiety and depression. Effects of financial strain on perceived stress and depressive symptoms were moderated by social capital such that financial strain related more closely to perceived stress and depressive symptoms when social capital was lower. The findings underscore the health-protective role of community associations among adults during difficult economic times.     

Religious identification and interreligious contact in Indonesia and the Philippines: Testing the mediating roles of perceived group threat and social dominance orientation and the moderating role of context

This study integrates three theoretical perspectives provided by social identity theory, realistic group conflict theory, and social dominance theory to examine the relationship between religious identification and interreligious contact. It relies on a unique dataset collected among Christian and Muslim students in ethnically and religiously diverse regions of Indonesia and the Philippines, where social cleavages occur along religious lines. Religious identification directly predicts a higher quality of interreligious contact, whereas it indirectly predicts a lower quantity and quality of contact, mediated by higher perception of group threat, and a higher quality of contact, mediated by lower social dominance orientation. Furthermore, these direct and indirect relationships are moderated by religious group membership and relative group size. We conclude that religious identification functions as a ‘double‐edged sword’ predicting both higher quality and lower quantity and quality of interreligious contact through various pathways and with a varying strength depending on intergroup context.     

Social representations of health and illness: the case of the Chinese community in England

This paper reports results from a qualitative study on social representations of health and illness among the Chinese community in England. It is assumed that representations of health and illness are grounded in cultural frameworks and are constructed through communication, social interaction and the practices of daily life. Our findings show that in spite of differences related to age and degrees of acculturation, Chinese people in England share a common representational system with respect to health and illness. This system is based on the traditional notions of “balance” and “harmony” between the interdependent forces of Yin and Yang. Health results from balance, whereas illness is brought about by disequilibrium. It is through these traditional Chinese concepts that Western biomedical knowledge is incorporated, producing a mixed representational field where Chinese and Western knowledge co‐exist. This representational field is transmitted through the most fundamental dimensions of culture: food, language and kinship relations. We conclude by showing that social representations of health and illness are inseparable from the struggles over identity experienced by the Chinese people in England. Copyright © 1999 John Wiley & Sons, Ltd.