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We examined the effect of family life, work, and war-related stressors on posttraumatic stress disorder (PTSD) symptoms, depression symptoms, perceived physical health, and perceived functioning in a large sample of 796 randomly selected Air Force men and women who were deployed during the period of October 7, 2001 to September 2004. As predicted by conservation of resources (COR) theory, we found that these combined sources of stress directly affected PTSD and depression symptoms and that resource loss, more than resource gain, mediated these effects. We further found that greater PTSD and depression symptoms were related to diminished physical health and poorer functioning. Contrary to what COR theory might predict, resource losses did not have a greater direct effect on perceived health and functioning than resource gain. However, because stressors had so much greater effect on resource loss than on gain, and resource loss had so much more direct effect on PTSD and depression symptoms than resource gains, it is still the stronger mediator of the effects of stressors on perceived health and functioning than resource gain. Critical for military policy, our results highlight the greater importance of limiting resource loss cycles than promoting gain cycles, even if each has a role in supporting or undermining well-being, psychosocial and work functioning, and deployment readiness. [ABSTRACT FROM AUTHOR]

Chronic dialysis imposes ongoing stress on patients and staff and engenders recurring contact and long-term relationships. Thus, chronic dialysis units are opportune settings in which to investigate the impact of patients' relationships with staff on patient well-being. The authors designed the present study to examine the degree to which perceptions of open communication between patients and staff affect patient mental health. A one-year, two-wave longitudinal survey assessed patient (N = 109) perceptions of the interpersonal environment and mental health. Assessments included sharing personal information (open disclosure), assisting one another (helping), staff respect for patients (respect), and hierarchical patient--staff relations (formal staff authority). Cross-sectional and longitudinal regression analyses examined how these characteristics of the interpersonal environment relate to depression and subjective well-being among patients. Multivariate analysis showed that open disclosure correlated independently with lower levels of depression at baseline (N = 109) and a predicted significant decrease in depression over time (N = 64). Other interpersonal characteristics did not correlate with depression or subjective well-being at baseline or longitudinally. The interpersonal climate in chronic dialysis units influences patient well-being. Contrary to traditional views, open disclosure in patients' relationships with staff is not detrimental and contributes to well-being. [ABSTRACT FROM AUTHOR]

Previous studies that have demonstrated the beneficial effects of the Työhön Job Search Intervention for job seekers on re-employment and mental health have not revealed the specific mediators of these effects. The present study examined two specific mediators that were targeted by the intervention, job-search self-efficacy and inoculation against setbacks, as components of a global construct referred to as job-search preparedness. The hypothesis that job-search preparedness is the main mediator of the effects of the intervention on the outcomes was then tested using data from the 1261 participants of the Finnish Työhön Job Search Intervention study. ANOVA demonstrated that the Työhön intervention produced a significant increase in both job-search self-efficacy and inoculation against setbacks (both p<0.001). Further structural equation modelling demonstrated that the intervention increased job-search preparedness (β = 0.21, p<0.001) which had statistically significant mediating effects on increasing re-employment (β = 0.12, 0.10, p<0.01, 0.05, respectively), and decreasing financial strain and depressive symptoms (β = from -0.09 to -0.14, p<0.01 to 0.001). Future studies should expand the conceptualization of job-search preparedness with assessment of job-search skills as an additional component. Copyright © 2005 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

When individuals who receive social support are in poor physical or mental health and are criticized or made to feel unwanted, they may perceive themselves as a burden. Poor physical health and depression were hypothesized to exacerbate the harmful effects on suicidal ideation of receiving critical negative messages and of receiving social support. These hypotheses were tested using secondary analyses of data from a sample of 533 unemployed married individuals who were assessed shortly after job loss, and 6 months later. The results of our analyses supported the hypotheses and demonstrated that for participants with poor health or high level of depressive symptoms an increase in critical messages and social support (from Time 1 to Time 2) predicted increased suicidal ideation. This relationship was not observed for nondepressed participants in good health. The results are discussed in terms of their implications for suicide prevention. [ABSTRACT FROM AUTHOR]

The process linking unemployment and economic hardship to depression and marital or relationship satisfaction in couples was examined. Using structural equation modeling, the authors tested models in which financial strain and partners' symptoms of depression influence the behavioral exchange of the couples in terms of social support and social undermining and, in turn, the effects of support and undermining on relationship satisfaction and depressive symptoms. The analyses were based on longitudinal data from 815 recently unemployed job seekers and their spouses or partners. The results demonstrated that financial strain had significant effects on depressive symptoms of both partners, which in turn led the partner to withdraw social support and increase social undermining. Reduced supportive and increased undermining behaviors had additional adverse effects on satisfaction with the relationship and on depressive symptoms. [ABSTRACT FROM AUTHOR]

Using structural equation modeling analyses we examined the correlation in levels of depression symptoms within couples to determine whether the underlying mechanism is due to common stressors, empathic reactions, or crossover via social interaction. The analyses were based on two waves of data collection from a sample of 354 male Vietnam veterans, Era veterans (veterans who served elsewhere during the period of the Vietnam War), and nonveterans and from their wives or committed partners. The results demonstrated that the correlation in depression symptoms within couples is due primarily to common stressors and crossover via negative social interaction. Common stressful life events increase depression in both spouses, and this in turn increases social undermining, which further increases depression. [ABSTRACT FROM AUTHOR]

Drawing on coping resources theory, we evaluate the impact of a job search intervention on depressive symptoms in a randomized field experiment at three follow-up periods covering two and one-half years. Baseline depressive symptoms, low social assertiveness, and financial hardship were identified as significant risk variables predicting depressive symptoms at follow-up. These variables then were used to identify high- and low-risk individuals in both experimental and control groups. Results indicated that the job search intervention had its primary impact on persons identified as being at higher risk for depression. Furthermore, the intervention had an impact on both the incidence and prevalence of more severe depressive symptoms among high-risk individuals. [ABSTRACT FROM AUTHOR]

This study examines the mediating role of employment preparedness in improving employment, mental health, and construction of work-life goals among young vocational school graduates who participated in the School-to-Work effectiveness trial. The trial included a 1-week intervention program that focused on enhancing employment preparedness. In this trial, 416 graduates of secondary vocational institutes were randomized into a control and experimental group. All the study participants were assessed at baseline, immediately after the intervention, and 10 months later. The results showed that the School-to-Work intervention increased employment preparedness, which in turn increased employment at the 10-month follow-up. Furthermore, employment predicted work-life-related personal goals and lower financial strain, which in turn was associated with lower depressive symptoms. The implications for theory and practice are discussed. [ABSTRACT FROM AUTHOR]