The authors tested hypotheses concerning risk mechanisms that follow involuntary job loss resulting in depression and the link between depression and poor health and functioning. A 2-year longitudinal study of 756 people experiencing job loss indicates that the critical mediating mechanisms in the chain of adversity from job loss to poor health and functioning are financial strain (FS) and a reduction in personal control (PC). FS mediates the relationship of job loss with depression and PC, whereas reduced PC mediates the adverse impacts of FS and depression on poor functioning and self-reports of poor health. Results suggest that loss of PC is a pathway through which economic adversity is transformed into chronic problems of poor health and impaired role and emotional functioning.Job loss is a discrete life event with multiple adverse health and mental health impacts including depression, health complaints, and impaired psychosocial functioning (Dew, Bromet, & Penkower, 1992;Dew, Bromet, & Schulberg, 1987;Dooley & Catalano, 1988;Hamilton, Broman, Hoffman, & Brenner, 1990;Kessler, House, & Turner, 1987;Price, 1992;Vinokur, 1997). However, the mechanisms by which job loss leads to these long-term outcomes remain poorly understood. The present study drew on models of the stress process to test hypotheses regarding the role of risk mechanisms that link job loss to depression and then subsequently link depression to two additional adverse outcomes: declines in personal functioning and poor health (Kahn, 1981;Pearlin, Lieberman, Menaghan, & Mullan, 1981). On the basis of a 2-year longitudinal sample of individuals experiencing involuntary job loss, we tested hypotheses linking employment status, financial strain, depression, personal control, role and emotional functioning, and health.
Models of the Stress Process That LinkStressors to Adverse Health and Mental Health OutcomesTwo related and complementary theoretical traditions link stressors to negative physical and psychological health. One well-known model describes stress as a process by which social and physical stressors result in poor health outcomes (Kahn, 1981). The model suggests that social and physical stressors result in short-term psychological and social responses including heightened arousal, distress, withdrawal, and lower motivation that, in some cases, lead to chronic health problems. Kahn (1981) proposed that the strength of the causal links among initial stressors, short-term responses, and long-term health and mental health consequences can be influenced by a wide range of social, biological, chemical, and environmental factors. The model has heuristic value in identifying pathways by which acute responses to stressors may become chronic and also in identifying potential points where it may be possible to influence or prevent the development of disorder.In a parallel formulation, Pearlin (1989) and his colleagues (Pearlin et al., 1981;Pearlin & Schooler, 1978) proposed that stress exposure, either due to discrete life events such as job loss or ...